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HealthGrid is an autonomous digital health platform connecting citizens, emergency responders, and hospital networks. Features multi-persona clinical AI, handwritten prescription vision OCR with Jan Aushadhi generic savings, and an enterprise Hospital ERP with real-time OPD, IPD bed management, and casualty triage telemetry.

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HealthGrid (நலம் AI)

Real-Time Emergency Telemetry, Autonomous Clinical AI, Hospital ERP & Enterprise Health Platform

Java Spring Boot Project Loom React React Native Expo SDK TypeScript Tailwind CSS PostgreSQL Vercel Live License: MIT

HealthGrid is an enterprise-grade digital healthcare platform engineered to bridge everyday citizens, community clinics, and acute hospital networks. Powered by a high-throughput Java 21 Spring Boot backend with Project Loom Virtual Threads, an accessible React 19 web portal, and a dedicated React Native (Expo SDK 57) Android APK, HealthGrid delivers autonomous clinical triage, deciphers handwritten prescriptions with 50% to 90% generic medicine savings, coordinates 108 emergency ambulance telemetry, and provides a full-featured Hospital ERP for real-time bed, casualty, and OPD queue management.

Live Deployments • Problem Statement & Solutions • System Architecture • Use Case Diagrams • Java 21 Backend • Database & RLS Hardening • Web & Android APK • AI Clinical Engine • Hospital ERP Suite • Security & DPDP Compliance • Getting Started


🌐 Live Production Deployments

HealthGrid is deployed and actively serving production traffic across distributed global edge networks:

Production Endpoint Direct URL Status Core Service Function
Primary Web Portal healthgrid-app.vercel.app 200 OK Main citizen and clinical web application
High-Availability Mirror healthgrid-nu.vercel.app 200 OK Geo-redundant fallback cluster
Live Consultation Stream healthgrid-live.vercel.app 200 OK Real-time audio and video clinical consultation node
Hospital Network Radar healthgrid-network.vercel.app 200 OK Emergency hospital directory, bed telemetry & casualty radar

🎯 Problem Statement & Healthcare Pain Points

Public healthcare delivery faces acute systemic bottlenecks across affordability, accessibility, emergency response latency, and operational capacity. HealthGrid was built from the ground up to solve these core healthcare challenges:

# Systemic Healthcare Pain Point How HealthGrid Solves It Technical Implementation
1 Overburdened Outpatient Departments (OPD): Patients wait 3–6 hours in crowded hospital queues for routine 3-minute consultations, exhausting clinical staff. Digital OPD queue scheduling, automated in-chat appointment booking, and 24/7 autonomous pre-hospital triage. AppointmentsView.tsx, appointmentService.ts, and aiService.ts running clinical SOCRATES triage.
2 Crippling Out-of-Pocket Prescription Costs: Families spend up to 70% of out-of-pocket health expenditure on branded medications when equivalent generics exist. Automatic generic substitution engine matching prescribed branded medications against the official Jan Aushadhi (PMBJP) formulary with 50% to 90% cost savings. medicineStoreService.ts, prescriptionAiService.ts, and Indian Pharmacopeia database grounding.
3 Emergency Ambulance Diversion & Blind Handovers: Ambulances arrive at casualty wards with zero advance warning of patient vitals, while hospitals turn away critical cases due to unseen bed shortages. Real-time 108 Emergency Ambulance dispatch with live GPS telemetry, paramedic-to-hospital SBAR handover packets, and real-time casualty bed tracking. Spring WebSocket STOMP (/ws-emergency), EmergencyView.tsx, and ipdBedService.ts.
4 Illegible Handwritten Prescriptions: Medication errors caused by smudged or rushed physician handwriting lead to severe adverse drug reactions. 4-Tier Multimodal Vision & OCR cascade translating handwritten scripts into verified dosages, frequency instructions, and interaction warnings. Google Gemini 2.5/3.8 Flash, Groq Vision, and FileSanitizerService.java.
5 Fragmented Medical Records & Caregiver Gaps: Elderly parents and young children lack individual smartphones, leaving their records unlinked across facilities. ABDM-aligned Multi-Profile Family Hub supporting up to 7 dependents under one account, featuring distinct Health IDs and age-calibrated dosing. familyMemberService.ts and ConsultationBeneficiaryModal.tsx.
6 Patient Privacy & Data Exfiltration Risks: Health data leaks from unsecured servers and third-party AI logging undermine patient confidentiality. Client-side zero-trace privacy under India's DPDP Act 2023, in-memory volatile session closures, Android Keystore AES-256 encryption, and database Row-Level Security. sessionSecurityManager.ts, secureStorageService.ts, and Supabase PostgreSQL RLS.

