Category: Evaluation Summary

Introduction

The Tele-consultation product of company Sowkhya Carenet Pvt Ltd is called Careplex and it is available since 2017. The solution providers value convenience of the user the most. Their business model is B2Band also have white labelled products [Yes]. They provide only mobile based applications for the doctors. They also provide mobile applications for patient portals.

Size of Healthcare Provider

a. Clinics

b. Nursing Home/Small Hospital (less than 100 beds)

Level of Specialization

b. Primary

c. Secondary

Expert Panel Evaluation

The solution has features to support clinical consultation workflows and customization of workflows for doctors as per their teleconsultation needs. The solution also supports performance of doctor in terms of time-efficiency by providing a user interface which requires minimum clicks and has easily navigable screens. The application is easy to use for patients. Doctors can interact with patients in only synchronous; The solution provides multimode interaction i.e Audio, Video, Text/SMS, Chat, Link sharing; Doctors could interact with patients using audio/video call while simultaneously taking notes i.e. noting clinical condition, writing prescription and/or entering data concurrently in the interfaced. Doctor’s side application provides features of sharing their screen with patients during consultations. Doctors could write prescriptions in formats like using basic template as part of the platform, Scan / image upload of prescription, Speciality specific template for prescription writing. Doctors providing specialty specific consultation can customize the application dashboard and layout as per their requirements and prescription. Platform supports writing prescriptions with basic requirements mandated by TPG guidelines that have E-signature. Prescription generated by platform includes details like Registered medical Practitioner’s name, Registered medical Practitioner’s Qualification, Examination / lab finding summary, Instructions (Plan of care and investigations required), Drugs / medicine ordered (start date, frequency, strength, end date), Drugs / medicine ordered (generic name), Doctor’s signature stamp.

Platform does not support the standards at relevant places as mandated by EHR Standards for India. No health data exchange standards are supported. Provider (Hospital, Clinic) can decide the standards to be used within the solution, end-to-end encryption, client-side responsible for storage security if they don’t want to upload records on cloud data-storage service.

Patient side of the interface provides login for booking appointments, keywords-based doctor search facility Speciality, guided searching of doctors. Multilingual options available and 6 to 7 languages available. Patients can upload their medical details at the time of registration. Prescription is shared with the patient and uploaded in the patient dashboard. Patients have the facility to upload documents and enter vitals which doctors can access. Application supports multi party calling making it suitable for multiple doctors in the call simultaneously (for multidisciplinary care and discussions). For group consultations the link is shared from the admin side. So, the admin can add attenders or other consultants.

Application also facilitates sharing case records (referral) by providers. Platform facilitates multiple caregivers. It also allows them to take appointments on behalf of family members / loved ones. Platform also respects family members / loved ones/autonomy as it gives them control over managing their records.

In order to provide good consulting experience to patients, the doctor’s side of the interface has facilities to manage appointments, calendar scheduling. Platform has an admin role to support in managing consultation schedules, and provides a facility to initiate refunds to patients in case of appointment cancellation. In terms of compliance, the application provides mechanisms associated to validate registration details of doctors either with the help of support team Confirmation by doctor (Doctor providing details ID/credentials), Mobile number, Email ID. Platform also has a consent taking mechanism and providers can customize consent forms.

 

Additional features

Scalable Solution

Analytics support

 

Solution Maturity Level

a. TPG complaint: 3b

b. Feature complexity: 4partial

Introduction
The Tele-consultation product of company Sensai healthcare Inc is called 7Sugar and it has been available since 2018. The value proposition of this product as claimed by the company is cost reduction above all other features. The business model is B2B and B2C both with the option of white labelling the product. They provide mobile based applications for the doctors as well as the patients.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

c. Tertiary

Expert Panel Evaluation
Doctors can interact with patients in only a synchronous manner. The solution provides multimode interaction i.e. Video, Audio, Text/SMS. Doctors could interact with patients using audio/video call while simultaneously taking notes i.e. noting clinical condition. Vitals are displayed to doctors at the time of synchronous interaction and communication. Doctors can type prescriptions which are plain text notes. Each doctor has two care teams. Prescription format is scanned or just chat. The notes are given in the comment section as a chat or doctors can edit in the template and share prescriptions. Private notes are shared among doctors and various care plans can be assigned. Audit trail is maintained. Qualification and other details of the provider are available to the patient (patient can see doctor profile). Consent is implicit and it is part of terms and conditions of the application i.e. during the onboarding process of a patient they give consent.

