DeepTek Medical Imaging · Software Engineer
Updated · 2026-09-24

DeepTek Medical Imaging Software Engineer
Interview Questions & Guide 2026

THE 60-SECOND BRIEF

As a Software Engineer at DeepTek Medical Imaging, you are at the intersection of advanced artificial intelligence and healthcare innovation. You will be responsible for building, maintaining, and scaling the software infrastructure that powers medical imaging solutions, directly impacting how clinicians diagnose and treat patients globally. Your work involves translating complex medical data into actionable insights, ensuring high availability, and optimizing performance for mission-critical applications.

Treat capacity estimation as a conversion skill rather than a table to memorise: turn a user count and an action rate into requests per second and bytes per day, then name the component that number breaks first. The figure only matters if it changes the design.

DeepTek Medical Imaging candidates report 3 rounds · ≈ 3-5 weeks. The stages below are what candidates describe, not a published process.

Make HL7 and X12 ingestion idempotent under replayAuthorise every identified read against current consentVersion clinical results instead of updating rows in place

43 min read

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See the practice prompts

14Practice promptsAcross five skill areas
3With worked solutionsIncluded in the practice prompts

As a Software Engineer at DeepTek Medical Imaging, you are at the intersection of advanced artificial intelligence and healthcare innovation. You will be responsible for building, maintaining, and scaling the software infrastructure that powers medical imaging solutions, directly impacting how clinicians diagnose and treat patients globally. Your work involves translating complex medical data into actionable insights, ensuring high availability, and optimizing performance for mission-critical applications.

This role requires a blend of deep technical expertise and a product-focused mindset. You will work within agile, high-performing teams to solve challenging engineering problems, ranging from backend service architecture to efficient database management. Whether you are optimizing a notification system or designing robust APIs, your contributions are central to DeepTek Medical Imaging’s mission to make medical imaging more accurate and accessible.

01

Technical Fundamentals Assessment

reported

Input bounds are the part of the prompt most often skimmed, and they usually contain the answer. They tell you which complexity class is admissible, which narrows the search before you have thought about the problem itself. As a rough planning figure, a compiled language does on the order of 10^8 simple operations per second and an interpreted one roughly an order of magnitude less. So n up to about twenty admits enumerating subsets, a few thousand admits a quadratic pass, and a million admits neither: you need near-linear, or linear with a log factor. If the bounds are missing, ask for them.

What to demonstrate

  • Whether the approach is justified by the stated input size rather than by whichever pattern you recognised first
  • Whether you ask about the properties that change the algorithm: whether the input arrives sorted, whether duplicates occur, whether values are bounded integers, whether it all fits in memory
  • Whether you can name the bottleneck in your own solution and what would remove it, even when you deliberately leave it in place
  • Whether a claimed speedup is real, since memoising a recursion only helps when subproblems genuinely overlap and the state can be keyed cheaply

How to prepare

  • For each algorithm you rely on, write down the largest n it handles in roughly a second, then check two of those figures by timing them in the language you will actually type in
  • For two weeks, write one line naming your target complexity and the bound that justifies it before you write any code, then compare that line with what you ended up submitting
  • Practise the conversion backwards: given a required O(n log n), list the mechanisms that get you there (sorting, a heap, an ordered map, divide and conquer) and choose by what the problem needs to query, not by what you used last
PracHub interview research ↗
02

Practical Engineering Scenarios

reported

You cannot drill a format you do not know, so put the preparation into material that travels. Three pieces of your own work, each rehearsed until you can take a follow-up you did not anticipate, will carry a conversation or a code walkthrough equally well. Specificity is what separates that from filler. A number needs its definition before it means anything: a p99 is over some window and measured at some hop, and a server-side figure excludes the queueing and network time a client would see. The number you cannot qualify is the one to leave out.

