Transforming Healthcare Delivery with a Scalable, Cloud-Based EHR Platform
Case Study: Development of a Comprehensive Web & Mobile Electronic Health Records System
A healthcare technology provider aimed to launch a modern, scalable EHR (Electronic Health Records) platform designed for clinics and private practices. The initiative was driven by a long-term vision to expand globally, necessitating support for international healthcare regulations, multilingual capabilities, and scalable infrastructure.
Key challenges included:
The Challenge
- Fragmented patient records and lack of centralized data access.
- Absence of mobile support, limiting flexibility for both providers and patients.
- Manual workflows for clinical documentation, scheduling, billing, and prescriptions.
- Complex compliance requirements (e.g., HIPAA) and need for data security.
- Limited interoperability with third-party systems (labs, pharmacies, insurers).
- Necessity for a globally scalable platform adaptable to different markets and regulatory environments.
Our Solution
We partnered with the client to design and deliver a fully integrated, cloud-native EHR platform with both web and mobile (iOS and Android) applications—built to scale regionally and globally.
Key Functional Modules
Clinical Features
- Centralized patient records: demographics, vitals, history, medications, lab reports, and imaging.
- Smart charting with customizable templates and specialty-specific forms.
- Integrated e-prescription and diagnostic lab ordering.
Patient Engagement
- Patient portal and mobile app for appointment management, telehealth, secure messaging, and access to medical records.
- Push notifications and reminders for follow-ups, prescriptions, and lab results.
Practice Management
- Real-time appointment scheduling with provider availability tracking.
- Billing and claims processing with CPT/ICD-10 coding and insurance integrations.
- Staff and task management tools to streamline clinic operations.
Compliance & Security
- HIPAA-compliant architecture with full audit trails and role-based access controls.
- Data encryption in transit and at rest.
- Support for international data privacy regulations (e.g., GDPR) as part of global readiness.
Integration Ecosystem
To ensure seamless interoperability and support the client's global ambitions, the platform was designed with robust integration capabilities:
- Standards-Based Interoperability: Implemented HL7/FHIR APIs to facilitate secure and standardized data exchange with external systems.
- Laboratory and Imaging Integrations: Enabled direct connections with major labs and imaging centers for streamlined order processing and result retrieval.
- Pharmacy and E-Prescription Services: Integrated with national and international e-prescribing networks to support medication management.
- Insurance and Billing Systems: Connected with various insurance providers and billing platforms to automate claims processing and eligibility verification.
- Third-Party Applications: Established APIs to allow integration with a range of third-party healthcare applications, enhancing the platform's extensibility.
Technology Stack
Web Development
Backend: .NET Core
Frontend: Angular
Frontend: React
Database: PostgreSQL
Database: SQL Server
HL7 / FHIR APIs (for healthcare interoperability)
SendGrid (for transactional and notification emails)
Twilio (for SMS/Voice communication)
Cloud Infrastructure: Microsoft Azure (multi-tenant, regionally distributed architecture)
Mobile App Development
Twilio (SMS & Voice)
SendGrid (Email)
Backend powered by .NET Core
Integrated via HL7 / FHIR APIs
Hosted and scaled using Microsoft Azure
React Native (Cross-platform mobile app development)
Hosted and scaled using Microsoft Azure
Business Outcomes
- Global-Ready Architecture: Designed to scale across multiple geographies with support for localization and region-specific compliance.
- Enhanced Accessibility: Anytime, anywhere access for patients and providers through secure web and mobile interfaces.
- Streamlined Operations: Significant reduction in administrative overhead and clinical documentation time.
- Accelerated Care Delivery: Real-time e-prescriptions and diagnostics integrations improved turnaround time for care.
- Regulatory Assurance: Built-in HIPAA and GDPR support ensured legal and security compliance in multiple jurisdictions.
- High Adoption: User-friendly design and flexible workflows drove strong adoption across early partner clinics.
