⚕️ nextjs × healthcare

Ship healthcare on Next.js with sensible defaults.

Next.js is a TypeScript workable choice for healthcare. GreatCTO auto-detects both — adds the healthcare archetype overlay, wires healthcare-specific gates, and runs 34 specialist agents around your existing Next.js workflow.

$ npx great-cto init ⚕️ See archetype →
What changes when GreatCTO joins your Next.js project

Detection → overlay → gates → reviewers.

1 · DETECT

Stack + archetype

GreatCTO reads your package.json and detects nextjs + healthcare archetype from signals: imports, file structure, env vars, README hints.

2 · OVERLAY

Archetype pack

Attaches the healthcare archetype overlay: HIPAA gates, BAA tracking, PHI encryption review, 21 CFR Part 11 audit-trail. Override if your specifics differ; the defaults are sensible for Next.js-style projects.

3 · GATES

Next.js-aware reviewers

qa-engineer runs tsc --strict / eslint / vitest --coverage; security-officer checks for prototype pollution + XSS sinks; performance-engineer reviews bundle size + cold-start times.

4 · MEMORY

Cross-project lessons

Bugs you've hit before in other Next.js projects (connection-pool exhaustion, ORM N+1 queries, retry storms) — the agent's Step 0 includes the prior detection order. MTTR drops 94 % on second occurrence (methodology).

First 10 minutes

Concrete walkthrough.

$ cd my-nextjs-app && npx great-cto init
✓ scanning manifests… found package.json
✓ stack: nextjs (TypeScript)
✓ archetype: healthcare
⚠ archetype + stack combo is unusual — review overlay manually
✓ 34 agents ready

$ /start "add HL7 patient resource endpoint"
▸ architect drafting ARCH-healthcare.md…
▸ pm decomposing into beads tasks…
⚐ gate:plan — your approval needed

Approve → 3 senior-devs run in parallel worktrees → 5 reviewers fan out in parallel → gate:ship → deploy. One real run walked stage-by-stage: /proof.

⚠ Honest caveat

Next.js (TypeScript) is not a typical fit for healthcare. The archetype overlay still attaches, but you may want to override defaults more aggressively. Check the healthcare archetype page for the typical stack list and decide if your case is the right tool / right archetype.

Architecture

Every step of the pipeline, transparent.

No black-box "AI does it all" loop. GreatCTO is a deterministic state machine — 8 stages, 22 nodes, 2 human gates. Every node maps to a real agent on GitHub. Inspect the state machine →

Install

Next.js + GreatCTO in one command.

$ npx great-cto init

Free, MIT, runs locally. Works in Claude Code, Cursor, OpenAI Codex CLI, Aider, and Continue.