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MEDICO
02Healthcare & Legal202516 weeks

MEDICO

Client

MEDICO

A purpose-built case management platform for medical-legal expert witnesses — from multi-tenant architecture and AI-powered report drafting to full NHS compliance documentation.

The Journey

Phase 1

Platform Architecture & Multi-Tenancy

We laid the foundation with a multi-tenant architecture that gives each medical practice its own fully isolated environment — separate data, separate configurations, separate branding. Row-level security ensures one practice can never see another's data.

  • Multi-tenant architecture with complete data isolation per practice
  • Row-level security enforced at the database layer
  • Four role-based permission tiers tailored to medical-legal workflows
  • Tenant provisioning that onboards new practices with zero infrastructure changes
Platform Architecture & Multi-Tenancy — 1
Platform Architecture & Multi-Tenancy — 2

Phase 2

Case Management & Workflow Engine

The heart of the platform is a visual Kanban board that tracks every case through up to 20 workflow stages — from initial instruction through examination, report drafting, review, and final submission. Each case maintains a full audit trail.

  • Visual Kanban board tracking cases through 20 workflow stages
  • Full audit trail for every case action — status changes, uploads, and communications
  • Automated notifications to solicitors and team members at key milestones
  • Practice CRM with solicitor and referring party management
  • Appointment scheduling with calendar integration
Case Management & Workflow Engine — 1
Case Management & Workflow Engine — 2
Case Management & Workflow Engine — 3

Phase 3

AI Transcription & Report Generation

The feature that changes everything. Doctors upload consultation audio, and the AI pipeline produces a structured medico-legal report draft in minutes — not hours. OpenAI Whisper handles transcription with custom medical vocabulary, then GPT-4o formats the output into a court-ready report structure.

  • AI transcription pipeline turning consultation audio into structured report drafts
  • Custom medical vocabulary per tenant — the system learns specialist terminology
  • Version-controlled reports with full revision history
  • Doctor signature support for court-ready PDF generation
  • Correction learning — the pipeline improves from practitioner edits over time
AI Transcription & Report Generation — 1
AI Transcription & Report Generation — 2
AI Transcription & Report Generation — 3

Phase 4

Financial Management & Integrations

We connected the platform directly to the business side of each practice. Xero integration keeps invoicing and accounting in sync without double entry. The financial dashboard gives practice managers real-time visibility into outstanding invoices, revenue by case type, and payment timelines.

  • Two-way Xero integration for invoicing and accounting
  • Configurable fee schedules per practice and case type
  • Financial dashboard with real-time revenue and payment visibility
  • Automated invoice generation tied to case milestones
  • Background job processing via BullMQ for reliable sync and report generation
Financial Management & Integrations — 1
Financial Management & Integrations — 2

Phase 5

NHS Compliance & Security

Healthcare software in the UK must meet some of the strictest regulatory standards in any sector. We delivered the full compliance documentation pack — NHS DSPT, DCB0129 and DCB0160, and 14 formal compliance documents — all without engaging separate compliance consultants.

  • NHS Data Security and Protection Toolkit (DSPT) compliance
  • DCB0129 and DCB0160 clinical risk management documentation
  • 14 formal compliance documents delivered as part of the project
  • Encryption at rest and in transit across all data
  • Comprehensive audit logging and configurable data retention policies
NHS Compliance & Security — 1
NHS Compliance & Security — 2

Results

0%

Faster report drafting

0

Case workflow stages

0

Compliance documents delivered

0

Staff permission tiers

01

Report drafting time cut from hours to minutes — freeing practitioners to focus on clinical judgment instead of admin

02

Replaced a patchwork of spreadsheets and generic tools with one purpose-built system covering the entire case lifecycle

03

Full compliance documentation pack delivered — NHS DSPT, DCB0129/DCB0160, and 14 formal compliance documents — without engaging separate consultants

04

Multi-tenant architecture onboards new practices with complete data isolation, zero infrastructure changes per tenant

05

Version-controlled reports with doctor signature support produce court-ready PDFs to professional medico-legal standards

Screenshots

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