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Cloverhealth·Software Engineer·Onsite - System Design / Architecture·Intermediate

Intermediate
Jun 2026

Summary

Cloverhealth had me do a 90-minute system design and coding round for a Software Developer role, all focused on building out Django models and REST APIs for a healthcare scheduling system. Pretty domain-heavy for a single session, and the constraints stacked up fast.

Questions Asked (3)

Q1

Design the Django ORM data models for a healthcare appointment-scheduling system, covering hospitals, doctors, patients, availabilities, and appointments, including all relevant relationships and constraints.

Data ModelingSystem DesignTechnical Trade-offs
Author's notes

The separation between Users and Patients tripped me up early.

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AI HintsAI Generated

Suggested Approach

Start by clarifying core entities and their relationships, then define each model with appropriate fields and constraints. Emphasize how you handle scheduling conflicts and data integrity, and discuss trade-offs like using a separate Availability model versus embedding schedules.

Pro tip: Mention that you would add database-level constraints (e.g., unique together on doctor and appointment time) to prevent double-booking, and consider using Django's CheckConstraint for validating appointment times. This shows attention to data integrity beyond basic model definitions.

1. Identify Entities and Relationships

List the main entities: Hospital, Doctor, Patient, Availability, Appointment. Define relationships: Hospital has many Doctors, Doctor has many Availabilities, Patient has many Appointments, Doctor has many Appointments, Appointment links Patient and Doctor.

2. Define Models with Fields and Constraints

For each model, specify key fields (e.g., Doctor: name, specialty, hospital FK; Availability: doctor FK, start_time, end_time; Appointment: patient FK, doctor FK, start_time, end_time, status). Add constraints like unique_together for doctor and start_time to prevent overlaps.

3. Handle Scheduling Logic and Validation

Explain how to ensure appointments fall within availability and avoid double-booking. Use model validation or database constraints, and discuss potential race conditions and solutions like select_for_update.

4. Discuss Trade-offs and Scalability

Compare approaches: separate Availability model vs. recurring schedules; using time slots vs. flexible ranges. Mention indexing for performance and considerations for time zones.

Key Points to Mention

  • Use of ForeignKey and ManyToManyField for relationships (e.g., Hospital-Doctor, Doctor-Patient through Appointment).
  • Database constraints: unique_together on (doctor, start_time) to prevent double-booking; CheckConstraint for end_time > start_time.
  • Handling time zones with Django's timezone support and storing UTC.
  • Indexing on frequently queried fields like doctor, start_time, and patient.
  • Soft deletion or status fields for appointments (e.g., scheduled, cancelled, completed).
  • Consideration of recurring availabilities and how to model them efficiently.

AI-generated suggestions, not part of the candidate's original notes. May be inaccurate — verify before relying on them.

Q2

Design REST API endpoints that allow users to view availabilities and appointments filtered by date, doctor, and hospital, create a doctor's availability for a given date and hospital, and schedule an appointment within an existing availability.

API & IntegrationsSystem DesignData Modeling
Author's notes

Scoping the endpoints wasn't too bad, but I fumbled a bit on the validation logic for scheduling.

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AI HintsAI Generated

Suggested Approach

Start by clarifying requirements and constraints, then design resource-oriented endpoints with proper HTTP methods and status codes. Focus on data modeling for availabilities and appointments, including filtering, validation, and concurrency handling. Finally, discuss scalability, security, and error handling.

Pro tip: Emphasize idempotency and concurrency control for scheduling appointments to prevent double-booking, and use consistent naming and pagination for list endpoints. Show awareness of real-world constraints like time zones and authorization.

1. Clarify Requirements and Scope

Ask questions to understand expected scale, authentication, authorization, and specific filtering needs. Confirm whether availabilities are recurring or single-date, and how appointments relate to availabilities.

2. Design Resource Endpoints

Define RESTful endpoints for availabilities and appointments using nouns and proper HTTP methods. Include query parameters for filtering by date, doctor, and hospital, and use sub-resources where appropriate.

3. Model Data and Relationships

Describe the data schema for doctors, hospitals, availabilities, and appointments. Highlight key fields, foreign keys, and constraints to ensure data integrity and support efficient queries.

4. Handle Scheduling and Concurrency

Explain how to create an appointment within an availability, including validation that the slot is free and concurrency control (e.g., optimistic locking or transactions) to prevent double-booking.

5. Address Non-Functional Concerns

Discuss error handling, status codes, pagination, security (authentication/authorization), and scalability considerations like caching and database indexing.

Key Points to Mention

  • Use of proper HTTP methods and status codes (e.g., GET for retrieval, POST for creation, 201 Created, 409 Conflict).
  • Filtering via query parameters (e.g., /availabilities?date=2025-04-01&doctorId=123&hospitalId=456).
  • Data model: Availability has doctorId, hospitalId, date, startTime, endTime, and status; Appointment references availabilityId and patientId.
  • Concurrency control: Use transactions or optimistic locking to prevent double-booking when scheduling appointments.
  • Validation: Ensure appointment falls within availability, doctor and hospital match, and no overlapping appointments.
  • Security: Implement authentication and authorization (e.g., only doctors can create availabilities, patients can book).

AI-generated suggestions, not part of the candidate's original notes. May be inaccurate — verify before relying on them.

Q3

How would you enforce that a doctor's availability can only be created within the hospital's operating hours, and that appointments must start on the hour with no overlapping bookings?

Technical Trade-offsAPI & IntegrationsSystem Design
Author's notes

Honestly the trickiest part of the whole thing.

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AI HintsAI Generated

Suggested Approach

Start by clarifying the requirements and constraints, then propose a layered validation strategy that enforces rules at the API, domain, and database levels. Discuss trade-offs between strict enforcement and flexibility, and mention how to handle edge cases like time zones and concurrent requests.

Pro tip: Emphasize that validation should be centralized in the domain layer to avoid duplication, and use database constraints as a safety net for race conditions. Also, consider how to handle exceptions gracefully and provide clear error messages to users.

1. Clarify Requirements and Assumptions

Ask about hospital operating hours (are they fixed or variable?), time zone handling, and whether appointments can span multiple hours. Confirm if doctors can have different availability than hospital hours.

2. Design Validation Layers

Propose validation at multiple levels: API input validation (e.g., start time on the hour), domain logic (check against hospital hours and overlapping), and database constraints (unique indexes, exclusion constraints) to prevent race conditions.

3. Implement Domain Logic

Create a service or domain method that checks: 1) appointment start time is within hospital operating hours, 2) start time is on the hour, 3) no overlapping appointments for the doctor. Use transactions to ensure consistency.

4. Handle Concurrency and Edge Cases

Discuss using database locks or optimistic concurrency control to prevent double-booking. Consider time zone conversions, daylight saving time, and how to handle cancellations or rescheduling.

5. Discuss Trade-offs and Alternatives

Compare enforcing rules strictly vs. allowing overrides for emergencies. Mention performance implications of complex queries and potential caching strategies for hospital hours.

Key Points to Mention

  • Use of database constraints (e.g., exclusion constraints in PostgreSQL) to enforce non-overlapping appointments.
  • Time zone handling: store times in UTC and convert to local for validation.
  • Centralized validation in the domain layer to avoid duplication across API and UI.
  • Concurrency control: use transactions with appropriate isolation levels or optimistic locking.
  • Error handling: return clear, actionable error messages to the client.
  • Flexibility: consider configurable hospital hours and exceptions for special events.

AI-generated suggestions, not part of the candidate's original notes. May be inaccurate — verify before relying on them.