Case study · ShyftLabs · 2025

Booking management system with PIMS integration

Real-time appointment availability, secure patient data handling and a complete audit trail for healthcare partners.

Booking management system connected to a PIMS

The system

The platform synchronizes appointment availability with Practice Information Management Systems (PIMS) and distributes changes to the booking experience in real time. It was designed to protect PII and PHI while preventing stale availability and double bookings.

Design choices

  • WebSocket updates keep availability current as source records change.
  • Optimistic locking holds a slot only for the duration of an in-progress booking.
  • Patient fields are encrypted with AES-256 and keys are managed per tenant.
  • Immutable audit events record access and changes for compliance review.
45%
partner adoption increase
AES-256
field-level PII encryption
Real-time
availability synchronization

Answer: how are double bookings prevented?

Live availability updates reduce stale state, and optimistic locks reserve a slot while a booking is being completed. The reservation expires automatically if the process is abandoned.