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Care Systems Engineering
Aashram Healthcare
A Clinic Schedule That Does Not Make People Wait Twice
Outpatient booking, encrypted records, and a teleconsult that starts when the appointment says it will.
Next.jsWebRTCSupabaseDocker
Visits on time
Record retrieval
The Challenge
What was already failing
Patients booked, arrived, and waited. Records lived in a second system, and the video room opened late because the schedule and the call did not share a clock.
The Solution
One schedule, a record that stays sealed, and a room that opens on time.
01 // edge
Schedule at the edge
Availability is read where the patient is. A slot cannot be taken twice.
- Slots·Atomic
- Desk·Same clock
- Wait·−65%
02 // guard
Record guard
Notes and identity stay encrypted and scoped to the visit. A search does not open the next chart.
- Notes·Encrypted
- Identity·Scoped
- Search·Closed
03 // checkout
The consult
The video room uses the same appointment. There is no second link to lose.
- Room·Appointment
- Link·None extra
- Video·HD ready
Edge
Schedule at the edge
SlotsAtomicOne patient
DeskSame clockShared view
Wait−65%After cutover
Guard
Record guard
OKSealed
Notes
Encrypted
At rest
Identity
Scoped
This visit
Search
Closed
No next chart
Checkout
The consult
Room
Appointment
Link
None extra
Video: HD ready · On schedule
The Solution
One schedule, a record that stays sealed, and a room that opens on time.
01 // edge
Schedule at the edge
Availability is read where the patient is. A slot cannot be taken twice.
- Slots·Atomic
- Desk·Same clock
- Wait·−65%
Edge
Schedule at the edge
SlotsAtomicOne patient
DeskSame clockShared view
Wait−65%After cutover
02 // guard
Record guard
Notes and identity stay encrypted and scoped to the visit. A search does not open the next chart.
- Notes·Encrypted
- Identity·Scoped
- Search·Closed
Guard
Record guard
OKSealed
Notes
Encrypted
At rest
Identity
Scoped
This visit
Search
Closed
No next chart
03 // checkout
The consult
The video room uses the same appointment. There is no second link to lose.
- Room·Appointment
- Link·None extra
- Video·HD ready
Checkout
The consult
Room
Appointment
Link
None extra
Video: HD ready · On schedule
Key Capabilities
What the system is trusted to do
01
One slot, one patient
Booking checks live capacity. The front desk and the patient see the same clock.
02
Charts that stay shut
Records are encrypted and opened only for the visit in front of the clinician.
03
Consult without a second link
The appointment is the room. HD video starts from the schedule, not from an email.
Architecture
How the pieces connect
Engineered With
- Next.js
- WebRTC
- Supabase
- Docker
Results and Impact
Wait times fell 65 percent. The consult and the chart now share the appointment, so the room opens when the patient does.
- Wait times down 65%
- 96% of visits open on time
- Consult and chart share one appointment ID
−65%
Wait times
96%
Visits on time
<200ms
Record retrieval
Web · Aashram Healthcare
Outpatient booking, encrypted records, and a teleconsult that starts when the appointment says it will.
“The queue at the desk got shorter before the marketing did.”
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