It is one patient as one user system but at the time of demo, had plans on having a family or buddy system. No doctor discovery feature, rather a patient has to choose a doctor from their application, goto payment. Before the video call reminder is sent to the patient and doctor. smartphone use is mandatory, limiting its use-case.

Additional Features
Useful only for Diabetes
Provides Dietary and Exercise Plans customised for diabetes
Integration with LibrePro (Glucose Monitoring System)

Solution Maturity Level

a. TPG complaint: 3b

b. Feature complexity: 3b

Introduction

The Tele-consultation product of company ProEmTech Infosystems Private Limited is called ProMed and it is available since 2011. The value proposition for solution providers is care for every individual. Their business model is B2B and also have white labelled products. They provide only mobile based applications for the doctors. They also provide mobile applications for patients along with patient portal.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

Expert Panel Evaluation

The solution has a mobile interface for doctors that supports basic tele-consultation workflows of doctors. This solution supports basic clinical workflow in terms of writing subjective details and objective clinical diagnosis along with assessment and planning including writing treatment / medication and other investigations as and when required. Platform has a drawing pad integrated. Platform facilitates customizable specialty specific assessment notes template. Doctors can customize the triage note taking on the platform. Doctors can interact with patients in Synchronous manner. Prescription format support including scanned signature. Platform does not support referral. Doctors can write prescriptions in free text format. Data is encrypted, patient details are encrypted and can be assessed during the follow up. Platform does not support multi party consultation. Cancellation and refund is not possible using the platform.

In terms of compliance, doctor’s government ID is verified and registration details are mentioned. Audit trail logs are maintained. Not having the facility to record consultation. Platform also has a consent mechanism and the provider can take explicit consent for using the system. There is no separate consent for every video consultation ePrescription signature type. No drug formulary is integrated. ICD-10 for diagnosis has been implemented. FHIR is implemented only to exchange diagnostic reports. Basic security standards are implemented in the platform.
Separate admin role is there. Patient portal is provided and it requires integration with the hospital UID. Patients can use the portal for booking and checking appointments. Patient’s next of kin could be added during registration. Patients can search for a doctor by name.

Solution Maturity Level

a. TPG compliant: 3b

b. Feature complexity: 4 partial

Introduction

The Tele-consultation product of company Plus91 Technologies Private Limited is called MediXcel and it has been available since 2009. The solution providers value clinical outcomes the most. Their business model is B2B and they provide white-labelling.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

 

Level of Specialization

a. Primary

b. Secondary

c. Tertiary

Expert Panel Evaluation

The solution has features to support basic clinical workflow, and specialty specialty specific assessment. SOAP format note taking is supported that can be customized for speciality templates. The application is easy to use for patients. Type of interaction supported is not completely synchronous as third party integration is done for making calls and not within the platform. Doctors can interact with patients in both synchronous and synchronous manner; The solution provides interaction in video and audio using zoom or google meet. Solution allows doctors to take private notes. Platform supported prescriptions writing has scanned signatures. Admin role there to manage the queue. Prescription generated by platform includes details like Registered medical Practitioner’s name, Registered medical Practitioner’s Qualification, Registration number. The complete audit trail of data recording and editing is maintained. Prescribing of restricted drugs is not restricted as drugs are entered using the master. Doctors could customize the master database as the solution is not having any integrated customized database. Platform enables doctors to record consultations. The solution has provision to exchange data. It is claimed that the solution has integration of SNOMED CT for clinical finding, ICD-10 for diagnosis and LOINC for observations codes in diagnostic reports.

Patient side of the interface provides login for booking appointments, keywords based doctor search facility , guided searching of doctors. Prescription is shared with the patient and uploaded in the patient’s account for future use. Patients have the facility to upload documents and enter vitals which doctors can access. The patients do not have control over past records in terms of sharing data across providers and doctors can share data within the hospital. Application supports multi party calling making it suitable for multiple doctors in the call simultaneously (for multidisciplinary care and discussions). Platform facilitates multiple caregivers (circle of care) to participate in the same call. It also allows them to take appointments on behalf of family members / loved ones. Platform also respects family members / loved ones/autonomy as it gives them control over managing their records. Patients have control over sharing and accessing their records.

