SXN Labs
Client cases

ORIGAMI: modernization and interconnection hub for SOS Médecins

Client

SOS Médecins

Period

Since January 2012

Technologies

Ruby on Rails PostgreSQL

In 2012, SOS Médecins Brest faced an outdated interface and siloed tools that hindered their emergency care mission. Their system allowed no communication with the surrounding medical ecosystem, generating critical time losses and error risks.

ORIGAMI transformed their way of working: this custom solution allowed them to handle 30% more patients from the first year, without additional staff. The software established itself as an interconnection hub at the heart of the Brest healthcare ecosystem, communicating in real-time with analysis laboratories, ambulance services, SAMU, IVS for epidemiological monitoring, and Social Security teleservices.

2x

Bozec Animation

moins de temps passé

pour la création d'une facture

1 mois

SOS Médecins

ETP economisé sur le calcul

des rétrocessions chaque année

Context before the project

Before 2012, SOS Médecins relied on internal software developed several years earlier. This tool no longer met the requirements of an organization that must continuously manage calls, emergencies, and home visits.

Its aging interface complicated handling and slowed down secretaries daily. Each action required multiple clicks or windows, without an overview of ongoing activity. The software offered no map to visualize doctor distribution in the city or real-time visit tracking.

Teams were therefore forced to operate with phone calls and additional dashboards to know which doctor was available. Payment and commission management relied on tedious manual calculations, sources of time loss and error risks. Finally, managers lacked statistical tools to manage activity, measure visit volumes, or anticipate needs.

Project objectives

To remain efficient and meet growing patient expectations, SOS Médecins needed modern software capable of:

  • Streamlining medical coordination through real-time mapping of doctors and interventions.
  • Reducing administrative burden by automating billing, commission calculations, and file management.
  • Providing clear activity visibility through advanced search tools and multi-criteria statistics.
  • Ensuring medical interoperability with the health ecosystem (SAMU, laboratories, Social Security).
  • Anticipating regulatory changes (SÉGUR program, ANS services, Claude Bernard database) to ensure compliance and software sustainability.

The implemented solution

Since 2012, ORIGAMI has been developed from scratch to meet SOS Médecins' specific needs. The software is now a mature and robust solution, capable of handling up to 400 calls per day during peak periods with 6 doctors operating simultaneously in the field and 2 to 3 operators in offices.

Real-time medical coordination

  • Dynamic mapping of visits and doctors, with automatic geocoding and route optimization
  • Real-time architecture ensuring instant synchronization between all workstations
  • Secure messaging internal and external (MSSanté) for communication with patients and between healthcare professionals

Administrative automation

  • Automatic commission calculation, saving the equivalent of one month of work per year
  • Automated generation of medical documents (sick leaves, certificates, prescriptions)
  • Direct patient identification with Social Security teleservices

Interoperability and compliance

  • SAS (Healthcare Access Service) integration from SAMU via HL7/FHIR API
  • Automatic analysis retrieval from laboratories via SFTP/MSSanté
  • HDS hosting with encrypted and replicated database to guarantee health data security
  • SÉGUR compliance : INSi teleservice for patient identification, progressive Claude Bernard database integration

Management and analysis

  • Advanced search engine multi-criteria across the entire patient database
  • Statistical dashboards to analyze activity (doctor, type of procedure, period, geographical area)
  • Data export for mandatory declarations and epidemiological monitoring (IVS)

Results achieved

Key performance indicators

+30%

patients handled from the 1st year

1 month

of work saved per year on administrative tasks

400

calls/day handled during peak periods

100%

compliance with HDS security standards

The implementation of ORIGAMI transformed the organization of SOS Médecins Brest. The migration, carried out via a data recovery script followed by a complete switchover, was performed without service interruption or double-run period.

Doctors benefit from better coordination thanks to the real-time map and integrated communication tools. Automatic medical document generation accelerates consultations while improving traceability.

Managers have precise indicators to manage activity: multi-criteria statistics, call volume tracking, workload analysis by doctor. This vision allows optimizing schedules and anticipating needs during high activity periods.

Testimonial

From October 2012 to July 2014, Nathan Le Ray changed the configuration of the ERP of an Emergency Medical Service. Every year, its dedicated call centre centralizes around 70000 phone calls leading to around 45000 medical home visits. These calls are made in urgent circumstances or in the absence of a treating doctor.

In a secure WebApp format, the ERP provides a classical feedback system of the patients’ files (available on site or on the doctors’ smartphones), a real-time geolocation of the ongoing or planned visits (either locally or accessible via smartphones), an internal mail server, a complete asset accounting module, a controlled access of the medical data transmission from the outside, a statistics module of the activities, a medical appointment schedule, which would allow a better management of future customer activities, as well as a simple and user-friendly admin interface.

While restructuring the tool since 2008, the result of some previous projects, Nathan Le Ray, who was 20 years old at that time, has been able to reconsider the whole project. He assessed the ergonomic needs of the different users (telephone operators, doctors, the administrator and the accountant). He took part in the drafting of the specifications. He explained the technical choices he could make. He included an outsourced backup solution. He anticipated the older database recovery. He adapted to the local network configuration. The contract also included the fact that he would put the project into production, which he did on July 21st 2014.

In short, beyond his efficient technical command, Nathan Le Ray proved to show a deep understanding of the customer needs as a whole.

Evolution and roadmap

ORIGAMI continues to evolve to support SOS Médecins' needs and remain compliant with national standards. The 2025 roadmap includes:

  • Finalizing SÉGUR integration : complete deployment of Claude Bernard database for drug safety
  • New facility integration : adding management of multiple sites by the same call center

This evolutionary approach ensures the software remains a strategic lever to improve patient service quality while optimizing medical organization.

Conclusion

ORIGAMI's success illustrates our conviction: custom software, designed with and for business users, becomes a competitive advantage rather than just a tool. This approach, combined with our 15 years of technical expertise in developing critical applications, ensures robust and scalable solutions.

For SOS Médecins, technology simplified medical practice while significantly improving patient care. It's this same approach we offer our SME clients: transforming your business processes into sustainable competitive advantages.