About

Care doesn't fail for lack of a system. It fails in the spaces between them.

MediRec was built for those spaces: the request that arrives incomplete, the queue ordered by date instead of risk, the clinical conversation that happens off to the side, the counter-referral that never comes back — and, for the public institution, the risk of paying forever without ever owning the technology. These are distinct problems, and MediRec was designed to tackle each of them.

The problem — or rather, the problems

When care coordination fails, it's tempting to blame a single cause. In practice, distinct problems overlap. As in most of the country's public networks, they're structural — they don't reflect a lack of effort from those on the front line. MediRec was designed to face them one by one.

1. Knowing what belongs to whom

Before organizing any flow, there's a basic question: who does each piece of data belong to? Every exam, every report, every result must be assigned to the right patient — and a person's results gathered into one coherent whole. But each system identifies the patient its own way (name, CNS, CPF, address), and a single differently-typed name or a missing CNS is enough to scatter one person's results. Without reliable attribution, the complete picture of each patient never forms — and everything else depends on that picture.

2. Living with many systems

A network professional moves through several systems in a single appointment, each with its own login, interface and logic. The same data is retyped at every step; work is duplicated; context is lost between screens. Much of the information still travels manually and incompletely, and no tool brings these processes into one place.

3. Making sense of the information

Gathering and attributing data isn't enough — it has to become a decision. Scattered across systems that don't talk, information doesn't become knowledge: protocols exist but stay on paper; requests arrive without structured clinical justification; the queue is ordered by arrival date, not risk; and the results themselves don't sort into what needs immediate attention versus what's merely normal. What's missing is the single clinical logic that qualifies what comes in, distinguishes what needs action, prioritizes by severity, connects the decision-makers and ensures the answer returns to whoever started the care.

All three are problems of clinical coordination — serious, but operational: they're born in the space between systems, and that's where MediRec acts. There is, however, a fourth problem of another order.

A problem of another order

Sovereignty

When a health department adopts a system that comes to organize care across its whole network, it isn't just contracting a service — it entrusts a private company with the infrastructure of a public policy. If it never owns that technology, dependence only deepens over time: the flows, the institutional memory and the data that sustain the care of millions come to live in a system that isn't theirs.

Leaving means starting over and risking continuity of care; staying means paying forever. This isn't a line item — it's a question of who controls the infrastructure of an essential public service. That's why we treat this point as different in nature, not just in degree.

The idea: a GPS over the road

The official systems are the road — the path along which every request is born, travels and gets scheduled. MediRec is the GPS: it doesn't build a new road, but ensures each request follows the right path, at the right priority, to its destination.

Regulation

  • SER
  • SISREG
  • SERNIT
  • SISS

Exams & laboratories

  • Biomega
  • Científica Lab
  • GAL

Surveillance & tracking

  • SINAN Online
  • SINAN Rio
  • SISCAN
  • SISAA
  • SISCADI
  • CCDTI
  • Bolsa Família (SUBPAV Rio)

Primary care (eSUS)

  • eSUS
  • eSUS Notification
  • eSUS Regulation
Active integration Being rolled out

MediRec coexists with the network in two ways: where systems allow, it integrates directly; where no integration is possible, an original navigation layer — the MediRec extension — lets you work over them anyway. No door stays closed, and no system needs to be replaced.

From data to action

Bringing the bases together is only the start. Because the data now talks in one place, MediRec can turn it into automations and controls — the same engine shown on the home page, detailed here across the three fronts where it acts.

Request

Right at the source

The requesting professional is guided to pre-format and qualify the request at the origin. The referral is born complete and within criteria, cutting returns and shortening the patient's wait.

Surveillance

Catches what slips

With data from several bases side by side, MediRec cross-references information, detects inconsistencies and flags the situations that need follow-up — before they become a problem on the front line.

Consultation

Support in the moment

With protocols integrated, the platform supports the professional during the appointment itself — guidance, automations and alerts at the moment of clinical decision.

Bringing data into one place doesn't mean exposing it: all traffic is encrypted and data is encrypted at rest. The integrated base is also a protected base.

The strength of MediRec

MediRec's greatest strength isn't the technology itself, but what it enables: turning a human process — made of steps, decisions and back-and-forth — into a bespoke digital process, shaped to the reality of those who use it.

That's how the clinical protocols defined by the Ministry of Health come to life. Instead of sitting in a document few consult, they operate inside the work: guiding the request as it's created and supporting the professional during the consultation. What the norm defines, MediRec applies in the flow — with the decision always validated by a human.

