Rural & Semi-Urban Access Gaps
Many citizens travel long distances for routine check-ups, often delaying or skipping care entirely.
For Bangladesh · Pilot-Ready Digital Health Model
BNHS by Healodex
Bangladesh Networked Healthcare System for Doorstep Care.
A pilot-ready digital healthcare model connecting citizens, Community Health Workers, diagnostics, doctors, specialists, pharmacies, and health records.
Designed to complement Bangladesh's Family / Farmer / Health Cards, Health ID, Shared Health Record, Community Clinics, telemedicine services, DHIS2 reporting needs, and Universal Health Coverage goals.
BNHS is not just an app, not just a device, and not just telemedicine. It is a standards-ready service delivery architecture for last-mile healthcare.
Pilot design phase
64
Districts targeted
10+
Vital signals captured
Designed to complement
- Health ID / NID / BRN
- Shared Health Record / HIE readiness
- Community Clinics
- Union Digital Centers
- DHIS2-compatible reporting
- Digital health records
- Social protection / benefit systems
- Public-private collaboration
Why Bangladesh Needs This
Primary healthcare access remains uneven across rural, semi-urban, and underserved communities. BNHS is designed as a respectful, complementary layer to strengthen national service delivery.
Delayed Diagnosis & Treatment
Limited diagnostics at the local level mean conditions are detected late, raising costs and risks.
Overcrowded Hospitals
Tertiary hospitals absorb cases that could be managed earlier through community-level primary care.
No Continuous Patient History
Without persistent records, every visit starts from zero — undermining continuity and follow-up.
The BNHS Model
A simple, three-pillar service design that meets citizens where they are.
01
Doorstep Care
Community Health Workers visit patients at home with the Healodex Kit, removing distance and mobility barriers.
02
Connected Diagnostics
Vitals, symptoms, and basic clinical data are captured digitally and synced securely to the cloud.
03
Remote Doctor Access
Licensed doctors review patient history and real-time data before issuing consultation, prescription, or referral.
Built to Complement Bangladesh's Digital Health Direction
BNHS by Healodex is designed as a field-level service layer that can strengthen existing and future public digital-health infrastructure. It can support Health ID-based identification, consent-based patient history access, Community Clinic referrals, telemedicine workflows, DHIS2-compatible aggregate reporting, and standards-based interoperability. It is not a replacement for existing systems.
Health ID / NID / BRN Ready
Patient identity lookup and profile creation, subject to approved access.
SHR / HIE Readiness
Designed for consent-based record continuity and future health information exchange.
FHIR R4 Interoperability Layer
Planned HAPI FHIR R4-compatible architecture for structured health data exchange.
DHIS2-Compatible Reporting
Aggregate pilot indicators can be exported for public-health reporting.
Consent & Audit Trail
Every card lookup, prescription, benefit check, referral, and follow-up action is traceable.
Subject to Government Policy
Integrations and data exchange remain subject to government policy, API access, and authorization.
How It Works
From request to follow-up — a clear, auditable patient journey.
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1
Request Care
Patient calls a hotline, uses app/SMS, or requests service through a local point.
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2
CHW Assignment
The nearest Community Health Worker receives the assignment and route guidance.
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3
Home Visit
CHW visits with the Healodex Kit or approved compatible devices.
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4
Identification & Consent
Health ID / NID / BRN / approved card or QR opens or creates the profile with consent.
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5
Vitals & Symptoms
Vitals, symptoms, risk factors, and basic clinical data are captured digitally.
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6
AI-Assisted Triage
AI flags urgency and suggested pathway, but does not replace clinical judgment.
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7
GP / Medical Officer Review
A licensed doctor reviews the case remotely.
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8
Specialist Referral Layer
Cases can be escalated to specialists such as pediatrics, maternal health, cardiology, diabetes/NCD, respiratory, or emergency referral.
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9
Prescription, Pharmacy & Benefit Check
Digital prescription, medicine availability, benefit eligibility, patient consent, and audit trail.
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10
Follow-up & Records
SMS / voice / app reminders and continuous patient history update.
Designed to Complement National Card-Based Service Delivery
BNHS does not replace any government system. It is built to act as a field-level service layer that respects and connects to existing identity and benefit programs.
BNHS can integrate with Health Card, Family Card, Farmer Card, NID, Birth Registration Number, or approved QR-based citizen identification systems. During a home visit, the Community Health Worker can scan the card to quickly open or create a patient profile. This helps preserve medical history, prescriptions, vitals, follow-up records, and referral information across future visits.
