Project Overview
Healthcare providers managing outpatient consultations and specialty clinics often struggle with fragmented software: paper case files, disparate video conferencing links, and detached prescription systems. Patients face lengthy waiting-room delays, while clinicians spend excessive hours on administrative documentation rather than direct patient care.
Lobhari Technologies was selected to build a modern, cohesive clinical platform unifying appointment scheduling, video teleconsultations, digital health records, and prescription workflows into a unified, compliant web and mobile application.
Key Engineering Challenges
1. Strict Privacy & Compliance
Medical data demands end-to-end encryption and compliance with international standards (HIPAA) and national frameworks (Ayushman Bharat Digital Mission / ABDM standards).
2. Constrained Mobile Bandwidth
Patients in non-metro regions often connect on unstable 4G networks. Video calls had to maintain stable audio and intelligible video without constant connection freezing.
3. Fast Clinical Documentation
Doctors needed rapid diagnosis templates, drug interaction alerts, and auto-completing e-prescriptions to avoid extending per-patient consultation times.
4. Patient Queue Coordination
Managing mixed queues (walk-ins vs. scheduled remote visits) required real-time dynamic queue re-balancing and automated SMS/WhatsApp alerts.
Security & Architecture
The architecture isolates sensitive health records into secured database partitions with strict audit hooks:
[Patient & Clinician Clients (Web & Mobile)]
│── Next.js App Router (Fast Clinician Workspace)
│── React Native Mobile App (Patient Telehealth & Prescriptions)
▼
[API Gateway & Security Layer]
│── JWT Authentication with Multi-Factor Verification
│── Role-Based Access Control (Admin, Doctor, Nurse, Patient)
▼
[Core Healthcare Services]
│── LiveKit SFU Cluster (WebRTC Encrypted Teleconsultations)
│── FHIR Compliant Electronic Health Record Store
│── Automated Prescription & Drug Interaction Validator
│── WhatsApp/SMS Notification Engine
Clinical Capabilities Built
Encrypted Teleconsultations
High-definition video and audio consultations with in-call medical image viewing, screen sharing, and integrated consultation notes on the same screen.
Standardized E-Prescriptions
Fast auto-suggest drug lookup with dosage guidelines, contraindication warnings, and digital doctor signature with QR verification.
Full Audit & Compliance Trails
Granular logging of all document views, edits, and file exports satisfying international data retention policies.
Clinic Analytics Dashboard
Real-time statistics on patient wait durations, consultation lengths, recurring conditions, and cancellation rates across clinic branches.
Technology Stack
Verified Clinical Outcomes
45%
Wait Time Reduction
Through real-time queue pacing and remote triage check-ins.
100%
Audit Trail Compliance
Zero non-compliant unencrypted record accesses.
< 180ms
Media Streaming Latency
Smooth real-time video audio conversations via WebRTC.
Technical Questions
How does the platform ensure patient data privacy and HIPAA/NDHM compliance?
All personal health information (PHI) is encrypted at rest using AES-256 and in transit via TLS 1.3. Access is strictly governed by role-based permissions (RBAC) with tamper-evident audit logging for every record access, modification, or prescription export.
What WebRTC architecture was selected for video teleconsultations?
We implemented an SFU (Selective Forwarding Unit) media server architecture with adaptive bitrate streaming. This ensures low-latency video even over constrained mobile 4G/3G connections in Tier-2 and Tier-3 regions.
Can the system integrate with existing laboratory and pharmacy software?
Yes. The backend provides HL7 FHIR (Fast Healthcare Interoperability Resources) compliant REST APIs and webhooks for seamless bidirectional syncing with diagnostic labs, pharmacy management systems, and billing software.
Architecting healthtech, telemedicine, or EHR software?
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