Mobile + AI voice transcription replaces 2-hour nurse documentation cycles with 15-minute workflows.
Nurses spent 2+ hours per patient on manual documentation across paper forms, EMR data entry, and follow-up emails. Field connectivity gaps in home visits made standard cloud apps unreliable. The team needed a HIPAA-compliant mobile workflow with offline-first sync, voice-to-text accurate enough for clinical notes, and seamless integration with the existing ECW EMR.
A cross-platform React Native app with offline-first architecture (intelligent sync when reconnected), AI voice transcription via Deepgram, and automated patient registration through email parsing. Backend on AWS serverless (Lambda + Cognito + DynamoDB + S3) with AES-256 encryption at rest and TLS 1.3 in transit. ECW EMR integration via secure FHIR endpoints. PHI flow modeled from kick-off so audit was a non-event.
PHI flow was modeled in week one — by the security audit, there was nothing to retrofit.
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