Work

What we have built, where it runs, and what it changed. Clients are named only when the work is public or the client has agreed.

A family-owned manufacturer

A small request grew into a modernised operation. The management now runs the company from figures traced to their source. The client is not named.

Work: live picture of the operation, sales follow-up, process redesign, know-how capture and trusted records.

StartThe owner asked for help with one sales task. First the company needed control of its own domain, its sign-ins and its customer list.
NextA nightly, checked copy of the company's main system, and a page where the owner sees the week's figures and what waits on a decision.
ThenCustomer follow-up with consent records, and a page for every employee.
NowQuotes, cost per job and department, and nightly checks on the data staff enter.
Next yearOlder systems are retired one at a time. The owner decides each step.

Where the work isData as of 07:40 todayCustomer ACustomer BCustomer CCustomer DOwn stockReplay today’s moves

4,186units in the building

38units to find

7jobs late

SearchHelp

HomeCEO viewAdmin

Figures as at 14 Nov 07:40

This monthYear to date12 months

Good morningSaturday 14 Nov 2026 · 07:40

Systems working · read 19:51Next date Sun 15 Nov VAT returnMy reports 24Modernisation9 of 11Not read 1Active this week 13

2 new applicationsOpen

8 new leads todayOpen

and 26 more from earlier runs

Customer pages opened this week

Customer B read its page for 14 minTue

HomeReportsPlanDecisionsMenu

The digital twin: every job and every unit of stock on a 3D plan of the factory, with what is missing pinned. On the phone, the owner's view of the same data.

MIT Hacking Medicine Malaysia 2026

Diabetes X summit and hackathon, Kuala Lumpur, 20–23 November 2026

We run the programme management. The public website in English and Malay, with registration, tickets and sponsor pages, and the event management behind it run on T-Minus, which we deliver white-label for First Experts.

mymithackmed.com

T-minus 9 days3 decisions waiting

Plan by gate

Venue and cateringDone

Sponsors signedOn track

Hackers acceptedOn track

Volunteers briefedWaiting on you

Press releaseDue Friday

Team line

AnaBadges printed, 412 of 412

BotMorning brief sent to 14 people

RajRoom B projector fixed

Prospects71

Talking18

Proposal7

Signed5

The event office behind it

One system for the whole event team: plan by gate, sponsor pipeline, registrations, tickets reconciled daily, decisions and risks, and a WhatsApp line that sends the morning brief. It replaced three spreadsheets within days.

Events run as programmes

Thursday 26 NovemberGood morning

Waiting on you

Sign supplier contract

Approve month-end

Reply to board chair

Cash, 3 companiesHealthy

Next meeting10:30

Today, in one line

Two decisions block the factory plan. Everything else can wait until Friday.

10:30 Board call3 waitingTap to open

Liviqa home screen: sleep, glucose and recovery for the week

Apps for iPhone and Watch

Left: a private executive app, with decisions waiting and the day in one line. Right: Liviqa, an iPhone app that shows people their own health data against their usual range.

EU and national health programmes

Each programme with the problem the health system faced, what PPCN designed, and what it now enables. Grant numbers and CORDIS links are in the programme record.

Architecture · WP2 lead2021 to 20266-country consortium

CRANE: cross-border chronic-care infrastructure for rural Europe

Designed the architecture for AI-enabled chronic-care delivery across six European health systems that previously could not share a single record. Built a privacy-preserving data layer so diabetes, COPD and heart-failure pathways move between sovereign systems without surrendering the patient record. Closed the interoperability-and-sovereignty gap that had stalled cross-border chronic care for a decade.

Why it matters: the next chronic-care programme any EU member state writes can build on this layer instead of negotiating six bilateral data-sharing agreements.

Programme record

Horizon 2020 · GA 965277

Role: Beneficiary №7 · WP2 lead

CORDIS →

Grant detail→

Tasks: T2.4, T2.5

Deliverables: D2.4, D2.5

Consortium partner2021 to 2026EU isolated regions

ROSIA: remote-rehabilitation architecture for isolated populations

Architected the open integration layer for remote rehabilitation in geographies traditional clinical infrastructure cannot reach. Built the technical substrate that lets a rehabilitation pathway exist for populations it did not exist for before. Its results now feed directly into the next-generation CronIQUE programme as validated building blocks.

Why it matters: the same middleware now feeds CronIQUE, so the next ten years of EU chronic care can build on it.

Programme record

Horizon 2020 · GA 101017606

Role: Consortium partner

Output: Open middleware

CORDIS →

PPI submission · architectApril 2026 to 2030Spain · Denmark

CronIQUE: sovereign, citizen-controlled chronic-care architecture

Designed a modular Virtual Care Centre architecture spanning four chronic-disease lots: diabetes, cardiovascular, cancer survivorship and respiratory. The consent layer is citizen-held, the data substrate is sovereign cloud, and computation runs on Secure Multi-Party protocols. The next ten years of EU chronic-care can build against this substrate.

Why it matters: a citizen-controlled consent layer becomes the substrate the rest of EU chronic-care can be built against.

Programme record

Horizon · PPI

Call: HLTH-2026-01-CARE-01

Budget: €24M · submitted

Stack: EHDS · eIDAS 2.0 · SMPC

National strategy · advisory2020 to 2022Saudi Arabia

Saudi Arabia Ministry of Health: Virtual Care Strategy & Vision 2030

Multi-year senior digital-health advisory with PwC Middle East. Delivered the national virtual-care roadmap for the Saudi Ministry of Health in July 2020: architecture for virtual clinics, remote patient monitoring and self-care portals. Contributed to Seha Virtual Hospital, recognised as the world's first dedicated virtual hospital (Guinness World Record). V2030 workshop delivery 2021; health-data governance advisory aligned with Saudi Vision 2030.

