Delivered Capability

What we have actually built in healthcare systems

A production emergency and home-healthcare platform — five applications, ten operational modules, and health and financial compliance implemented rather than promised.

What has Shagal actually built in healthcare systems?

We designed, built and delivered a production emergency and home-healthcare platform consisting of one web application and four separate mobile applications (patient, practitioner, finance, inventory) over a single database with 55 independent backend services. The platform covers the electronic medical record with LOINC and ICD-10 coding, laboratory and radiology, telemedicine, home healthcare and field operations, human resources and payroll with social insurance, medical inventory with a serial lifecycle, and a full financial cycle including ZATCA Phase 2 e-invoicing and VAT filing reconciliation. Above these sits a compliance layer covering mandatory medical consents, a clinical audit trail, a ten-year retention policy, and patient-safety and privacy incident registers.

5applications in one systemweb + four mobile apps
55independent backend servicesEdge Functions
298database migrationsversioned and reviewed
10integrated operational modulesclinical through financial
Capability Map

Delivered capability map

Every item here is built and running — not a wishlist and not a roadmap.

Medical records and clinical work

A complete clinical layer linking visit to record to orders to results, with standard coding and enforced documentation.

  • Patient EMR and a clinical dashboard for practitioners
  • Prescriptions, sick leave, medical requests and unified reports
  • Laboratory system: test catalogue, LOINC coding, result entry
  • Radiology system: catalogue, coding, orders and results
  • ICD-10 diagnosis coding and sequential system codes
  • Comprehensive medication catalogue with search and batch import
  • AI-assisted medication extraction from free text
  • Historical visit synchronisation

Home care and field operations

Running teams that work outside the facility — from booking through visit closure and kit refill.

  • Public booking without registration, internal booking, review and rescheduling
  • Scheduled booking reminders and a retention policy for pending bookings
  • Appointment capacity guard preventing overload
  • Flexible pricing: progressive curve, minimum hours, location-based rates
  • Automatic referrals with analytics on the referral path
  • Practitioner bag, devices and visit-kit refill requests
  • Service and home-care satisfaction surveys

Telemedicine

Video sessions with queueing, consent, recording and automatic time control.

  • Live sessions, waiting queue and configurable durations
  • Patient consent and session recording
  • An authorised practitioner list for telemedicine
  • SMS reminders and automatic sweeping of timed-out sessions
  • Authorisation and review path for each session

Compliance and health-data governance

The layer separating a serious health system from an appointment app.

  • Unique medical record number, identity duplication controls and same-name alerting
  • Patient consents and mandatory medical consents before procedures
  • Automatic clinical audit trail for prescriptions, sick leave, reports and consents
  • Ten-year retention policy with automatic identification of records due for review
  • Patient-safety incident register with smart triage
  • Privacy incident register with automatic compliance alerting
  • Medical compliance centre and monthly reporting
  • Row-level security on every table holding health data
  • Short-lived signed document links logging every open and download

Finance and tax invoicing

A full financial cycle connected to operations, with approved e-invoicing.

  • ZATCA Phase 2 e-invoicing: document registry, signed XML, automatic submission queue
  • Submission attempt tracking and separation between sandbox and production
  • VAT: reconciliation, filings and per-service tax profiles
  • Healthcare tax exemption rules
  • Hierarchical chart of accounts, cost centres, journals and attachments
  • Sales returns and receivable write-offs under documented authority
  • Protection of financially linked invoices from mutation
  • Payment gateway, BNPL instalments, patient wallet and point of sale
  • Loyalty programme and coupons
  • Practitioner dues and contract commission calculation

Human resources and workforce

Managing field teams with contracts, payroll and geofenced attendance.

  • Employee contracts with electronic signature
  • Payroll with social insurance, advances and absence handling
  • Attendance with strict geofencing
  • Leave, holidays and end-of-service gratuity
  • Performance, overtime and disciplinary actions
  • Employee self-service and practitioner scheduling
  • Custody handover on exit

Medical inventory

From catalogue through item consumption inside a visit and its accounting entry.

  • Item catalogue with service-linked consumption
  • Serial number lifecycle
  • Practitioner custody and transaction units
  • A clinical inventory layer for home care
  • Accounting entries tied to inventory movement
  • Periodic operational closure

Practitioner and contractor network

Qualification, contracting and competency assessment before a practitioner enters service.

  • Contractor portal: application, OTP login, contracts, per-city pricing, settlement direction
  • Practitioner applications with a full notification lifecycle and resubmission
  • Documentation of qualifications, fellowships and specialty levels
  • Competency assessment with a clinical question bank including ECG interpretation
  • Identity field locking after approval and prevention of self-escalation

Identity and access

Separate login paths per user type with least privilege by default.

  • Separate OTP login for patients, staff and contractors
  • Login by national identity or mobile number
  • Custom verification message templates
  • Multiple roles per user with separated permissions
  • Prevention of self-editing on sensitive fields

AI and communications

An assistive layer that retrieves, summarises and alerts — the decision stays with the specialist.

  • AI assistant with secure patient context and managed secrets
  • A queryable knowledge base
  • Communication centre, message broadcasting and internal alerts
  • Push notifications to registered devices
  • SMS gateways with an outbox and event log
  • Health education content and medical calculators
  • B2B offers and secured document sharing
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Where do these capabilities apply?

The same layers are reshaped by facility type and operational scope.

Hospital Information System

Hospital Information System

An integrated HIS connecting reception, clinics, laboratory, radiology, pharmacy and billing into one path — NPHIES and FHIR ready, and auditable by design.

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Home Healthcare Platform

Home Healthcare Platform

A system that runs home-care teams in the field: visit planning, routing, clinical documentation from mobile, and electronic visit verification.

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Ambulance & Medical Transport

Ambulance & Medical Transport

From call intake to patient handover: vehicle dispatch, live tracking, electronic patient care reporting (ePCR), and pre-notification of the receiving hospital.

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Clinic Management

Clinic Management System

A fast, lightweight clinic system covering online booking, medical records, prescriptions and insurance billing — suitable for a single clinic and for a multi-branch group.

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Patient Mobile App

Patient Mobile App

An iOS and Android app giving patients booking, results, prescriptions and teleconsultation, with polished Arabic RTL and a live connection to your system.

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Practitioner Mobile App

Practitioner Mobile App

An app for physicians and nurses showing patient lists, vital signs, critical results and approvals — with fast documentation and AI assistance.

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Field Medical Operations

Field Medical Services

Running medical teams outside the facility: event coverage, industrial sites, Hajj and Umrah — with temporary care points, disciplined documentation and escalation.

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Next Step

Start from a built system, not a blank page.

Most of these layers are ready and tested. The first session defines what is reused and what is built specifically for your facility.