medicalRecord

http://www.nex-med.io

Personal objectives for this project:

• Demonstrate the ability to take feature requirements and translate them into a minimum viable product
• Showcase understanding of basic HTML / CSS
• Showcase ability to develop full-stack applications using the MERN development stack (MongoDB, Express, React.js, Node.js)
• Demonstrate basic user authentication and authorization using the bearer token scheme and expiring secure cookies
• Demonstrate use of the reactQuery library to handle state management
• Demonstrate ability to develop a Node.js backend to authenticate and interact with the Epic FHIR API, leveraging OAuth 2.0 for secure access token retrieval and patient data querying
• Develop a basic implementation of security measures to protect sensitive patient data: implement role-based access control, allowing for different privileges for different user level (e.g. admin, provider, patient)
• Centralized asynchronous access logs with a customizable rotation schedule (using the Winston logging library)

Features:

• Ability to add / remove / update visits, patients, and providers with the ability to search by visit and patient
• Appointment calendar that shows relevant visits for the logged-in user
• Internal real-time messaging system with notifications

Todo:

• Add detailed patient demographic information including allergies, medication list, family history, social history, immunizations
• Add ability to attach external documents to patient visits
• Add testing for the front/back end
• Profile page for users
• CI/CD deployment pipeline

Possible additional features:

• Implement a FHIR server for storing patient information
• Deploy application on ECS Fargate
• Clinical-decision support
  • Utilize existing evidence-based guidelines to provide suggestions to providers regarding optimal treatment plans / monitoring
  • Utilize large-language models to analyze / summarize / and make recommendations utilizing existing minimally structured (provider notes) data
• Appointments
  • Add a scheduling system that allows patients to schedule appointments with providers depending on their avaiability and providers to be able to see what their real-time schedule looks like
  • Email / text appointment reminders for patients
  • Waitlist management and ability to handle cancellations
• Clinical research
  • Ability to interact with existing clinical research trial platforms
• Billing and claims
  • Integration with billing / claims processing systems
  • Support for in app payment
  • Coding suggestions for providers based on clinical documentation
  • Billing reports and analytics
• Medications
  • Ability for providers to e-prescribe medications from within the platform
    • Support for controlled substances
• Provider dashboard
  • Custom dashboard analytics for common population-level metrics that would be of interest to primary care providers / specialists
    • e.g. percentage of patients meeting recommended screening testing (colon cancer screening, breast cancer screening, etc)
    • percentage of patients that are on guideline-directed medical therapy (e.g. for systolic heart failure, secondary prevention of CV/stroke events)
    • Population level metrics for BMI, blood pressure, meeting vaccination standards, no-show appointments, patient satisfaction scores
• Patient portal
  • Secure way for patients to message providers and view visit information
  • Educational resources and self-help tools
• Enterprise-level analytics
  • Staffing metrics
  • Operational metrics
  • Financial metrics
  • Quality measures and performance tracking
  • Population health measures
• Interoperability
  • Compliance with existing interoperability standards (HL7 / FHIR)
  • Integration with major existing electronic health record systems
• Security / Privacy measures
  • Pass formal HIPAA / GPDR compliance audit
• User training
  • In app technical support, issue tracking, and notifications about features updates and improvements
• Convert front/backend to typescript
• Send registration email on sign-up with confirmation code
• End-to-end testing

See the individual README.md files in the back/ and front/ directories for an overview of each individual component

For any questions or inquiries, please contact [email protected]

Contributing

Contributions are welcome! If you find any issues or have suggestions for improvement, please open an issue or submit a pull request.