OVERVIEW
National Organ and Tissue Transplant Organization (NOTTO)
CLIENT
National Organ and Tissue Transplant Organization (NOTTO) is a national-level institution functioning under the Ministry of Health and Family Welfare, Government of India. NOTTO is entrusted with the critical task of establishing and overseeing a centralized system for organ and tissue donation and transplantation in India. With regional (ROTTOs) and state-level (SOTTOs) subsidiaries, NOTTO plays a pivotal role in managing the demand-supply gap and quality assurance in organ and tissue availability.
OBJECTIVE
The primary objective of the project was to develop and implement a unified digital solution NOTTO 2.0 to :
- Integrate with National Digital Health Mission (NDHM) components such as Health ID, HFR, and HIP.
- Enhance stakeholder engagement including citizens, hospitals, NGOs, and government bodies.
- Improve awareness and accessibility for both the public and medical institutions.
- Enable automated, transparent, and equitable organ/tissue allocation.
- Digitize and streamline organ and tissue donation workflows.
WORK FLOWS
DATA COLLECTION AND STANDARDIZATION
- Multi-tier registration system for stakeholders: Citizens, Hospitals, NGOs, SOTTOs, and ROTTOs.
- Sub-databases creation for:
- Patient and donor demography
- Transplantation status
- Organs and tissues
- Allocation records
- Integration with national registries and systems via APIs to ensure data harmonization and reliability.
DATA PROCESSING AND FLOW
- Automated organ/tissue allocation using predefined, approved criteria with minimal human intervention.
- Role-based access for viewing and managing allocation, pledging, and registration data.
- Dynamic data update mechanism to maintain live waiting lists.
- Post-transplantation tracking for medical audits and reporting.
TECHNOLOGY STACK
To ensure scalability, performance, and compliance, the following modern, open-source technologies were employed:
| Layer | Technologies |
|---|---|
| Front-End | React.js |
| Back-End | Java 11 (Spring Boot), Python (batch jobs) |
| Databases | MongoDB, PostgreSQL, Redis (in-memory) |
| DevOps | Docker, Kubernetes |
| Legacy Migration | SQL Server to PostgreSQL |
| Security & Compliance | Penetration Testing, STQC/CERT-IN certification, Data Privacy Audits |
RESULTS ACHIEVED
- NOTTO 2.0 Application and Website launched, meeting all milestone deadlines (Aug Oct 2023).
- Transaction handling capacity 10,000/sec with average response time <150 milliseconds.
- 50,000+ concurrent users supported under peak load scenarios.
- Stakeholder Modules Delivered:
- Public Dashboard, IEC Management, Grievance Redressal, and Chatbot.
- Pledge, Living Donor, Deceased Donor, Recipient Management
- Hospital & NGO Registration.
- Integrated with ABDM ecosystem, maintaining backward compatibility and NDHM compliance.
- Successfully conducted UAT, QA, and Penetration Testing.
- End-to-end CI/CD pipelines with 90%+ code coverage and full deployment automation.
- Milestone-based payments totalling ₹90 Lakhs INR, delivered on schedule.
| Problem Area | Solution by Aieze | Result Achieved |
|---|---|---|
| Data Silos and Inconsistency | Unified data model & integration with Health ID & HFR | Centralized and accurate database |
| Manual Allocation & Delays | Digitized auto-allocation engine | Reduced organ/tissue allocation time by 70% with increased transparency |
| Stakeholder Disengagement | Increased hospital and NGO participation across states | Increased hospital and NGO participation across states |
| Limited Public Access | Pledge registration, waitlist status, chatbot, and grievance redressal | 24/7 citizen engagement and self-service capability |
| Legacy Infrastructure | Scalable tech stack (Java, React, Redis, MongoDB) | 99.99% uptime with 150ms response time |
| Security & Compliance Gaps | Security audits, compliance reporting, UAT | CERT-IN readiness and policy alignment |
| Poor User Experience | UX overhaul of NOTTO web platform | Improved stakeholder satisfaction and usage rates |
Problem → Solution → Result
Problem:
Data Silos and Inconsistency
Solution:
Unified data model & integration with Health ID & HFR
Result:
Centralized and accurate database
Problem:
Manual Allocation & Delays
Solution:
Digitized auto-allocation engine
Result:
Reduced organ/tissue allocation time by 70% with increased transparency
Problem:
Stakeholder Disengagement
Solution:
Increased hospital and NGO participation across states
Result:
Increased hospital and NGO participation across states
Problem:
Limited Public Access
Solution:
Pledge registration, waitlist status, chatbot, and grievance redressal
Result:
24/7 citizen engagement and self-service capability
Problem:
Legacy Infrastructure
Solution:
Scalable tech stack (Java, React, Redis, MongoDB)
Result:
99.99% uptime with 150ms response time
Problem:
Security & Compliance Gaps
Solution:
Security audits, compliance reporting, UAT
Result:
CERT-IN readiness and policy alignment
Problem:
Poor User Experience
Solution:
UX overhaul of NOTTO web platform
Result:
Improved stakeholder satisfaction and usage rates
CONCLUSIONS
Through its strategic services and technology-driven approach, Aieze Vertex Pvt. Ltd. empowered NOTTO to emerge as a digitally mature, secure, and citizen-centric national platform for organ and tissue transplant management. The project not only modernized India's health infrastructure in this domain but also set a new benchmark for how government healthcare services can be delivered efficiently, ethically, and transparently.
