Engineering
Building an offline-first desktop client for Indian hospitals
When the internet drops, the front desk cannot stop. What an offline-first hospital client has to get right, and how Carexa OS handles it.
Blog
Notes on Indian healthcare IT.
Practical guides on ABDM, migration, billing and PMJAY, and notes on how we build Carexa OS.
Engineering
Why we chose Postgres and .NET 9 for a hospital platform
The reasons behind our database and our code: correctness for billing and stock, a choice of hosting, no lock-in, and the trade-offs we accept.
Product
Decision support that helps, not nags
Alert fatigue makes warnings useless. Five principles for clinical decision support that doctors actually read.
Billing
PMJAY claims: common reasons for denial, and how to prepare
The usual reasons PM-JAY claims are denied or cut, and a checklist to prepare cleaner claims, from admission to submission.
Product
Designing the OPD dispensing workflow
How we think about the OPD pharmacy counter: start from the prescription, choose the right batch, get GST right, and design for the queue.
ABDM
ABDM consent flows, explained in plain English
How consent requests, consent artefacts and record sharing work, and what they mean for your front desk.
Migration
Moving off a legacy HMS: a practical migration checklist
What to export, what to clean, how to run old and new systems side by side, and how to plan a go-live that keeps the front desk open.