From Scratch

Health Wealth Safe

Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) healthcare platform enabling secure physician-patient interaction, digital health records, and appointment management.

Industry:Healthcare & Telemedicine
Duration:2021 - Present
Team Size:8 members
Our Role:Full-Stack Development

Project Overview

Health Wealth Safe is a comprehensive telehealth platform designed to revolutionize remote patient monitoring and chronic care management. The platform connects healthcare providers with patients through secure video consultations, real-time messaging, and automated health data tracking. Built with HIPAA compliance at its core, the system handles sensitive medical data while providing seamless communication between doctors, patients, and medical staff.

Quick Facts

Client
Healthcare Provider Network
Timeline
January 2021 - Ongoing
Technologies
React.jsNode.jsPostgreSQLTwilio

Project Timeline

1
2 months

Discovery & Planning

Requirements gathering, HIPAA compliance research, architecture design, and technology stack selection

2
6 months

Core Platform Development

Built authentication, patient/doctor portals, EHR system, and appointment management

3
4 months

Communication Features

Integrated Twilio for messaging, Agora for video calls, and real-time notifications

4
3 months

Lab Integration & Billing

Implemented HL7/FHIR standards for lab results and CPT code-based billing system

5
Ongoing

Mobile Apps & Enhancements

React Native apps for iOS/Android, continuous feature additions and optimizations

Building a HIPAA-Compliant Telehealth Ecosystem

The healthcare industry demanded a secure, scalable platform that could handle sensitive patient data while providing real-time communication between doctors and patients across multiple devices.

HIPAA compliance requirements for all data storage and transmission
Real-time video and messaging with low latency for medical consultations
Integration with existing lab systems using HL7 and FHIR standards
Complex billing system with CPT code automation
Scalability to handle 10,000+ concurrent users
Cross-platform support (web, iOS, Android) with consistent UX

Microservices Architecture with Real-Time Communication

We designed a scalable microservices architecture using Node.js and React, with dedicated services for authentication, patient management, appointments, billing, and communications. The platform leverages AWS for infrastructure, Twilio for HIPAA-compliant messaging, and Agora for high-quality video consultations.

Architecture Overview

The system follows a microservices pattern with separate services for user management, appointments, billing, communications, and health records. All services communicate via REST APIs and message queues (AWS SQS). The frontend uses React with Redux for state management, while mobile apps are built with React Native sharing 80% of the codebase.

Our Approach

Implemented OAuth 2.0 with role-based access control (RBAC) for secure authentication
Built RESTful APIs with Express.js and GraphQL for efficient data fetching
Used PostgreSQL with encrypted fields for sensitive patient data storage
Integrated Twilio Programmable Chat for HIPAA-compliant messaging
Implemented Agora Video SDK for low-latency video consultations
Created automated CPT code assignment system for medical billing
Developed HL7/FHIR adapters for seamless lab result integration
Built React Native mobile apps with offline-first architecture
Implemented AWS Lambda for serverless background jobs
Set up CloudFront CDN for global content delivery

Results & Impact

15,000+
Active Users
Healthcare providers and patients actively using the platform
50,000+
Video Consultations
Successful video consultations completed with 99.8% uptime
<200ms
Response Time
Average API response time for critical operations
100%
Data Security
HIPAA compliance maintained with zero security breaches
4.8/5
Patient Satisfaction
Average rating from patient feedback surveys
40%
Cost Reduction
Reduction in operational costs for healthcare providers

Key Outcomes

Successfully launched platform serving 15,000+ users across 50+ healthcare facilities
Achieved HIPAA certification and passed all security audits
Reduced patient wait times by 60% through efficient appointment scheduling
Enabled remote monitoring for 5,000+ chronic care patients
Processed 50,000+ video consultations with 99.8% success rate
Automated billing process saving 100+ hours per week for administrative staff
Integrated with 20+ laboratory systems for instant result delivery
Expanded to mobile platforms with 10,000+ app downloads

Technical Stack

🎨

Frontend

React.jsReduxTypeScriptMaterial-UIReact Native
⚙️

Backend

Node.jsExpress.jsGraphQLWebSocketSocket.io
💾

Database

PostgreSQLRedisMongoDBFirebase Realtime Database
☁️

Infrastructure

AWS EC2AWS LambdaAWS S3AWS RDSCloudFrontLoad Balancer
🔌

Integrations

Twilio (SMS/Chat)Agora (Video)Stripe (Payments)HL7/FHIROneSignal (Push Notifications)