What to demonstrate

  • Whether your examples carry detail only someone who did the work would hold, such as what the binding constraint actually was, which alternative you rejected and why it was worse, and what you measured on each side of the change
  • Whether a number survives one follow-up, meaning you can say what it was measured over and whether it moved because of your change or merely alongside it
  • Whether a failure is described with the specific change that followed it, rather than a lesson stated in general terms
  • Whether your part in a team effort is stated accurately, including what other people did

How to prepare

  • Write a page on each of three projects covering the constraint, the option you rejected, the measurement before and after, and what went wrong. Cut any line you cannot take a follow-up on, since you are writing the parts you will be pressed on rather than a summary.
  • Recover the real figures while you still have access: request volume, data size, latency with its percentile and window, team size, timeline. Note where each came from, whether a dashboard, a design document or memory, and mark the estimates so you can say which they are out loud.
  • Take your weakest project story to someone who works in a different area and have them ask why four times in succession. The point where you run out of answer is the part to go and re-read before the round.
PracHub interview research ↗
03

Project Discussions

reported

When a round has no standard shape, it is often there because something is still open: an area no earlier conversation reached, a round where the signal came out mixed, or a decision someone is not ready to make alone. Work out which by going back over what each earlier round actually covered rather than how it felt, and arrive able to give evidence on that point without being asked twice. Weak answers replay the loop's earlier material at the same depth. Strong ones go a level deeper and stay consistent with what you already said.

What to demonstrate

  • Whether your account of a project matches the one you gave earlier in the loop, since what you said before may be available to whoever runs this round
  • Whether you can go a level deeper on something already covered, reaching the decision and its alternatives rather than repeating the summary
  • Whether you state your own uncertainty accurately, including parts of a system you did not build and decisions you inherited, instead of claiming even ownership across all of it
  • Whether you can answer a question you handled poorly earlier by naming what you missed, rather than delivering a polished second version as if the first had not happened

How to prepare

  • Reconstruct the loop on one page: for each round, the questions you were asked and the answer you actually gave, not the better one you thought of afterwards. The gaps on that page are your best available guess at why this round exists.
  • Take the two claims you made earlier that carry the most weight and assemble the backing for each: the measurement, the date, what broke, the decision you would make differently now.
  • Write down the three facts about your work that must not drift between tellings, such as team size, timeline and your own role, and check your stories against that list rather than trusting recall under pressure
PracHub interview research ↗

PracHub editorial advice for the preparation topics above.

01

Writing the access audit record inside the read transaction, or firing it off after the response with no durability.

Inside the transaction, an audit-store outage blocks clinical reads and turns a logging dependency into a care outage. Fire-and-forget afterwards means the audit trail is incomplete during precisely the incidents it exists to reconstruct, and the gaps are invisible until someone asks for the log. The usual resolution is committing the access decision and its audit row together to a local outbox and shipping asynchronously, which keeps the read path available while preserving durability.

02

Storing monetary amounts as floating-point numbers.

Binary floating point cannot represent values like 0.10 exactly, so summing allowed and paid amounts across millions of claim lines accumulates representation and rounding error. Reconciliation against a remittance file is exact to the cent, so the drift surfaces as a balance that is off by a few cents with no identifiable cause, and engineers lose days looking for a logic bug in code that is correct apart from its numeric type. Integer minor units or an exact decimal type removes the class entirely.

03

Never running a concrete value through the code

Trace one small input and one edge input by hand, index by index, out loud. Re-reading your own code catches design mistakes; walking a real value through it catches the off-by-one, the uninitialised accumulator and the loop that never advances.

04

Hardcoding to the sample inputs

Solve the stated problem rather than the two examples; special-casing a literal to make a sample pass is obvious immediately and reads as either a misunderstanding or an attempt to fake progress. If you genuinely cannot generalise yet, say which part is a stub and what would replace it.

Choose a category, try a prompt, then open its approach, worked solution or follow-up when you need it.

11 technical prompts3 include a worked solution

Merge twelve resource streams into one patient summary page

mediumWorked solution
k-way mergeheappagination

A patient summary fans out to between 8 and 12 resource types. Each returns a network-backed, paged iterator of resource versions sorted by issued_ts descending, up to 200,000 versions per type for one person. Return the 50 most recent current versions across all types, where current means no later version supersedes it within the same logical resource, and a logical resource whose current version is entered_in_error is omitted entirely. You may not materialise the iterators. Give time and space in terms of k types, the result size and the page size.

