Design System

Building a scalable design system to support multiple products across Global HealthX

Role

Product designer

Team

2 Product Designers, 2 Engineers

Timeline

Sept 2025 - Mar 2026

Scope

20+ responsive components, tokens & copy guidelines

The problem with what we already had

At a fast-paced startup where priorities are constantly evolving, new projects come up on an almost daily basis. One thing stayed consistent: Each product had evolved independently, creating inconsistent patterns, duplicated design work, and components that were difficult to reuse. As we redesigned the therapist platform, we used the opportunity to build a shared foundation.

1

The system was fragmented, incomplete and outdated

2

Screens showed UI inconsistencies, even within a single platform

3

No shared foundation existed for future products

KEY DECISIONS

Our approach

Started with a foundation

We used Untitled UI as a base, then adapted its structure, tokens, and patterns around our product needs.

Built around real product needs

We built the components needed right away for the therapist platform, but designed them so they would hold up across future products.

Built alongside engineering

Components, tokens and documentation were produced with engineers rather than handed to them, which meant far less friction at implementation.

WHAT WE BUILT

What we built

  1. Tokens

A tiered token system built as local Figma variables across typography, spacing, colour and layout, structured around atomic design principles.

  1. Components

A library of 20+ components with carefully considered variants and states - buttons, input fields, breadcrumbs, tabs, tags, progress bars, notifications and more.

  1. Copy guidelines

Alongside the visual components, I wrote copy guidelines into the system, so tone, clarity and wording stayed consistent across the product.

BEYOND THE SYSTEM

Making the system usable beyond Figma

We worked closely with engineers to extend our ownership past design, into how the system actually behaved in practice.

Documentation

We built shared documentation across spreadsheets and Figma, defining each component, how far it could be customised, and what engineers needed to implement it.

Workflow

Running the platform revamp and the system build at once forced us to invent a working rhythm with every stakeholder, which turned out to be the most efficient part of the project.

OUTCOMES

The impact

Faster feature delivery

Reusable patterns reduced repeated decisions across new features

Consistency across products

Shared components and conventions created a common product language

Adopted beyond the original platform

The system expanded beyond Plan & Track to support other CognitiveBotics products

REFLECTIONS

My takeaways and learnings

Designing beyond screens

This project shifted my work from designing individual screens to thinking in systems - patterns, scalability, and what still holds up in a year.

Collaborating with engineers

Building this system together from the very beginning not only taught me how to work together, but also surfaced constraints early and prevented a lot of rework.

Design systems keep evolving

This was not a one and done process. Components and rules continued to evolve based on product needs, and will continue to require updates.

Sanisha Agarwal

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© 2026 Sanisha Agarwal

Sanisha Agarwal

Powered by a lot of sunshine and strawberry matcha

© 2026 Sanisha Agarwal

Sanisha Agarwal

Powered by a lot of sunshine and strawberry matcha

© 2026 Sanisha Agarwal