Executive Summary
About Client
ABDM-Compliant Hospital Management Software for all-size hospitals.
Ekanshi Solutions Pvt Ltd offers expert management consultation services to healthcare organizations. They provide strategic guidance and support to help organizations achieve their goals. With the in-depth expertise and industry knowledge, they help organizations optimize their operations, make informed decisions, and achieve excellence in patient care.
https://ekanshisolutions.com/
Location: Lucknow, Uttar Pradesh, India
Project Background
Ekanshi Solution requires reviewing its clients’ hospitals and clinics to ensure they meet the compliance requirements. To achieve this, we recommended developing a software solution that meets the basic compliance requirements and also eases the operational burden on hospitals.
- Registration and demographic data collection.
- Patient history and medical record management.
- Appointment scheduling and reminders.
- Patient check-in and waiting list management.
- ABDM Compliance M1 , M2 and M3 scenarios therefore create Verify ABHA and to manage patients records
- The movement of this on-premise app to a cloud-based infrastructure is aimed at improving performance, ensuring data security, and enabling seamless integrations with other digital health services.
- AWS Automated HIPPA Compliance check and aligned with best practices.
Scope & Requirement for ABDM-Compliant Hospital Management Software
In the 1st Phase of custom application development, we discussed the implementation as follows:
- A customized app, furthermore, helps to generate ABHA ID and integrates ABDM-compliant APIS
- The client hospital team should be able to view patient records easily and receive and send to the central server
- Able to book appointments and moreover schedule reminders easily.
- We would create a Web version of the app to help manage the above functionality, which will replace the current paper-based and unorganized work the admin was doing.
- Plan and execute the migration of application code, data, and databases from the on-premise system to the selected cloud platform.
- Ensure minimal downtime by utilizing cloud migration tools and strategies, such as database replication, to synchronize on-premise data with the cloud.
- Compliance with HIPPA and using config rules to do ongoing monitoring of compliance
Implementation
Technology and Architecture of Hospital Management Software
Read more on the technology and Architecture we used for AWS Custom Application Development using ESRI ArcGIS.
Technology/ Services used
The web app was deployed with the below technological component
- Backend Code: .NET Core, C#
- Web App code: AngularJS
- Database: PostgreSQL
- Cloud: AWS
Integrations:
Google APIs
ABDM Integration
Auth0
SendGrid
- AWS WAF service is used for the firewall
- All API endpoints are token-based
Scalability
- The application is designed to be running on serverless services so that it can easily scale up and down automatically based on usage.
Backup and Recovery
- Additionally, Automated backups are configured to backup the database and store multiple copies of the backup.
Cost Optimization
- Alerts and notifications are configured in the AWS to notify if the budget is being exceeded.
- Deployed on serverless infrastructure, the application does not incur any additional costs when it is not in heavy use.
- Peritos, being a cloud partner, is managing the environment for the client, keeping a close watch on the cost, and finding ways to optimize the same
Code Management, Deployment
- CI/CD is implemented to automatically build and deploy any code changes
Features of the Application
- Integrated Patient Profile with NDHM: This application seamlessly integrates with NDHM, enabling the swift creation of ABHA IDs and facilitating the exchange of patient health data. By interfacing with the National Digital Health Mission, the system ensures that patient data is standardized, up-to-date, and easily accessible, fostering more informed medical decisions.
- Multi-tenancy Architecture: The system’s ability to cater to multiple hospitals or health providers under a single unified platform is a significant advantage. Each hospital can manage its operations while benefiting from centralized updates and features, ensuring scalability and simplifying administrative tasks.
- Data Encryption at Rest and In Transit: Implemented encryption using AWS Key Management Service (KMS) for both data at rest (S3, EBS, RDS) and in transit (SSL/TLS) to ensure compliance with GDPR and HIPAA requirements for securing sensitive data.
- Identity and Access Management (IAM): Designed and enforced strict least-privilege access policies using AWS IAM. This included creating custom roles and policies with granular permissions for specific users and services, ensuring only authorized personnel had access to sensitive data.
- AWS Config and Compliance Rules: Set up AWS Config to track and audit configuration changes across the environment. Applied AWS Config Rules to continuously monitor compliance against GDPR and HIPAA requirements, such as encryption enabled on S3 buckets and logging for API Gateway and Lambda.
- Audit Logging and Monitoring: Configured AWS CloudTrail and Amazon CloudWatch for continuous logging and monitoring of API calls, changes, and actions within the AWS environment. This was crucial for meeting HIPAA requirements for audit trails and GDPR’s data access visibility.
