HealthTech MVP: Patient Intake and Telehealth Platform
A HIPAA-aware telehealth platform with digital intake forms, video consultations, and encrypted patient records for a network of 12 clinics.
Client: MediConnect (Series A health startup)
Split screen showing patient mobile view with intake form fields and doctor desktop view with patient history sidebar and video call interface with screen sharing.
The Challenge
MediConnect operated a network of 12 independent clinics that still used paper intake forms and phone-based appointment scheduling. Patients filled out the same forms at every visit, doctors couldn't access records from other clinics in the network, and no-show rates were 28% because reminders were manual phone calls. The pandemic had accelerated telehealth demand, but off-the-shelf solutions like Doxy.me lacked the multi-clinic workflow and custom intake forms their specialties required. They needed a platform that handled digital intake, cross-clinic records, video consultations, and automated reminders while maintaining HIPAA-grade data handling.
Our Approach
We broke the platform into three portals: patient, provider, and admin. The patient portal was mobile-optimized: digital intake forms that auto-saved progress, appointment booking with real-time availability, and a video consultation room. The provider portal showed a daily schedule, patient history across all network clinics, and a video interface with screen sharing for reviewing test results. The admin portal managed clinic configurations, user roles, and compliance reporting. For HIPAA compliance, we encrypted all patient data at rest (AES-256) and in transit (TLS 1.3), implemented audit logging for every data access, and used signed BAAs with our infrastructure providers. Video was handled through Daily.co's HIPAA-eligible API rather than building our own WebRTC infrastructure. The automated reminder system reduced no-shows by sending SMS (via Twilio) 24 hours and 1 hour before appointments.
What We Built
Delivery Timeline
Day 1-3: Architecture + Auth
Multi-tenant schema, role-based auth, encryption setup, BAA documentation.
Day 4-7: Patient Portal
Digital intake forms, appointment booking, patient dashboard, magic link auth.
Day 8-11: Provider Portal
Daily schedule, cross-clinic patient records, provider dashboard with search.
Day 12-15: Video + SMS
Daily.co integration, video rooms, screen sharing, Twilio SMS reminders.
Day 16-18: Admin Portal
Clinic management, user roles, compliance reporting, audit log viewer.
Day 19-21: Hardening + Launch
Security audit, HIPAA checklist, load testing, clinic onboarding.
Tech Stack
Architecture
frontend
Next.js with role-based routing for patient, provider, and admin portals.
backend
Hono on Railway with Drizzle ORM on encrypted PostgreSQL.
auth
Better Auth with email/password + MFA for providers. Magic link for patients.
data
PostgreSQL with column-level encryption for PHI. Audit log table.
video
Daily.co HIPAA-eligible API for video consultations.
Security
encryption
AES-256 at rest, TLS 1.3 in transit. Column-level encryption for PHI.
compliance
HIPAA-aware architecture. BAAs with Railway, Daily.co, and Twilio.
audit
Every data access logged with user ID, timestamp, and resource accessed.
monitoring
Sentry with PII scrubbing. Uptime monitoring via BetterStack.
The Results
“Our doctors were skeptical about going digital. After one week with MediConnect, they refused to go back to paper. The intake forms alone saved 15 minutes per patient visit.”
Key Takeaways
Use Daily.co or Twilio Video for HIPAA-eligible video calls. Building your own WebRTC infrastructure adds months and introduces compliance risk.
Digital intake forms with auto-save and conditional logic dramatically improve patient experience. Pre-fill fields from previous visits.
Automated SMS reminders are the highest-ROI feature in healthcare. Reducing no-shows from 28% to 9% translates to recovered revenue for every clinic.
Deliverables
FAQ
Frequently Asked Questions
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