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HealthTech & MedTech Systems

PulseHealth — HIPAA-Compliant Real-Time Clinical EHR & Telehealth Platform

Integrated healthcare delivery network platform supporting 3.4M+ patient encounters, real-time vitals telemetry, and ambient AI charting.

CLIENT SECTOR
Hospital Networks & Clinical Telemedicine
SCALE / VOLUME
3.4M+ (Verified Patient Encounters)
PulseHealth — HIPAA-Compliant Real-Time Clinical EHR & Telehealth Platform
3.4M+

Patient encounters recorded and safely managed

74% Less

Physician charting time reclaimed via ambient AI notes

< 220ms

Encrypted WebRTC consultation audio/video latency

100% HIPAA

HIPAA, HITECH & SOC 2 Type II certified infrastructure

EXECUTIVE SUMMARY

Project Overview

AltosForge engineered an enterprise cloud EHR and telehealth platform connecting 28 regional hospitals and 120 ambulatory clinics. The system features low-latency WebRTC video consultations, bi-directional HL7 FHIR interoperability, continuous ICU telemetry monitoring, and ambient AI clinical note generation that saves physicians 74% of charting time.

THE BOTTLENECK

Fragmented Legacy Systems and Crippling Clinician Administrative Burden

✕

Physicians spent an average of 3.8 hours per day manually typing clinical notes into legacy EHR systems, driving clinician burnout.

✕

Data was siloed across legacy on-premise databases, preventing real-time access to patient histories across departments.

✕

Patients faced high barrier-to-entry telehealth portals with unstable video connections and dropped appointments.

✕

Uncompromising regulatory scrutiny required end-to-end audit logging for every single Protected Health Information (PHI) access event.

ENGINEERING SOLUTION

FHIR-Native Microservices on AWS GovCloud with Ambient Clinical Voice AI

We built an integrated web and mobile platform compliant with HL7 FHIR v4 standards, featuring real-time biometric telemetry streaming and automated SOAP note generation.

✓

Ambient Clinical Dialogue Parser

Fine-tuned medical speech-to-text models that listen to patient-clinician consultations and automatically generate structured clinical SOAP notes.

✓

Encrypted Low-Bandwidth WebRTC Engine

Adaptive video engine with SVC codecs ensuring flawless video consults even on rural 3G cellular connections.

✓

FHIR v4 Interoperability Gateway

Bi-directional synchronization adapter bridging Epic, Cerner, and national laboratory networks in real-time.

✓

Continuous ICU Telemetry Stream

Time-series pipeline ingesting continuous patient ECG, SpO2, and blood pressure telemetry with automated early-warning alerts.

PRODUCTION ARCHITECTURE

Technology Stack & Infrastructure

Python FastAPITypeScriptReact NativeWebRTCHL7 FHIR v4AWS GovCloudPostgreSQL (pgvector)TimescaleDBDockerKubernetes
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Our physicians reclaimed nearly two hours every day. The ambient AI charting and FHIR integration have made PulseHealth the gold standard in our regional hospital network.

Dr. Evelyn Reed, MD
Chief Medical Information Officer • PulseHealth Regional Network

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