🏛️ System Architecture

HealthGrid uses a multi-tier, zero-trust cloud architecture connecting web clients, native Android devices, an enterprise Java backend, and distributed AI models:

+===================================================================================================+
|                                    CLIENT PRESENTATION LAYER                                      |
|                                                                                                   |
|   +---------------------------------------------+   +-----------------------------------------+   |
|   |         RESPONSIVE WEB PORTAL               |   |        NATIVE ANDROID APP (APK)         |   |
|   |   React 19.x • Vite 8.3 • Tailwind CSS v4   |   |   React Native 0.86 • Expo SDK 57       |   |
|   |   Lenis Smooth Scroll • Recharts Analytics  |   |   Native CameraX • Android Studio JBR   |   |
|   +---------------------------------------------+   +-----------------------------------------+   |
+===================================================================================================+
                                                |
                                                v
+===================================================================================================+
|                              ZERO-TRUST SECURITY & HARDWARE SHIELD                                |
|                                                                                                   |
|   +-----------------------+  +-----------------------+  +-----------------------+  +-------------+  |
|   |   Android Keystore    |  | Biometric App Lock    |  |  Screen Privacy Shield|  | CDSCO Guard |  |
|   |  AES-256 GCM (TEE)    |  | Fingerprint / FaceID  |  |  FLAG_SECURE Windows  |  | Sched H / X |  |
|   +-----------------------+  +-----------------------+  +-----------------------+  +-------------+  |
+===================================================================================================+
                                                |
                                                v
+===================================================================================================+
|                                 EDGE ROUTING & API GATEWAY                                        |
|                                                                                                   |
|   +---------------------------------------------+   +-----------------------------------------+   |
|   |        Vercel Global Edge CDN Cluster       |   |      Spring Security 6 Gateway          |   |
|   |  4 Synchronized Domain Aliases • HTTP/2     |   |  Stateless Bearer JWTs • IP Rate Limit  |   |
|   +---------------------------------------------+   +-----------------------------------------+   |
+===================================================================================================+
                                                |
                                                v
+===================================================================================================+
|                         ENTERPRISE CORE BACKEND (Java 21 LTS + Spring Boot)                       |
|                                                                                                   |
|   +---------------------------------------------+   +-----------------------------------------+   |
|   |         REST API Controllers                |   |        WebSocket STOMP Broker           |   |
|   |   Auth • OPD Queue • IPD Beds • Triage      |   |   /ws-emergency • /topic/ambulance-gps  |   |
|   +---------------------------------------------+   +-----------------------------------------+   |
|   |             Project Loom Virtual Threads (spring.threads.virtual.enabled=true)            |   |
|   +-------------------------------------------------------------------------------------------+   |
+===================================================================================================+
                         |                                               |
                         v                                               v
+=============================================+   +=============================================+
|       DISTRIBUTED PERSISTENCE (Supabase)    |   |     AUTONOMOUS MULTI-MODEL AI ENGINE        |
|                                             |   |                                             |
|  +---------------------------------------+  |   |  +---------------------------------------+  |
|  |     PostgreSQL Cloud Database         |  |   |  |   Clinical Complexity Scorer (0-100)  |  |
|  |  patients • doctors • appointments    |  |   |  +---------------------------------------+  |
|  |  emergency_cases • ipd_beds • medicines|  |   |     |                   |                   |
|  +---------------------------------------+  |   |     v                   v                   v
|  | Row-Level Security (RLS) on all Tables|  |   |  +------------+   +------------+   +--------+  |
|  +---------------------------------------+  |   |  | Groq LPU   |   | Indic LLM  |   | Gemini |  |
|  | Realtime WAL Change Data Capture (CDC)|  |   |  | GPT-OSS120B|   | Qwen 27B   |   | Flash  |  |
|  +---------------------------------------+  |   |  | Llama 70B  |   | Tanglish   |   | Vision |  |
|  | pgvector Semantic Hybrid Embeddings   |  |   |  +------------+   +------------+   +--------+  |
+=============================================+   +=============================================+