In terms of compliance, application providers verify doctors’ government ID. Doctor details including registration details are mentioned. Consent for doctor-patient interaction is explicit for each encounter, but reminded to the doctor as a checklist and they are responsible. Scanned paper / image upload of consent, consent also has guidelines on tele consultation preparation.

Additional Features
The solution also ensures following features:
PHR
Integration with EMR of hub hospital

Solution Maturity Level

a. TPG compliant: 3b

b. Feature complexity: 4 Partial

Introduction

The Tele-consultation product of company Ohum Healthcare Pvt Ltd is called Ohum Air and it has been available since 2009. Their business model is B2B and has white labelled products. They provide both mobile and web-based applications for the doctors. They also provide mobile applications for patient and/or web-based patient portals.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

c. Tertiary

Expert Panel Evaluation

The solution has an easy to use interface for doctors and has features to support specialty specific clinical consultation workflows for doctors during teleconsultation. The solution provides the specialty based template and doctors can access previous consultation notes and images along with video/audio interaction with patients. The platform also supports doctor’s performance in terms of time-efficiency by providing a user interface which requires minimum clicks and has easily navigable screens. The application is easy to use for patients with simple UI/UX. Doctors can interact with patients in only a synchronous manner. This platform supports e-prescription that has subjective details and objective clinical diagnosis along with assessment and planning, including writing treatment / medication and other investigations and e signature/digital signature. Platform claims to be providing a secure interface. The solution has provision to exchange data. It is claimed that the solution has integration of SNOMED CT for clinical finding, ICD-10 for diagnosis

and LOINC for observation codes in diagnostic reports.

Doctor’s side application provides features of sharing prescription in formats like email and available in the patient’s login. Patient signs the consent only once during the time of registering into the system. The platform supports multilingual UX and group calling is feasible. Another feature of the solution is that the patients can refer a doctor to their friend or relative using the platform. Patients can view Doctor profiles and provide feedback post consultation.

Platform has a separate admin module and dashboard for analytics. Appointment booking feature is easy to use, but Doctor search is not available as of now. The doctor can connect with the patient multiple times using one consultation link within 24 hours. In this case, the call is triggered only from the doctor. If the call is missed by the patient, a notification is sent to the patient. No waiting room facility for patients and doctors are expected to manage patients. Rescheduling and cancellation of appointment is possible by the patient 15 mins prior to the appointment

 

Additional Features

PHR

 

Solution Maturity Level

a. TPG compliant: 3a

b. Feature complexity: 4

Introduction

The Tele-consultation product of company Neurosynaptic Communications Private Limited is called ReMeDi Tele-Health Solution and it is available since 2009. The solution providers value care delivery the most. Their business model is B2B and also have white labelled products. They provide only mobile based applications for the doctors. They also provide mobile applications for patients.

Size of Healthcare Provider

a. Clinics

b. Nursing Home/Small Hospital (less than 100 beds)

c. Hospital

Level of Specialization

a. Primary

b. Secondary

c. Tertiary

Expert Panel Evaluation

The solution has an easy to use interface for doctors and has features to support clinical consultation workflows for doctors during teleconsultation. The solution does not include specialty specific assessment notes template but doctors scan and upload the prescription.The solution provides multimode interaction i.e Video,Text/SMS and Email. Doctors could interact with patients using audio/video call while simultaneously taking notes i.e. noting clinical condition, writing prescription and/or entering data concurrently in the interfaced EMR. Drug list is configurable but not integrated with the drug database, rather customized by the admin on the master list. Platform has the facility to take input from devices interface Devices like stethoscope and other IoT devices are integrated (remote center or devices). Doctors can send educational and counselling messages to patients for speciality consultation. Doctors can write a referral using the platform and share records. Before every consultation there is consent that can be printed in case of remote centres. Prescriptions can include scanned signatures, digital signature capability and e-signed signature). Doctor government ID registration details mentioned in the prescription.

Audit trail is maintained and consultation recording option is there and stored in the server (few days to download to administrator, stored at their end). The platform does not include doctor’s registration details and these details are not verified.

