Continuum Care Solution

Set up a Meeting

US based customer was looking for a continuum care solution for serving age-old population where patients will be able to connect with doctors remotely without having need to visit practitioner in person. The solution expected the practitioners to get flexibility for checking patient with help of multiple medical devices to diagnose the health issue of the patient.

As part of solution, we developed media server-based solution to establish multiple virtual consultation sessions running in parallel where clinician will help patients to setup the call.
The platform enables healthcare practitioners to remotely view and diagnose patients' condition by using state of the art multimedia and collaboration technologies.
Each virtual consultation session has the capability to connect to multiple devices for receiving audio/video and discrete data input.

Product Features

Developed a web-based telemedicine solution, where doctors can check remote patient accurately with help of medical devices
Solution involved a console that is operated by care giver for the patient for having remote consultation with provider
Console supports devices for vitals like SpO2, Heart Rate, NIBP, Weight, Temperature, Glucose, Respiration, ECG, Stethoscope and SpCO
Near real time display of vitals to the doctor at remote end
Telehealth session recording and playback along with vital measurements
Integrated APIs for drug database, drug strength ICD codes etc.
Developed digital prescriptions
Patient clinical data management including medications (Rx), clinical notes, orders, allergies, and prior medical records
Integrated secure payment gateway for consultation and services
Automated patient notifications via WhatsApp and email for appointments and follow-ups
Bulk patient onboarding and data upload
Physician-driven session scheduling with configurable availability and slot-based appointment booking

Key Technical Achievements

Deployed cloud-based backend on GCP with dev/stage/prod isolation and production-ready deployment practices.

Designed and implemented horizontal scaling for Kurento Media Server, enabling dynamic allocation of media workloads based on active sessions.

Designed and hardened WebRTC infrastructure (STUN/TURN using Coturn) to ensure reliable real-time audio/video connectivity.

Implemented end-to-end TLS across application services, TURN servers, and third-party integrations.

Enforced least-privilege firewall rules and network segmentation, reducing attack surface.

Built a secure Razorpay payment system with server-side order creation and payments.

Integrated cloud-native object storage (GCS) for scalable handling of user uploads and media assets.

Implemented gcsfuse-based filesystem mounts to expose object storage to application services where POSIX access was required.

Resolved FUSE permission, mount persistence, and reboot recovery issues, ensuring reliable storage availability in production.

Integrated SendGrid transactional email with authenticated domains (SPF/DKIM), dynamic templates, and delivery failure handling.

Implemented WhatsApp transactional notifications.

Debugged and resolved network, TLS, storage, and service-startup failures using protocol-level inspection and system tooling.

Technology Used