Care management and mobile

Pediatric developmental screening and therapy tracker

A care management platform for occupational, speech and behavioral therapists who track developmental milestones in children and keep parents involved.

Our BAA offer

Built forPediatric occupational, speech and behavioral therapy

Team shapeAround 6 people: backend and mobile engineers, AI engineer, QA, designer

TimelineAbout 6 months

The problem

Therapists spent evenings writing session notes and billing codes, and parents rarely saw progress in a form they could follow. Children's data also carries extra consent and privacy obligations.

How we approached it

We built milestone assessments that feed visual growth charts, a mobile parent portal for daily notes and secure messages, and a language model pipeline that turns structured session input into a draft note and suggested billing codes for the therapist to confirm. Consent is modeled as data, so what a parent, a second guardian or another provider can see follows the rules set for that child.

What we built

Interactive milestone assessments with growth charts and parent friendly progress reports
React Native parent portal with daily therapy notes and secure messaging
Session note summarization and billing code suggestions from language model pipelines, always confirmed by the therapist
Granular consent controls by guardian, relationship and purpose
Insurance billing code generation and claim preparation
Therapist caseload and schedule views

Architecture

How the pieces fit together

1Therapists and parents

2API and consent policies

3Assessments and notes

4AI draft and billing codes

Consent modelConsents are records with a subject, a grantee, a purpose and an expiry. Every query for a child's data passes through a policy that reads them.

AI assistanceOnly the fields needed for a note are sent, through a vendor under a BAA. Drafts are labeled and editable, and the final note is the therapist's.

Parent appA React Native app with biometric unlock and notification text that never contains clinical detail.

Safeguards built in

Security and compliance controls

Consent aware access rules
Minimum necessary data to AI services
Push notifications without clinical content
Audit log of parent and staff access
Retention rules by child age and state

What changed

Outcomes for the operator

Therapists spend less after-hours time on notes because they confirm drafts instead of writing from scratch.
Parents follow progress in a clear chart and a short daily note.
The practice can show exactly who was allowed to see a child's record and why.

Technology

LaravelReact NativeMySQLLanguage model APIRedisCharting library

Integrations

Insurance billing systemsCalendar and remindersEmail and SMS providers

Representative engagement. Client details and internal figures are withheld under NDA. Compliance depends on how a system is operated as well as how it is built, and your own counsel decides what applies to you.