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Case study 01 · Multi-site · HIPAA · On-prem

ORBIT

Operating-room barcode inventory and preference-card platform, live across multiple hospital sites.

RoleCo-designer, lead developer, go-live support
PeriodSep 2025 – present
Stack
PythonSQL ServerIISHL7 v2Infor ERPRBAC / SSO
Data handlingHIPAA · On-prem

PHI stays on-network. Access is role-scoped, audited, and joined to hospital SSO; no cloud egress.

Problem

Operating rooms tracked supplies and surgeon preference cards in spreadsheets and paper. Counts drifted, cases were delayed hunting for items, and charge capture leaked revenue.

Approach

Built a barcode-first web application: scan-in / scan-out at the bin, preference cards tied to procedures and surgeons, and reconciliation against the Infor ERP. Added role-based access, single sign-on, leaderboards to drive adoption, and a reporting layer for missing items and replenishment.

Architecture

Python web app hosted on IIS; SQL Server backend with locations and bins modelled per site; HL7 v2 feed for case context; nightly Infor integration; multi-preference-card support and patient charging added in 2026.

Barcode scan at bin→Python web app · IIS→SQL Server (per-site bins)→Infor ERP sync→Reports · charging

By the numbers

3+Sites live
Inventory · Pref cards · Charging · ReportingModules
Nov 2025 → 2026 rolloutsGo-live

Outcome

Rolled out from the main campus to Women's Hospital and PAR. Same-day fixes during the first live OR shifts stabilised workflows; the platform is now the system of record for OR inventory and feeds patient charging.

What I would tell your team

Ask me how this maps onto your EHR, your interface engine and your security review. I can walk through the data flow, the failure modes we hit at go-live, and what I would do differently the second time.

Talk about a similar system
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