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GDPR Art. 9 (opens in a new tab) · Refugee-camp clinical care

Clinical teams needed patient records and triage that kept working through connectivity loss.

Modern Miracle built an offline-first clinical platform with standard health records and five-level emergency triage.

Status: In clinical use at the Domiz 1 and Domiz 2 refugee camps from November 2023 until use was paused in 2026.

Operating constraint

The hospital serving the Domiz refugee camps in the Kurdistan Region of Iraq had no electronic health record. Triage ran on paper registers with no standard scoring, and a patient's history was lost between visits. Internet and power were intermittent, the hospital had no IT staff, and patients spoke Arabic, Kurdish Sorani and English.

How it was built.

Clinicians recorded structured ESI v5 triage locally; encrypted FHIR R4 records synchronised when connectivity returned.
Project
LEVEA
Site
Domiz 1 and Domiz 2 refugee camps, Kurdistan Region of Iraq
In clinical use
November 2023 to 2026, now paused
Timeline
In production · November 2023Paused · 2026

Decisions, and the obligation or standard each one meets.

  1. Each device wrote records locally first and synchronised when connectivity returned.

    MeetsGDPR Art. 32(1)(b) availability. Clinicians read and wrote records during connectivity loss. (opens in a new tab)

  2. Triage followed the Emergency Severity Index, version 5.

    MeetsAcuity was assigned on a published, externally validated five-level scale.

  3. Patient records were kept in FHIR R4.

    MeetsRecords stayed exportable to other health systems in an HL7 standard, already common practice in the sector the European Health Data Space (Regulation (EU) 2025/327) covers. Article 15 leaves the exact cross-border exchange format to implementing acts not yet adopted.

Design response

Modern Miracle built LEVEA's Pulse clinical workspace offline-first. It covers the patient record, triage, appointments, encounters, communications and a clinical dashboard, and it kept working through connectivity and power loss. The record is held on the clinician's device and synchronises with the server when a connection returns, and a conflicting edit to clinical data is held for a clinician to choose the correct version. Triage follows the Emergency Severity Index, version 5: the software proposes an acuity level, and a clinician approves or changes it before it is recorded. Records are stored as HL7 FHIR R4 resources, and the interface runs in Arabic, Kurdish Sorani, Bahdini and English with right-to-left layout.

Result

LEVEA replaced paper registers as the primary clinical system in the Domiz camps from November 2023. Each AI-assisted triage recommendation was logged together with the decision of the clinician who approved or changed it.

The record behind this engagement.

Tell us what you're building and the regulation it has to meet.

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