- VPC Flow Logs and Security Groups: Deployed Virtual Private Cloud (VPC) with properly configured flow logs to monitor and log network traffic. Used AWS Security Groups and Network ACLs to ensure secure network segmentation and prevent unauthorized access to sensitive resources.
- Data Residency and Data Transfer Controls: Implemented controls to ensure data residency compliance by restricting data storage and processing to specific AWS regions as required by GDPR. Utilized VPC endpoints and AWS Direct Connect to secure data transfers and reduce the exposure to the public internet.
- Backup and Disaster Recovery: Designed an automated backup strategy using AWS Backup to meet GDPR’s requirement for data recoverability, ensuring regular snapshots of critical databases (e.g., RDS, DynamoDB) and storing them in encrypted S3 buckets across different regions for redundancy.
Challenges in implementing ABDM Compliant Hospital Management Software
- Integration with ABDM APIs is needed to achieve compliance; however, the API documentation was not up to date. Also, the API versions keep checking. During the app development from v1 to V3, we had to reach the APIs and perform code refactoring to ensure the utilization of the latest set of APIs.
- Furthermore, Help from PWC team was provided and explained the API endpoints and the test scenarios to cover to ensure the app compliance checks can be passed.
- Testing of the application with multiple end users who were experts in their domain was a challenge.
- We found the data quite complicated to understand and relied on the client’s team to test and inform us about the expected result in case of any issues. Additionally, we identified key users such as doctors, administrators, nurses, department heads, etc., to ensure coverage of all user scenarios.
- Given the sensitive nature of medical data, ensuring robust security measures against breaches and unauthorized access is paramount.
- The hospital management application ensured data security and privacy through end-to-end encryption for both data at rest and in transit. AWS’s suite of security tools, including IAM for access control, KMS for key management, and VPCs for network isolation, were leveraged. We fortified the APIs with security tokens and rate limiting and conducted regular training sessions for staff on security best practices.
Project Completion
Duration of Hospital Management Software Implementation
Jan 2023 – Dec 2023 ~ 1 year months 1st Version
@nd Version- Jan 2024 – Present Currently working on Reporting, Enhancements, and Billing , In patient and Out patient feature addition along with M2 Billing
Deliverables for ABDM-Compliant Hospital Management Software
Setting up the AWS environment for the client system
• Custom web application for two environments production and UAT system
• We delivered the features as agreed in the scope
- Registration and demographic data collection.
- Patient history and, furthermore, medical record management.
- Appointment scheduling and reminders.
- Patient check-in and waiting list management.
- ABDM Compliance M1, M2, and M3 scenarios to create Verify ABHA and to manage patients records
- HIPPA compliance report for managing workloads and following best practices for HIPPA and also ongoing monitoring report.
- We developed the following set of core features.
User: Manages user registration, authentication, roles, and permissions.
Hospital: Multi-tenant application to handle hospital registration, department management, and related configurations.
Doctor: Manages doctor profiles, availability, specialties, and associated scheduling.
Patient: In addition, Interfaces with ABDM for patient data operations, ABHA ID creation, and retrieval of patient health history.
Support
- As part of the project implementation we provide 2 months of Ongoing extended support.
- This also includes 20 hrs a month of development for minor bug fixes and an SLA to cover any system outages or high-priority issues.
Testimonial
After working for 6 months on the project, we took feedback from the Product owner whom we have worked closely for project execution:
Peritos and using AWS have been instrumental in transforming our hospital’s operations for clients. It empowered us to create a custom multi-tenant application that not only meets our current needs but also positions us for future growth and innovation to showcase this to our larger client base and prospects. With a solid system now, we have the confidence to continue our mission of providing exceptional healthcare services to our community, knowing that our technology backbone is secure, reliable, and ready to scale. Additionally, We are happy with the services and look forward to completing more projects in the future with Peritos team.
Akanksha Niranjan
OWNER, EKANSHI SOLUTIONS
Next Phase
We are now looking at the next phase of the project which involves:
1. Furthermore, Ongoing Support and adding new features every Quarter with minor bug fixes
2. Electronic Medical Records (EMR) Integration: Incorporate a system that not only stores patient data but also tracks their entire medical history, including medications, allergies etc
3. AI-Powered Predictive Analysis: Moreover, Use AI and machine learning to analyze patient data for potential health risks, helping doctors make informed decisions
If You Are Looking For Similar Services? Please Get In Touch
Executive Summary
About Client
AmityWA empowers participants and provides them with support and assistance that build their skills and independence. Many times, it is difficult to manage all the data and keep track of each participant. So, AmityWA felt a need for a server that can provide a mechanism for programmatic control of the SAP support Services-Azure Remote Server Setup and its associated hosted virtual machines.
