InstaMD Clinical Sync Suite

A clinical data sync suite that eliminates manual doctor data entry by pulling patient records out of closed EHR platforms automatically.

Industry:Healthcare Technology
Duration:Aug 2026 - Ongoing
Our Role:Senior Full-Stack & Cloud Engineer

Project Overview

Doctors using closed EHR platforms lose hours to manual data entry because those systems offer no practical export path. The Clinical Sync Suite closes that gap: enterprise Chrome extensions capture live charts, labs, and rosters from Practice Fusion and eClinicalWorks, while NestJS ingestion services validate, sanitize, and transform the unstructured data that comes back. The whole pipeline runs on HIPAA-conscious AWS infrastructure built for low-latency streaming.

Quick Facts

Client
InstaMD Inc.
Technologies
Chrome ExtensionNestJSTypeScriptAWS ECS

Extracting structured clinical data from EHRs that offer no export path

Practice Fusion and eClinicalWorks are closed platforms, so patient data had to be captured from the clinician's own authenticated session and then made trustworthy enough for downstream clinical use — all under HIPAA constraints.

No API access to the source EHR platforms
Unstructured, inconsistent clinical data requiring validation and sanitization
HIPAA compliance across capture, transport, and storage
Low-latency streaming expected by clinical users

Browser-side capture feeding HIPAA-conscious ingestion services

Enterprise Chrome extensions extract charts, labs, and rosters directly from the clinician's session, handing off to NestJS ingestion services that validate, sanitize, and transform the data before storage. The services run as containers on AWS ECS behind API Gateway, with Lambda and S3 supporting the streaming path.

Our Approach

Built Chrome extensions to capture live charts, labs, and rosters
Architected NestJS services to validate, sanitize, and transform EHR data
Deployed HIPAA-conscious AWS infrastructure (ECS, API Gateway, Lambda, S3)
Tuned the pipeline for low-latency streaming