Telehealth

WebRTC video visits with JWT access tokens, recording, and FHIR Encounter attachment. Find scheduled video visits on the appointment book.

Booking a telehealth visit

Same flow as an in-person appointment — pick Visit type = telehealth at booking. The Appointment carries Appointment.serviceType.coding.code = 'telehealth'.

Pollen8 emails / SMS-es the patient a confirmation with the Join link (resolves to the portal’s join button).

The video room

When both parties join:

WebRTC peer connection established via Pollen8’s signaling server. Pollen8 does not store SDP / ICE state past the call.
JWT-authenticated access — each party’s token is bound to the Encounter id + their role. Tokens TTL ≤ 30 minutes.
Recording is opt-in per visit. If enabled, the recording attaches to the FHIR Encounter as a DocumentReference with category=video-visit.

Provider tooling during the visit

The provider sees the patient’s chart side-by-side with the video. The ambient scribe captures the audio of the visit the same way it would for an in-person visit — same SOAP draft, same audio-span citations.

What it isn’t

Not a high-volume telephony platform — for inbound clinical phone calls, see Contact center.
Not a group-therapy room — single provider × single patient (with optional caregiver / interpreter joined). Multi-party clinical rooms are roadmap.

Recording compliance

State + federal recording-consent law varies. Default behaviour is “recording off”; the provider must affirmatively enable + confirm the patient consented before the recording starts. Audit trail includes the consent timestamp + provider id.