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MEDNEXA — Egyptian healthcare integration platform. HIS × LIS × PACS wiring with HL7v2, FHIR R4, DICOM, PDPC-compliant audit (showcase).

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MEDNEXA

MEDNEXA

Connecting Healthcare.

Egyptian mid-market healthcare integration platform — HIS × LIS × PACS wiring with HL7v2, FHIR R4, DICOM, and PDPC-compliant audit built in from day one.

Status: Pilot-ready · Session 01 complete · 128/128 engine tests green


This repository is a public showcase. The strategy, financial model, pilot sales package, and signed-DPA templates are retained as commercial artifacts. The engine source itself remains under commercial license — reach out for an evaluation copy.

Everything on this page is externally verifiable.


What MEDNEXA actually ships

  • FastAPI engine (Python 3.12) · 80+ REST routes exposing FHIR R4 resources, HL7v2 ingestion, DICOM metadata, and audit queries
  • Real DIMSE SCP · receives C-STORE and C-FIND Modality Worklist on port 11112
  • HL7v2 message parser · ADT / ORM / ORU / OUL / MDM hand-off into FHIR builders
  • FHIR R4 builders · Observation, DiagnosticReport, ServiceRequest, Patient, Practitioner
  • DICOM in-browser viewer · Cornerstone.js on /app/dicom-viewer.html for sample CT studies
  • Report state-machine · draft → signed → finalized → amended with audit trace at every transition
  • Hash-chained audit log · SHA-256 prev_hash + hash per entry so any mutation after the fact is detectable
  • MFA TOTP (RFC 6238) · AES-256-GCM encrypted secrets at rest
  • Refresh-token rotation · SHA-256-hashed tokens, old token invalidated on first use of its successor
  • Sliding-window rate limits · per-IP and per-user
  • Bilingual UI · Arabic RTL + English LTR, Clinical Editorial design system (Sage / Cream / editorial-serif)
  • nginx 1.27 reverse proxy · CSP, HSTS, X-Frame-Options wired on the public TLS endpoint
  • 128 automated engine tests · 100% passing on the pre-pilot build

Compliance posture

  • PDPC (Egypt Law 151/2020) · consent management, data-subject rights, retention policies, cross-border transfer gating
  • HIPAA alignment · encrypted PHI at rest + in transit, access logs, break-glass with mandatory audit
  • DPA + SLA templates · available on request for pilot evaluations

Design system

A dedicated "Clinical Editorial" system — calm sage greens on cream, editorial serif pairings, zero bright reds except for critical patient-safety alerts. The design philosophy prefers trust and legibility over SaaS exuberance.

Brand materials in brand/ — logo.svg, logo-icon.svg, and brand/BRAND_GUIDE.md.

Four demo accounts (on pilot deployments)

Role Description
Admin Full administrative view, audit trail, patient roster
Radiologist Report authoring, DICOM viewer, state-machine transitions
Doctor (referring) Scoped-ACL view — sees only patients explicitly consented to them, per admin approval
Patient Owns study / report access, grants or revokes consent per practitioner

Pilot deployments publish these on a Cloudflare-tunnelled TLS host. Request access via abdarahman10555@gmail.com.

Related projects in the Nexus Zone ecosystem

What is NOT in this repository

The following live under commercial license and are shared under NDA for pilot discussions:

  • strategy/ — market validation, competitive analysis, Egyptian mid-market go-to-market
  • deck/ — 15-slide pitch, 36-month × 3-scenario financial model
  • sales/ — discovery questionnaire (30 Qs), proposal template, SOW, DPA (PDPC Law 151/2020 aligned), demo script, ROI calculator, pilot case-study framework
  • engine/ source — FastAPI code, DICOM SCP, HL7v2 parser, FHIR builders, auth stack, audit chain
  • Hospital-side integration playbooks

Contact

Abd Alrahaman Mohamed · founder & lead engineer abdarahman10555@gmail.com · github.com/61465

For pilot evaluations, DPA requests, or technical due diligence, email with "MEDNEXA pilot" in the subject.


Nexus Zone · Building serious healthcare software for the Arab world.

About

MEDNEXA — Egyptian healthcare integration platform. HIS × LIS × PACS wiring with HL7v2, FHIR R4, DICOM, PDPC-compliant audit (showcase).

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