Context
Our client is a technology services provider in US healthcare building a way for people to reach a clinician immediately — high-quality primary care and prompt medication delivery, without a waiting room.
Problem
Telemedicine that is only a video call solves half the problem. A clinician who cannot take a temperature, listen to a chest or read a blood pressure is guessing. To hold to real clinical standards the consultation had to carry live readings from physical instruments at the patient’s end, in the same session, reliably enough that a doctor would act on them.
That is a different engineering problem from video conferencing. It means a browser session, a hardware layer and a clinical workflow all staying in sync, and failing safely when one of them does not.
Approach
The client came to us for WebRTC specifically. What the project turned into was the harder question underneath it: how do you make a browser-based consultation talk to connected medical devices and stay trustworthy?
We set up three separate environments — development, QA and production — and implemented CI/CD before feature work got going. On a system where a bad deploy sits between a patient and a doctor, release discipline is a clinical safety measure, not an engineering preference.
What we built
- WebRTC video consultation between patient and clinician
- Device integration — a communication layer between the application and remotely connected medical instruments
- Three-environment setup with CI/CD across development, QA and production
- Ongoing work on interface refinement and standard security compliance
Stack: Angular, .NET Framework, AWS, WebRTC, MySQL, PostgreSQL.
Results
The system is in service and we remain the engineering team behind it, currently working through interface changes and security compliance for wider rollout.
Metric slot — needs client approval. Consultations delivered, session success rate, or time-to-clinician would be the strongest three.
In their words
“We highly recommend Nittile’s team for programming projects. They have been a reliable partner and take pride in their work. Nittile is detail oriented and effectively communicated project status on a regular basis. IRA Softwares produced great results for our company, we would happily hire them again!”
— Chief of Staff
“This was a very difficult C++ and C# project of taking multiple SDK projects and remotely viewing the data. IRA Softwares team did exceptional work with this and will be hired for many more projects to come. This was a new type of programming for the team. They did exceptionally well and overcame a huge hurdle.”
— Chief Technology Officer
Related
Healthcare Management CRM · Chronic Care Management System · WebRTC
