Facilitating Patient Care Through a Healthcare Software Solution

Case Study

The company is a leading global provider of medical device integration (MDI) and information solutions for healthcare.

Customer Profile

Customer Type of Business: Clinical Surveillance, Patient Monitoring, Medical Device Integration

In order to help clinicians simplify processes and acquire meaningful insights, a leading global provider of medical device integration (MDI) and information solutions for healthcare providers has expanded its expertise to include breakthrough clinical surveillance and patient monitoring technology. To promote insight-driven, proactive care, the company optimizes the utility of livestreaming medical device data by evaluating and synthesizing it across many sensors and devices attached to the patient. Three important workflow challenges are simplified by the platform: documentation, surveillance, and evidence-based interventions.

Challenges

We base our success on the success of our customers. When the organization came on as a client, they had a distinctive set of challenges: to facilitate the development and adoption of standards for medical device communications throughout the healthcare enterprise as well as integrate it into the electronic health record. Proxiad took up the challenge to develop the healthcare software solution for our partner.

Healthcare Software Solution

Web UI – Proxiad’s initial engagement with the client was to implement a Single Page Application (SPA) using Angular framework to display the end user the status of aggregated data collected from different devices connected to our client’s server. Libraries widely used throughout entire SPA application are: NgRx, RxJs and unit testing with Jasmine, Spectator and Sinon.

Additionally, Proxiad provided server build on .NET framework technology, to accumulate and transmit data between different components and devices.

To ensure a smooth transition, Proxiad worked very closely with the software provider during the facilitation.

The team’s mission is to provide the communication drivers needed so that devices can be connected to the Server. Those drivers are written using C++ and in-house tools.

Surveillance Web App – On the other hand Proxiad face the challenge to find better solution with the continuous surveillance monitoring, which is more often utilized in high-acuity settings, such as intensive care units.

The emerging utilization of real-time data and continuous surveillance offers health software systems a quantitative estimate of whether a patient’s condition is going to get worse over time. Continuous surveillance is a systematic, goal-directed process that detects physiological changes in patients early, interprets the clinical implications of those changes and alerts clinicians so they can intervene rapidly.

Technologies Used in the Healthcare Application Development

Through the whole process for the SPA, Proxiad team is using:

  • Angular framework (currently 10.2).
  • Data is fetched via GraphQL queries (HTTP GET) and subscriptions (Websockets).
  • Data is manipulated via GraphQL mutation (HTTP POST / PATCH / DELETE). Currently no unit tests available for the SPA.
  • Unit testing with Jasmine, Spectator and Sinon
  • Backend is built on .NET framework and exposes GraphQL endpoints (for both queries / mutation AND subscriptions).
  • C++ using inhouse tools for communication and variable mapping.

Results

In working with Proxiad, the organization was able to make more efficient use of technology in a way that better aligned with its goals. So we take a part in the development of  Web Admin SPA application and .NET Web API Server to communicate with the Web Admin SPA client.

Almost every device needs a specific “driver” to be able to communicate with our client’s software, the team is tasked with adding and maintaining all the supported device drivers.

Proxiad maintains ongoing strategic conversations and engagement with the client’s Practice Manager to help them continue leveraging technology and bettering the organization’s technology usage. Over the years, we have accumulated the extensive expertise needed to provide high-level custom healthcare software development to our clients.

Healthcare Software Application Core

Proxiad also created a Single Page Application (SPA), designed to allow hospital personnel to view patients in a given hospital setup.  The solution provides a rich user interface with separate screens for all relevant data – devices and their measurements, parameter trends, events and more. Navigation between the pages can be done in a streamlined way, making sure the user is always viewing the most relevant data.

The solution supports both visual and audio cues (sound notifications) for enhanced user experiences. These notifications include default, out-of-the-box ones as well as custom configured аlarms. The application fully supports desktop machines and hospital workstations (kiosks) and is currently being enriched to work on phones and tablets.

Another future enhancement in the works is standalone integration of separate screens (views) with 3rd party applications.