Telehealth Video Conference Implementation

Development of a Patient Check-in solution for a New Jersey-based Chiropractic EHR Application Developer

The client, a chiropractic EHR, billing, and practice management software provider is a renowned name in the United States with over 7000 chiropractic medical facilities using their EHR, PMS and medical billing solutions. The client sought a smart and robust alternative for its kiosk-based patient admission system, a front desk solution for on-boarding patient at chiropractic clinics. Nalashaa was tasked with the prototyping, design and development of the enhanced alternative on a mobile platform.

Client Challenge

The client’s Kiosk-based patient admission application allowed patients to fill up their demographics and ailments in ‘pain categories’. Although the system was designed to engage the patient with customized questionnaires, it required in person visits. Social distancing needs of the pandemic demanded a remote mobile-enabled solution.

This required a complete overhaul of the existing technical architecture of the EHR platform. The development requirements, combined with the need to replicate the existing admission workflows ramped up the difficulty level of the app development process.

An outline of the challenges:

  • Redesigning the Kiosk application features for mobile experience
  • Integrating security features to authenticate first time users
  • XML and patient admission questionnaire design


The initiative started with Nalashaa’s mobile app development team’s understanding of the client’s clinical workflows and UI/UX design requirements. Below are some of the critical aspects of the mobile solution we developed for the client.

Hybrid Mobile App Development: Using 'Ionic', a prolific mobile app development framework, Nalashaa's mobile healthcare solutions experts built a robust solution for both the iPhone and Android platforms. The hybrid app will perform optimally and consistently, giving patients the ability to complete the admission process remotely and therapists to receive patient inputs well-before the appointment.

QR Code-based Access: The mobile app streamlines the patient admission process by facilitating remote form filling. A one-time scan of a QR code displayed at chiropractic clinics is the first step to using the app. Once patients turn on the camera on their mobile devices to capture the QR code, they can access the patient admission form.

XML and Questionnaire Design: The patient admission forms enable collection of patient medical history, personal details and other mandatory demographic information to therapists. The app is designed to convert patient input to XML files that are later ingested in the EHR . The convenience of the mobile platform eliminates the need for patients to visit clinics for admission. The mobile app also facilitates therapists to know about patient ailments before even meeting them for an appointment, enabling efficient care-coordination and high-value encounters during therapy sessions.

Dynamic Screens and UI: The dynamic screens in the app allow patients to ‘choose’ from multiple pain categories during the admission process. Through an easy-to-use UI designed to collect patient information comprehensively, the mobile app facilitates remote patient admission and check-in when the patient visits a chiropractic clinic for the appointment.The interface also maintains the simplicity of the legacy Kiosk application the patients were familiar with to give them a familiar yet rich user experience.


How We Made a Difference

Streamlined Patient Appointment Management

Increase in Number of Appointments for Chiropractic Clinics

Significant Reduction in Number of No-Shows

Technology Stack

  • Ionic
  • .NET
  • Android Studio
  • ReactJS

Let's move to value-based care

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