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Connected Enterprise EMR & Telehealth Platform

Built a unified cloud healthcare platform linking EMR and CHR modules with real-time vitals monitoring, Socket.io messaging, and embedded telehealth for collaborative remote care.

RoleFull-Stack Developer
CategoryHealthcare
ClientConfidential Digital Health Provider
DomainCollaborative Care & Remote Patient Monitoring

Tech Stack

ReactNext.jsNode.jsPostgreSQLAWSSocket.io

Project Overview

The client's mission was to establish a "One Patient, One Record, One Care Plan" approach by bridging isolated medical systems. They needed an enterprise-grade platform linking primary care providers, community organizations, and patients through a unified cloud ecosystem integrating EMR with Collaborative Health Records (CHR), telehealth, and real-time remote monitoring.

The Challenge

  • Challenge 01

    Breaking down data silos with secure, compliant interoperability between distinct EMR and CHR modules.

  • Challenge 02

    Engineering low-latency infrastructure for real-time data sharing, live vitals tracking, and secure messaging across the Circle of Care.

  • Challenge 03

    Integrating video-based telemedicine directly into the provider workflow alongside real-time patient data.

  • Challenge 04

    Adhering strictly to healthcare data privacy and security standards for all cloud-based storage and transmission.

Technical Implementation

Seamless EMR & CHR Interoperability

Architected the Node.js/PostgreSQL backend to securely consolidate multiple patient data streams using industry-standard formatting (FHIR) to unify diverse health systems. Updates in the EMR instantly synchronized with the CHR, providing a single source of truth for medication lists, allergies, and lab reports.

Real-Time Data Sharing & Remote Monitoring

Implemented Socket.io for persistent WebSocket connections, instantly transmitting continuous patient vitals (blood pressure, glucose, oxygen saturation) from point-of-care mobile apps to physician dashboards without page refreshes.

Integrated Telehealth Infrastructure

Engineered embedded e-visits allowing healthcare professionals to conduct secure video consultations while simultaneously viewing the patient's real-time collaborative health record and vitals within the same interface.

Enterprise-Grade Security Compliance

The entire AWS-hosted solution was hardened for PHI compliance with data encryption at rest and in transit, validated by rigorous privacy and risk assessments.

Key Achievements & Impact

  • Impact 01

    Unifying EMR and CHR with automated real-time syncing significantly reduced time care teams spent chasing medical histories.

  • Impact 02

    Real-time messaging and unified digital care plans facilitated timely communication between inter-professional teams, closing gaps in the care continuum.

  • Impact 03

    Telehealth and real-time vitals monitoring enabled high-quality, proactive community-based care for non-acute patients.

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© 2026 Sahil Bhanvadiya. All rights reserved.