Project Overview

MediAxis is a comprehensive telemedicine platform built for Med Health to deliver secure, HIPAA-compliant virtual care. The solution bridges the gap between healthcare providers and patients through real-time video consultations, digital prescription management, and always-available access to medical records.

The dual-portal architecture—one tailored for clinicians and one for patients—reduces waiting room time, removes geographic barriers to specialist care, and centralizes fragmented health data into a single, longitudinal patient record.

Doctor Portal Capabilities

• Advanced analytics dashboard with real-time patient volumes, appointment utilisation, and revenue insights.
• Intelligent patient management including searchable histories, treatment timelines, and complete health records.
• Video consultation suite powered by WebRTC and Twilio Video with screen sharing, whiteboarding, and in-call note taking.
• Digital prescription system for e-prescriptions, drug interaction checks, and pharmacy integration.
• Smart appointment scheduling with calendar views, automated reminders, rescheduling, and waitlist support.
• Document management for lab reports, imaging, and clinical documents with secure uploads and sharing.
• Revenue analytics covering consultation fees, payment status, and high-level billing trends.

Patient Portal Capabilities

• Instant doctor discovery with filters for specialty, availability, language, ratings, and consultation pricing.
• One-click video consultations with a virtual waiting room and optional session recording for clinical review.
• Personal health dashboard aggregating upcoming visits, prescriptions, and recent medical history.
• Digital prescription access with download and share options plus an integrated pharmacy locator.
• Medical records vault providing secure cloud storage and controlled sharing of health documents.
• Appointment management to book, reschedule, or cancel visits based on real-time doctor availability.
• Secure messaging for post-consult follow-ups and clarifications.
• Integrated payments via Stripe with multiple methods, insurance notes, and transaction history.

Core Platform Features

• Real-time notifications for appointments, prescriptions, and doctor messages across devices.
• Multi-device sync with a consistent experience across web, iOS, and Android.
• Offline access for downloaded prescriptions and records when connectivity is limited.
• Privacy-first design with optional blur protection for sensitive data in demo mode.
• Advanced search and filters across patients, appointments, and documents.
• Ratings and reviews to help patients choose trusted providers.

Technical Implementation

The MediAxis mobile apps are built with React Native to deliver a unified codebase for iOS and Android. React Navigation powers smooth, stack-based flows while Redux manages clinical and user state across complex journeys. Styled Components implement the mint-to-blue gradient system and allow rapid UI iterations without sacrificing performance.

The backend is powered by Node.js and Express, exposing a RESTful API layer for authentication, authorization, and business logic. MongoDB stores patient profiles, appointments, and medical histories using carefully indexed collections for fast, clinician-grade search performance.

Real-time communication uses WebRTC for low-latency peer-to-peer calls with Twilio Video providing recording and reliability features. Socket.io handles live messaging, notifications, and appointment status updates between portals.

Security and Compliance

• JWT-based authentication with refresh token rotation for secure, stateless sessions.
• End-to-end encryption for patient-doctor communications with AES-256 standards.
• Role-based access control limiting each user type to appropriate data and workflows.
• Audit logging for all access to protected health information to support HIPAA and GDPR requirements.
• AWS S3 storage with server-side encryption for medical documents and imaging files.

Results and Impact

• 95% patient satisfaction rate based on post-consult surveys about consultation quality and ease of use.
• 40% reduction in no-shows through automated reminders and streamlined rescheduling.
• 60% faster prescription access thanks to instant digital prescriptions and pharmacy-ready exports.
• 3x provider efficiency as clinicians manage more patients with integrated records and streamlined workflows.
• 99.9% platform uptime and sub-two-second load times for critical patient data.