For eligible citizens, approved consultation, medicine, or diagnostic support may be connected with government benefit systems subject to policy, API access, and authorization. This can make healthcare delivery more transparent, auditable, and people-friendly.
Government Card / NID
Patient Profile
Service Eligibility
Consultation
Prescription
Medicine Support
Audit Trail
- Health Card
- Family Card
- Farmer Card
- Community Clinics
- Union Digital Centers
- Digital Health Records
- Social Protection
- Public-Private Collaboration
Clinical Service Modules
BNHS is designed as a modular service model so pilots can start small and expand based on Ministry priorities.
NCD & Chronic Care
Hypertension follow-up, diabetes monitoring, COPD/respiratory tracking, cardiovascular risk screening, medication adherence, and red-flag referral.
Maternal & Child Health
ANC support, maternal BP tracking, child fever/cough/diarrhea triage, immunization reminders, growth/nutrition follow-up, and referral to appropriate facilities.
Elderly & Home-Based Follow-up
Mobility-friendly checkups, medicine reminders, chronic disease review, and caregiver-supported care.
Respiratory & Fever Screening
SpO₂, temperature, cough history, lung sound recording, and referral support.
Referral & Emergency Escalation
CHW → GP / Medical Officer → Specialist → Facility Referral.
Device-Agnostic Diagnostic Model
The Healodex Kit is a reference implementation, not a mandatory hardware lock-in.
Healodex Kit is a reference implementation using ESP32-based IoT and edge processing. BNHS can also support approved off-the-shelf medical devices, existing Community Clinic equipment, BLE/Wi-Fi devices, manual entry, and future government-approved diagnostic hardware.
BNHS supports:
- ESP32-based prototype support
- BLE / Wi-Fi
- MQTT over TLS
- Local buffering
- Offline sync
- Wired temperature probe
- ECG lead support
- Digital stethoscope audio capture
- Pulse oximeter
- BP input / manual integration
- Device-agnostic architecture
- Existing Community Clinic equipment
- Approved off-the-shelf medical devices
- Future government-approved diagnostic hardware
- Manual entry when digital devices are unavailable
This reduces procurement friction and allows pilots to use available equipment while validating the service model.
The Healodex Kit
An R&D / reference implementation: a portable diagnostic and connectivity kit designed for Community Health Workers and local health service points. BNHS does not depend on proprietary hardware — the Kit is one option among approved and existing devices.
Pulse Oximeter / SpO₂
Blood oxygen and pulse measurement.
Heart Rate
Continuous BPM monitoring.
Wired Temperature Probe
Wired temperature probe or approved digital temperature device.
ECG Electrode Nodes
Single-lead rhythm capture with lead support.
Digital Stethoscope
Chest sound recording module for clinical review.
Blood Pressure
BP cuff or manual BP entry.
Symptom Entry
Structured questionnaire in Bengali.
Photo Documentation
Camera capture when clinically needed.
ESP32 / Edge Device
ESP32-based prototype support for sensor integration.
BLE / Wi-Fi Connectivity
Local pairing and field network options.
MQTT over TLS
Encrypted telemetry transport for IoT messages.
Local Buffering
On-device storage and delayed sync when offline.
Secure Cloud Sync
Encrypted upload to dashboard / cloud.
Applications & Dashboards
Four interfaces, one continuous record — built for field reality.
CHW App
- Offline-first visit capture
- Sync queue for delayed upload
- Consent capture
- Card / NID / QR lookup
- Patient registration
- Guided checkup workflow
- Vitals and symptom entry
- Visit history
- Referral and emergency escalation
Patient App / SMS Access
- Appointment or hotline request
- Audio / video doctor call
- Prescription access
- Medicine and follow-up reminders
- SMS reminder fallback
- Caregiver access
- Family health profile
- Bengali language support
- Low-literacy voice prompts
Doctor Dashboard
- GP / Medical Officer review
- Patient queue and triage priority
- Vitals, trends, and medical history
- Remote consultation
- Digital prescription
- Specialist referral
- Case escalation
- Red-flag alerts
- Follow-up management
Government / Admin Dashboard
- Service coverage by area
- CHW visit tracking
- NCD / MCH trend visibility
- DHIS2-compatible aggregate reporting
- Pilot cost analytics
- Referral pathway monitoring
- Benefit audit trail
- Pilot performance analytics
Pharmacy, Medicine & Benefit Workflow
BNHS treats pharmacy as a structured part of the care pathway — not an afterthought.
