The Next-Gen EHR for Multiple Clinics
US customer
Our client is a US-based healthcare organization that owns and operates a network of clinics. They are dedicated to providing accessible, high-quality medical care to diverse communities across their service areas.
1. Requirement
1.1. Purpose
This multi-tenant Electronic Health Record (EHR) platform is built to manage its network of clinics, with each clinic operating as a fully isolated tenant on a secure, AWS-hosted infrastructure. The HIPAA-compliant system provides comprehensive features for managing patient records under the FHIR standard, customizable clinical notes, and seamless integration with third-party healthcare services.
1.2. Detail Requirement
The primary purpose of this project is to develop a centralized, multi-tenant Electronic Health Record (EHR) platform for a US client that operates a network of clinics.
The goal is to provide a single, unified system that streamlines management across all locations while ensuring that each clinic's data and features are kept completely separate and secure. This architecture, developed using serverless and microservices methodologies on AWS, allows for both centralized oversight and independent clinic operation, ensuring scalability and resilience.
Functional Requirements
- Management of clinic, provider, and patient profiles.
- FHIR-standard Electronic Health Record (EHR) system.
- End-to-end healthcare service lifecycle support.
- Dynamic clinical note templates.
Technical & Integration
- Automated tenant provisioning with Infrastructure as Code (IaC).
- API/SOAP integration with third-party providers (DrFirst, Kareo, etc.).
Compliance
- Full adherence to HIPAA standards.
2. Customer Problems
- Data fragmentation across siloed clinics leads to inconsistent patient records, hinders access to complete medical histories, and compromises patient safety.
- Managing numerous separate systems creates significant security vulnerabilities and makes maintaining HIPAA compliance both complex and expensive.
- The lack of data aggregation prevents a unified view of operations and makes expanding with new locations a slow, inefficient, and costly process.
1. Programming Language
- Javascript
- Python
- Java
- Go
2. Framework
- Nodejs
- Spring
- Panda and Numpy
3. Third Party
- Dr First: another EHR solution provider
- Kareo: Health care billing service
- Lab Order
4. Database
- MySQL (Version 8)
- Elastic search (Version 8.10.4)
- Prometheus
- Redis
1. Challenge
The healthcare sector presents some of the most significant challenges for technology development. Building a product for the U.S. market is particularly complex due to the strict regulatory compliance required.
A client has engaged us to consult on and implement a system with the following key requirements:
- HIPAA Compliance: The system must be fully HIPAA-compliant.
- Multi-Tenant Architecture: Each tenant's infrastructure and data must be completely isolated. The platform must also support customizable feature subscriptions for each tenant and allow for seamless, on-demand deployment of new features and software updates.
2. How to resolve these challenges:
To address these challenges, we engineered a solution founded on three core principles: security by design, a modern architecture, and an agile partnership.
1. Security is in Our DNA
We embrace a “security-by-design” philosophy. This means our dedicated security experts are not just auditors; they are co-creators, embedded in the development team from the initial concept. Every decision, from feature design to infrastructure choice, is rigorously assessed through a security lens. Periodic reviews against HIPAA standards aren't a final check—they're a continuous part of our rhythm.
2. An Architecture of Precision and Power
To guarantee absolute data integrity and separation, we architected our platform using a state-of-the-art microservices and serverless approach. By breaking the system down into 25 specialized sub-modules, we provide unparalleled scalability and resilience. This isn't just a technical detail; it's what allows each clinic to operate as a secure, independent unit while benefiting from the power of a unified platform.
3. Your Vision, Delivered with Agility
We believe great products are built in partnership. Through rapid and responsive release cycles, we put working software in your hands quickly, creating a tight feedback loop. This agile methodology empowers us to actively anticipate and fulfill your change requests, ensuring the platform not only meets your requirements today but evolves with you for tomorrow.
Delivering Results:
We are proud to announce the platform is currently operational across 4 U.S. clinics, supporting the care of nearly 300 patients every day. This successful deployment is only the beginning. Based on the platform's robust performance and scalability, our client is already mapping out its expansion to a wider network of clinics, and we are excited to be the trusted partner driving that future growth.
1. Patient health record
2. Update Patient information
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