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Reference architectureHealthcare

Healthcare operations

Coordinating a distributed healthcare service workforce

A secure scheduling and field-workflow platform that connects referrals, assignments, mobile teams, service evidence, and operational follow-up.

The context

The operating problem we designed around

The reference architecture supports non-emergency, operational service coordination and deliberately avoids automating clinical judgement.

It connects referral intake to scheduling, field execution, exceptions, communication, and operational reporting while minimising sensitive data exposed on mobile devices.

Core challenge

Coordinators were balancing service demand, staff availability, location, skills, travel, changes, and follow-up across disconnected tools. Field teams needed a focused mobile workflow rather than access to an entire back-office system.

Delivery approach

From ambiguity to an operable system

01

Design around responsibilities

Mapped what coordinators, field staff, supervisors, and service teams need at each stage.

02

Minimise mobile data

Exposed only assignment-relevant information with secure local storage and expiry controls.

03

Make change visible

Modelled reassignment, cancellation, lateness, inability to complete, and follow-up as first-class workflows.

04

Integrate selectively

Exchanged only the data required with scheduling, identity, messaging, and source systems.

The solution

Capabilities designed as one operational system

01

Referral and intake workflow

Structured service requests, requirements, priority, location, availability, and supporting information.

02

Coordination workspace

Demand, capacity, assignment, schedule, travel, exceptions, and escalation in one operational view.

03

Mobile field experience

Secure assignments, navigation context, check-in, forms, evidence, notes, and exception reporting.

04

Follow-up and reporting

Completion, unresolved needs, communication, service history, and operational performance views.

System architecture

Clear boundaries between experience, domain, and platform layers

LAYER 01

Integration boundary

Purpose-limited adapters exchange referrals, identity, schedules, and approved outcomes.

LAYER 02

Coordination domain

Services manage demand, skills, availability, assignment, status, exception, and follow-up.

LAYER 03

Mobile security

Short-lived access, encrypted transport, minimal caching, remote session controls, and audit events.

LAYER 04

Operational analytics

De-identified or minimised reporting views support capacity and service improvement.

Advanced capabilities

Intelligence introduced with evidence, controls, and operability

01

Scheduling decision support

Compare skills, availability, geography, continuity, and workload while leaving assignment with coordinators.

02

Demand forecasting

Use historical service patterns to support capacity and shift-planning scenarios.

03

Administrative assistance

Summarise approved operational notes and identify missing workflow information for human review.

Potential outcomes

What the engineering approach enabled

  • Clearer coordination from referral through follow-up
  • Focused mobile workflows for distributed service teams
  • Better visibility into capacity and operational exceptions
  • Reduced duplication across scheduling and service records

Engineering lessons

What carries into the next platform

  1. 01Operational optimisation must preserve continuity, human context, and override.
  2. 02Mobile access should be designed from minimum necessary information.
  3. 03Exceptions reveal more about workflow quality than the ideal happy path.

Technology landscape

Next.jsMobile webGoPostgreSQLMapping servicesSecure messagingCloud infrastructure

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