HIPAA-Compliant Multi-Tenant Telehealth Engine & FHIR EHR Integration
Scaled a secure telehealth and patient portal platform to support 2M+ active monthly patients across 250 healthcare network provider nodes.
articleExecutive Overview
PulseHealth Systems connects over 2,000 physicians with millions of patients across North America. Following rapid clinical expansion, their video consultation portal and EHR synchronization pipelines suffered severe connection drops.
warningThe Operational & Technical Challenge
Existing video streaming architecture lacked adaptive bitrate mesh routing, resulting in video drops during consultations. Incompatible legacy EHR integrations required manual physician data entry.
HIPAA & BAA Strictness
All video streams and PHI data buffers required end-to-end AES-256 encryption.
EHR Interoperability
Diverse hospital networks used conflicting HL7 v2, C-CDA, and FHIR API specifications.
High Concurrent Video Streams
Peak morning appointment surges caused socket server crashes.
architectureDevEngine Engineering Solution & Orchestration
DevEngine fielded a healthcare engineering team proficient in WebRTC video mesh topology, AWS HealthLake, and FHIR interoperability standards to rewrite the real-time consultation stack.
Key Technical Deliverables
- check_circleEnd-to-end encrypted WebRTC video mesh with automated fallback fallback streams.
- check_circleBi-directional FHIR / HL7 EHR patient record sync connecting Epic, Cerner, and AthenaHealth.
- check_circleHIPAA BAA audited infrastructure with zero-knowledge encrypted database storage.
- check_circleMobile-responsive web portal with instant e-prescriptions and lab result access.
"DevEngine solved our EHR interoperability nightmare while delivering flawless WebRTC video reliability across 250 hospital networks."
Dr. Robert Chen
Chief Medical Officer, PulseHealth Systems
Technologies Deployed
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