Digital Prescription
Doctor-reviewed prescription shared to patient, CHW, and authorized pharmacy.
Generic Medicine Mapping
Support for generic substitution and essential medicine list alignment where policy permits.
Local Pharmacy Fulfillment
Pickup or delivery through authorized local pharmacy partners.
Benefit / Subsidy Check
Health Card / Family Card / approved benefit system eligibility can be checked subject to government policy and API access.
Patient Consent
Any cost adjustment, subsidy use, or benefit deduction requires patient/guardian consent.
Audit Trail
Every prescription, fulfillment, benefit check, and delivery action is logged.
Offline-First Field Operation
Rural field healthcare must work even when connectivity is weak.
Offline Patient Registration
Register and identify patients without active internet.
Local Encrypted Visit Storage
Visit data stored encrypted on the CHW device.
Offline Vitals Capture
Vitals and symptoms captured without dependency on cloud.
Queued Prescription & Referral
Requests queue locally and submit when network returns.
Automatic Sync
Background sync as soon as connectivity is restored.
Conflict Detection & Audit Log
Detects conflicts and preserves a complete audit trail.
Timestamp & Location Metadata
CHW device-level timestamp and location metadata where permitted.
SMS / Voice Fallback
Reaches patients without smartphones.
Edge-Enabled Field Healthcare
BNHS is designed for real field conditions where internet connectivity may be limited. Edge-enabled devices can capture vitals, perform basic reading validation, store readings locally, and sync securely when connectivity returns. This allows CHWs to continue patient visits without depending on continuous internet access.
Local Vitals Capture
Capture SpO₂, heart rate, temperature, ECG, BP input, and stethoscope audio where supported.
Basic Signal Validation
Check whether readings appear complete, timestamped, and linked to the correct patient visit.
Offline Data Buffering
Store visit data locally when internet is unavailable.
Secure Sync
Upload queued visits, vitals, and referrals when network returns.
Device Health Monitoring
Track battery, connectivity, sensor status, and last sync.
Doctor-Reviewed Decisions
Edge processing supports workflow reliability but does not replace clinical judgment.
Edge computing improves field reliability. It does not replace doctors or issue autonomous diagnosis.
Technical Readiness
BNHS separates clinical operations, interoperability, reporting, medicine workflows, and IoT telemetry into independent layers. This keeps the system flexible, avoids vendor lock-in, and allows government-approved integrations over time.
01
Citizen Access Layer
Hotline, SMS, patient app, BNHS center, Community Clinic, CHW visit.
02
Field Service Layer
CHW app, guided workflow, consent capture, card scan, vitals, symptoms, offline storage, sync queue.
03
IoT & Edge Layer
ESP32-based reference kit, approved off-the-shelf devices, BLE / Wi-Fi, MQTT over TLS, local buffering, basic validation, device health monitoring, and secure sync.
04
Clinical Layer
GP / Medical Officer review, specialist referral, prescription, facility referral, follow-up.
05
Interoperability Layer
Planned HAPI FHIR R4-compatible services, BD-Core FHIR alignment where applicable, Health ID / NID / BRN readiness, SHR / HIE readiness.
06
Reporting Layer
DHIS2-compatible aggregate indicators for coverage, disease trends, referrals, NCD/MCH modules, follow-up, medicine fulfillment, and pilot performance.
07
Medicine & Benefit Layer
Prescription, pharmacy fulfillment, essential medicine mapping, benefit check, patient consent, audit trail.
08
Governance & Security Layer
Role-based access, encryption, consent records, audit logs, secure local storage, retention policy, backups, and supervised doctor-reviewed decisions.
Recommended Pilot Technology Stack
A reference stack for a supervised pilot — components can be substituted to align with government-approved tooling and hosting policy.
Mobile Offline
React Native, encrypted local storage, sync queue, retry logic.
Web
Next.js dashboards for doctors, specialists, and administrators.
Backend
Node.js / NestJS API services.
Database
PostgreSQL for workflow, audit, referral, prescription, and reporting records.
Cache / Queue
Redis + BullMQ or RabbitMQ.
Interoperability
HAPI FHIR R4-compatible layer.
Reporting
DHIS2-compatible aggregate exports.
IoT / Edge
ESP32, BLE / Wi-Fi, MQTT over TLS, local buffering, device health monitoring.
