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Case study

Telemedicine platform

A US telemedicine service: the patient reaches a doctor over video, and everything else lives around that consultation — scheduling, clinical notes, documents, prescriptions and payment. Hundreds of consultations a day.

Client
NDA, USA
Years
2023 — present
Scope
Product management, project management, development (frontend, backend), integrations, architecture
Stack
NestJS and TypeScript, React, PostgreSQL, WebSocket, video

The problem

The platform was inherited in an outdated state and rewritten from the ground up without ever going offline: consultations ran every single day while the foundations were being replaced.

A medical consultation is not a video call. Around it sit finding a slot with a doctor of the right specialism, syncing with external calendars, the doctor's notes during the appointment, documents and discharge summaries, prescriptions, follow-up visits, payment and several interface languages. A scheduling error here means the patient and the doctor never met.

What we did

Result

Hundreds of consultations a day Each with its own schedule, notes, documents and payment.

Why this one is us

Both halves of the studio work here: Inga runs product and project, Gennady runs development, architecture and integrations. The full cycle — from framing the problem and the user journeys through to the code that carries a real patient consultation.

The only difference from our own products is that all of it happens inside the client’s large product team. The way of working is the same: the decisions are made by the people who then build and then run them.