Our client transported more than 200 patients a day and conducted more than 250 telehealth consultations. Clinical documentation during aeromedical retrieval relied on a paper-based A3 form filled in mid-flight by paramedics and flight crew. After arrival, records were manually transcribed into electronic systems, often by administrative staff unfamiliar with medical notation. This dual-entry process introduced transcription errors, delayed availability of clinical data and created significant operational overhead.

Buckham & Duffy was engaged as Lead Delivery Partner to design and deliver a digital aeromedical patient record platform. Delivery spanned discovery, design, engineering, rollout and long-term evolution over a seven-year engagement.

Extensive discovery was conducted across operational bases and aircraft, including workshops with paramedics, flight crew, clinical supervisors, managers and executive leadership. Direct observation of in-flight documentation workflows identified critical constraints: iPad-first usage, offline-first operation due to connectivity dead zones, rapid data entry under time pressure and zero tolerance for workflow disruption. Our solution was delivered as a native Swift application optimised for iPad and aeromedical workflows.

A companion web platform was developed using Vue.js and Laravel, hosted on AWS. The portal provides clinicians, administrators, and managers with access to:

• 01Patient record review and correction
• 02Historical clinical data
• 03Advanced reporting and clinical quality dashboards
• 04Structured data exchange with partner services, including Queensland Ambulance Service (QAS)

The synchronisation architecture supports reliable mobile-to-cloud data exchange across platforms and organisations.