Approach
  1. k-way merge with a max-heap holding one head per iterator, keyed on issued_ts. Seeding is O(k), each pop is O(log k), so reaching R emitted rows costs O(k + P log k) for P pops, with O(k) heap space plus one page buffered per iterator. Fetching everything and sorting is O(V log V) over V up to 2.4 million versions and drags every page across the network to produce 50 rows.
  2. Suppress with a hash set of logical resource ids already seen, recorded on first sight whether or not that version is emitted. A logical resource has exactly one resource type, so all of its versions arrive on one iterator, and that iterator is descending in issued_ts: the first version you see for a logical resource is its newest. Deciding on first sight and suppressing every later pop for that id is therefore correct in one pass with no lookahead.
  3. Count emits, not pops. A correction-heavy chart can burn many pops per emitted row, so a loop that stops at 50 pops returns a short page. Put a bound on total pops as well, and when it trips, return what you have with a continuation token rather than spinning.
  4. Break issued_ts ties deterministically on (resource type, resource id). Without it two identical requests return two different orderings and the next page silently skips or repeats rows.
  5. Handle entered_in_error at first sight: the erroneous version still supersedes its predecessor, so record the id in the seen set and emit nothing, dropping the whole logical resource instead of falling back to the value it replaced. Recording it is the load-bearing half. Skip it and the next pop re-displays the value a clinician already retracted.
  6. Summarise the budget honestly: the composite p99 is what the user feels, and it is bounded below by the slowest of the k iterators, so the merge fixes the ordering cost but not the fan-out tail.
Worked solution 25 min
  1. Seed the heap with the head of each iterator and an empty emitted-id set.
  2. Pop the maximum by issued_ts, push that iterator's next head, and check the logical resource id against the set.
  3. On first sight record the id, then emit unless that version is entered_in_error; on a repeat sight suppress. Stop when emits reach the target.
  4. Return the rows plus a continuation token carrying the last (issued_ts, type, id) tie-break tuple.
EXPECTED RESULTThree streams: labs hold A2 at 10:05 which supersedes A1 at 09:00, plus B1 at 08:30; medications hold C1 at 09:30; encounters hold D1 at 10:01. Asking for three rows emits A2, D1, C1 in three pops. Asking for four takes five pops: the fourth pop is A1, suppressed because logical resource A was already seen, and the fifth is B1, emitted. Now mark A2 entered_in_error: asking for three rows takes those same five pops but emits D1, C1 and B1, because the A2 pop records logical resource A and emits nothing, and the A1 pop is then suppressed rather than resurrecting the 09:00 value.
Follow-up
  • One of the twelve iterators has a p99 of 400ms while the rest return in 20ms. What is your composite p99 and what would you change first?
  • The user pages to rows 51 through 100. How do you resume without re-reading from the top, and what breaks if issued_ts is not unique?
  • One resource type is accidentally returning ascending order. How would your code detect that rather than quietly emitting the oldest rows?

Resolve enterprise identity from a link log that supports unmerge

hard
union-findrollbackidentity resolution

person_identity_link holds link_id, enterprise_person_id, assigning_authority, source_person_id, match_score, link_status (auto_linked, manual_linked, potential_duplicate, unlinked, rejected), version, superseded_by_link_id, decided_by, decided_at. You have up to 40 million source identities and 60 million decisions applied in decided_at order. Build a structure answering which enterprise identity a given (assigning_authority, source_person_id) resolves to after any prefix of the log, and supporting a revert of the k most recent merges at O(1) each. State the query complexity, and say why path compression is unavailable to you.