Storage
S3-compatible storage for ECG, stethoscope audio, images, reports, and prescriptions.
AI
Rules-first triage, risk flagging, doctor-note summarization, Bengali intake support, doctor-in-the-loop.
Deployment
Docker-based pilot deployment, GitHub Actions CI/CD, secure VPS / cloud, migration path to government-approved hosting.
This is a recommended pilot stack and deployable architecture. Components can be integrated subject to approval and aligned with government-approved tooling and hosting.
Pilot Economics & Measurement
A transparent cost and KPI structure to support evidence-based review.
Cost Model Inputs
- Cost per kit / device bundle
- Cost per CHW per month
- Cost per completed visit
- Cost per remote consultation
- Software and hosting cost
- Training and support cost
- Medicine / subsidy cost separated from platform cost
Pilot KPIs
- Households served
- Completed visits
- Remote consultations
- Referral rate
- Follow-up compliance
- Average response time
- Medicine fulfillment rate
- Cost per beneficiary
- Cost per completed visit
- Avoidable hospital visit reduction estimate
- Citizen satisfaction
Final pricing and cost-per-beneficiary will depend on pilot geography, kit quantity, CHW count, service package, and integration scope.
People-Friendly Design
Built for the realities of citizens, not just the convenience of technology.
Card or Phone-Based ID
No complicated usernames or passwords required.
Bengali-First Interface
Localized language and culturally familiar workflows.
Home Visit Model
Care reaches the citizen — not the other way around.
SMS & Voice Reminders
Reaches patients without smartphones.
Family-Level Tracking
One household, one continuous record.
Inclusive by Design
Supports elderly, women, farmers, and low-income families.
Benefits for Government
A scalable, transparent layer that strengthens public service delivery.
Faster Primary Care Access
Reduced Hospital Pressure
Visibility of Rural Health Needs
Transparent Benefit Delivery
Stronger Community Clinic Support
Early Disease Trend Detection
Local Employment for CHWs
Data-Driven Health Planning
Public-Private Implementation
Pilot Implementation Model
A phased, evidence-led rollout — starting small, scaling with confidence.
Phase 1
90-Day Pilot
- 1 upazila or selected unions
- Limited number of CHWs
- Limited number of kits / devices
- GP / Medical Officer panel
- Specialist referral pathway
- Pharmacy workflow
- Offline-first CHW app
- Dashboard and reporting
Phase 2
180-Day Evaluation
- Usability evaluation
- Service uptake
- Referral quality
- Cost per visit
- Follow-up compliance
- DHIS2-compatible reporting feasibility
- Health ID / SHR integration pathway review
Phase 3
Scale Decision
- Expand geography
- Strengthen public-private model
- Approved system integration
- Procurement and support model
- Training and governance framework
Data Privacy & Safety
Citizen trust is the foundation of any national health system.
Consent-Based Access
Patients control how their information is used.
Role-Based Permissions
Strict separation between CHW, doctor, admin, and government roles.
Secure Data Storage
Encryption at rest and in transit.
Audit Trail
Every clinical and benefit action is traceable.
Doctor-Reviewed Decisions
Clinical decisions are made by licensed doctors.
AI Assists, Not Replaces
AI supports triage; it does not replace medical judgement.
Compliance-ready architecture, prepared for alignment with national data-protection frameworks.
Current Status
Where Healodex is today — stated carefully and accurately.
Healodex has developed a working R&D foundation and deployable software architecture for an IoT-enabled remote healthcare model, including prototype sensor integration, patient data workflow, CHW-assisted service flow, doctor dashboard concept, patient follow-up model, and a standards-ready interoperability roadmap. The next step is a supervised pilot to validate field usability, clinical workflow, integration requirements, offline operation, and cost-per-beneficiary performance.
- Deployable architecture can include Node.js / Express backend.
- Deployable architecture can include MongoDB data layer.
- React / React Native app direction for patient and CHW apps.
- Doctor dashboard concept for remote review and prescription.
- CHW app workflow for offline-first field operation.
- Planned HAPI FHIR R4 interoperability layer.
- Secure VPS / cloud hosting model.
- Prepared for pilot discussion with relevant government and development stakeholders.
Let’s Discuss a Pilot for Citizen-Centered Healthcare Delivery
Healodex is seeking guidance, partnership, and pilot opportunities to align BNHS with Bangladesh’s national digital health and social protection goals.