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Case studies

Shipped in production. Not slideware.

A decade building clinical AI that runs in production: ambient scribes, document pipelines and the workflow infrastructure behind platforms healthcare leaders already trust. Real architectures, real numbers, with the guardrails healthcare requires.

How we build
10+

Years building clinical AI

15

Case studies & deep-dives

5

Production systems detailed

30K

Live rows rendered in-browser

Featured deep-dive
Deep-dive8 min

AI clinical documentation for behavioral health

AI-assisted documentation that listens to the visit and drafts a structured, evidence-mapped clinical note in near real time, with the clinician always in control.

AI documentationAmbient AIGenerative AIBehavioral Health
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Engineering deep-dives

Deep-dive7 min

Conversation Capture: audio that survives the hospital

How we made live clinical conversations survive real hospital conditions: continuous capture, resilient delivery, and nothing lost when the network drops.

Mobile EngineeringReal-time AudioReliability
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Deep-dive14 min

React Performance Optimization

Core Web Vitals, the rendering pipeline, React 18 concurrency, and the memoization, splitting and key strategies that actually move the numbers.

ReactPerformanceReact 18
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Deep-dive8 min

Document Intelligence at Scale

Turning thousands of unstructured documents a day into structured, actionable data, while cutting AI processing cost by around 80%.

Applied AIDocument ProcessingAutomation
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Deep-dive6 min

Why mobile is a game-changer for community healthcare

How a mobile-first, AI-scribe approach solves healthcare’s “last-mile” problem, giving clinicians their evenings back.

React NativeMobile-firstAI Scribe
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Deep-dive8 min

Offline-first: a clinical app that works with zero signal

Encrypted, offline-first clinical documentation: sign in, document care and sync safely with no network at all, and no secret ever stored on the device. Two open-source libraries came out of it.

Offline-firstMobile EngineeringEncryptionOpen Source
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Deep-dive8 min

Reverse-engineering a 16-year-old behavioral-health EHR

Embedding into a sixteen-year-old EHR built on a proprietary, undocumented language: learning it from the inside, fixing the bug nobody could find, and shipping clinical, billing and scheduling modules.

Legacy SystemsEHRHealthcareRoot-cause Engineering
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Deep-dive8 min

One clinical-notes editor for web, mobile and desktop

One writing experience shipped across every surface a clinician works on (browser, phone and installed desktop app), online or offline, without three codebases drifting apart.

Cross-platformClinical DocumentationOffline-first
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Deep-dive9 min

Rendering 30,000 live rows: a real-time logistics grid

Modernizing a legacy desktop logistics system into a web app that renders 30,000 records smoothly and shows every vehicle moving on a live map, updated hundreds of times a minute.

Web ModernizationReal-timeData-dense UILogistics
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Deep-dive9 min

Inside InterSystems Caché: the database that stores records as paths, not joins

Why Caché still powers some of the most demanding systems in healthcare, its MUMPS heritage, and what years of engineering on the platform taught us.

InterSystems CachéHealthcareLegacy ModernizationInteroperability
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In production

Each study goes deep on one system from our work: the architecture, the trade-offs, and the numbers behind it.

01Healthcare AI

Integrated Clinical Intelligence Suite

A next-generation healthcare ecosystem that bridges the clinical encounter and patient recovery with integrated AI, combining ambient documentation with proactive patient monitoring.

Virtual ScribePatient MonitoringRisk Stratification
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02Healthcare AI

Transforming Clinical Documentation

Automating clinical documentation with managed clinical AI to reduce administrative overhead, intelligently converting medical dictation into structured, audit-ready clinical notes.

Clinical AIMedical TranscriptionHIPAA & Audit
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03Healthcare AI

Standardizing Clinical AI Infrastructure

Standardizing clinical AI infrastructure across heterogeneous legacy systems: one generative layer in front of many EHRs, modern capabilities without disruption, and operational cost kept firmly under control.