Approach
  1. Intern the node key as the pair (assigning_authority, source_person_id) into a dense integer index. Never key on source_person_id alone: two facilities in one network routinely issue the same medical record number to different people, so a bare-value key merges two patients before any matching logic has run, and a single-source test fixture will never show it.
  2. Classify the log rows before touching the structure. auto_linked and manual_linked are unions; potential_duplicate and rejected are recorded decisions that must not union anything; unlinked is a revert of the link it supersedes, not a new edge.
  3. Use union by size with an explicit undo stack, pushing (attached_root, its previous parent, the previous size of the absorbing root) on every union. Find walks parent pointers to the root: union by size bounds tree height at log2(n), so a query is O(log n) worst case, a union is O(log n), and a revert pops two words and is O(1).
  4. Path compression is the thing you have to give up, and the reason is specific: it rewrites parent pointers of nodes that were never named in the union being recorded, so the undo entry no longer describes the mutation that happened and a revert restores a forest that is quietly wrong. Near-constant find is only available to an append-only structure.
  5. Hold enterprise_person_id as a property of the root slot rather than a value copied onto every member. A merge then relabels one slot instead of n rows, and an unmerge restores two labels instead of reconstructing n.
  6. State the price plainly: every read path gains a resolution hop and no downstream table can carry a plain patient_id column. That cost is what buys reversibility, and it belongs in the design discussion rather than being discovered later by whoever writes the first join.
Follow-up
  • A merge is found wrong three weeks and 200,000 unions later, and your stack only reverts a suffix. What do you do instead, and what does that cost?
  • A claim was posted under the losing identity before the merge. After the unmerge, which identity owns it, and what in your design let you answer that?
  • Two matcher instances submit unions concurrently. What is the smallest change that keeps both the structure and the undo stack consistent?

Flag a requester reading too many distinct charts per window

medium
sliding windowtwo pointersdistinct count

You consume access-audit records (event_ts, requester_id, enterprise_person_id, purpose_of_use, break_glass) at tens of thousands per second, non-decreasing in event_ts. For each requester, emit an alert the first time any sliding 600-second window contains reads of more than D distinct enterprise_person_ids. Break-glass reads count toward the window and are also reported separately. Return (requester_id, window_start_ts, distinct_count). Target O(1) amortised per event and memory proportional to the events resident in the window, not to the day.

Approach
  1. Per requester, hold a deque of (event_ts, person_id) and a hash map from person_id to its occurrence count inside the window, plus a running distinct counter. Push on the right; while the front is older than event_ts minus 600 seconds, pop it, decrement its count and erase the key when the count reaches zero, decrementing the distinct counter. Each event is pushed once and popped once, so the amortised cost is O(1) and the memory is O(W) for window occupancy W.
  2. Test the threshold immediately after each push and nowhere else. Between two consecutive events the window can only lose members as its left edge advances, so the maximum distinct count over all window positions is attained at a position whose right edge is an event. Checking at pushes is therefore exhaustive rather than a sampling approximation.
  3. Latch the alert per requester and re-arm only when the distinct count falls back below D, otherwise one busy stretch emits thousands of near-identical rows and the real signal is buried by its own volume.
  4. Bound memory both per requester and globally. A requester whose window legitimately holds tens of thousands of reads must not hold the process hostage, so cap the deque and degrade above the cap to an approximate distinct counter such as HyperLogLog, stating the error you accept in exchange.
  5. Count break-glass toward the window but carry it in its own output field. Break-glass has to succeed during an emergency, which is exactly why it must be the most visible path in the audit, and excluding it from the count would make the abuse route the quiet one.
  6. State the precondition: this is correct only while input is non-decreasing in event_ts. Out-of-order arrival needs a bounded-lateness buffer and a watermark, and dropping late events without a counter is the failure that hides itself.
Follow-up
  • One region's events arrive up to 90 seconds late. What buffer do you add, and what does that do to alert latency?
  • One person uses two requester accounts. What has to change in the key, and what new false positive does that introduce?
  • How do you restore window state after a process restart without replaying the whole day?

For someone who has spent the last few years shipping features and reading other people's code, and who has not solved a timed problem from a blank file in a long time. Five days rebuild the primitives and the patterns that sit on them, working from invariants rather than remembered solutions, and the last two attach that back to the rest of the loop.

Small steps. Visible outcomes.0 / 7 completed
ONE WEEK · YOUR PACE

Prepare, practise & reflect

One practical outcome each day. Spend longer where you need it.

0 / 7 done
01Rebuild the primitives by implementing them
  • Implement a dynamic array with doubling growth and an operation counter, then change the growth rule to add a fixed sixteen slots instead, and time both for n of ten thousand, a hundred thousand and a million. The fixed-increment version resizes n/16 times at O(n) each, so its total work is quadratic; doubling is what makes append amortised constant.
  • Implement a hash map with separate chaining and a load-factor resize, then insert ten thousand keys engineered to land in one bucket and record what happens to lookup time, so that average-case O(1) becomes a claim with a stated precondition rather than a reflex.
  • For dynamic-array append and hash-map insert, write down which cost is amortised rather than worst-case, which single operation pays the whole bill, and what a system with a hard per-operation deadline would have to do instead.

