Hacker News new | ask | show | jobs
by littlesnailcs 2134 days ago
Yes, we built video chat on top of webrtc, host node.js server on aws, https termination on aws load balancer, then nginx to protect the data transition between load balancer and the server. We encrypt peer to peer text/image messages both during transition and store on the mobile device (using realm encryption storage).

In regarding your second question, I assume you want to ask the membership service. For telemedicine service, provider see patients and answer any question (even is simple), this is reimbursable from the insurance. For membership, our nurse practitioners will be the first layer on the other side to answer any question via the chat, many of them have 20-30 years of experience, and NP are actually eligible to prescribe medicine. Patient can book a full session with oncologist when need.
2 comments
rizpanjwani 2134 days ago
Hi there. this is interesting. I had this setup a few years ago for my web-rtc project in the university. Setting up Turn and Stun servers was fun /s. I really hope the quality has increased in the last 6 years.

Co-incidentally I'm building a telemedicine platform for ophthalmologists in Canada. Wondering if we can connect?

link
jtwaleson 2132 days ago
I have an online eye test (easee.online) which we are expanding globally. Would be interesting to connect to an ophthalmologist telemedicine platform. Can we connect? My email is in my profile.
link
littlesnailcs 2134 days ago
happy to connect, my linkedin https://www.linkedin.com/in/sherry-chen-6662a031/ , go from there?
link
r0b05 2134 days ago
Which AWS option did you have to use? Self managed or their propriety HIPAA offerings? Did they have to provide a Business Associate's Agreement?

Sorry for all the questions, this HIPAA compliance is confusing and using turnkey solutions seems to be expensive.

link
littlesnailcs 2133 days ago
We managed it ourselves. My opinion is, if you have a clear infrastructure defined, like migrate from on-premises to the cloud, it makes sense to use their predefined infrastructure (not sure if there is a price difference). If you are still in the ideation stage, not clear what to build yet, just follow the best practices when you create new components (https://github.com/aws-quickstart/quickstart-compliance-hipa...), you can sign a BAA from aws artifact for your account.
link
r0b05 2133 days ago
Appreciate the response.
link