Telehealth platform with video consults, e-prescriptions and EMR integration
A mid-sized hospital group wanted telehealth as a first-class channel rather than a retrofitted video tool. We built the patient app and clinician portal; every consult, prescription and lab order lands in the existing HIS without a parallel patient record.
Outcome
Live in production across multiple specialties; patient app downloads in the tens of thousands
Context
The client is a mid-sized hospital group that decided telehealth needed to be a first-class channel — equal in standing to the in-person outpatient experience — rather than a Zoom-style overlay bolted onto the existing system.
The brief covered patient intake, identity and insurance verification, video consult, e-prescription, lab order, and discharge summary.
Challenge
The hard requirement was that the existing hospital information system (HIS) stayed the system of record for the patient. No parallel patient database. Every telehealth interaction had to land in the HIS in the same form an in-person visit would.
Layered on top:
- Consent and audit logging to meet India's Digital Personal Data Protection Act obligations
- Identity verification with the existing patient master so a returning telehealth patient is reconciled to their full record
- Pharmacy and lab integration so an e-prescription or lab order is actionable, not just an image of a doctor's signature
Approach
We built two front-end applications — a patient mobile app and a clinician portal — sitting on a shared backend service:
- Patient app (React Native): intake, identity, scheduling, in-app video consult via WebRTC, prescription delivery, lab order tracking.
- Clinician portal (React): waiting room, consult workspace with patient history, e-prescription writer with formulary lookup, lab order entry, discharge summary.
- Backend (Node.js) exposes consult, prescription, lab and summary events to the HIS through a FHIR-compatible adapter. The HIS does not need to be aware that the source was telehealth.
- Consent and audit events are captured for every action a patient or clinician takes and surfaced as an export for compliance review.
Outcome
The platform has been live in production across multiple medical specialties since 2025. The patient application has crossed tens of thousands of downloads and continues to grow.
The hospital's HIS investment was preserved — telehealth flowed into it rather than around it.
Topics covered
- telehealth platform development India
- FHIR EMR HIS integration
- telemedicine app development for hospitals
- video consultation platform DPDP compliant
- custom telehealth software for hospital group
- patient app and clinician portal development
- e-prescription and lab order integration
- WebRTC video consult platform
- HL7 FHIR healthcare integration India
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