The case is where the work comes together.
A case gathers people, recordings, imaging, reports, conversations, decisions and next steps. Mextt gives all of them one place — the case — so nobody has to reconstruct what happened.
- PeopleAKMPLCAR
- EvidenceRecording · MRCP · CT · reports · labs
- Moment◆ 0:24:05 Aberrant right posterior sectoral duct
- DiscussionDr Patel — Agree, the anatomy is concerning. MRCP before any intervention.
- Decision◆ DecisionMRCP findings to the HPB team; review before repair
- Follow-upArrange MRCP review · coordinator · today
- HistoryEvery step kept, in order, with who and when
Everything exists. Nothing is connected.
Everything exists. Nothing is connected.
- Operative recording12 files on a theatre laptop
- MRCPExported to a USB stick
- “The duct anatomy here is important”A messaging group, 40 messages up
- Radiology reportAn email attachment
- MRCP findings to the HPB teamAgreed in a corridor
- Arrange MRCP reviewA sticky note on a monitor
- Post-op labsA photo on the resident’s phone
- What happened, and whenReconstructed later, from memory
One case. One clinical workspace.
People, evidence and context gather around the case. The work — discussing, deciding, acting, following up — happens on it, and becomes its history.
…and the history is part of the case the next time anyone opens it.
Evidence
Recordings, imaging, documents, photos and voice notes. A theatre recorder’s twelve clips become one procedure you can play.
Open the demo case.
DEMO-1: a laparoscopic cholecystectomy, a suspected bile duct injury on day two, and a team deciding what to do. It is the same synthetic case you open when you sign in. Follow the ten steps, or click around.
01Where the case stands, written by the team — the first thing anyone sees.
Suspected bile duct injury following laparoscopic cholecystectomy
Post-operative day 2. Rising bilirubin with concern for a bile duct injury. Haemodynamically stable. MRCP reviewed; awaiting a multidisciplinary decision before any intervention.
Entered by the care team
- AKDr Arjun KumarSurgeon
- MPDr Meera PatelConsultant
- LCDr Lin ChenResident
- ARAnika RaoCoordinator
No decision recorded yet. Mark one in the discussion when the team agrees.
- Review drain output tomorrow · for the residentdue tomorrow
- HPB consultationAI suggested · for the consultantdue tomorrow AM
A recording is evidence. The case is the point.
Mextt understands operative video — many clips as one operation, moments you can jump to, commentary turned into hints. But what matters is that the video sits in the case, next to the imaging, the discussion and the decision it informed.
Six more moments were detected by AI from the surgeon’s spoken commentary. They are hints, marked “not yet reviewed”, until someone on the team confirms them.
A theatre recorder’s clips play as one operation. Other video — a clip from clinic, an outside study — sits beside it as evidence on the same case.
Any second can be referenced in the discussion. Clicking the reference plays that exact second.
What is learned from the recording accumulates around the case — not around an isolated file.
What do I need to know about my cases today?
Twenty hours on DEMO-1, as they happen in the demo. Nobody sends a summary, nobody chases anyone — and by morning the case already knows what happened.
- 13:09Dr Lin Chen · resident
Bilirubin has risen from 3.2 to 6.8; the drain is bilious. She posts it on the case with the post-op labs.
Good afternoon, Dr Kumar.13:09Nothing needs you right now.Needs your attentionNothing new needs you. - 14:27Dr Arjun Kumar · surgeon
Marks the duct at 0:24:05 in the recording and asks Dr Patel to look at it.
Good afternoon, Dr Kumar.14:27Nothing needs you right now.Needs your attentionNothing new needs you. - 16:09Dr Meera Patel · consultant
Watches from 0:24:05 on her phone. Replies: MRCP before any intervention; keep the drain in.
