drtalk is a US healthcare platform built entirely on .NET 8 and Azure. The backend handles secure video consultations, real-time messaging via SignalR, appointment scheduling, clinical data management, and payment processing through Stripe.
The architecture uses microservices where it matters and a modular monolith for the core domain logic. Cosmos DB for core practice and patient data, Azure Service Bus for async processing, and Application Insights for monitoring. Six years in production, same core team. Six years of continuous .NET development by a blended team: Australian architecture leadership with senior Philippines-based .NET engineers.
- 6+ years
- in production
- .NET 8
- current version
- Azure
- cloud platform
- $1.5M+
- saved in dev costs