CD 9/10 ICD-10 for diagnosis have been implemented. HL7 APIs are implemented to exchange data. Basic security standards are implemented. Other Standards HL7 (integration capability) and LMIS are supported on demand

Patient side of the interface provides login for booking appointments. Family head’s login is there (enroll dependents, independent people) . Keywords-based doctor search facility, guided searching of doctors is there in the patient side interface. Patients can enter complaints and other details, doctors can add and modify based on favorites also (Suggested). Patient or nurse controls sharing records.

In order to provide good consulting experience to patients, the doctor’s side of the interface has seamless appointments because of the waiting room facility. Also cancel and refund facility is there. Queue management (wait time management) is inbuilt.. Queue is shown to the doctor to support in managing consultation schedules, and provides facility to initiate refund to patients in case of appointment cancellation.

 

Solution Maturity Level

a. TPG compliant: 3b

b. Feature complexity: 4 partial

Introduction

The Tele-consultation product of company Neev Labs IT Solutions Pvt Ltd is called Connect2MyDoctor and it has been available since 2015. Their business model is B2B and has white labelled products. They provide both mobile and web-based applications for the doctors. They also provide mobile applications for patient and/or web-based patient portals.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

c. Tertiary

Expert Panel Evaluation

The solution has an easy to use interface for doctors and has features to support clinical consultation workflows for doctors during teleconsultation. Doctor’s mobile number is hidden. Patient UHID is verified with the hospital’s EMR. Doctors could share files during consultation, and get additional files from patients. Pre-filled history from the patient’s profile is available to the doctor. Doctors can create Body charts, using, Annotated interface with body outline available. Doctors can interact with patients in both synchronous & asynchronous manner; The solution provides multimode interaction i.e. Video, Audio & SMS. Doctors could interact with patients using audio/video call while simultaneously taking notes i.e. noting clinical conditions. Doctors could write prescriptions, enter data concurrently and the solution also supports doctor work as EHR available during video call. This solution does not provide specialty specific templates (except oncology) but supports basic clinical workflow in terms of writing subjective details and objective clinical diagnosis along with assessment and planning, including writing treatment / medication and other investigations as and when required. Doctors could customize their own medication list. (Doctors need to write generic names, no standard database integrated). Doctors have features for condition capturing through drop down options. Doctors could also create private notes and keep records (available among doctors).

Every consultation consent is given in the form of non-emergency care consulting, along with a detailed dynamic consent form. Video could be recorded on consent of both doctor and patient.

The solution does not support the data content and exchange standards as required by EHRSI-2016. It is informed that the application uses relevant security standards for data transmission and storage (AES-256 bit encryption). Additionally, the application is HIPAA and GDPR compliant and ISO 27001:2013 certified. The application follows TPG guidelines from a workflow aspect.

Patients get a cloud facility to keep records and can download on local devices also. The patient has control over the records. Patient gets notification if there is a delay in the appointment schedule, but the time delay is not mentioned. Doctor gets a notification once the patient is ready to join. The emergency contact of the patient could be added for psychiatric consultation and the patient could book appointments for the dependents. For dependent management, ID proof is mandatory.

Appointment can be fixed through web, application, and through the front office. Calls could be initiated by either the patient or the doctor. Solution has features which allow the advance appointment management. Doctors can fix follow up consultation for the patient and notification is sent to the patient. Hospitals can integrate their video consultation solution link on the website, and doctors can set availability schedules. UI support across time-zones (conversion), reminder and notification for both patient doctors. It has a feature to cancel appointment and reschedule options until 5 min and refund and reschedule features are customizable. Multi-currency payments are possible. Doctor could do multi party consultation and has control to add anyone. The person need not be a registered user.

To provide good consulting experience to patients, and doctors training sessions are done for doctors or in case of onboarding individual doctors they provide their coordinator to both doctor and patient to help in preparation and understanding user interface.

Additional Features

Chatbot

PHR

Solution Maturity Level

a. TPG compliant: 3a [Partial]

b. Feature complexity: 4 [Partial]

Introduction

The Tele-consultation product is ehospital (NIC). The solution providers value cost reduction the most. Their business model is B2B and B2C both. They provide web-based applications for the doctors. They also provide mobile applications for patients.