Deliverable: Two working implementations plus a timing table showing the input at which each structure's advertised complexity stops holding.

Practice prompt ↗Practice prompt ↗Worked solution ↗
02Arrays under an invariant: two pointers, sliding window, binary search
  • Solve longest-subarray-with-sum-at-most-K using a sliding window, then run it on an input containing negative numbers and watch it return the wrong answer: extending the window only moves the sum monotonically when every element is non-negative, and that precondition is the whole reason the technique works.
  • Write the binary search that finds the first index satisfying a predicate rather than an exact value, put the loop invariant above the loop in a comment, and verify termination on the two inputs that break careless versions: the empty range, and a range where every element satisfies the predicate.
  • Compute the midpoint as lo + (hi - lo) / 2 and write one line on why the obvious (lo + hi) / 2 is a genuine defect in a fixed-width integer type and a non-issue in a language with arbitrary-precision integers.

Deliverable: Three solved problems, each with its invariant written above the loop, plus one recorded input on which the sliding window is provably wrong.

Practice prompt ↗Practice prompt ↗
03Sorting, heaps, and the greedy argument that has to be proved
  • Solve one top-k problem three ways, by full sort, by a size-k heap, and by quickselect, then write the values of n and k at which each becomes the right choice, along with quickselect's quadratic worst case and why a randomised pivot makes that unlikely rather than impossible.
  • Implement bottom-up heapify and count sift-down steps to confirm it does linear work rather than n log n, because most nodes sit near the bottom of the tree and therefore move only a short distance.
  • Take interval scheduling by earliest finishing time and write the exchange argument out in full: given any optimal schedule, swapping in the earliest-finishing interval keeps it feasible and no smaller. Then construct the weighted variant where that same greedy fails and name what has to replace it.

Deliverable: A three-way top-k comparison with measured crossover points, one written exchange argument, and one counterexample to a greedy rule that looks almost identical.

Practice prompt ↗Practice prompt ↗
04Recursion, memoisation, and the step to a table
  • Take one problem with overlapping subproblems, such as edit distance or coin change, instrument the plain recursion with a call counter to show the blow-up, then add memoisation and re-count.
  • Convert the memoised version to a bottom-up table and state the two properties you relied on: each subproblem's result depends only on its arguments, and the dependencies form a DAG you can enumerate in order.
  • Rewrite one deep recursion with an explicit stack, then find the input length at which the original hits the interpreter's frame limit, which defaults to about a thousand frames in CPython, so you know when the rewrite is required rather than decorative.

Deliverable: One problem in three forms, naive, memoised and tabulated, with call counts for each and the input length at which recursion depth becomes the binding constraint.

Practice prompt ↗Practice prompt ↗Worked solution ↗
05Graphs, where most of the work is choosing the traversal
  • Implement BFS and DFS over one adjacency list, then answer for each which finds a shortest path in an unweighted graph and which you would use to detect a cycle in a directed graph, including why the in-progress versus finished distinction matters for the second.
  • Implement topological sort by in-degree, feed it a graph containing a cycle, and confirm the failure signature is that fewer than V nodes come out rather than an exception, then note that the order it produces is one of several valid ones.
  • Run a shortest-path search on a graph with a single negative edge weight and show the wrong answer, then write the precondition Dijkstra actually needs, non-negative weights, because it finalises a node's distance the first time that node is popped, and name the algorithm you would switch to and its own limit.

Deliverable: A small graph library with BFS, DFS and topological sort, plus two inputs that produce documented wrong answers under the wrong algorithm choice.

Practice prompt ↗Practice prompt ↗
06One day for everything that is not an algorithm
  • Sketch one system only to the depth a coding-heavy loop tends to reach: the endpoints, what the service stores, and the single query pattern that decides the schema. Stop at twenty-five minutes.
  • Prepare the project answer for an interviewer who codes, which means rehearsing the two levels they push to: the specific thing you built, and why you chose that approach over the alternative they will name. Open with a number and be ready to say what it excludes.
  • Prepare the answer to what you would do differently, choosing a real technical mistake with a specific fix rather than a complaint about process or staffing.

