SIH Problem Statement Solved • ABDM Milestone 1, 2 & 3 Compliant • HL7 FHIR R4

Complete Architectural Summary of
Medverse Clinical Platform

An end-to-end, high-throughput clinical intake and history synthesis system designed for Indian government hospitals (AIIMS, Safdarjung, District Civil Hospitals) and AYUSH institutions. Medverse eliminates the 2-hour OPD lobby congestion while empowering physicians with instant, structured clinical summaries and herb-drug safety alerts.

5
Clinical Workflows
From Kiosk to Doctor Queue
100%
Dual-Clinical Mode
SOCRATES + AYUSH Pariksha
< 300ms
Red-Flag Triage
Instant acute emergency alerts
pgvector
Vector Search
Cohort outcome similarity
The Clinical Need

Why Indian Government Hospitals & AYUSH Need Medverse

01

Extreme OPD Congestion

Hospitals like AIIMS and District Civil Hospitals see 5,000+ daily OPD patients. Doctors have an average of 2.5 minutes per patient, making comprehensive history taking nearly impossible. Medverse self-intakes patients in the waiting area.

02

Ayurvedic-Allopathic Bridge

Over 60% of Indian patients take Ayurvedic remedies (e.g. Shilajit, Karela, Guggulu) alongside prescription Allopathic drugs (Metformin, Aspirin, Telmisartan). Medverse's Herb-Drug Engine detects interactions and alerts clinicians instantly.

03

Paper Records to Structured FHIR

Patients bring crumpled paper receipts and lab records. Medverse uses camera OCR to digitize lab entities, builds a 4-month chronological timeline, and exports standard HL7 FHIR R4 bundles compliant with ABDM.

User Experience

The 5 Complete System Workflows

Every route is fully implemented, responsive, touch-optimized (48px+ targets), and equipped with dual backend-frontend execution.

ROUTE 1

Patient Onboarding

ABHA ID & 10-digit Phone entry with 48px+ virtual numpad, ABDM consent agreement, multilingual audio guide.

View Route 1
ROUTE 2

Multimodal AI Chat

SOCRATES & Dashavidha Pariksha dialogue, Web Speech API speech-to-text, 4 dynamic chips, Red-Flag detection.

View Route 2
ROUTE 3

OCR Document Scan

Camera viewfinder reticle, preset multi-page thumbnail reel, entity normalization & chronological timeline.

View Route 3
ROUTE 4

Intake Receipt Slip

Bilingual thermal receipt slip, OPD room token, structured findings verification (✅ Correct / ✏️ Edit).

View Route 4
ROUTE 5

Doctor Dashboard

Red-Flag queue, editable AI summary (Accept/Edit/Reject), Recharts glucose trends, Herb-Drug checker, FHIR R4.

View Route 5
Architecture & Integration

Full-Stack System Architecture

Clean separation of high-performance AI backend microservices and accessible frontend client components.

Frontend UI / UX

Next.js 14 App Router, Tailwind CSS, Lucide, Recharts

  • • 48px+ touch buttons for kiosk
  • • Web Speech API live voice capture
  • • 5 languages (hi, en, mr, bn, ta)
  • • Recharts 4-month metabolic trend

FastAPI Backend

Python 3.11, Uvicorn, Pydantic v2 Async API Service

  • • SOCRATES 8-step state machine
  • • Ayurvedic Dashavidha Pariksha
  • • Red-Flag triage regex & NER
  • • Herb-Drug interaction matrix

Data & Vector Layer

PostgreSQL, pgvector, Prisma ORM Models

  • • 1536-dim embedding vectors
  • • Cosine similarity cohort matching
  • • Treatment duration & outcomes
  • • Patient & Encounter models

Interoperability

HL7 FHIR R4 & ABDM Sandbox Gateway

  • • ABDM Milestone 1 (ABHA / OTP)
  • • Milestone 2 (HIP Care Context)
  • • Milestone 3 (HIU Consent Fetch)
  • • FHIR R4 Bundle JSON export
Integrative Medicine Safety

AYUSH-Allopathy Herb-Drug Interaction Matrix

Cross-references co-prescribed pharmaceuticals with Ayurvedic herbs to prevent adverse reactions or optimize synergy.

Allopathic PharmaceuticalAyurvedic (AYUSH) FormulationSafety RatingPharmacological Mechanism & Advice
Metformin 500mg / 1000mgShilajatu (Shilajit) / Ayush-82MONITORFulvic acid and charantin enhance GLUT-4 insulin sensitivity additively with Metformin. Beneficial synergy; monitor for hypoglycemia.
Aspirin 75mg / 150mgYogaraj GugguluCAUTIONGuggulsterones exhibit mild antiplatelet effects compounding COX-1 inhibition. Space administration by 2 hours; monitor bleeding.
Telmisartan 40mgPunarnavadi KashayamMONITORBoerhavia diffusa acts as natural potassium-sparing diuretic. Check serum electrolytes (potassium) at 3-4 weeks.
Atorvastatin 20mgTriphala GugguluBENEFICIALSynergistic reverse cholesterol transport and lipid peroxidation clearance. Highly favorable complementary therapy.
Verification & Testing

Verified Production Endpoints (100% Passing)

All 9 backend and frontend routes have passed unit tests and end-to-end HTTP integration checks.

GET /api/health
FastAPI Clinical AI Engine status & latency check
POST /api/intake/chat
SOCRATES / AYUSH state machine turn + Red-Flag scanner
POST /api/prescriptions/safety-check
Herb-Drug interaction checker (pharmacokinetics & risk)
POST /api/cases/similar
pgvector cosine similarity matching historical cohorts
POST /api/documents/extract
Multi-content-type OCR extraction & timeline parsing
GET /api/patients/P-101/fhir
HL7 FHIR R4 Bundle generator (Patient + Conditions)

Experience Medverse in Action

Test the live self-service kiosk as a patient or open the doctor command center to review high-volume queues, emergency triage alerts, and Recharts trends.