Multi-branch clinic EHR & practitioner management
Overview
Psychdesk Clinic scales clinical practices across physical branches. It unifies front-desk scheduling, practitioner room assignments, electronic health records (EHR), and insurance claim pipelines into a single high-availability system.
Multi-branch practices struggled with room allocation conflicts, patient transfer delays between doctors, and fragmented medical record keeping across branches.
Engineered a distributed multi-tenant platform with branch-level data segregation, real-time doctor availability websockets, and a secure EHR charting engine with audit-logged role permissions.
Outcomes
Key features
Multi-branch rotas
Dynamic doctor and room scheduling with collision prevention across branches.
EHR charting
Structured clinical note templates with DSM-5 diagnostic integration.
Patient portal
Self-service intake questionnaires, appointment management, and digital prescriptions.
Insurance verification
Automated eligibility validation and digital claim generation.
System architecture
Stack
Gallery
Challenges
High-concurrency room locks
Preventing double-booking of shared consultation rooms across multiple simultaneous receptionists required distributed Redis mutex locks.
HIPAA compliance & field encryption
Ensuring sensitive mental health notes were encrypted at rest with per-clinic KMS key rotations.
Key learnings
- Multi-tenant branch architectures benefit tremendously from strict row-level security (RLS) in PostgreSQL.
- Optimistic UI updates with server reconciliation give clinical staff an effortless desktop-grade feel.
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