Full Stack2025

Carenavio

Telemedicine Platform

Healthcare startups often fail HIPAA audits, delaying launch by months. As the sole engineer, I built a telemedicine platform from scratch with security and compliance baked in from day one. The system handles encrypted messaging, video consultations, e-prescriptions, and medication delivery—and passed HIPAA audit on the first attempt.

Company

CareLoop

Role

Full Stack Developer

Duration

12 months

Year

2025

Carenavio

Tech Stack

ReactTypeScriptExpressPrismaPostgreSQLStripeTwilio

The Problem

The company needed to launch a telemedicine product but couldn't afford to fail compliance audits. Existing solutions were either non-compliant or too expensive to customize.

The Solution

Architected with compliance first: encrypted data at rest and in transit, audit logging for all PHI access, role-based access controls, and automated session timeout. Built prescription workflow integrating pharmacy systems and Shippo delivery.

Technical Challenges

1

Designing encryption architecture that satisfied HIPAA while keeping the system performant

2

Building video consultation with fallbacks for poor connectivity (common in rural areas)

3

Integrating three separate systems (Stripe, pharmacy API, Shippo) into a seamless prescription fulfillment flow

4

Creating audit trails that captured every PHI access without impacting UX

Results & Impact

5K+
Consultations
monthly appointments
100%
Compliance
HIPAA audit pass
4.8/5
Satisfaction
patient rating

Lessons Learned

Key Takeaways

  • Compliance is easier when you design for it from the start—retrofitting is painful
  • Healthcare users are often less tech-savvy; every extra click loses patients
  • Third-party integrations are the biggest source of production issues

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