Facilitating Patient Care Through a Healthcare Software Solution


client overview

A client since

2021

Industry

Services/ Products

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

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.


The Challenge

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.


The Solution

Dedicated Team Model

We embedded directly into the client’s operations across three technology domains – building institutional knowledge, expanding scope over time, and operating as a long-term extension of the client’s own teams rather than a rotating vendor.

Clinical Surveillance Platform

For high-acuity settings like intensive care, we developed continuous surveillance capabilities that flag physiological changes early and alert clinicians to intervene. Data flows through GraphQL queries, mutations, and WebSocket subscriptions across the Angular and .NET stack.

Healthcare Software Solution

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

Additionally, Proxiad provided a server built on the .NET Framework 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, we faced the challenge of finding a better solution for 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.

Healthcare Software Application Core

We 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 an enhanced user experience. These notifications include default, out-of-the-box ones as well as custom-configured alarms. 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 third-party applications.

Technologies Used in the Healthcare Application Development

Throughout the whole process for the SPA, the Proxiad SEE 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 are 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 in-house tools for communication and variable mapping.

The result

Through working with Proxiad SEE, the organization was able to make more efficient use of technology in a way that better aligned with its goals. We took part in the development of the 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 SEE 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.

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