Location: Perth, Australia
Project Background
Peritos assisted AmityWA to streamline all the servers and explained how to address its data challenges by leveraging SAP Support Services-Azure Remote Server Setup. Peritos offered discounted licensing and guided how to save ongoing costs.
Scope & Requirement
Below are some of the scope items
- We implemented the Azure Windows Server Support with which we also offered them the licensing support at discounted price.
- Assist the Best Practices for Azure License Management
- Recommend a saving plan
- 1 month Free Trial and extended 2 Month trial as a partner
- Understand the best licensing needed for the company
- Handover and questions
Implementation
Technology and Architecture
Technology
- SAP Support Services-Azure Remote Server Setup
- Team Member License
Integrations
- NA
Security:
- Comes with MIcrosoft Standard Support and Security Cover
Backup and Recovery
- Microsoft Production Support
- 1 Live Environment and 2 Sandbox Environment with Multiple companies that can be createdW
Scalability
As applicable with the standard Service
Cost Optimization
Explained to the client how the cost could be saved for monthly and Annual commitment orders
Mixed License for Team Member and discounted licensing that aided in cost savings
Code Management, Deployment
Deployment for the SAP Support Services-Azure Remote Server Setup was done via Peritos
Challenges of SAP Support Services-Azure Remote Server Setup
AmityWA aims to be a provider of services that empower NDIS participants toward their goals. While catering to all participants’ needs, it is important that data is secure for each participant and can be accessed by AmityWA. For that, they required a virtual server that can help achieve faster and easier backup & recovery of key application workloads. Operating through a virtual server provided the liberty to work faster provisioning applications and resources, improving disaster recovery & business continuity & minimizing or eliminating downtime.
Project Completion
Duration
Oct 2021 ~ 2 working days
Deliverables
- Delivered a Web App which smoothly automates and manages the leads for each of AttentionSeeker clients ensuring the data gets stored in the app and the client can see the progress made by the Attention Seeker team thus saving time to have frequent calls to update them on the progress.
- A customized design of the app was discussed with the client
- Training and handover in using the app and explaing how the users and other clients can be easily onboarded.
Support for Setting Up Azure Windows Virtual Server
- For all Licenses we implement we provide month end billing with 20 days credit Terms.
- We provide Value added services by sending reports to the client on the license usage and last activity date for each user to help them manage their license cost and to get visibility
Testimonial
Awaited
Next Phase
We are also working with clients on other projects
1. Support for Dynamics system
2. Helping with Integration of Business Central with Ecommerce online Stores Amazon, WooCommerce etc.
If You Are Looking For Similar Services? Please Get In Touch
Executive Summary
About Client
Bamboo Strategic Media is an innovative strategic marketing group that uses data to grow your business, for which Peritos supported them in Power BI Reporting. Their combination of experiences in business development, education, engineering, and media creation offers our clients a unique approach to analyzing their business needs and developing robust, innovative solutions.
https://www.bamboostrategicmedia.com/
Location: Gainesville, Florida
Project Background
Microsoft PowerBI is one of most used BI Visualization tool which comes with a lot of out of visualizations. This helps BI developers in creating reports and dashboard by integrating with data source of choice. Apart from out of box visualization, BI developers can also use visualization that are available over PowerBI marketplace, which satisfies the data analysis requirements.
Scope & Requirement
The scope here was to create custom Power BI visualizations reports for data analysis, which was asked by the client.
This helped client to configure icons, show visual elements on the UI. This includes:
- Showing Icons
- Ability to add more icons
- Make column data configurable
Here, you will also learn how we created a custom PowerBI visualization for the customer for their Power BI data analysis requirements. The document covers the technical details around the process we followed. We helped customer to publish this report in Power BI. Custom visualization developed and now can be controlled with highly configurable advance
UI
Implementation
Technology and Architecture
Technology
The migration was deployed with the below technological component
• For Azure Dataverse- The underlying technology used was Azure SQL Database
• For Azure Blob Storage- It supported the most popular development frameworks including Java, .NET, Python & Node.js
Security & Compliance:
- Tagging Policies
- Azure config for compliance checks
- NIST compliance
- Guardrails
- Security Hub
Backup and Recovery
Azure Backup provided a simple, secure, cost-effective, and cloud-based backup solution to protect the business or application-critical data stored in Azure Blob in two ways- Continuous backups & Periodic backups
Network Architecture
- Site to Site VPN Architecture using Transit Gateway
- Distributed Azure Network Firewall
- Monitoring with Cloud Watch and VPC flow logs.
