~/openarch/work/carepath-// case study

CarePath

A patient-facing appointment and teleconsultation app. One shared patient record across four clinic locations, in-person and video booking, and prescriptions issued straight from the consult.

Meridian Health Clinics·healthcare · multi-clinic·2026·in production

openarch.in/work/carepath

//the brief

What we built.

Meridian booked by phone, one clinic at a time, with records that never crossed locations. We built a single patient app and record system - book at any clinic, consult in person or over video, and leave with a prescription tied to the treating doctor.

// One record, every clinic.

domainpatient scheduling

shapecross-clinic app

statusin production

clinics4 · unified

stack

flutternode · expresspostgresfirebaseagora sdk

//what we shipped

Book appointment

Choose a clinic or any clinic, a specialty, a doctor and an open slot - with an in-person or teleconsult toggle.

Clinic & doctor selector

Filter by specialty and location, with doctor availability shown per clinic rather than per phone call.

Teleconsult room

An Agora-powered video call with a chat sidebar and an end-and-issue-prescription action for the doctor.

Prescription history

A patient-facing list of past prescriptions - medicine, dosage, duration - each downloadable as a PDF.

Doctor schedule

A daily and weekly view across all four clinics for a given doctor, with slot blocking for leave and admin time.

Shared record

One medical record number per patient, carried across every clinic, appointment and teleconsult session.

//data model

schema.sql5 tables

table patients

name, phone, dob, mrn, created_at

table appointments

patient_id, doctor_id, clinic_id, slot_at, mode, status

table teleconsult_sessions

appointment_id, room_id, started_at, ended_at

table prescriptions

appointment_id, doctor_id, notes, issued_at

table medical_records

patient_id, appointment_id, summary, attachments_json

// appointment status machine

01booked
02confirmed
03in_progress
04completed / no_show

//business logic

slot-check.tsSlot conflict check

function isSlotAvailable(doctorId, slotAt, existing) {
  return !existing.some(a =>
    a.doctor_id === doctorId &&
    a.status !== 'CANCELLED' &&
    overlaps(a.slot_at, slotAt, /* mins */ 20))
}

issue-rx.tsPrescription issuance

// only from an active or finished consult,
// bound to the treating doctor
function canIssue(appointment, doctorId) {
  return ['IN_PROGRESS', 'COMPLETED'].includes(appointment.status)
    && appointment.doctor_id === doctorId
}

//on the roadmap

Honest edges.

→Deconflict cross-clinic schedules when a doctor covers two locations same day
→Reliable teleconsult reconnection to the same room after a dropped call
→SMS fallback for patients not yet on the app

//result

4 → 1

clinics into one app

record per patient, everywhere

↓

phone-based scheduling calls

Meridian consolidated booking across all four clinics into one app, cutting phone-based scheduling calls significantly and giving doctors a single cross-clinic view of their day.

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