Size of Healthcare Provider

a. Individual Clinician,

b. Clinics,

c. Nursing Home/Small Hospital (less than 100 beds),

d. Hospital

Level of Specialization

a. Primary

b. Secondary

Expert Panel Evaluation
The existing e-hospital EMR solution (by the platform provider) has been scaled for providing telemedicine services through an integrated video conferencing. The solution is EMR extended to a Physician’s portal using which doctors could do teleconsultation. Web based portal has an integrated video calling system. High technology efficiency expected from the users and it does not provide user friendly UI/UX. Mobile based platform was not part of the demo.

Hospital admin could register and book an appointment for the teleconsultation of patients. The hospital admin has to manually confirm appointment time for each patient; automatic schedule function is not there, and additional staff is required to manage this. The platform was conceived based on the interpretation of working of a public/government hospital. Prescriptions are generated in English, but SMS of prescription could also be sent in the regional language.

Doctors can video call with patients in synchronous and asynchronous manner and take notes i.e. noting clinical conditions, writing prescriptions and/or entering data concurrently in the interfaced EMR. Template for note-taking to the doctor is only for general physicians. Doctors have to confirm that medicine prescribed follows the government guidelines. Digital signature could be incorporated.

The underline eHospital solution supports terminology and coding standards including SNOMED CT, LOINC and ICD-10 at places where applicable. The solution claims using the FHIR server and the possibility to share health records through FHIR resources. The solution also integrated digital signature as well as eSign. It also takes care of TPG guidelines as needed in terms of patient’s consent, sharing doctors qualifications with patients and signed prescriptions.

Patient side of the interface is not easily navigable and has complex UI/UX. A longer process that involves many clicks of appointment booking via administrator or support staff. The patient is also expected to know the unique number for follow ups (This is also limiting functionality for many users, varying in capabilities, especially literacy). Patients have to know apriori speciality with whom they have to consult or they would be screened and then directed to suitable speciality. The platform has pre-screening capability as an offering for hospitals. Choosing a doctor is only possible during follow-up consultation. The patient gets an appointment date and appointment time. The patient could track the appointment (view status after fixing appointment) and book appointments for family members/ loved ones also. Patients can download and upload data. Platform mandatorily requires the patient to enter the mobile number and verify using Aadhaar. Using a single mobile number 5 appointments could be booked, but each patient needs its own KYC and has to provide identification details using the Aadhaar card. Appointment booking is a 2 step process, one is entering details and second is eKYC. Patients as a dependent are not well thought of, especially patients low in technology literacy or lacking resources (capabilities) for e-KYC would face difficulty in using the platform for consultation.

Additional Features
EMR of hub hospital integrated (proprietary)

Solution Maturity Level

a. TPG complaint: 3b

b. Feature complexity: 4 partial

Introduction

The Tele-consultation product of company Nanohealth is called Nanohealth and it has been available since 2011. The solution provider’s value is to improve the convenience of the user the most. Their business model is B2C and B2B both. They provide an option of white labelling the product.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Home monitoring

 

Level of Specialization

a. Primary

b. Secondary

Expert Panel Evaluation
This is a comprehensive solution for managing the entire doctor patient interaction Including tele-consultation. Doctors can interact with patients in synchronous mode using both mobile and web based responsive applications. The solution provides multimode interaction i.e. SMS, Video, audio and prior decision on consultation mode by patient is expected at the time of payment. Patients have options like chat or video or video+chat. Doctors could interact with patients using audio/video call while simultaneously taking notes i.e. noting clinical conditions, writing prescriptions and/or entering data concurrently. Templates for data entry are basic and more inline with diagnosis and assessment documentation by general physicians. Doctors have provision of maintaining some private notes during each consultation. Prescriptions generated by the platform include details like registered medical practitioner’s name, registered medical practitioner’s qualification, chief complaints and history, medicine ordered (start date, frequency, strength, end date) and it is as per TPG format.

