Technical overview
Doorcta is the telehealth layer of the Fastclinic ecosystem. The promise is simple: a Nigerian patient with a clinical question should be talking to a verified doctor in under 30 seconds — with a credit ledger that never double-charges, a record that is never lost, and a triage step that escalates a red flag faster than the platform asks for confirmation.
Every intake is triaged for urgency before a doctor is matched, and triage is one-way — it can raise urgency but never lower it. A deterministic safety check for red-flag symptoms such as chest pain, breathlessness, or signs of stroke runs first and can force an emergency escalation on its own. The assistant never diagnoses and never prescribes — those guardrails are non-negotiable — and every step it takes is logged.
When a patient requests care, Doorcta doesn't grab the first available doctor — it scores eligible, verified, online doctors on specialty fit, rating, responsiveness, and current load, then reassigns quickly if a doctor doesn't respond. A consultation reserves a credit when matching starts and only charges it when the consult actually happens; if the match fails or the patient cancels, the hold is released — so a patient is never charged for care they didn't receive.
Doctor notes and prescriptions are written straight into OneHealth, the patient's single encrypted record surface — Doorcta keeps no medical records of its own, so a patient's clinical history isn't scattered across every app that touched it. Consultations happen over encrypted video, and the realtime connection is what makes the under-30-seconds promise possible.
The NDPA 2023 governs every piece of personal data, the data controller is Fastclinic Limited (RC 1919428), and everything runs within African data residency. Doctors never self-onboard into the live pool: they submit their MDCN registration, a government ID, and a liveness check, and stay invisible to the matcher until those checks pass. The result is a Nigerian-context telehealth product that doesn't fragment the patient's data, doesn't double-charge, doesn't skip triage, and doesn't put an unverified clinician in front of a sick person.