Deliverable: One design sketch at endpoint-and-schema depth, plus a project answer rehearsed to two levels of follow-up.

Practice prompt ↗Practice prompt ↗
07Solve out loud, under time
  • Do three timed problems at twenty-five minutes each in a plain editor with no autocomplete and no execution until the end, then tally separately the failures that were syntax and the ones that were approach, because those two numbers call for different fixes.
  • Narrate one solution from the first sentence, stating the approach and its complexity before writing any code, and rehearse the sentence you will use when you realise mid-solution that the approach is wrong.
  • Re-solve from blank the two problems you were slowest on this week and compare the times against the day they first appeared.

Deliverable: A recording of one fully narrated solution and a tally that separates syntax failures from approach failures.

Practice prompt ↗Practice prompt ↗Worked solution ↗

Expand any day for tasks and deliverables. Your progress is saved on this device.

Team size, service count and tickets closed say very little. Seniority shows in the decision you owned: what you chose not to build, which constraint you traded away, whose objection you had to resolve before anything could move. A large project where you executed someone else's plan is a small story.

Unblock an engineer whose deductible accumulator overshoots

easy
mentoringlost updateisolation levelsreproduction

An engineer on your team has a benefit-application path that occasionally leaves a member's accumulated deductible above the plan limit — a handful of times a day, never in tests. Their code SELECTs the remaining deductible, computes patient responsibility in application code, then UPDATEs the accumulator to an absolute value. They have spent three days adding logging and are now asking whether the database is losing writes. Describe unblocking someone in this position: what you did first, what you let them find themselves, and what you left them able to diagnose next time.

Approach
  1. The probe is whether you teach a method or hand over a patch. Reproduce before explaining: two sessions, both BEGIN, both SELECT the accumulator row, both compute, both UPDATE to an absolute value, both COMMIT. The second overwrites the first and neither errors. Fifteen minutes of that ends three days of logging and, more importantly, ends the theory that the database is at fault.
  2. Be precise about where the anomaly is and is not, because the imprecise version teaches the wrong lesson. A single UPDATE that does its arithmetic in SQL is safe under READ COMMITTED: the blocked statement re-reads the row after the first commits. The loss comes from computing the new value in application code across the statement boundary, so the UPDATE writes an absolute amount derived from a stale read.
  3. Lay out three fixes with their costs rather than naming one. SELECT ... FOR UPDATE serialises writers per member and holds the lock for the transaction, so nothing in that transaction may make an external call. SERIALIZABLE with a retry loop on SQLSTATE 40001 requires the operation to be safely retryable. Per-member partitioning removes contention entirely and adds routing and rebalancing.
  4. Let them pick and defend one. The outcome you want is that they can name the anomaly and the isolation level unprompted next time, not that this particular ticket closes today.
  5. Leave an artefact behind: the two-session reproduction checked in, so the next person meets the interleaving rather than the symptom, and the reasoning is not stored only in your head.
Follow-up
  • A claim is reversed and the accumulator must be credited back. What amount, given the plan design may have changed since?
  • They choose SERIALIZABLE. How do they make the retry safe when the transaction also wrote a claim adjudication row?
  • How would you have noticed this before a member saw it, and what would that check cost per adjudication?

Ship an eligibility cache you already know is too stale

medium
technical debtcachingeligibilitytrade-offs

You shipped the eligibility service against a fixed go-live with a 24-hour cache keyed on person and plan, no service date in the key and no computed-as-of field in the response, because the real-time payer inquiry path was two sprints behind. Enrolment files routinely terminate coverage retroactively — a file received on the fifth can terminate coverage effective the first. Describe shipping a compromise of this shape: what you wrote down, who accepted the risk, the bound you could honestly state, the measurement that sized the debt in money, and whether it was ever paid.