Doctors can take a patient’s eConsent for Tele-consultation then announce the doctor’s name to the patient before the encounter.Platform design is said to protect privacy and confidentiality of Tele consultation. It was claimed that the solution has structured data recording of diagnosis . EHRIS-2013/2016 standard is implemented. The platform was told to be HIPAA compliant and as policy they don’t share records with any other system. Platform does not support health data exchange standards. No standard drug database was integrated.
Patient’s side of the interface provides login for booking appointments and to upload documents. Patients are required to provide demographic Details, mention preferred language for communication and enter self measured vitals like height and weight while taking appointments. They can upload previous consultation documents; Video and images; Share location. Patients get real time access to e-prescription. Appointment confirmation notification is sent sms. The application is suitable for first Time Visit; Follow-up; Second Opinion; Counselling. Patient Feedback taking facility post tele consultation is there in

Solution Maturity Level

a. TPG complaint: 3b

b. Feature complexity: 4 partial

Introduction

The Tele-consultation product of company Meta16 Labs Healthcare And Analytics Private Limited is called Meta16 and it has been available since 2018. The solution providers value/clinical outcomes the most. Their business model is B2B and also has an option of white labelling the product.

Size of Healthcare Provider

a. Individual Clinician

b. Clinics

c. Nursing Home/Small Hospital (less than 100 beds)

d. Hospital

Level of Specialization

a. Primary

b. Secondary

c. Tertiary

Expert Panel Evaluation

The solution has an easy to use interface for doctors and has features to support clinical consultation workflows for doctors during teleconsultation. Doctors can interact with patients in both synchronous and asynchronous manner. The solution provides multimode interaction i.e. Audio, Video, Text/SMS and Link sharing. This solution supports basic clinical workflow in terms of writing subjective details and objective clinical diagnosis along with assessment and planning, Including writing treatment / medication and other investigations as and when required. Platform provides a specialty specific template for prescription writing. Doctor’s side application provides features where they can get rule based risk level assessment of patients based on the pre-filled details during registration by patients (triage). Role of doctors can be defined (like primary care providers, speciality consultations or frontline workers).

Platform supports writing prescriptions with basic requirements mandated by TPG guidelines that have E-signature. Prescription generated by platform includes details like Registered medical Practitioner’s name, Registered medical Practitioner’s Qualification, Registration number, Address, Contact details, Date of consultation, Name of patient, Patient address, Age of patient, Gender, Vital readings (height, weight, BP), Chief complaints and History, Examination / lab finding summary, Provisional diagnosis, Instructions (Plan of care and investigations required), Drugs / medicine ordered (start date, frequency, strength, end date), Drugs / medicine ordered (generic name), Doctor’s signature stamp, Follow up date, Speciality specific fields (customisation option). Application also facilitates sharing case records (referral) by providers.

Platform enables doctors to record consultations and audit trail of interactions. The solution has provision to exchange data HL7/FHIR . It is claimed that the solution has integration of SNOMED CT for clinical finding, and ICD-10 for diagnosis and is also ISO 7000 & HIPPA complaints. Platform has inbuilt capability to support the Drug database interface. In addition platform also support advance features including Template features for ordering drug, lab, procedure, Organisation / doctor to develop own formulary (mark favorites), Recommender system (like suggestions of frequently ordered drugs, labs, procedure; analytics based).

Patient side of the interface provides keywords based doctor search facilities, guided searching of doctors. They also have the facility to upload documents and enter vitals which doctors can access. Patients are having features to rate and provide feedback about doctors, also having usability for low income and technologically less proficient patients also as prescription link is shared in the sms. Patients do not have control over record sharing and access.

In order to provide good consulting experience to patients, the doctor’s side of the interface has facilities to manage appointments, calendar scheduling. Platform has an admin role to support in managing consultation schedules and provides a facility to initiate refunds to patients in case of appointment cancellation. In terms of compliance, application providers have mechanisms associated with platforms to validate registration details of doctors either with the help of the support team and manual (Personal) confirmation of ID/credentials from state/ national registry of doctors. Platform also has a consent mechanism and providers can take consent from patients for the use of their telemedicine platform. The platform also allows providers to take explicit consent for every doctor-patient interaction and also supports features to customize the consent form including, multilingual translated consent.

Additional Features
The solution also ensures following features:
Triaging
WhatsApp Integration
Rule Based Suggestion
Voice Input Calling
Integration with EMR of hub hospital

Solution Maturity Level

a. TPG complaint: 3b

b. Feature complexity: 5