📊 Use Case Diagrams

1. Citizen Emergency & 108 Dispatch Use Case

[ Citizen in Distress ]
         |
         |---> (1) Types Symptoms or Taps SOS Button
         v
[ Clinical Triage Engine ]
         |
         |---> (2) Detects Red-Flag Symptoms (Chest pain, severe hypoxia, trauma)
         v
[ 108 Dispatch Controller ]
         |
         |---> (3) Grabs Satellite GPS Coordinates via Geolocation API
         |---> (4) Dials Emergency Line (tel:108)
         v
[ Spring Boot STOMP WebSocket ]
         |
         |---> (5) Broadcasts Ambulance Coordinates to /topic/ambulance-location
         v
[ Hospital Casualty Desk ]
         |
         |---> (6) Prepares Trauma Bay with incoming SBAR Handover Data
         |---> (7) Allocates Emergency Bed in public.ipd_beds

2. Prescription Digitization & PMBJP Savings Use Case

[ Patient with Handwritten Script ]
         |
         |---> (1) Uploads Prescription Photo or Uses Camera
         v
[ FileSanitizerService (Java Backend) ]
         |
         |---> (2) Strips EXIF metadata & inspects MIME integrity
         v
[ Multimodal Vision Cascade (Gemini Flash / Groq) ]
         |
         |---> (3) Extracts Medicine Names, Strengths & Schedules
         v
[ PMBJP Formulary Grounding Engine ]
         |
         |---> (4) Queries Indian Pharmacopeia & PMBJP generic catalogs
         |---> (5) Calculates 50% to 90% generic price savings
         v
[ Interactive Clinical Viewer ]
         |
         |---> (6) Side-by-Side Review, WhatsApp Export & Google Calendar Alarms

3. Hospital Inpatient (IPD) & OPD Queue Use Case

[ Walk-in / Online Patient ]
         |
         |---> (1) Registers Digital OPD Token (HG-OPD-XXXX)
         v
[ OPD Queue Dispatcher ]
         |
         |---> (2) Realtime Status updates across Waiting Room screens
         v
[ Attending Physician ]
         |
         |---> (3) Reviews Case & Decides Inpatient Admission
         v
[ IPD Bed Management Service ]
         |
         |---> (4) Filters available beds across ICU, Emergency, General wards
         |---> (5) Allocates bed in public.ipd_beds with RLS verification
         v
[ Realtime WebSocket CDC Channel ]
         |
         |---> (6) Instantly decrements public bed radar on citizen apps

☕ Java 21 Spring Boot Enterprise Backend

The backend core of HealthGrid is built in Java 21 LTS with Spring Boot 3.3.4, configured with Project Loom Virtual Threads (spring.threads.virtual.enabled=true) to handle high-concurrency patient intakes, live telemetry streams, and emergency alerts with minimal memory overhead.

