Services

Discovery & Product Strategy
UX/UI Design
Web Application Development
Backend Development
Custom Visualization Component Development
Quality Assurance
Project Management

Platform

Web
Mobile

Location

USA

Team size

10 people

Sarah Dominguez is the Founder and CEO of MyCHDMap, Inc., and an advanced practice nurse with over 10 years of experience in pediatric cardiac surgery. Working daily in one of the most demanding specialties in medicine, she identified a critical gap that had gone unsolved for years: there is no single reliable, legally usable resource for accurate, customizable congenital heart disease (CHD) illustrations.

CHD affects roughly 1 in 100 newborns. The conditions are anatomically complex, vary enormously from patient to patient, and are notoriously difficult to explain visually. Sarah's idea was to build a platform that gives clinicians a curated, editable library of medically accurate heart illustrations — purpose-built for patient communication, nursing education, and clinical teaching across hospitals globally.

The Industry Challenge

Today, hospitals face a specific and largely unacknowledged problem: they cannot legally use most online heart illustrations. Images found on the internet are copyrighted, and internal education departments, which are not staffed with cardiology specialists, produce inaccurate substitutes. There is no centralised, go-to platform for congenital heart disease education that clinical teams can rely on.

As a result, every nursing programme creates its own imperfect materials and every patient conversation about a complex anatomy leaves families uncertain. MyCHDMap was designed to solve this at scale.

Technologies
used

Backend

React 19
TypeScript

Vite

Tailwind CSS

Radix UI

Konva
React-Konva

TanStack Query

Zustand

React Router v7

Zod

React Hook Form

AWS Amplify

Mobile Development

NestJS

TypeScript

TypeORM

PostgreSQL

Stripe

AWS Cognito

AWS, Terraform

"What Uptech’s team said they would do and what has been done has all been true. That's really built trust with me. Feeling like I can rely on them and trust them is very important — and so far everything has gone well."

Sarah Dominguez

Founder & CEO, MyCHDMap, Inc.

contact us

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Challenges and Solutions

Access Control

One person buying access and sharing the login across a whole unit was a real revenue risk and would have undercut the pricing model from day one.

Solution

The team proposed an institutional licensing model: hospitals purchase access for their entire unit, which removes the sharing incentive and aligns with how hospitals actually budget for software.

Canvas-Based Annotation Editor

Building a production-grade drawing tool in the browser is more complex than wrapping a canvas library. The editor needed undo/redo, layer management, brush tools, and persistent state across sessions, all serialised and stored per illustration.

Solution

The team used Konva / React-Konva for canvas rendering and stored the full editor state as serialised Konva JSON in a PostgreSQL jsonb field per illustration. Thumbnail generation runs on save, keeping the browsing experience fast.

Independent Annotation Layers in Comparison View

The before/after comparison view requires two illustration canvases side by side, each with its own annotation layer. Cross-contamination between the two drawing states would break the feature entirely.

Solution

Each canvas runs as an independent Konva stage with isolated state management. Rendering is synchronised across both views without sharing annotation context, so physicians can mark up each side independently.

Main features

CHD Image Library

A searchable, curated library of medically accurate congenital heart disease illustrations. Clinicians can browse by condition, compare normal and diseased anatomy side by side, and access illustrations not available anywhere else legally and accurately.

Edit & Presentation Mode

Users can customize illustrations in real time: overlaying labels, comparing anatomical variants, and entering a dedicated surgery mode for procedure planning. A sticker toolbar allows clinical devices (pacemakers, stents, shunts) to be placed directly onto diagrams.

Download & Personalised Save

Clinicians can export personalised images for patient records, family communication, and educational PowerPoints. Images are saved to each user's personal workspace.

Login Security: Per-Session Email Verification

Every login triggers a verification code sent to the user's registered email. This adds a meaningful layer of protection against credential sharing without creating friction for legitimate users.

Custom Illustration Request

For heart conditions not yet in the library, users can submit a fee-based custom illustration request. An illustrator produces the diagram to spec, and it is added to the platform.

Before/After Comparison View

Two illustrations can be placed side by side, each with its own independent annotation layer. Designed for explaining what a heart defect looks like before and after a surgical procedure, with markups on each view kept fully isolated from the other.

Organisation and User Management

An admin panel lets administrators manage organisations, invite team members, set access levels, and monitor subscription status. Each organisation has its own scoped data and user base.

Results

Launch-ready platform
The product was released on schedule and matched the client’s target launch window.
Continuous improvement
Uptech continues to support the product with post-launch feature enhancements.
Clinician-approved experience
Healthcare professionals responded positively to the platform, particularly its extensive illustration library, editing tools, and presentation mode.

Made with ❤️🫀 at Uptech

What's Next

MyCHDMap has a clear product roadmap that positions it as the definitive CHD education platform globally. Planned future features include:

01

AI image generation

Generating anatomically accurate CHD variants at scale, reducing dependency on human illustrators. A candidate platform has already been identified.

02

Animated Heart Videos

Live animated diagrams showing blood flow and cardiac pumping to support physician teaching.

03

CME Training Modules

Level 1 and Level 2 CHD nursing education embedded in the platform, building toward a single go-to training resource for congenital heart programmes.

04

Echo Clip Integration

Echocardiography clips linked to corresponding heart illustrations for physician and medical student education.

05

Expanded User Tiers

Physicians, medical students, and international CHD programmes, beyond the current nursing-focused scope.

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