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HQSwitzerland
IndustryMedTech
PartnershipSince 2024

Medgate App Telemedicine Software Development

Axon Active supports Medgate's telemedicine software development by scaling its flagship platform through a dedicated development team. The partnership combines Swiss project governance with consistent engineering capacity. The core team of seven engineers delivers across mobile development and quality assurance, ensuring steady progress on a platform used by insured patients across Switzerland and Germany.

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Telemedicine software development delivered by a dedicated engineering team for Medgate
About the client

Who Medgate is

Medgate is a Swiss pioneer in digital health, offering remote medical consultations and digital care pathways to patients across Switzerland and Germany. Its core offering is the Medgate App—a secure, mobile-first video consultation platform and a flagship example of Swiss healthcare software that enables insured members to book and conduct video consultations with licensed doctors and nurses at any time, day or night. The app replaces time-consuming in-person GP visits with efficient digital care, reducing wait times and travel while maintaining strict data privacy standards.

Built as a white-label mobile app, the solution supports multiple insurance providers through a single, unified codebase, reflecting Medgate’s approach to telemedicine software development and custom healthcare software development rather than relying on an off-the-shelf product. All patient and clinician interactions are synchronized with Medgate’s internal clinical platform, ensuring both parties work from the same live medical record. Axon Active’s team acts as an extension of Medgate’s engineering organization, helping deliver new features, maintain high availability, and support ongoing regulatory and quality commitments.

What we do

End-to-end telemedicine software development

The Axon Active team owns end-to-end telemedicine software development, including the development and maintenance of the Medgate App—a patient-facing React Native application that showcases its telemedicine app development capabilities, used daily by insured individuals across Switzerland and Germany. The app enables secure video consultations, appointment scheduling, digital prescription requests, and clinical documentation exchange. Every release is built to support white-label deployment under multiple insurance brands, using a shared codebase with configurable theming and routing logic.

Integration with Medgate’s internal clinical system ensures that all consultations happen within a single, up-to-date medical record, reducing duplication and clinical risk. The team works closely with clinical workflows to refine the user journey, ensuring usability for both patients and healthcare professionals in time- and context-sensitive scenarios.

Frontend & user experience

Through React Native development with the React Relay GraphQL client, the team delivers consistent, accessible interfaces across iOS and Android. The UI follows Swiss usability standards and Swiss medical accessibility guidelines, with careful attention to performance on varied network conditions—a requirement for users in rural areas. A dedicated QA engineer and UI/UX designer work alongside mobile developers to validate design changes and ensure new features meet Medgate’s strict usability and compliance standards before release.

React Native development for Medgate's cross-platform telemedicine mobile application

Infrastructure & delivery

The team contributes to delivery infrastructure and release workflows in close collaboration with the technical leadership team. Azure DevOps is used for building automation, test orchestration, and release tracking, while developers also extend and maintain CI/CD pipeline configurations to support application-specific workflows such as automated E2E testing.
Azure Communication Services powers the app’s real-time chat, while Twilio is used for video consultations. The overall architecture is designed to support high-concurrency scenarios during peak hours and maintain low-latency connections for teleconsultations. Releases are executed with staging gates, rollback strategies, and audit-ready logging, supporting healthcare compliance software requirements in the regulated healthcare sector.

Healthcare compliance software with Azure DevOps, CI/CD automation, and audit-ready releases
How we work together

Aligned Scrum delivery across distributed team

The Axon Active dedicated development team follows Scrum with two-week sprints aligned to Medgate’s delivery rhythm, with joint sprint planning, daily standups, and reviews conducted during defined collaboration windows with Swiss teams. Each sprint concludes with a working demo to ensure continuous visibility and validation against user needs.

The stable team setup builds strong domain familiarity over time, supported by structured account governance, regular planning coordination, and clear escalation paths. Azure DevOps is used for task management, sprint planning, and work item tracking across the development lifecycle, while Microsoft Teams enables day-to-day communication and collaboration.

Telemedicine software development enhanced by Claude for AI-assisted coding and documentation
AI-Augmented Development

AI-assisted engineering workflow

The team uses Claude as part of its AI-assisted software development workflow to support code generation, refactoring, debugging, technical research, and documentation. AI tools are also applied to accelerate feature implementation, improve testing scenarios, and assist in troubleshooting complex issues, helping engineers focus more on business logic and product quality. This approach enables faster development cycles, improved code consistency and maintainability, quicker PoC delivery, and more efficient knowledge sharing and onboarding across the team, supporting high-quality telemedicine software development.

Meet the team

Engineers on the engagement

Tardis
Tech stack

Technology stack and AI tools

ClaudeAzure AI SearchReact NativeExpo FrameworkReact RelayGraphQLZustandZodES ToolkitGifted ChatMaestroSentryFirebase MessagingMMKVMapsReanimatedVision CameraAzure DevOpsAzure Communication ServicesTwilio
In their own words
“The team has been an outstanding partner throughout. They don’t just execute — they think along with us, challenge assumptions, and bring valuable ideas to the table. The quality of deliverables is consistently high, and the team responds quickly and reliably to our requirements. Highly engaged, professional, and a pleasure to work with.”
Stefan Vogel
Head of IT Product Ownership · Medgate AG
Common questions

FAQs on mobile app development for telemedicine

How is the Vietnam team integrated with Medgate's engineering workflow?

The team works inside Medgate’s own tooling (Confluence, Azure DevOps), attends all ceremonies alongside Swiss colleagues, and follows the same definition of done. The nearshore model is not just geographical — it’s a structural integration designed for speed and alignment.

What does 2-week sprint delivery look like in practice?

Every sprint ends with a live demo to Medgate’s product lead. Stakeholder business team and compliance team. The team commits to scope in planning, validates progress daily, and reviews outcomes together in the sprint review — no waiting for quarterly cycles or off-cycle releases. 

How is compliance managed in a regulated healthcare environment?

Compliance is supported through structured processes and system design. Features are validated against defined requirements, and releases include audit logs and traceability. The team works closely with Medgate stakeholders to ensure that data handling and user interactions align with healthcare regulations and internal standards.

How do mobile, QA, and design roles collaborate within the team?

Collaboration happens within the same sprint cycle. UI/UX design, development, and QA activities are coordinated from planning through to release. Changes are reviewed together, ensuring that features meet usability expectations and functional requirements before being delivered.

How does the timezone model work between Vietnam and Basel, Switzerland?

Vietnam (UTC+7) and Basel (CET/CEST) share ~4 hours of daily overlap — usually in the morning. This window is reserved for sync ceremonies and decisions. Outside it, teams rely on async communication: updated status reports, and clearly marked urgent items in the sprint board.