The latest articles on DEV Community by MattyIce (@mattyice2030). https://dev.to/mattyice2030 https://media2.dev.to/dynamic/image/width=90,height=90,fit=cover,gravity=auto,format=auto/https:%2F%2Fdev-to-uploads.s3.amazonaws.com%2Fuploads%2Fuser%2Fprofile_image%2F3701166%2F95cbb6bc-4381-4d25-a5db-2328f1e73786.png https://dev.to/mattyice2030 en MattyIce Thu, 08 Jan 2026 20:09:59 +0000 https://dev.to/mattyice2030/architecting-rx-gated-e-commerce-with-emr-integration-best-path-for-authorize-only-payments-and-526l https://dev.to/mattyice2030/architecting-rx-gated-e-commerce-with-emr-integration-best-path-for-authorize-only-payments-and-526l <p><strong>How would you architect an e-commerce build for a longevity clinic given the following requirements?</strong></p> <p>Some SKUs require a prescription (including injectables), others are OTC, plus memberships and subscription packages.</p> <p>The critical requirement is medical review prior to final payment capture for Rx-required SKUs.</p> <p><strong>High-level flow:</strong></p> <ul> <li>Customer places an order.</li> <li>If the cart contains any Rx-required SKU, we must authorize the payment but not capture it.</li> <li>A medical-risk assessment (rules-based binary decision model) runs using clinic-supplied thresholds and patient context.</li> </ul> <p><strong>Outcomes:</strong></p> <ul> <li>Approved: capture payment and fulfill.</li> <li>More action required: hold authorization, trigger telehealth consult scheduling within 7 days, clinician manually approves or denies, then capture or void/refund.</li> </ul> <p><strong>Architecture pathways</strong></p> <ol> <li>Custom or headless commerce with a middleware orchestration service (order state machine, rules engine, integrations).</li> <li>WooCommerce (self-hosted) with custom plugins for Rx gating, rules engine integration, and EMR sync.</li> <li>Split model: non-Rx storefront plus Rx enrollment portal (eligibility first, then charge), to reduce commerce platform policy risk.</li> <li>An alternative architecture pathway not yet considered?</li> </ol> <p><em><strong>Which architecture is most robust for authorize-only then capture after clinical approval, especially with telehealth escalation and manual overrides?</strong></em></p> discuss architecture softwaredevelopment softwareengineering