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I work at the seam between AI engineering and regulated‑industry delivery.

who

I've been writing software professionally since 2000, and remotely since 2003 — 23 years of distributed work, before it had a name or a handbook. That arc has taken me from South Africa, through two decades of open-source work with North American companies, to Dublin.

For the last five years I've been VP of Information Systems and Product at Renalytix, leading the technology organisation behind KidneyIntelX.dkd — an AI-enabled diagnostic that achieved FDA De Novo Authorization. That meant running a software group under ISO 13485 and ISO 27001, shipping EHR integrations with major US health systems, and being the person in the room who can hold both the architecture and the regulatory story in their head at the same time.

Before that: nearly seven years at NearForm as Delivery Architect and then Technical Director — owning the full arc from sales conversation to production, across a portfolio of enterprise clients.

Right now I'm spending most of my time in the agentic AI space: spec-driven, human-in-the-loop multi-agent systems, with a specific interest in how LLM orchestration can be applied responsibly in regulated environments. It's the work I find most energising, and it's where I think I'm most useful.

current status
Currently in a full-time role. Open to thoughtful conversations about agentic AI work in regulated industries.
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things I'm good at.

  1. 01Lead technical organisations in regulated settings — medtech, finance, compliance-heavy SaaS.
  2. 02Design and oversee AI / agentic systems where getting it wrong has real consequences.
  3. 03Translate between engineering and executive, clinical, and regulatory audiences.
  4. 04Own the full delivery journey — from first sales call to production hand-off.
  5. 05Architect systems that have to pass audits, not just demos.
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a handful of things
I've led.

Twenty-five years of work compressed, ruthlessly, into four entries.

01

KidneyIntelX.dkd

Renalytix/VP Information Systems & Product/2020 — present
“FDA De Novo-authorized AI diagnostic for kidney disease.”

Led the technology teams delivering an AI diagnostic tool that predicts kidney function decline in diabetic patients with early-stage kidney disease. Provided architectural direction through the FDA De Novo submission, built out a SaMD-classified engineering organisation under ISO 13485 and ISO 27001, and shipped production EHR integrations with Mount Sinai, Wake Forest, and Singing River. A lot of what I learned here is specific to regulated AI: change control, validation, clinical partnership, the pace at which you can ship when a bug has patient consequences.

FDAISO 13485ISO 27001SaMDEHR
02

Enterprise delivery portfolio

NearForm/Delivery Architect → Technical Director/2015 — 2021
“Node.js consulting at enterprise scale, end-to-end.”

As Delivery Architect and then Technical Director at a large remote-first Node.js consultancy, I owned the whole customer journey — pre-sales, architecture, delivery, account management. Projects included a global ethics & compliance investigation product, a micro-services platform for a payroll firm, a course-management and CBT system for a global consulting firm, and a cash-distribution optimisation system deployed across several banks and ATM networks in Africa and Asia. I also ran the company's open-source portfolio for a year.

Node.jsmicroservicesconsultingteam leadership
03

Aegir Hosting System

Development Seed · open source/Founder & lead developer/2007 — 2012
“Turn-key hosting platform for Drupal sites.”

Founded and led the first major version of Aegir, an open-source turn-key hosting platform for Drupal. It took a typical pain point — managing hundreds of Drupal installs — and made it boring, which is the highest compliment infrastructure can receive. The project outlived my involvement by many years, which remains the thing I'm most quietly pleased about.

open sourceDrupalPaaSinfrastructure
04

Early MapBox-era work

Development Seed/Senior Developer/2009 — 2012
“Data-oriented sites on the open-source mapping stack.”

At Development Seed, I transitioned to Node.js alongside the team and worked across large data-oriented sites and applications. Much of this was built on an open-source mapping stack that was eventually spun out as MapBox. A good reminder that the useful work is often the work you do before anyone has named the category yet.

Node.jsgeodataopen source
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the whole arc.

Johannesburg → Cape Town → Dublin, in roughly that order.

2023 — present
VP Information Systems & Product @ Renalytix
Dublin
2021 — 2023
VP Digital Health Technology Delivery @ Renalytix
Dublin
2020 — 2021
Head of Health Technology Delivery @ Renalytix
Dublin
2020 — 2021
Technical Director @ NearForm
Dublin
2015 — 2020
Delivery Architect @ NearForm
Ireland
2015
Microservices Architect @ DataRobot
remote
2014
CTO @ Wayfinder
remote
2012 — 2014
Lead Software Architect @ GoBe.Me
remote
2009 — 2012
Senior Developer @ Development Seed
remote
2004 — 2009
Developer, co-founder @ Bryght / Raincity Studios
remote
2001 — 2004
Application Developer @ Obsidian Systems
South Africa
2000 — 2001
Instructor, then Developer @ ITTC
Pretoria
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write to me.

I'm in the middle of a digital purge — moving off old platforms and scaling back my public presence. Possibly to the detriment of my career, certainly to the benefit of my sanity.

LinkedIn is the most reliable place to reach me. If we've met and you have my email, use it.

→ linkedin
adrianrossouw
→ github
AdrianRossouw
adrian.rossouw.ie
typeset in EB Garamond & JetBrains Mono ·