Good afternoon, Dr Kumar.16:09One case needs your attention.Needs your attentionLaparoscopic cholecystectomy — suspected bile duct injuryCase DEMO-1Dr Meera Patel mentioned you · review the discussion“Agree — the anatomy is concerning. I would get an MRCP before any intervention and keep t…”Reply - 03:09Anika Rao · coordinator
The MRCP images are in; she adds them to the case.
Good morning, Dr Kumar.03:09Nothing needs you right now.Needs your attentionNothing new needs you. - 04:09Dr Arjun Kumar · surgeon
Marks the decision: take the MRCP findings to the HPB team, keep monitoring the drain, review together before deciding on repair.
Good morning, Dr Kumar.04:09Nothing needs you right now.Needs your attentionNothing new needs you. - 04:12Dr Arjun Kumar · surgeon
Adds the follow-up: arrange MRCP review with radiology — for the coordinator, today.
Good morning, Dr Kumar.04:12Nothing needs you right now.Needs your attentionNothing new needs you. - 07:27Anyone on the team
Opens DEMO-1 and sees where it stands, the plan, and what happens next — without asking anyone.
Good morning, Dr Kumar.07:27Nothing needs you right now.Needs your attentionNothing new needs you.
- DEMO-1Laparoscopic cholecystectomy — suspected bile duct injuryPost-op labs attached · 2 open follow-ups4 on care team
- 3418Laparoscopic appendicectomy — acute appendicitisDecision recorded by Dr Arjun Kumar · 2 open follow-ups3 on care team
- 3407Pancreatic lesion — MDT workupPancreatic protocol CT added to the discussion · 2 open follow-ups5 on care team
Organised around the case, not around the software.
Messaging, drives, video platforms and task lists are each good at one kind of thing. Clinical work isn’t one kind of thing. It is a case.
Each tool holds one kind of thing. The case is split between them.
- Messagingmessages
- Shared drivefiles
- Video platformvideos
- Task listtasks
- Emailletters
Where is the case? In all of them, and in none.
One object holds the people, the evidence and the work.
Between cases, still the case.
A notification, the moment, a reply, a voice note, a follow-up done — on the phone in your pocket, in the browser.
No patient details — just that you were mentioned, and the case number.
It helps you find. You decide.
The intelligence in Mextt organises and retrieves — it does not diagnose, and it does not decide.
- Organise what a case holds
- Retrieve the right second, report or message
- Surface what may be relevant — with its source
- Show how the case got here
Anything AI produces — a note draft, a detected moment, a suggested follow-up — is labelled as AI until a clinician edits or confirms it. The clinician remains responsible for clinical decisions.
Current. Validation. Vision.
Credibility matters more than a long feature list. Here is exactly what works today, what pilot teams are testing, and what is still an idea.
Available in the pilot today.
- Cases with a care team and roles; invite colleagues
- Discussion on the case, with mentions and “look at this” references to a second, image or report
- Decisions recorded, and where the case stands
- Follow-ups for a role, with a due day
- Case material: recordings, imaging, documents, photos, voice notes
- A recorder’s many clips played as one procedure, with key moments
- Voice notes, transcribed
- Dictated operative note — an AI draft you edit and own
- Case history, and a workspace of what needs you
- Search across your cases
- Call the case team from the case
- On your phone, in the browser; installable
Built; being tested with pilot teams.
- Moments detected by AI from spoken commentary — labelled, unreviewed
- Follow-ups suggested by AI — labelled until someone confirms
- Asking questions of your cases, answered with the sources
- Notifications on your phone (no patient details in them)
Where the platform can go. Not built.
- Case memory across a department
- Teaching and M&M built from real cases
- Knowledge that stays when people rotate
- Intelligence that surfaces patterns — always cited, never deciding
- A native phone app
Start with one case.
Not your department. Not a migration. One case with a few people, some evidence, and decisions to make — the kind that is hard to keep together today.
- 01Bring the case
- 02Invite the care team
- 03Add the evidence
- 04Discuss
- 05Record decisions
- 06Track follow-ups
- 07Return to the case