Live · one clinic · ELTH — clinic operating system · case file 08

A clinic operating system, live in one clinic

Led product on a clinic operating system now live in one clinic — 60+ features across nine departments, eight staff and partner roles, four patient-facing portals.

Overview

Led product on a clinic operating system now live in one clinic — 60+ features across nine departments, eight staff and partner roles, four patient-facing portals.

My role

Co-founder · Product & UI lead

Team

  • GA
  • NV

Ganesh A · Nikith Vijay

Built with

Figma · Claude Code

Timeline

2025 — Apr 2026

Live · one clinic

  • Product
  • Requirements
  • UI
  • Delivery
  • Healthcare
ELTH department portal selection
Eight department portals — each role sees only its own workspace.elthclinic.com

Impact overview

  • One clinic runs on itReception, nursing, doctors, pharmacy and billing moved onto one system. Three went live; one runs it daily and takes the product over in a month or two.
  • Sixty-plus features, nine departmentsRequirements taken from doctors and front-desk staff, turned into a build order, and shipped feature by feature while the clinic kept seeing patients.
  • Patients in the loopFour patient-facing portals: patients book, pay, get their reminders on WhatsApp and see their reports without anyone at the desk doing it by hand.

01

What it is

ELTH is the software a clinic actually runs on. Reception books and checks patients in; nurses take vitals; doctors consult, prescribe and print; pharmacy dispenses against stock; billing invoices and collects; marketing runs the public booking portal, health camps and WhatsApp reminders. Sixty-plus features across nine departments, eight staff and partner roles, and four patient-facing portals — multi-clinic from the ground up.

02

My half of it

I did not write the code. My co-founder built and deployed. What I owned was everything upstream of that: sitting with clinic owners, doctors and reception staff to find out what the day actually looked like, turning it into a product decision, designing the interface, and deciding what got built next.

The interesting problems here were never technical. Two receptionists spell the same patient's name three ways, so what counts as a duplicate? A patient pays online for a slot that has already been resold — who is right? Should paying upfront be optional, discounted, or required, and does that answer change per clinic? Those are operations questions with a UI attached, which is the work I have been doing since the juice counter.

03

Built with the clinic, not for it

The care-programme side — diabetes and weight-loss programmes, coach and nutritionist tooling, GLP-1 titration tracking, a member portal with self-booking — was designed alongside our design-partner clinic, working from their own plan sheets rather than an invented spec. It shipped as a generic programme engine, so the next clinic gets the same machinery with its own content.

04

Where it stands

Three clinics went live. Two have since been pulled back, and the platform is in daily use in one, which takes the product over in a month or two. Patients book, pay, get their reminders on WhatsApp and see their reports without anyone at the desk doing it by hand. I led product on it to April 2026.

05

In pictures

Doctor day view with the day's appointments
The doctor's day: today's queue, patient status and one click into the consult. Sample patients.
Consultation workspace
Consultation workspace — vitals, labs, diagnosis and prescription on one screen. Sample patient.
Generated prescription, ready to print
The prescription it produces, branded and ready to hand over. Sample patient.
Elth Card, GLP-1 plan and member portal
The Elth Card — chronic conditions, current medication and GLP-1 titration, beside the member's own portal. Sample member.
Member enrollment workspace
Enrollment: consent and clinical baselining captured before the programme starts. Sample member.
Care team, call log and side-effect reporting
Care team, call log, side-effect reporting and nudges, in one view.
Twelve-month programme session schedule
A twelve-month care programme, laid out session by session.
Membership programme catalogue
Membership programmes, configured and priced per clinic. Sample pricing.
Clinic financial analytics dashboard
The clinic's business view — revenue, COGS, margin and payment mix. Sample data, not a client's results.
The Elth Card in the doctor console — vitals trends, diagnoses and current medication
The Elth Card: the whole patient on one screen — trends, diagnoses, current medication. Sample patient.
Vitals tab — blood pressure, heart rate, weight, temperature and RBS over six readings
Vitals over six readings, so the trend is visible before the number is. Sample patient.
Prescription templates suggested from the clinic's own history
Prescription templates suggested from the clinic's own history — the combinations it actually writes.
Prescription preview — a clinic-branded PDF
The prescription leaves as a branded PDF, straight to the patient's WhatsApp. No login, no app store.
Patient portal home on a phone — a care programme, month four of twelve
The patient's pocket: a twelve-month programme, this week's dose and the next session. Sample member.
Patient portal exercise coaching — guided video and reps
Exercise coaching in the portal — guided video, reps, how to do it.
Booking engine embedded on the clinic's website
Booking, embedded on the clinic's own site — a phone number is the identity.
Booking payment step with an online-payment discount and a held slot
Pay online for the slot, and it is held for fifteen minutes.

06

What’s inside

  • Appointments
  • Patient records
  • Consultations and prescriptions
  • Vitals and labs
  • Pharmacy stock
  • Invoicing, split payments and online prepay
  • Public booking portal
  • Health camps
  • WhatsApp and email reminders
  • QR feedback with NPS
  • Care programmes and member portal
  • Multi-clinic tenancy, roles and audit logs

Total: 60+ features

07

Results

1Clinic live — handover in a month or two
60+Features shipped
9Departments covered
4Patient-facing portals
8Staff and partner roles