Why it matters: a national virtual-care substrate ships, instead of remaining a policy aspiration.

Programme record

Client: PwC Middle East

Anchor: Seha Virtual Hospital

Frame: Vision 2030 alignment

Procurement · architecture lead2025Qatar · Gulf

Qatar HMC: Remote Telehealth Solution for Home-Care Services

Led the knowledge and architecture input to an RFI response submitted to Hamad Medical Corporation for a national Remote Telehealth Solution for Home-Care Services. Consortium with Allarch Healthcare Technalytics and IMEDCOM. Proposed a sovereign cloud platform with FHIR/HL7 interoperability and an ISO 13485-certified QMS-as-a-Service.

Why it matters: Gulf home-care pathways can be bought as a sovereign infrastructure programme.

Programme record

Client: Hamad Medical Corporation

Stack: FHIR/HL7 · sovereign cloud

Quality: ISO 13485 QMS

Procurement architecture · advisory2019 to 2022Thailand · ASEAN

Siriraj Hospital: architecture for a ฿700M institutional HIS procurement

Authored the technical and procurement architecture for a ฿700M (~$21M USD) public health-IT tender at Siriraj Hospital, Asia's largest public hospital, with 12,500 staff, 10 million patients a year. The mandate: move a legacy hospital information system onto a cloud-native, FHIR-aligned substrate inside the constraints of Thai public procurement law. PPCN structured the architectural case that brought a Danish cloud-native HIS onto the shortlist; Pak ran country management out of Bangkok across the Ministry of Public Health and MDES.

Why it matters: a 10-million-patient public hospital procures cloud-native infrastructure on a sovereign-grade architectural brief written before any vendor pitched.

Programme record

Scope: 10M patients · 12,500 staff

Tender: ฿700M (~$21M) public HIS

Stack: Cloud-native HIS · FHIR

Grant detail→

Partner vehicle: Unumed Health · Country Director

Counterparts: Siriraj · MoPH · MDES

Product development · clinicalFORCE TechnologyPhilips license

ePatch ECG monitor: from lab to 100,000 cardiac patients

At FORCE Technology, Claus led development of the 15-gram ePatch ECG Holter monitor, at the time among the smallest clinically validated cardiac monitors in the world. The device was later licensed to Philips and deployed across more than 100,000 heart patients. Demonstrated live at WHINN, Continua Alliance events and eHealth Week. The ePatch became the proof-of-concept anchor for everything that came after: if a 15-gram patch can capture a cardiac event, the question becomes who owns that data.

Why it matters: the data-sovereignty thesis traces back to a physical device that actually shipped.

Programme record

Org: FORCE Technology

License: Philips

Scale: 100,000+ patients

We find the problem and build the fix

Usually these are two purchases a year apart. A consultancy finds the problem and writes it up. A development company builds the answer eighteen months later, when the problem has often changed.

We do both in one engagement. AI coding tools have cut what used to take a quarter of engineering to about two weeks, and we use them every day. That is why our timelines are short. We do not sell the tools.

Your team gets the findings as working software they are already using, in less time than a written report would normally take.

Four-day international summit

An operations hub that replaced three spreadsheets

Plan, sponsor pipeline, decision log, risk register, board, a messaging bot the team runs from their phones, and a digest generated every Friday.

Manufacturer · under one week

Four services, built and shipped in six days

A programme portal for the owner, a sales desk, a quoting service, and the data layer underneath all three.

Consented health data

Patient-held health records

An iOS app, a professional console, and an ingest that maps national health records into a structured, coded catalogue. It runs in production under European rules.

What we can show from client work

Most of this work is confidential, so we show little of it. Where a figure could not be established, we name who holds the data and leave the figure out.

What it would answer

Who holds it

State

Which channel produced which sale

In the sales system's own record

Answered

What is still being paid for monthly

The billing account

Answered

What each customer costs to win

An advertising account held elsewhere

Blocked

What the outstanding finance obligation is

Awaiting a statement from the lender

Blocked

An example access register. Every engagement produces one. Each blocked row names who holds the data. Blocked rows stay in the register and are never estimated.

International programme

Twenty-two workstreams across three spreadsheets, and no way to say which one was right.

Now one record the whole team writes to, with an owner and a date against every line.

Cost of winning a customer

We did not publish the cost of winning a customer, because the data to establish it was missing.

Someone else held the advertising account. We gave the lowest figure the evidence supported, said it was a minimum, and listed what was needed to close the gap. That list got the access released.

Products from this work

Some of our projects grew into products, each with its own site.

T-Minus

Event software for summits, company events, hackathons and pitches. Schedules, badges, teams, judging and certificates run from one system, and every guest sees their own day on their phone.

tminus.co

Liviqa

An app that brings a person's sleep, glucose, recovery and health records together on their own phone. The data stays on the device unless they choose to share it.

liviqa.app

Liviqa Pro

The console for care teams and coaches, built on OpenTele, the Danish open-source telemedicine platform. They see only what each person has chosen to share and until when, with one page per person ready before the visit. Every view is logged.

liviqa.app

A private AI assistant

A personal life operating system for one person: their day, decisions and companies in one place. iPhone only, and built to measure for each owner. We show it in a first conversation.

Articles from our EU work: health data and EHDS, ROSIA, data sovereignty, after CRANE.

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