Uber-Like App for Doctors with Custom EMR

• The application was based on the Python language, with the use of Django and DRF frameworks and Celery for scheduling.
• The database of the solution was based on PostgreSQL and Redis.
• For backend development, our team also took advantage of SSO and SAML authentication standards.
• We established the solution’s integration with the Veradigm ePrescription system.
• Mobile applications for iOS and Android were built with the use of React Native.

• The frontend of the application was based on React.
• When it comes to the development of an online editor for documents, our team had to make a choice upon using a library or developing a custom mechanism from scratch, and we decided on the latter to avoid potential blocks associated with the realization of the requested functionality. The editor was based on JSON format templates that consist of blocks of a certain type, which are referenced by the rendering engine to display the desired block.
  
  It’s worthy of saying that at the design stage of EMR development, we took into account the existing patterns of the 'doctor-EMR system' interaction process to address all the issues and create a solution that really makes a difference in terms of the offered experience.

• Registration. A user downloads the app from the App Store or Google Play. The process of registration takes place when the user creates an appointment.

• Appointment scheduling. The app allows choosing symptoms from the dropdown list, as well as providing additional ones. The user should determine if they need a general visit or a Covid test. Then it’s necessary to provide all the requested data (name, surname, address, etc.).

• Payment. The process of payment takes place in the app, right after the appointment is created.

• Notifications. While waiting for the appointment, the patient receives notification 15 and 5 minutes before a doctor arrives, as well as at the very moment of the arrival.

• Appointment and additional services. During the appointment, the doctor can expand the list of the provided services with additional ones (if they are required). In such a case, the patient will receive notification and have to proceed with the payment.

• Access to medical documents. After the appointment, the patient can access their documents (including prescriptions and documents for insurance providers) in the app, as well as download or resend them if needed. All the documents become available in the app within 24 hours after the appointment.

• Appointment scheduling for other people. Users can schedule appointments for themselves, as well as for their family members, friends, etc. Data about each person gets automatically saved in the app. There’s also an option for a group appointment.

In case the user schedules an appointment for someone else, a visiting doctor will ask the person if they don’t mind sharing their medical information with the one who created the appointment: if the patient agrees to share information, they provide electronic signature and then, within 24 hours, info about the visit with all documents and prescriptions attached becomes available in the mobile app of the appointment owner; if the patient doesn’t want to share their data, it is sent to the email provided by them.

• Registration. Doctors download the app via a direct link provided by the admin. Before they are registered in the system, they have to attach a series of the required documents (including those on qualification). If everything is okay, the admin registers the doctor in the system.

• Appointment scheduling. In the app, doctors can see their scheduling. The schedule for each doctor is created by the admin, while appointments are automatically distributed by the system. When a new appointment is assigned to some doctor, they receive notifications via SMS and in the app.

• Accepting appointment. Doctors have to accept new appointments within 10 minutes. If they don't, the admin redirects the one unaccepted to another professional.
  When a doctor accepts an appointment, it is necessary to specify the estimated time of arrival to the patient. In the app, doctors also send notifications to patients 15 and 5 minutes before the arrival. The last notification is sent when the doctor reaches the patient’s location.

• At the appointment. During the appointment, the doctor can add additional services (injections, tests, etc). After the appointment, the doctor needs to press the button “complete” in the app. Still, the appointment gets completed only after all the required documents are attached.

• Document management. After the appointment, documents are filled in by the doctor in the EMR system (some of them are generated automatically). Then they get attached to the patient’s profile or sent to the specified email.

• Admin Panel. One of the highlights of the admin panel is in the production of valuable statistics:

— How long does it take for a doctor to get to the patient?
— How much time was spent with a patient?
— The number of completed and uncompleted in EMR visits.
— A total number of visits by region.

An admin can download reports by visits, gift codes, and other criteria.