Surgeon pathway approvals
A clinical decision point taken from workflow sketch to shipped, auditable system — over SMS rather than an app login, because that is how surgeons actually work.
Outcome
An approval record that survives duplicate submissions and retries — and stands up in regulatory review.
01 · Context
BIBO is a TGA-registered Software as a Medical Device for post-operative rehabilitation. Surgeons had to approve each patient's rehab pathway, but would not log into another dashboard to do it — and every approval still had to be auditable.
02 · Approach
Scoped the decision points with the CEO and clinical lead, then chose SMS delivery over an app login. Built the capture path end to end: Twilio delivery, an idempotent approval endpoint, and a data model designed around duplicate submissions and retries rather than patched for them.
03 · Outcome
Approvals reconcile against patient records and produce a record fit for regulatory review. Deliverables were scoped against the existing system's debt, so trade-offs were explicit rather than discovered late.