ABDM-Compliant Hospital Management Software

Read the project details which talks about ABDM-Compliant Hospital Management Software: Streamline Compliance and Patient Records Management with Ekanshi Solution's Solution.

Technologies

Project Types

Cloud Consulting

Industries

Healthcare

Location

India

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.

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

Security:

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

Peritos optimized costs for the ABDM-compliant hospital management software by architecting a scalable, cloud-based solution using serverless components and right-sized infrastructure.
Leveraging AWS tools like Cost Explorer and Trusted Advisor, we continuously monitored usage to eliminate waste and reduce expenses.
Automation through CI/CD pipelines, along with performance-tuned code and databases, ensured reliable delivery while minimizing operational overhead—resulting in a cost-effective, high-performance system for healthcare providers.

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.

Support

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:

Furthermore, Ongoing Support and adding new features every Quarter with minor bug fixes
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
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

Testimonial

Edward Yarashev

Product Manager | Tonkin + Taylor

Peritos is a team of highly skilled developers, technical experts, and delivery managers. We’ve been very impressed with their commitment. Their developers and delivery managers have conducted themselves with professionalism and diligence at all times, and the quality of the work they have performed has been excellent. Many times, they proposed better solutions, which resulted in better and faster products. Peritos is a reliable AWS Partner. You can trust and be satisfied.

(For services and support)

Richard Canny

Ultimation industries | President

“We are very happy with the results of this major IT project with Peritos Solutions. Their staff gained a good knowledge of our business and processes. They were able to work with many of our diverse team members and launch Business Central ERP on time and on budget according to our requirements. We will be using them again for future projects and additional development actions. Thank you!”

(For services and support)

Grant Peterson

Software Development Manager | Insight Software

The project was completed on time and as per the agreed budget. The communication was excellent, as was the dedication to quickly turning around the required report development. The overall experience was good, and I would definitely work with the Peritos Team again.

(For services and support)

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ABDM-Compliant Hospital Management Software