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COPE

Live Demo formerly MindLog

Real-time behavioral health monitoring for clinicians and patients.

COPE re-centers measurement-based care around the clinician. Patients use a native mobile app to log daily mood, sleep, exercise, medication adherence, and symptoms; clinicians monitor cohorts, receive real-time alerts when patients cross clinical thresholds, and generate reports through a web dashboard built around validated psychiatric instruments. FHIR R4 export, first-party authentication, and built-in crisis resources throughout.

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Validated instruments
Real-time
Clinician alerts
FHIR R4
EHR export
988
Crisis resources

The Problem

Between-visit blindness

Behavioral health runs on a crisis-to-appointment cycle: a clinician sees a patient for 30–50 minutes every one to four weeks, then loses visibility until the next visit. A mood can plummet, a side effect can emerge, or suicidal ideation can develop — all invisible until the next appointment. Retrospective recall degrades within days, so clinicians lean on memory and hunches.

Measurement-based care — systematic daily tracking plus validated assessments — is the evidence-based antidote. COPE makes it frictionless for the patient and clinically actionable for the care team, in real time.

Capabilities

Patient app captures, dashboard acts

Daily check-ins

A two-to-five minute daily check-in captures mood (1–10), sleep, exercise, and coping — progressively revealing optional clinical domains (mania, anxiety, anhedonia, ideation) based on diagnosis and clinician configuration.

Validated instruments

Full response capture for PHQ-9, GAD-7, ISI, C-SSRS, ASRM, and WHODAS 2.0 — LOINC-mapped and FHIR-exportable, with configurable completion windows and automatic threshold alerts.

Safety & crisis screening

C-SSRS endorsement of intent triggers a critical alert for immediate clinical review, with inline links to the 988 Suicide & Crisis Lifeline and Crisis Text Line. Patient-authored safety plans capture warning signs, coping strategies, and contacts.

Medication adherence

Patients log doses against a clinician-managed medication list; the dashboard surfaces adherence rates to flag non-adherence, with optional notes for side effects and barriers.

Journaling with sharing

Open-ended reflections, optionally shared with the care team, rendered as sanitized markdown — with edit windows that preserve integrity after a clinician has reviewed.

Real-time alerts

Threshold rules (assessment scores, sharp mood drops, missed medications, ideation) publish over Redis to a clinician WebSocket feed — acknowledge, resolve, or escalate, with full alert history.

Cohort monitoring

Population KPIs and per-panel trends — average mood, alert velocity, adherence — with drill-down to individual patient timelines and assessment score history.

FHIR R4 export

Patient data maps to FHIR resources — Observation, MedicationRequest, Condition, CarePlan, Consent, and QuestionnaireResponse — with a published CapabilityStatement for EHR integration.

Clinical reports

Generate formatted PDF summaries — mood graphs, recent assessments, medications, shared journals, and alert history — for the chart or a patient handoff.

Product Tour

Inside the clinician dashboard

From the live clinician demo on synthetic patients — click any view to enlarge.

cope.acumenus.net
COPE clinician population overview with risk heatmap and crisis alerts
Population overview. A behavioral-health caseload at a glance — a risk heatmap across every patient, severity distribution, and a live feed of C-SSRS and mood alerts that need review today.
cope.acumenus.net/patients
COPE patient roster with risk indicators
Patient roster. The full panel with at-a-glance risk indicators, so a clinician can triage who needs outreach before the day starts.
cope.acumenus.net/patients
COPE individual patient record with mood, journal, and medication tabs
Individual patient record. Drill from the population into one patient — mood trends, journal, medications, and C-SSRS history in tabs, with the care team and crisis status surfaced up top.
cope.acumenus.net/trends
COPE population trends over time
Population trends. Cohort-level movement in mood, sleep, and symptom burden over time — turning thousands of daily check-ins into a signal clinicians can act on.

Architecture

How it works

Expo mobile app

A React Native patient app (iOS + Android) with biometric unlock and a dark, low-friction check-in UI.

React dashboard

A Vite-built clinician dashboard with mandatory TOTP MFA, real-time alerts, and Recharts visualizations.

Fastify API

A typed API across auth, daily entries, assessments, alerts, medications, FHIR, and more — Zod-validated with rate limiting.

PostgreSQL + RLS

Row-level security enforces care-team relationships — clinicians see only their patients — with a HIPAA-style audit trail.

Redis + WebSocket

Alert rules publish to Redis and fan out to connected clinicians; BullMQ runs the rules engine and report generation.

First-party auth

bcrypt + TOTP with rotating refresh tokens — no third-party identity vendor (Supabase was retired).

Who It's For

Use cases

Psychiatry practice

A psychiatrist reviews the dashboard in a few minutes of admin time, spots an ASRM score crossing the hypomania threshold over the weekend, calls the patient, and adjusts the regimen — never missing a destabilization between visits.

Community mental health center

Care coordinators track mood stability and adherence across a panel of serious-mental-illness patients, escalating high-risk alerts to supervising psychiatrists, with FHIR export into the center's EHR.

Telepsychiatry

Between appointments, patients log daily mood; at visit time the clinician sees the last 30 days at a glance, and a PDF summary routes to the patient's PCP afterward.

Inpatient-to-outpatient bridge

A safety plan authored on the unit is shared with the outpatient team at discharge; real-time alerts flag any mood drop in the first two weeks — the highest-risk window.

Where COPE stands today

  • The API and clinician dashboard are feature-complete for the core measurement-based-care workflow, with a live demo on seed data.
  • COPE is pre-1.0 / early access. Offline sync and passive health-data integration (HealthKit / Health Connect) are planned, not yet shipped.
  • COPE is designed as a Software-as-a-Medical-Device on an anticipated FDA Class II pathway; it has not been submitted or cleared. Alert thresholds are provisional and require clinical sign-off.
  • HIPAA-ready, not turnkey-compliant: deployment requires executed BAAs with PHI vendors and your own risk analysis. COPE is a decision-support tool, not a replacement for clinical judgment or emergency services.

Under the Hood

Tech stack

Expo SDK 52React NativeReact 19ViteFastify 5Node 22TypeScriptPostgreSQLRow-Level SecurityRedisBullMQFHIR R4bcrypt + TOTPTurborepo

FAQ

Common questions

Is this the app formerly called MindLog?
Yes. MindLog was renamed COPE in June 2026 — same team, same mission, new name and domain (cope.acumenus.net).
How does COPE export to an EHR?
Via FHIR R4 REST endpoints. Your integration team can pull a patient's complete data (Observation, Condition, MedicationRequest, QuestionnaireResponse, and more) into the EHR's document repository.
Is COPE HIPAA-compliant out of the box?
COPE is HIPAA-ready — audit trail, RLS, TLS, and encryption are built in — but compliance requires executed BAAs with PHI vendors and your own risk analysis.
What happens if a patient discloses suicidal intent?
The platform raises a critical alert to the clinician feed with links to crisis resources. It does not place emergency calls or override patient autonomy — clinicians follow their institution's safety protocols.
Does it replace an EHR?
No. COPE is a specialized monitoring sidecar that excels at daily measurement and real-time alerts; it bridges to the EHR via FHIR.

Close the between-visit gap

Explore the live demo, or talk to us about measurement-based care for your practice.