Clinidesk AI Assistant
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Health Information System
A custom clinic management platform built for Paley European Institute, the Warsaw branch of the world-renowned Paley Orthopedic & Spine Institute. Self-hosted, mobile-first, AI-augmented.
5+ years
In production with Paley European
100+
Specialists using the system daily
SaaS
Compliance and reliability
Project Breakdown
At Paley European Institute, most patients are children. Many travel to Warsaw from across Europe and the Middle East for surgeries that mark the beginning of a treatment journey lasting months or years — limb lengthening procedures, congenital deformity reconstruction, complex pediatric orthopedic cases that few clinics in the world take on.
The Institute is the European arm of Dr. Dror Paley’s globally referenced practice in West Palm Beach, and it operates with the same standard of care: international families, multi-specialist coordination, surgical interventions that have to work the first time.
The platform we built five years ago
When the Institute first came to us, the clinic was outgrowing the off-the-shelf Polish healthcare software designed for general medical practice. We built a custom clinical platform tailored to what its work actually looked like — and even at version one, the result was ahead of every comparable product on the market.
The scheduler supported coordinated planning across specialists rather than the one-calendar-at-a-time view that prevailed elsewhere. Mobile access was built in from the start. The media stack was sized for what really drives clinical file volume at the Institute: physiotherapy. Limb-lengthening and reconstructive cases involve months and sometimes years of rehabilitation, with photos and video captured at every session, accumulating across the patient base far beyond what a cloud-only system designed for general practice could handle. Tailored modules for surgery and treatment referrals replaced the workarounds the standard packages required. Treatment lifecycles spanning a year or more — common at Paley European — were modelled directly rather than crammed into encounter-shaped boxes.
That platform served the Institute through five years of growth.
When the clinic outgrew it
Volumes kept compounding. More patients, more specialists, more surgical days, more data. By year five, even our version one was feeling the strain: response times under load, dataset sizes reaching the upper bound of what the original architecture had been sized for, and an interface that — while still functional — predated several generations of UX expectations.
After five years, the Institute commissioned a thorough review of the off-the-shelf clinical platforms on the market — looking for a system they could migrate to. The conclusion was that the platform we had built for them was still ahead of every commercial alternative on flexibility and usability.
We did not read that as validation. We read it as a signal that the bar had moved, and that we needed to deliver a Clinidesk 2.0 that set it again.
The new platform
We rebuilt from the ground up as a modern web application. Every capability the first version was strong at — the scheduler, mobile access, the media stack, the surgery and treatment referral modules — carries through to the new version, faster and more reliable, with the user experience modernised to match. The core idea is the same; the execution is current-generation.
The dual scheduling modes the Institute relies on through its busy surgical days come straight across: staff-centric scheduling optimises for surgeon availability, room-centric scheduling optimises for OR utilisation, and an admin can switch between the two within a single planning session.
Mobile access is built into the new platform. Physiotherapists, who spend most of the day moving between treatment rooms with patients, work entirely from tablets — reviewing records, updating progress notes, and capturing the photos and movement videos that document each rehabilitation session. Surgeons use the same mobile interface between procedures rather than waiting to return to a desk. The interface is current-generation; new staff are productive the day they start.
Clinical AI, under human review
The bigger change is what the new platform can do that the previous one couldn’t. The clinical assistant runs across the Institute’s full record base — millions of clinical entries — and supports global search across that entire history. A surgeon can find every prior case with similar imaging, diagnosis, or treatment trajectory in seconds, regardless of which year or which physician documented it.
The platform exposes its data through MCP, so external large language models can query the records alongside the built-in assistant whenever a clinician wants a different perspective. Document extraction is the capability receptionists notice first: pasting a referral letter, an external lab report, or a photo of a paper form pulls the structured patient data into the system in one step. What used to take several minutes of typing now takes a few seconds of review.
Every AI action that writes back to the record runs under a human-in-the-loop approval flow. The AI does not make clinical decisions; it removes administrative work that prevents clinicians from focusing on the ones that matter.
Reception desk
A separate AI assistant runs at the reception desk. Staff use it for the operations that consume most of their day — registering a new patient from a phone call in seconds, finding the next available slot across multiple specialists when a family asks to add an appointment, rescheduling around a delayed surgery, or pulling a quick view of the day’s open capacity. The point is not to replace the receptionist; it is to take the keystrokes out of the parts of their work that should be a conversation, not data entry.
An ongoing engagement
The platform continues to evolve as the Institute grows. The engagement is structured the way our long-term medical partnerships always are: we operate as the Institute’s technology partner, not as a vendor delivering a fixed scope. The system that runs Paley European’s clinical operations today is materially different from the one we delivered five years ago. It will be different again in two years.
"For midsize clinics, Clinidesk is in a class of its own. We evaluated every serious alternative before choosing it, and the lead it has — on capability, reliability, and clinical fit — is hard to overstate. Condactis built something that genuinely understands how a clinic runs."
Piotr Borkowski
CIO, Paley European Institute
Let's work together
See Clinidesk on your own schedule.
Book a 30-minute demo and we'll walk through the scheduler, the AI assistant, the reports, and the mobile experience using your own week as the example. Bring a sample of your current calendar — we'll show you what go-live would look like.