AI InfrastructureClinical WorkflowsCost Control
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04Healthcare AI

A Conversational Clinical Copilot

A conversational copilot embedded in the notes workflow: clinicians ask in plain language, summarize free text in one step, and review AI-drafted note entries backed by transcript evidence and confidence scores.

Conversational AIEvidence-GroundedClinical Documentation
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05Healthcare AI

AI-Powered QA in Healthcare

How agentic AI gave a healthcare billing QA team a living source of truth: 100% requirements traceability, 70% faster reviews, and audit prep in days, not weeks.

Agentic AIQA & TraceabilityHIPAA Audit
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The stack behind the work
AI documentationAmbient AIGenerative AIBehavioral HealthMobile EngineeringReal-time AudioReliabilityReactPerformanceReact 18Applied AIDocument ProcessingAutomationReact NativeMobile-firstAI ScribeOffline-firstEncryptionOpen SourceLegacy SystemsEHRHealthcareRoot-cause EngineeringCross-platformClinical DocumentationWeb ModernizationReal-timeData-dense UILogisticsInterSystems CachéLegacy ModernizationInteroperabilityVirtual ScribePatient MonitoringRisk StratificationClinical AIMedical TranscriptionHIPAA & AuditAI InfrastructureClinical WorkflowsCost ControlConversational AIEvidence-GroundedAgentic AIQA & TraceabilityHIPAA Audit
AI documentationAmbient AIGenerative AIBehavioral HealthMobile EngineeringReal-time AudioReliabilityReactPerformanceReact 18Applied AIDocument ProcessingAutomationReact NativeMobile-firstAI ScribeOffline-firstEncryptionOpen SourceLegacy SystemsEHRHealthcareRoot-cause EngineeringCross-platformClinical DocumentationWeb ModernizationReal-timeData-dense UILogisticsInterSystems CachéLegacy ModernizationInteroperabilityVirtual ScribePatient MonitoringRisk StratificationClinical AIMedical TranscriptionHIPAA & AuditAI InfrastructureClinical WorkflowsCost ControlConversational AIEvidence-GroundedAgentic AIQA & TraceabilityHIPAA Audit
AI documentationAmbient AIGenerative AIBehavioral HealthMobile EngineeringReal-time AudioReliabilityReactPerformanceReact 18Applied AIDocument ProcessingAutomationReact NativeMobile-firstAI ScribeOffline-firstEncryptionOpen SourceLegacy SystemsEHRHealthcareRoot-cause EngineeringCross-platformClinical DocumentationWeb ModernizationReal-timeData-dense UILogisticsInterSystems CachéLegacy ModernizationInteroperabilityVirtual ScribePatient MonitoringRisk StratificationClinical AIMedical TranscriptionHIPAA & AuditAI InfrastructureClinical WorkflowsCost ControlConversational AIEvidence-GroundedAgentic AIQA & TraceabilityHIPAA Audit
AI documentationAmbient AIGenerative AIBehavioral HealthMobile EngineeringReal-time AudioReliabilityReactPerformanceReact 18Applied AIDocument ProcessingAutomationReact NativeMobile-firstAI ScribeOffline-firstEncryptionOpen SourceLegacy SystemsEHRHealthcareRoot-cause EngineeringCross-platformClinical DocumentationWeb ModernizationReal-timeData-dense UILogisticsInterSystems CachéLegacy ModernizationInteroperabilityVirtual ScribePatient MonitoringRisk StratificationClinical AIMedical TranscriptionHIPAA & AuditAI InfrastructureClinical WorkflowsCost ControlConversational AIEvidence-GroundedAgentic AIQA & TraceabilityHIPAA Audit

Built by the team behind clinical platforms at Netsmart, eVisit and The Change Companies.

A 30-minute call. We map the clinical workflow and the compliance bar, then walk through how our healthcare AI fits, so the next decision is easy.

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