David Runion
Principal Engineer, AI Integrations
Eighteen years of healthcare integration work. HL7, FHIR, certified EHR systems. Ships open-source AI agent tooling: `pad` and `rome-x402-mcp`.
David owns the integration layer: the part of an AI stack that has to talk to systems already in production. Eighteen years inside healthcare technology, currently Principal Developer at Infinx Healthcare. He has shipped certified EHR applications, HL7 and FHIR routing, EMR and PACS integration engines, and the kind of regulated-industry middleware where 'usually right' is not the bar.
He also ships open-source AI agent tooling. `pad` (getpad.dev) is a local-first project management tool built specifically for developers working alongside Claude Code, Cursor, and similar agents. `rome-x402-mcp` is a production Model Context Protocol server bridging Base, Algorand, and the Voi Network. Regulated integration and AI agent tooling are the same problem from two angles: making AI talk to systems that already exist.
Layer in the stack
Integration