Backend Directory Layout

backend/
├── pom.xml                               # Java 21 LTS, Spring Boot 3.3.4, JJWT, PostgreSQL, WebSocket
└── src/main/java/com/healthgrid/
    ├── HealthGridApplication.java        # Spring Boot Entry Point with Virtual Threads Enabled
    ├── auth/                             # Enterprise Authentication & Access Control
    │   ├── AuthController.java           # Authentication, Token Issuance & Refresh Endpoints
    │   ├── JwtTokenProvider.java         # Cryptographic HMAC-SHA512 Token Creation & Validation
    │   ├── model/User.java               # JPA Entity (CITIZEN, PARAMEDIC, DOCTOR, HOSPITAL_ADMIN)
    │   └── repository/UserRepository.java# Spring Data JPA User Repository
    ├── config/                           # Security, Concurrency & Networking Configuration
    │   ├── JwtAuthenticationFilter.java  # Stateless Bearer Token Extraction Filter
    │   ├── RateLimitingFilter.java       # Tiered Token-Bucket Filter with Anti-IP Spoofing
    │   ├── SecurityConfig.java           # Spring Security 6 Filter Chain, CORS & CSP Headers
    │   └── WebSocketConfig.java          # STOMP Message Broker (/ws-emergency, /topic/ambulance-location)
    ├── emergency/                        # 108 Emergency Ambulance Dispatch & Fleet Management
    │   ├── AmbulanceController.java      # Dispatch Request, Status & Location REST Endpoints
    │   ├── model/AmbulanceDispatch.java  # Fleet Dispatch Entity (Coordinates, Route, Status Lifecycle)
    │   └── repository/AmbulanceRepository.java # JPA Fleet Repository
    ├── epidemiology/                     # Disease Surveillance & Outbreak Radar
    │   ├── EpidemiologyController.java   # Outbreak Statistics & Citizen Hazard Endpoints
    │   ├── model/CitizenHazardReport.java# Environmental Hazard Entity (Vector breeding, waterlogging)
    │   ├── model/DiseaseOutbreak.java    # Outbreak Cluster Entity (District, Risk Level)
    │   ├── repository/CitizenHazardRepository.java
    │   └── repository/DiseaseOutbreakRepository.java
    ├── prescription/                     # Jan Aushadhi (PMBJP) Generic Substitution Engine
    │   ├── PrescriptionController.java   # Generic Matching REST API (/api/prescription/generic-match)
    │   ├── model/GenericMedicine.java    # Generic Salt Entity (Branded vs Generic Pricing, Savings %)
    │   └── repository/GenericMedicineRepository.java # Fuzzy Molecule Query Repository
    ├── security/                         # Medical Governance & Anti-Abuse Safeguards
    │   ├── DrugJailbreakAdvice.java      # RestControllerAdvice Intercepting Controlled Drug Inquiries
    │   ├── FileSanitizerService.java     # MIME Verification & EXIF Stripping for Medical Uploads
    │   └── SecurityEvaluator.java        # Method-Level RBAC Expression Evaluator
    └── triage/                           # ICMR Clinical Triage & Acuity Scoring
        ├── TriageController.java         # Clinical Assessment Endpoint (/api/triage/evaluate)
        ├── TriageService.java            # Rule-Based Emergency Severity Index (ESI 1-5) Engine
        ├── dto/TriageRequest.java        # Patient Vitals, Symptoms & Comorbidities DTO
        └── dto/TriageResponse.java       # Urgency Classification, Acuity Score & Department Routing

Key Technical Implementations in Java

  1. Project Loom Virtual Threads: Configured via spring.threads.virtual.enabled=true. Rather than pinning an OS-level thread per request, the runtime utilizes lightweight virtual threads managed by the JVM, achieving sub-millisecond response times under thousands of simultaneous WebSocket and HTTP requests.
  2. Tiered Token-Bucket Rate Limiter (RateLimitingFilter.java): Implements strict anti-IP spoofing validation (IPV4_PATTERN / IPV6_PATTERN) and identity-bound buckets (user:<hash>). Rate limits are tiered by sensitivity:
    • Authentication Endpoints: 5 requests / 5 minutes
    • AI Consultation Endpoints: 10 requests / minute
    • Clinical Mutations (Admissions, Bed Allocations): 20 requests / minute
    • General Read Queries: 60 requests / minute
  3. Real-Time STOMP Broker (WebSocketConfig.java): Configures an in-memory message broker exposing /ws-emergency. Dispatched ambulances publish real-time GPS telemetry to /topic/ambulance-location, which the hospital casualty desk visualizes live.
  4. Controlled Substance Guard (DrugJailbreakAdvice.java): Intercepts requests attempting to query or dispense CDSCO Schedule H and Schedule X controlled narcotics (Fentanyl, Morphine, Alprazolam, Diazepam, Tramadol, Ketamine) and aborts execution with a statutory safety notice.

