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Edward McNichols
Cima Health card

Cima Health

Products & Platforms · Prototype

Respiratory patient-monitoring PWA for COPD and asthma — daily check-ins for SpO2, peak flow, and symptom scores with GOLD/GINA-aligned red-zone alerting.

About This Project

Net-new RPM web app for chronic COPD and asthma management, built from scratch with no shared code from the sleep-medicine platform. Patients log peak expiratory flow, SpO2, dyspnea and cough scores, and inhaler actuations through an accessible check-in form designed for older users (18px base font, large tap targets, WCAG 2.1). Severity evaluation encodes clinical red-zone thresholds — SpO2 below 88, a 20% drop from personal-best peak flow, rescue-inhaler overuse — and writes alert rows on any non-stable reading. Monorepo with a Next.js 15 web app, Express + Zod API, and a Drizzle schema whose readings table is keyed to promote to a TimescaleDB hypertable with a one-line migration. Docker Compose local stack and GitHub Actions CI.

Tech Stack

Next.js 15React 19ExpressDrizzle ORMTimescaleDBTurborepoPWA