Cost Optimization
- Alerts and notifications are configured in the Azure cost
Code Management, Deployment
- Cloudformation scripts for creating stacksets and scripts for generating Azure services was handed over to the client
Challenges
- Discovery the relevant examples in the community for advance configurations
- Integration of React with Power BI
- Advance custom UI development and management the persisted configurations
- Reverse engineering of the already built custom visualizations
- Debugging and running the already built examples as they are outdated
- Lack in the Power BI documentations
Project Completion
Duration
Deliverables
- To fulfil the client’s requirements, we provided the flexible and scalable solution with the help of Power BI custom visualizations.
- We used Power BI CLI tool to create the build the custom visualizations.
- We leveraged the power of React to for efficiently DOM manipulations.
- TypeScript played an important role for static code analysis to make code less error prone.
- Advance custom UI developed to manage the highly configurable system.
- React Native code base
- Power BI Visual icon set
- Power BI customized dashboard with Reporting capabilities of Power BI
- Custom Features like Vertical text, Icon Set configuration, Sort, filter, slicer and other default
options
Support
To fulfil the client’s requirements, we provided the flexible and scalable solution with the
help of Power BI custom visualizations.
• We used Power BI CLI tool to create the build the custom visualizations.
• We leveraged the power of React to for efficiently DOM manipulations.
• TypeScript played an important role for static code analysis to make code less error prone.
• Advance custom UI developed to manage the highly configurable system.
Testimonial
Evania Fernandes
building Manager
ultimate property group
Next Phase
If You Are Looking For Similar Services? Please Get In Touch
Executive Summary
About Client
KUKA CARES empowers participants and provides them with support and assistance that build their skills and independence. Many times, it is difficult to manage all the data and keep track of each participant. So, KUKA CARE felt a need for a server that can provide a mechanism for programmatic control of the Azure Windows Server Support and its associated hosted virtual machines.
Location: Perth, Australia
Project Background
Peritos assisted KUKA CARE to streamline all the servers and explained how to address its data challenges by leveraging Azure Windows Server Support. Peritos offered discounted licensing and guided how to save ongoing costs.
Scope & Requirement
Below are some of the scope items
- We implemented the Azure Windows Server Support with which we also offered them the licensing support at discounted price.
- Assist the Best Practices for Azure License Management
- Recommend a saving plan
- 1 month Free Trial and extended 2 Month trial as a partner
- Understand the best licensing needed for the company
- Handover and questions
Implementation
Technology and Architecture
Technology
- Microsoft Windows Virtual Server
- Team Member License
Integrations
- NA
Security:
- Comes with MIcrosoft Standard Support and Security Cover
Backup and Recovery
- Microsoft Production Support
- 1 Live Environment and 2 Sandbox Environment with Multiple companies that can be createdW
Scalability
As applicable with the standard Service
Cost Optimization
Explained to the client how the cost could be saved for monthly and Annual commitment orders
Mixed License for Team Member and discounted licensing that aided in cost savings
Code Management, Deployment
Deployment for the Azure Windows Virtual Server was done via Peritos
Challenges of Setting up Windows Virtual Server
KUKA CARES aims to be a provider of services that empower NDIS participants toward their goals. While catering to all participants’ needs, it is important that data is secure for each participant and can be accessed by KUKA CARES. For that, they required a virtual server that can help achieve faster and easier backup & recovery of key application workloads. Operating through a virtual server provided the liberty to work faster provisioning applications and resources, improving disaster recovery & business continuity & minimizing or eliminating downtime.
Project Completion
Duration
Deliverables
- Delivered a Web App which smoothly automates and manages the leads for each of AttentionSeeker clients ensuring the data gets stored in the app and the client can see the progress made by the Attention Seeker team thus saving time to have frequent calls to update them on the progress.
- A customized design of the app was discussed with the client
- Training and handover in using the app and explaing how the users and other clients can be easily onboarded.
Support for Setting Up Azure Windows Virtual Server
- For all Licenses we implement we provide month end billing with 20 days credit Terms.
- We provide Value added services by sending reports to the client on the license usage and last activity date for each user to help them manage their license cost and to get visibility
Testimonial
Awaited
Next Phase
We are also working with clients on other projects
1. Support for Dynamics system
2. Helping with Integration of Business Central with Ecommerce online Stores Amazon, WooCommerce etc.