🗄️ Database Architecture & Security Hardening

HealthGrid utilizes PostgreSQL 15 on Supabase Cloud (db.cosnhycbvsxedogtejos.supabase.co) with enterprise-grade security hardening:

Core Database Schemas

Table Name Description Key Columns Row-Level Security Policy
public.patients Sovereign citizen health profiles id, health_id, full_name, age, gender, blood_group, allergies, phone Authenticated users can view and edit strictly their own profile or linked family dependents.
public.doctors Verified hospital medical roster id, doctor_name, department, room_number, experience_years, status, rating Public read-only access for scheduling; mutations restricted to authenticated hospital admins.
public.appointments OPD consultations & queue passes id, token_id, patient_id, doctor_id, department, appointment_date, time_slot, status Patients view their own appointments; hospital staff can update consultation statuses.
public.emergency_cases Casualty admissions & ESI triage id, case_number, patient_name, esi_level, status, arrival_time, bed_assigned Public read access to anonymous triage counters; clinical updates restricted to authenticated triage staff.
public.ipd_beds Inpatient bed inventory (250 beds) id, bed_number, ward_type, is_occupied, current_patient_id, equipment Public read access for regional bed availability; bed transfers restricted to hospital staff.
public.ipd_admissions Formal inpatient admission sheets id, admission_number, patient_id, bed_id, admission_date, attending_physician Restricted strictly to authenticated doctors and nursing staff.
public.medicines Jan Aushadhi generic catalog id, generic_name, branded_equivalent, dosage_form, generic_price, branded_mrp, savings_percent Public read access across all citizen and doctor prescription search engines.

Database Hardening Measures

  1. 100% Row-Level Security (RLS): Enforced via ALTER TABLE <table> ENABLE ROW LEVEL SECURITY; on all 7 tables (setup_security_rls_and_policies.js). Even if an API key is extracted, direct table mutations are rejected by PostgreSQL's internal engine without valid JWT credentials.
  2. Write-Ahead Logging (WAL) Change Data Capture: Real-time pub/sub replication (supabase.channel(...)) streams row changes directly to connected web and mobile interfaces within <35ms, enabling live OPD queue progression and bed status updates without polling.
  3. pgvector Semantic Hybrid Search: Vector embeddings (1536-dimensional) of ICMR clinical protocols and PMBJP formulation databases allow cosine similarity queries for colloquial symptom matching and generic drug substitution.

📱 Client Applications: Web & Native Android APK

1. Web Application (frontend/)

  • Built with React 19, Vite 8.3, and Tailwind CSS v4.
  • Uses an in-memory secure session manager (sessionSecurityManager.ts) that holds volatile authentication tokens in memory closures, eliminating raw JWT tokens from localStorage to prevent XSS exfiltration.
  • Sub-millisecond tab switching (0.6ms–1.4ms) across Hospital ERP views using DOM keep-alive caching.
  • Integrated Leaflet GIS mapping with dynamic bounding-box clustering for locating government PHCs, blood banks, and 24/7 casualty centers.

