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Healthcare ยท Nile Health Group

Patient records that work when the connection does not

An offline-first records system for a clinic network, so clinicians keep working through outages and files reconcile when the network returns.

Client

Nile Health Group

Sector

Healthcare

Duration

Five months

Delivered

2023

9
Clinics fully live
82%
Faster record retrieval
100%
Offline capability
3 wks
Staff onboarding per site

The problem

Nine clinics across three districts shared a paper system. Files went missing, drug interactions were missed, and a previous digital attempt was abandoned because it failed whenever the connection dropped.

What we did

  • Designed the app to work fully offline, syncing opportunistically rather than requiring a live connection.
  • Built conflict resolution that favours the most recent entry and flags contradictions for review.
  • Created a lightweight patient identifier so records match across clinics without a national ID.
  • Trained clinical staff in small groups on their own devices.
  • Added district-level reporting so management could see caseloads and stock without chasing paper.

The outcome

9

Clinics fully live

82%

Faster record retrieval

100%

Offline capability

3 wks

Staff onboarding per site

“The previous system made us slower, so people quietly went back to paper. This one is faster than paper, so they did not.”

— Clinical Director, Nile Health Group

Technology used

React Native SQLite Node.js PostgreSQL Firebase

Next step

Let us talk about your version of this problem

Every one of these started as a conversation about something that was not working properly.