This design is never generic. MediRec's request flow was born from a concrete clinical need of our Medical Director, Dr. Luana Moussallem, and was refined and adapted to the reality of the network as we reached each unit. Every adjustment came from real use, not from a drawing board.

The DNA-HPV flow shows the leap this represents. Where before you had to open two separate requisitions — one in GAL and another in SISCAN, across two distinct, unfriendly systems — MediRec does both at once, in a single action. A process that took time and created rework became one click.

On the front line

In a Family Clinic in CAP 3.1, a nurse needed to refer ten patients through the two systems — twenty requisitions the old way. With MediRec's DNA-HPV flow, she finished it all in a fraction of the time. And she used the time left over to gather those same patients into a group and explain, calmly, what their exams meant and what would come next. That's exactly MediRec's goal: give time back to patient care.

What makes MediRec different

Each official base remains the source of truth. MediRec adds the layer of criteria and coordination missing between them.

Integrates, doesn't replace

Instead of swapping the medical record or the regulation system, MediRec brings the fragmented systems into a single flow — a low-friction adoption for management.

Depth in regulation

The focus is exactly where the field is shallowest: the regulation queue and the clinical prioritization of the referral.

Queue by risk, not by arrival

Regulation is ordered by clinical criteria and severity, not by the date the request came in.

Communication across levels

From notified hospital discharge to the counter-referral that returns to whoever started the care: dialogue between levels of care happens with context and record.

Me and the network

Coordination is also self-knowledge. MediRec gives each professional a space to see themselves within the network: by recording their own activity, they compare it with the average of their Programmatic Area and of the municipality. It's not a ranking or a reprimand — it's a mirror.

18My requests this month
22My Programmatic Area average
15Municipal average

Illustrative values.

An answer of another order

Capacity without dependence

Adopting a platform shouldn't cost the network control over its own infrastructure. That's why MediRec offers an optional Technology Ownership Program: over the course of the contract, the municipality can move toward holding a perpetual license to use the platform, with the source code held in custody and transfer provided for at the end of the period or under exit conditions.

The intellectual property remains with 2BLP; what transfers is the right of use and the network's operational autonomy. It's the difference between renting a capability and building public patrimony — capacity without lock-in.

Results in Rio de Janeiro's network

MediRec has been operating in Rio de Janeiro's municipal health network since January 2025, across the municipality's Programmatic Areas.

1,286teams configured
247primary care units
10,000+active professionals

According to a memorandum from the Primary Care Subsecretariat (S/SUBPAV No. 16/2026), MediRec's adoption was associated with a reduction of more than 50% in returned referrals and an estimated saving of 8 to 12 hours per week per doctor. The same complementary model repeats in other networks: in Niterói, MediRec operates over SERNIT — the municipality's own regulation system — without replacing it. Interoperability with different systems in different cities is the strongest evidence that MediRec coexists with the existing infrastructure rather than competing with it.

The journey

From the first unit to the municipal network, always by the same principle: complement what already exists.

January 2025 · First pilot

Vila do João, in CAP 3.1 — 6 teams.

February 2025 · Second pilot

CF Zilda Arns — 14 teams.

2025–2026 · Expansion across the network

Programmatic Areas 3.1+TEIAS, 2.1, 5.1, 3.2, 5.2, 2.2, 5.3, 4.0 and 3.3 — from dozens to hundreds of teams each. Communicable Diseases Coordination. Cancer Coordination. Rehabilitation. Regulation pilot with the Regulatory Complex.

Today · Municipal scale

1,286 teams across 247 units, with active integrations and new ones being rolled out.

Who develops it

MediRec is developed by 2BLP Futuro Ltda., which brings together Dr. Luana Moussallem (Medical Director), Matthias Hasler (CTO and Data Protection Officer) and Tarek Nabaa. The first module was born from Dr. Luana's own routine, then a doctor leading a Family Clinic team. It was conceived from inside the system — not commissioned from outside.

The method hasn't changed since. A concrete care problem becomes a flow, takes shape and is tested in the field: nothing reaches the network without first proving results in a real unit. Short cycles, always close to the front line.

There are now more than 130 modules, built one by one by the same method, from primary to specialized care — all on a single layer that connects to existing systems and organizes them into one flow.

Four principles run through MediRec: complementarity, human decision over AI, protected data on national territory, and the network's autonomy over its own technology. In the end, it all serves one goal: organize the network to give time back to those who care — and to those who are cared for.