2. Native Android Application (mobile/)

  • Built with React Native 0.86.3 and Expo SDK 57, utilizing the React Native New Architecture (Fabric C++ renderer and TurboModules).
  • OWASP Mobile Security Suite:
    • Android Hardware Keystore: Sensitive patient tokens and transcripts are encrypted via AES-256 GCM in the phone’s hardware TEE / StrongBox Keymaster (secureStorageService.ts).
    • Biometric App Lock: Enforces native Android BiometricPrompt (Fingerprint / FaceID) before unlocking confidential health records (biometricService.ts).
    • Screen Privacy Shield (FLAG_SECURE): Configured in MainActivity.kt using WindowManager.LayoutParams.FLAG_SECURE to block OS screenshots and hide medical screens in the Android Recent Apps switcher.
    • Network Security Configuration: network_security_config.xml strictly forbids unencrypted HTTP (cleartextTrafficPermitted="false") and pins TLS 1.3 certificates for Supabase and AI APIs.
    • Zero ADB Backup: android:allowBackup="false" in AndroidManifest.xml prevents local data extraction via USB debugging.
  • 4 Core Mobile Screens:
    1. ChatScreen.tsx: DocBot AI Doctor Consultation with voice read-aloud via expo-speech.
    2. LiveClinicScreen.tsx: AI Live Clinic with native CameraX inspection, zero doctor PIP image, and Keystore transcript cache.
    3. RecordsHubScreen.tsx: Biometric-gated Health Vault with vitals logging.
    4. EmergencyScreen.tsx: 108 Emergency Casualty with GPS coordinates and 1-tap dialer.

🧠 DocBot AI Clinical Engine & Frontier Model Pipeline

HealthGrid avoids single-model bottlenecks by deploying an Autonomous Multi-Tier Clinical Model Cascade:

+-----------------------------------------------------------------------------------+
|                        PATIENT QUERY / CAMERA FRAME / VITALS                      |
+-----------------------------------------------------------------------------------+
                                          |
                                          v
+-----------------------------------------------------------------------------------+
|               CLINICAL COMPLEXITY ARBITRATOR (decideOptimalClinicalModel)         |
|                     Evaluates acute red flags, symptoms, and language             |
+-----------------------------------------------------------------------------------+
       |                                  |                                  |
       v (Score >= 75: Complex)           v (Indic / Colloquial)             v (Score < 40: Fast)
+-----------------------------+  +-----------------------------+  +-------------------------+
|     FRONTIER REASONING      |  |   VERNACULAR INTELLIGENCE   |  |   INSTANT TURBO ENGINE  |
|  Groq LPU: GPT-OSS 120B /   |  |     Groq LPU: Qwen 27B      |  |    Groq LPU: GPT-OSS 20B|
|       Llama-3.3-70B         |  |   Tanglish & Tamil Idioms   |  |  Sub-200ms Triage Pills |
+-----------------------------+  +-----------------------------+  +-------------------------+
                                          |
                                          v (Prescriptions & Camera Examination)
                         +-----------------------------------+
                         |    MULTIMODAL CLINICAL VISION     |
                         |   Google Gemini 2.5/3.8 Flash     |
                         |   Handwritten HTR & Skin Triage   |
                         +-----------------------------------+

