Pilot guide

Start with one case.

The goal isn’t to move your department. It is to take one real case that is hard to keep together today, and see whether it is easier in Mextt.

Bring a case to MexttSee how a case works
A good pilot case has
  • ✓Several people involved — across roles or specialties
  • ✓More than one piece of evidence — a recording, imaging, reports
  • ✓Something to discuss and decide
  • ✓Follow-up that must not be lost
  • ✓A reason to come back to it later
The pilot workflow

Seven steps, one case.

  1. 01
    Bring the case

    Create it with the case number you already use and one line on where it stands. No patient identifiers are needed to start.

  2. 02
    Invite the care team

    Add the people who actually work on it — each with a role: surgeon, consultant, resident, coordinator, observer.

  3. 03
    Add the evidence

    Upload the recorder’s clips (they become one procedure), imaging, reports, photos. Or record a voice note.

  4. 04
    Discuss

    Talk on the case. Point at a moment in the recording or a page of a report instead of describing it.

  5. 05
    Record decisions

    When the team agrees, mark the message as the decision — with a line on why.

  6. 06
    Track follow-ups

    Give each next step to a role, with a day. Mark it done when it is.

  7. 07
    Return to the case

    Next time — tomorrow or in six weeks — open the case and see where it stands and how it got there.

  8. Then decide together: is this case easier to keep together? If it is, bring the next one.

Clinical scenarios · synthetic

Cases that benefit most.

Four shapes of case where the pieces are hardest to keep together. All details are invented for illustration.

Operative recording + imaging + team discussion

Surgical case

Recording · 12 clipsMRCPCTRadiology report

A variant found in theatre is marked at the second it appears, reviewed by a consultant the next morning, and turned into a follow-up plan.

Documents + imaging + consultation + decision

Complex diagnostic case

CTBiopsy reportReferral letterConsultation note

Reports from three places sit on one case; the consultation and the decision it reached are recorded where the evidence is.

Several specialties + evidence + follow-up

Multidisciplinary case

Staging CTPathologyEndoscopy clipMDT summary

Each specialty adds what it holds; the MDT’s decision and each owner’s next step stay attached to the case, not the meeting.

Recording + moments + discussion

Teaching and review

Recording · 8 clipsKey momentsOperative note

A consultant marks the moments worth learning from; residents discuss them at the exact second, after the list.

Resources

Short guides, written for clinicians.

3 min read
Bringing your first case
4 min read
Recordings and evidence
3 min read
Working with the care team
2 min read
Words we use
Reference
Access & data
Interactive
Walk through the demo case
14 answers
Questions
Essays
Knowledge center

Bringing your first case

  1. 1Pick a case that is active now, with at least two other people involved and something to decide in the next week or two.
  2. 2Create the case with your own reference (the case number you already use) and a one-line “where it stands”. Keep patient identifiers out of titles and messages; the case number is enough.
  3. 3Invite the care team from the case. Each person gets a role, and only invited people can open the case.

Recordings and evidence

  1. 1Upload every clip the theatre recorder produced. Mextt orders them by the recorder’s numbering and plays them as one procedure, on one procedure clock.
  2. 2Mark key moments while you watch: what it is, why it matters. The team can jump straight to them.
  3. 3Add imaging, reports and photos to the same case. In the discussion, use “From this case” to point at any of them instead of uploading again.
  4. 4Large recordings take time to upload over hospital networks. Keep the tab open until the upload finishes; processing continues on its own afterwards.

Working with the care team

  1. 1Write on the case, not in a messaging group. Mention a colleague to bring it to their attention.
  2. 2When the team agrees, mark the message as the decision and add a line on why. It appears at the top of the case as the current plan.
  3. 3Give every next step to a role with a day. It shows on each person’s workspace until it is done.

Words we use

  1. 1Case — the unit of work: one patient episode the team is working on.
  2. 2Care team — the people invited to a case, each with a role.
  3. 3Evidence — anything the case holds: recordings, imaging, documents, photos, voice notes.
  4. 4Procedure time — the operation’s clock, from the first clip (0:24:05), whatever file it is in.
  5. 5Key moment — a point in a recording someone marked, with why it matters.
  6. 6Decision — a message the team marked as what was decided. Follow-up — a next step owned by a role.
  7. 7Case history — everything that happened on the case, in order.
What is real today

Current, validation, vision.

Current
  • 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
Validation
  • 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)
Vision
  • 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
Questions

Plain answers.

What is Mextt?

A clinical workspace organised around the case. The case holds its care team, its evidence (recordings, imaging, documents, voice notes), the discussion, the decisions and the follow-ups — and keeps the history of all of it.

Is Mextt a medical record system?

No. It does not replace your EHR, PACS or the formal medical record. It is where the team’s work around a case happens and is kept together. The formal record stays where it is.

What can I put into a case?

Operative recordings (many clips become one procedure), imaging exports, documents and reports, photos and voice notes — plus the discussion, decisions and follow-ups.

Who can see a case?

Only the people invited to it, each with a role, within your organisation. Cases are separated between organisations. See Access & data for the details.

Can several clinicians work on the same case?

Yes — that is the point. Everyone on the care team sees the same case, the same evidence and the same history, and can discuss, decide and follow up on it.

Can I add videos?

Yes. Upload all the clips from the theatre recorder; they play as one operation on one procedure clock, and you can mark and discuss key moments.

Can I add documents?

Yes — reports, letters, PDFs and images sit on the case as evidence and can be referenced from the discussion.

What happens to case discussions?

They stay on the case, in order, with who said what and when. Decisions are marked as decisions; follow-ups are tracked until done.

Can I use Mextt from my phone?

Yes, in the phone’s browser; you can add it to your home screen. A native app is not available yet.

Is the AI making clinical decisions?

No. AI drafts notes, suggests moments from spoken commentary and suggests follow-ups — each labelled as AI until a clinician edits or confirms it. The clinician remains responsible for clinical decisions.

Can I start with one case?

Yes, and we recommend it. One real case with a few people and something to decide shows more than a department rollout.

What is available today?

Everything listed under Current on this page.

What is being validated with pilot teams?

The items under Validation — built, and being tested before we call them ready.

What is still future vision?

The items under Vision. They are not built, and we say so.

Which case would you bring?

Tell us a little about it — no patient details — and we will set it up with you.

Bring a case to Mextt