How to build a HIPAA-compliant telehealth app with Telescopes, AWS...

Creating a HIPAA-compliant, scalable telehealth app is challenging—especially when healthcare signal security is a top concern. In this article, we'll show how we built a telehealth solution using Telescopes, AWS Chime, and Expo, and why we rebuilt our AWS Chime integration for better reliability and compliance.
- Why Telescope is a strong backend for telehealth
- Why we rebuilt AWS Chime integration
- How we used Expo for mobile
- Patient journey (in testing)
Why Telescope is a strong backend for telehealth
Telescope offers a flexible, scalable backend that empowers teams to build modern patient experiences with real-time video and secure data flows.
- HIPAA-compliant authentication
- Real-time video and chat
- Customizable patient flows
- Easy integration with AWS Chime
Why we rebuilt AWS Chime integration
AWS Chime is a robust video conferencing solution. We rebuilt our integration to use Amazon Chime SDK and Expo Modules API. This approach allowed us to:
- Automate user and session creation
- Reduce code complexity
- Improve reliability and testability
Building the integration using Expo and AWS Chime
We built a custom React Native module to connect with AWS Chime, using Expo Modules API. The patient journey is as follows:
- Patient receives a link and joins the call
- Authentication and video start
- Session is recorded and stored securely
Patient Journey (in testing)
The patient and clinician share a single session link for video calls. The call is started, authenticated, and recorded. We're currently testing this flow with select partners.

*This is a demonstration image and interface. Actual telehealth sessions are securely encrypted and HIPAA-compliant. For more, see our security page.
Why AWS Chime is still a solid video solution for healthtech
Based on our tests of AWS Chime and Telescope, we found the following benefits for healthtech teams:
- HIPAA-compliant video and chat
- Flexible patient and provider workflows
- Scalable backend powered by Telescope
Future improvements and opportunities for healthtech teams
The healthtech landscape is evolving quickly. In coming months, we'll continue to improve our telehealth solution and share more technical details in future posts. Stay tuned!