Key AI Architectural Principles

  1. SOCRATES History-Taking & Anti-Premature Diagnosis Invariant: DocBot is strictly banned from making premature turn-1 diagnoses. It follows the clinical SOCRATES protocol (Site, Onset, Character, Radiation, Associations, Timing, Exacerbating/Relieving, Severity), guiding patients through 4 gated phases: EXPLORING ➔ NARROWING ➔ CONCLUDED ➔ EMERGENCY.
  2. AI Live Clinic & Dynamic Verification: Features a full-bleed camera viewfinder without static doctor imagery, floating kinetic voice equalizer bars, dynamic clinical verification checklists generated from camera inspection, and encrypted local storage transcript caching.
  3. MarkItDown Document Token Optimizer (markItDownService.ts): Converts uploaded lab reports, medical scans, and discharge summaries into dense GitHub-Flavored Markdown, reducing LLM prompt token consumption by 65% to 75%.
  4. 8-Billion Parameter Clinical Model Fine-Tuning & Free Cloud Serving:
    • 1-Click Google Colab Training Notebook (notebooks/HealthGrid_Llama3_8B_Clinical_FineTuning.ipynb): Fine-tunes Meta Llama-3.1-8B-Instruct (or Qwen-2.5-7B) using Unsloth AI QLoRA on a free Google Colab T4 GPU (70% less VRAM, 5x speedup).
    • Dataset Synthesis (scripts/prepare_healthgrid_hf_dataset.py): Blends Medical-O1 reasoning (<thought>), MedQA-USMLE diagnostics, ChatDoctor bedside empathy, Jan Aushadhi generic savings, and DPDP Act 2023 authority impersonation defenses into verified ChatML data.
    • 100% Free-Tier Cloud Serving: Directly pushes adapter to Hugging Face Hub, auto-activating the Hugging Face Serverless Inference API (https://router.huggingface.co/hf-inference/models/...) integrated into HealthGrid's aiService.ts for zero-cost, live production access across web and mobile.
    • Standalone GPU Training Script (scripts/train_clinical_agent_hf.py): Supports on-demand training on NVIDIA GPUs (RunPod, Lambda, A100) with 4-bit NF4 quantization.

🏥 Hospital ERP & Casualty Command Tower

HealthGrid includes an enterprise Hospital ERP & Casualty Command Tower (HospitalErpDashboard.tsx) providing real-time operations across clinical departments:

  1. Patient Management & OPD Queue Intake (PatientManagementView.tsx & OpdManagementView.tsx):
    • Digital OPD registration tokens (HG-OPD-XXXX) routed to specialized departments (Cardiology, Pediatrics, General Medicine, Orthopedics).
    • Real-time queue tracker reducing outpatient waiting congestion.
  2. IPD & Bed Management (IpdBedManagementView.tsx):
    • Real-time telemetry monitoring 250 hospital beds across 4 wards: Intensive Care Unit (ICU), Emergency Casualty, Oxygen-Supported Wards, and General Wards.
    • Live availability automatically feeds into public emergency radas, preventing ambulance diversion.
  3. Emergency Casualty Department (EmergencyView.tsx):
    • 3-tier Emergency Severity Index (ESI) casualty intake with live metric gauges (Critical Red, In Treatment, Waiting).
    • Incoming paramedic SBAR Handover Protocol (Situation, Background, Assessment, Recommendation) transmitting field vitals directly to trauma desks.
    • Interactive clinical modals: STAT Lab Orders, Wristband Thermal Printing, and IPD Bed Admission bridge.
  4. Doctors & OPD Roster Management (DoctorsOpdView.tsx):
    • Backed by public.doctors schema with 24 seeded physicians.
    • Live doctor availability cards, consultation room assignments, and weekly schedule drawer.
  5. Reports & Analytics Suite (ReportsAnalyticsView.tsx):
    • Real database aggregations across admissions, emergency cases, and appointments.
    • Visual analytics: Patient Volume AreaCharts, Bed Occupancy Radial Gauges (79% occupancy), Department Revenue Stacked Bars, and CSV export.

🛡️ Security, Privacy & Regulatory Compliance

Compliance Framework Engineering Implementation
Digital Personal Data Protection (DPDP) Act 2023 Ephemeral consultation transcripts are stored as encrypted local device cache (localStorage / Android Keystore) rather than retained on cloud disks. Sovereign patient data porting protocols.
Ayushman Bharat Digital Mission (ABDM) CoWIN-standard multi-profile caregiver architecture managing up to 7 dependents under sovereign Health IDs (HG-FAM-XXXX).
OWASP Mobile Top 10 Android Keystore AES-256 GCM encryption, BiometricPrompt authentication, FLAG_SECURE window protection, and network_security_config.xml TLS 1.3 pinning.
CDSCO Controlled Substance Protection Algorithmic filter in securitySanitizer.ts and DrugJailbreakAdvice.java blocking unauthorized generation or dispensing of Schedule H and Schedule X controlled drugs.
Database Row-Level Security PostgreSQL RLS enabled across 100% of tables in Supabase, preventing unauthorized cross-tenant data access.

