Sprint 4.4 · M4+ Telehealth Video

1. 🎯 Sprint Summary

2. 🩺 Telehealth Flow

Patient (M1)              Doctor (M4+)              Pharmacy (M5)
   │                          │                          │
   │  Triage amber flag       │                          │
   │  · choose: in-clinic     │                          │
   │    OR telehealth         │                          │
   │                          │                          │
   │  Book telehealth slot ───►  Pre-consult briefing    │
   │  Receive WhatsApp link   │                          │
   │                          │                          │
   │  Click link · WebRTC ───►   Video call begins       │
   │  Camera + mic check      │   Ambient SOAP listening │
   │                          │   Doctor sees patient    │
   │                          │   + vitals trend (M10)   │
   │                          │   + past encounters      │
   │                          │                          │
   │  Consultation (8-15min) ─►   SOAP draft generated   │
   │                          │   Rx draft suggested     │
   │                          │   Doctor signs off       │
   │                          │                          │
   │                          │   ───► Rx sent to        │
   │                          │        nearest pharmacy  │
   │                          │        OR home delivery  │
   │                          │                          │
   │  ◄───── Encounter summary + follow-up plan          │
   │  ◄───── Telehealth recording (PDPA-consented)       │
   │                          │                          │
   │                          │                          ▼
   │                          │   Pharmacy dispenses     │
   │                          │   · in-clinic pickup     │
   │                          │   · home delivery        │
   │                          │   · partner courier      │

3. 🚦 Pre-Sprint Gate Checklist

• Sprint 4.3 demoed and signed off · Tenant 7 + 8 onboarded via wizard
• WebRTC TURN/STUN servers provisioned (local + global)
• Telehealth regulatory framework reviewed (Akta Perubatan, MMC guidelines for telemedicine)
• e-Prescribing legal framework reviewed (clinical defensibility · pharmacy accept)
• Telehealth recording PDPA framework approved · retention 90 days max
• Partner courier shortlisted (Lalamove · GrabExpress · Pos Laju Healthcare)
• Bandwidth + latency testing on 4G + fibre · target ≤ 250ms RTT · ≤ 720p video
• Whisper proven robust on video-call audio (no separate mic) · WER < 12%

4. 🧩 Sprint Scope

• WebRTC Infrastructure: TURN/STUN servers · session lifecycle · network resilience · auto-reconnect
• Patient Telehealth UI: Pre-call check (camera/mic/network) · waiting room · in-call vitals broadcast (from M10 wearables)
• Doctor Telehealth UI: Side-by-side video + 6-tab encounter UI · ambient SOAP listening continuously · same M4 sign-off flow
• Booking Integration: M1 amber → patient choice (clinic vs telehealth) · M7 admin slot mgmt extends to telehealth
• Audio Processing: Echo cancellation · noise suppression · multi-speaker diarisation · Whisper on mixed-stream
• Recording + Consent: PDPA-consented recording · 90-day retention · patient access portal · revocation
• e-Prescribing: Rx routes to nearest pharmacy or home delivery · audit chain across providers · M5 dispense-anywhere extension
• Partner Courier Integration: Lalamove API for medication home delivery · status tracking · proof of delivery
• Post-Consult Handover: Patient receives encounter summary + follow-up plan + recording link via WhatsApp/email
• Telehealth Compliance: Identity verification at start (2-factor) · doctor location attestation · clinical-grade audit trail

5. 📅 Day-by-Day Plan (15 Days)

6. 📦 Deliverables

7. 👥 Team Capacity

8. 🔔 Sprint Ceremonies

• Mon 7 Jun 9am — Sprint Planning (90 min)
• Daily 9am — Standup (15 min · Doc Zam joins Tue/Thu)
• Fri 11 Jun + Fri 18 Jun 4pm — Mid-sprint demos (45 min each)
• Wed 23 Jun 4pm — Production rollout review (45 min)
• Mon 27 Jun 9am — Sprint Demo + v1.1 Phase Closeout (90 min)
• Mon 27 Jun 11am — Sprint Retro (60 min)
• Mon 27 Jun 12pm — v1.1 Phase Retro (60 min)

9. 🩺 Doc Zam Sign-off Items

• Telehealth regulatory framework compliance (Akta Perubatan · MMC guidelines)
• SOAP quality on video stream (Whisper WER < 12%) · clinical accuracy ≥ 90%
• Patient pre-call check catches network/hardware issues before doctor sees them
• Identity verification + doctor location attestation legally defensible
• Recording consent + revocation flow PDPA-aligned
• e-Prescribing legally defensible · pharmacy accepts · audit chain unbroken
• First 10 real telehealth consults clinically successful
• v1.1 phase closeout · written attestation: "v1.1 production-ready"
• Final demo (27 Jun) — written sign-off

10. 🎬 v1.1 Phase Closeout Demo — 27 Jun 9am (90 min)

11. 🛡️ Contingency