CAPABILITY · Client under NDA

HIPAA-Compliant Telespecialist Consultation Platform

Telemedicine platform that connects healthcare facilities with on-call medical specialists for real-time video consultations during time-critical events (typically suspected stroke). HIPAA-compliant by design.

HealthcareTelemedicineTelehealth PlatformsStroke CareHIPAA-Compliant SoftwareHospital ITClinical ConsultationMedical SoftwareNeurology Tech
See it work

From symptoms to a stroke specialist in seconds.

Facility staff open a consult from the dashboard the moment a time-critical case presents. An on-call specialist joins a HIPAA-compliant video call within seconds. Outcomes are logged for QMS review and every access is tracked in the audit trail — with role-scoped permissions so each user only sees what their function requires.

consult.example/auth
HIPAAviewing as · Signing in
Sign-in · Two-factor authentication
🔐 secure consult
Sign in
2FA setup
Privacy

Secure sign-in

Two-factor authentication required · all sessions audited

HIPAA · TLS 1.3
Email
dr.maya.p@northwood-regional.example
Password
••••••••••••
2FA method SMS Email
Send code to ··· -5821
6-digit code5:00 remaining
481027
Verified · entering facility dashboard
PHI safeguarded
Demo only

This is an animated mockup of the telespecialist capability — not a live product. Facility names, patient identifiers, and clinician names are illustrative; no real PHI is shown.

01

HIPAA-compliant infrastructure

BAA-backed hosting, encryption in transit and at rest, audit logging, and PHI handling baked into the platform foundations — not retrofitted at the end.

02

Three-role access · Facility / Specialist / QMS

Each role gets its own dashboard and its own permission scope. Wrong-role-sees-PHI is a regulatory failure, so the matrix is tested as carefully as the product.

03

Two-factor authentication

SMS or email codes on every sign-in; every session is tied to a verified second factor and logged to the audit trail, on every device.

04

Real-time secure video

Encrypted video on HIPAA-compliant infrastructure. Specialists join time-critical consults in seconds — every minute matters in a suspected stroke.

05

PHI audit trail

Every access, every consult, every record view is logged with user, timestamp, IP, and session. QMS can review without ever needing direct PHI access.

06

On-call specialist matching

Specialists declare speciality + availability. The matching layer routes each request to the right specialist by skill and current on-call state — not whoever is online.

What we built

Telemedicine platform that connects healthcare facilities with on-call medical specialists for real-time video consultations during time-critical events (typically suspected stroke). HIPAA-compliant by design.

How we built it

Three role-based dashboards — facility staff (initiating consults), specialists (taking consults on-call), and QMS administrators (tracking outcomes). Two-factor auth on every login. Real-time video on HIPAA-compliant infrastructure. PHI is encrypted in transit and at rest with full audit trail.

When facility staff identify a time-critical case, they open a consult request from the facility dashboard. An on-call specialist matched by speciality and availability joins a secure video consult within seconds. Outcomes are logged for QMS review. PHI is handled per HIPAA throughout — encrypted in transit, encrypted at rest, audit trail for every access — and roles are tightly scoped so each user only sees what their function requires.

Architecture

How a request flows through it

Each request enters at the top of the diagram, flows through every box, and lands at the bottom — exactly the way the production system behaves. The scan-line traces where a live request would be right now.

tracing request flow
Facility staff
Login (2FA via SMS / email)
Role-based dashboard
On-call neurologist matched
Real-time video consultation
Outcomes QMS audit trail
flow direction┌─┐ component
Stack

What it's built with

Capabilities
Facility Staff DashboardSpecialist On-Call DashboardQMS Administrator DashboardReal-time Video ConsultationRole-Based Access ControlTwo-Factor Authentication (SMS + Email)HIPAA-Compliant InfrastructurePHI Audit TrailConcurrent Session Controls
Engineering notes

The interesting parts

HIPAA-compliant from day one

Retrofitting compliance into a healthcare platform is more painful than building under the constraint — BAA, audit logging, and PHI handling are baked into the platform foundations.

Three roles, three access scopes

Facility staff, specialists, and QMS administrators each have their own dashboard and their own permission scope. Wrong-role-sees-PHI is a regulatory failure, not just a bug, so the permission matrix gets careful test coverage.

Real-time video on secure infrastructure

Encrypted video for the consultation, encrypted transit for every API call, encrypted at rest for every PHI record. The audit trail captures every access.

On-call specialist matching

Specialists declare on-call availability and speciality; the matching layer routes requests to the right specialist by speciality + current availability, not just whoever is online.

Decisions

The calls that did most of the work

A handful of engineering choices shape how a system feels. Here are the ones we'd still defend — alongside what each one cost.

01

HIPAA-compliant hosting from day one

Retrofitting compliance into a healthcare platform is more painful than building under the constraint; the BAA, audit logging, and PHI handling are non-optional in this domain.

Tradeoff: Hosting choices are narrower and more expensive than a general-purpose cloud setup.

02

Three roles, three access scopes

Facility staff, specialists, and QMS administrators see different parts of every case; one merged dashboard would over-expose data to at least one of them.

Tradeoff: The permission matrix needs careful test coverage — wrong-role-sees-PHI is a regulatory failure, not just a bug.

03

2FA via SMS and email

Specialists log in from many devices, often under time pressure; SMS + email covers the realistic recovery paths without forcing app-based authenticators.

Tradeoff: Login is slower than passwords alone, and SMS delivery is one more third-party failure mode.

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