🚀 Getting Started & Local Development

1. Prerequisites

  • Node.js: v20.x or v22.x
  • Java Development Kit (JDK): Java 21 LTS
  • Android Studio: Android SDK (API 34/35) & JetBrains JBR

2. Web Frontend Setup

cd frontend
npm install
npm run dev
# Running on http://localhost:5173

3. Native Android Mobile Setup

cd mobile
npm install

# Option A: Run in development mode on Android
npx expo start

# Option B: Build APK locally via Gradle
cd android
./gradlew assembleDebug
# Generated APK: mobile/android/app/build/outputs/apk/debug/app-debug.apk

# Option C: Build APK in Expo Cloud
npx eas-cli build -p android --profile preview

4. Java 21 Backend Setup

cd backend
mvn clean install
mvn spring-boot:run
# REST API running on http://localhost:8080
# WebSocket STOMP running on ws://localhost:8080/ws-emergency

📜 Architectural Decision Records (ADRs) Index

HealthGrid's technical evolution is fully documented in our Obsidian Second Brain located at brain/decisions/:

  • [[ADR-001]]: Semantic Privacy Links
  • [[ADR-002]]: Vercel SSO Bypass Configuration
  • [[ADR-003]]: Multi-Tenant Hospital State Isolation
  • [[ADR-005]]: Mobile-First Responsive Architecture
  • [[ADR-011]]: Family & Beneficiary Multi-Profile System (ABDM Standard)
  • [[ADR-012]]: Beneficiary-to-Independent Account Porting Protocol
  • [[ADR-014]]: Conversational Chameleon Intent Routing & Audio Engine
  • [[ADR-016]]: Autonomous Hybrid Vector RAG & Ambient Clinical Automations
  • [[ADR-019]]: Clinical Pharmacology Engine & PMBJP Formulary Grounding
  • [[ADR-028]]: Hospital ERP Patient & OPD Management End-to-End Workflow
  • [[ADR-029]]: Hospital ERP Inpatient Department (IPD) & Bed Management
  • [[ADR-030]]: Hospital ERP Appointments Management Architecture
  • [[ADR-031]]: Hospital ERP Emergency Casualty Department Architecture
  • [[ADR-034]]: Hospital ERP Doctors & OPD Management Workflow
  • [[ADR-035]]: Hospital ERP Reports & Analytics Suite
  • [[ADR-036]]: Enterprise Zero-Trust Cybersecurity & OWASP Hardening
  • [[ADR-037]]: DocBot Staged Attachments, MarkItDown Token Optimizer & Clinical Differentiators
  • [[ADR-038]]: In-Chat Automated Appointment Booking & Medicine Intelligence
  • [[ADR-040]]: Autonomous Clinical Model Complexity Arbitration & Zero-Trace UI
  • [[ADR-041]]: Living Clinical Case Dossier & SOCRATES History Taking
  • [[ADR-042]]: AI Live Clinic & Records Hub Responsive Architecture
  • [[ADR-043]]: Dynamic Live Clinic, Real-Time Supabase Telemetry & Frontier Model Pipeline
  • [[ADR-044]]: React Native Android APK Architecture & OWASP Mobile Security Suite
  • [[ADR-045]]: 8-Billion Parameter Clinical Model Fine-Tuning Pipeline & Free-Tier Cloud Serving (Google Colab T4 + Hugging Face Serverless)

HealthGrid (நலம் AI) • Engineering Equitable, Secure & Real-Time Healthcare for India

Licensed under the MIT License

About

HealthGrid is an autonomous digital health platform connecting citizens, emergency responders, and hospital networks. Features multi-persona clinical AI, handwritten prescription vision OCR with Jan Aushadhi generic savings, and an enterprise Hospital ERP with real-time OPD, IPD bed management, and casualty triage telemetry.

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