Remote Doctor Consultation Application

A lot of research is being done across the world today to provide innovative and technology powered solutions in the Healthcare industry. We have seen a lot of advancement in the way information technology has empowered the entire healthcare management right from conducting simple diagnosis to entire body scans to making patient medical records available electronically on demand (so called Electronic Medical Records). Further to this a lot of work is being done to safe guard this sensitive information as per HIPAA and HL7 standards.

On the other hand there is still a wide gap in terms of providing high end medical care to patients living in remote locations with very minimal access to the world class doctors or so called specialists. Due to the fact that the so called Specialist doctors are too busy, it is only possible to handle a said number of medical cases on any given day. Even if the doctors are willing to travel to remote locations, the fact that it wastes a lot of time in travel without any productivity makes it completely unviable.

In order to bridge this gap several solutions have been introduced into the market like online doctor appointments with facility to chat and even do video conferencing, Tele Medicine to speak to the doctor on phone and get medical advises etc. However these solutions still does not give any advantage to the doctor to consult the patient physically and do any primary diagnosis in real time.

This situation has led to the thought of coming up with an innovative real-time and remotely managed doctor consultation system called DocBox that helps patients in remote locations to be able to schedule appointments with the specialist doctors and get expert medical advices.

How DocBox works?

DocBox is a web based application that acts as a medium for both Doctors and Patients to provide / receive health care services in the form of online consultations. DocBox has the Video, Audio and Chat features attached as part of the application. The way it is different from other online Doctor Appointment and consultation systems is that there is a Clinician attached with DocBox application in every remote location. Clinician registers the patients and fix appointments with available doctors based on a Scheduler / Planner available within the DocBox application Similarly doctors also get registered on DocBox web application with the help of administrator. They configure their (doctor's) online availability for consultation.

On the prefixed day of the appointment patients reach the clinics at the remote place for consultation. Locally a clinician starts consultation with the doctor and based on the doctor's instructions, clinician conducts tests using the DocBox device and uploads the clinical findings in the local database.The web based software solution captures these clinical findings and uploads the same to the master database. These clinical findings are displayed to the doctor during the consultation and help him suggest appropriate prescription to patients. Upon completion of consultation complete information related to that consultation is stored in the master database for future reference.

Technology around DocBox

DocBox uses Telerik Scheduler for scheduling appointments with Doctors based on their availability but it was customized to suit DocBox needs. DocBox also uses Opentok Web API for quality Video/Audio streaming during the consultation process. DocBox has necessary interfaces to capture data from remote storage devices and update the central database at frequent intervals.

Business Challenge

  • Scheduler / Planner that shows doctor's availability
  • Creating online Appointments for Consultation
  • Video & Audio Conferencing facility
  • Chat facility for clinician and doctors who are registered with website
  • Display of treated patients of specific doctor
  • Web based interface for clinicians (for registering patients etc.) and doctors

Etisbew Solution

  • Etisbew has deployed a senior functional and technical analyst to study and design the new system.
  • Etisbew Analysts, design and development teams constantly worked with client and his team in developing robust software system that meets client needs.
  • Used Telerik scheduler and customized it as per the requirements for display of available doctor slots and their prefixed appointments with patients.
  • Opentok web API is used to the extent for a quality of Video/Audio streaming in consultation module. Apart from doctor and patient, the system also facilitates the other authorized users like super admin to join the video conference.
  • This system has necessary interfaces to capture data from remote storage devices and update the central database at frequent interval. Benefits to the Client
  • End client who had reviewed the DocBox application was impressed the way the application was built to fulfill the needs of remote consultation with Doctors.
  • Phase-I is completed and we will now work with client in development of Phase-II and this is going to be very cost effective to client, considering we know client needs and how to meet them.
  • Client was involved in all weekly project progress reviews and able to see the progress of the project by accessing the application at our staging servers. This has saved implementation and client's time during UAT.

Brief Notes:

Our latest solution simplifies remote consultation of patients with doctors from any part of the world. It also facilitates document management and patient records management confirming to high security standards.

This application enables to users such as clinicians/assistants or administrator to fix the appointment with all registered doctors. On the day of the appointment the patients with the help of clinician/assistants login to the application and attend the video/audio consultation, take tests as suggested by doctor online and show the reports to doctors instantaneously and take the prescription/advice during the same session.

The solution facilitates doctors to configure their online availability for consultation / audio/video conferencing. Doctors can also access the information of all their patients by just logging into the application. Review it and suggest/prescribe better medication to their patients at the time of consultation. Access to the application is highly secure and accessing certain features of the application and patient information is based on the user type only. These measures were taken to safeguard patient information.

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