Approach
  1. The probe is whether you can state a compromise as a bounded risk rather than as a known limitation. Start by separating two staleness sources, because they have different fixes: cache staleness is bounded by the TTL, while business-time staleness is not bounded by anything in your system, since the source itself asserts changes retroactively.
  2. Follow that distinction to its uncomfortable conclusion — shortening the TTL to five minutes leaves the second unchanged. A zero-TTL cache still serves an answer that was false when computed, so anyone who proposes TTL tuning as the fix has misread which of the two is biting.
  3. Write the debt as a sentence with numbers: the service can answer 'covered' for a person whose coverage terminated up to the enrolment cadence plus its retroactive window earlier, with up to 24 hours of cache on top. That sentence is what a reviewer can accept or refuse; a ticket title is not.
  4. Name the mitigation that costs days rather than sprints: put service_date in the cache key and computed_as_of in the response body so consumers can see an answer's age, and re-check eligibility at claim submission rather than trusting the encounter-time answer.
  5. Give the measurement that sizes it in money — the weekly count and dollar value of claim_line rows denied for terminated coverage where the answer served at encounter time said active, filtered to the surviving claim version. That number is what buys the sprint later; without it the fix competes against features on opinion.
  6. Be specific about the acceptance. Name the artefact the decision lives in and the person with budget authority who signed it, because a compromise nobody accountable acknowledged is a decision you made alone and later described as a trade-off.
Follow-up
  • The payer inquiry path ships and the cache stays. Which of the two staleness bounds has actually moved?
  • A service was delivered against a stale 'covered' answer. Who absorbs the cost, and does your design record enough to answer that?
  • Registration wants a 50ms p99 on this call. What do you give up, and how do you say that to them in one sentence?

Reverse a fail-closed eligibility check at patient registration

hard
reversing a decisionfail-closeddegradationmigration

You designed registration to block when the external eligibility inquiry exceeds its timeout budget, reasoning that an unverified registration becomes a denial weeks later. Months in, the payer's p99 sits near the budget, front desks are queueing, and two teams have built on the guarantee that a completed registration implies verified coverage. You reversed the decision. Walk through it: the evidence that changed your mind, what you deliberately kept fail-closed, how you migrated the teams relying on the old behaviour, and what you would change about how you made the original call.

Approach
  1. The probe is whether a reversal is backed by measurement or by fatigue. Lead with both costs in their own units: the share of inquiries exceeding the timeout and the wait minutes that produced at the desk, against the write-off dollars attributable specifically to registrations that proceeded unverified during the pilot.
  2. State what your original reasoning got wrong, concretely. The usual answer is that you priced the denial and not the queue, and that you reasoned about a p50 round trip when a fail-closed default is governed by the dependency's p99 and by its outage minutes, neither of which you had measured before choosing.
  3. Show the reversal was partial, which is what a good one looks like. Emergency presentations never block, because care is not conditioned on a benefits answer; high-cost elective services keep a hard stop where the write-off is large and the delay is tolerable; everything else proceeds with coverage_status 'unverified' into a work queue that must clear before the claim is submitted.
  4. Treat the work queue as part of the design rather than as an afterthought: what enters it, what clears it, what happens when it is not cleared before the submission deadline, and who is paged when its depth grows. A fail-open path with no queue is not a degradation strategy, it is a silent one.
  5. Describe the migration for the teams that depended on the guarantee: a per-encounter_class flag, a period where the new decision is computed and logged while the old behaviour still stands, and the consumers told which field replaces the assumption before the switch, not after.
  6. Close on the process change rather than the outcome — what you would now require before shipping any fail-closed default: a measured p99 from the dependency, a named owner for the blocked case, and a reversal trigger agreed in advance so the next reversal is a threshold being crossed rather than an argument.
Follow-up
  • Your unverified queue is 900 deep on a Monday and the submission deadline is Wednesday. What happens, and who decided that in advance?
  • How do you prevent 'unverified' from quietly becoming the normal path once the desks learn it is faster?
  • Six months later the payer's p99 halves. Do you reverse back, and what evidence would make you?
  • 01

    An engineer on your team has a benefit-application path that occasionally leaves a member's accumulated deductible above the plan limit — a handful of times a day, never in tests. Their code SELECTs the remaining deductible, computes patient responsibility in application code, then UPDATEs the accumulator to an absolute value. They have spent three days adding logging and are now asking whether the database is losing writes. Describe unblocking someone in this position: what you did first, what you let them find themselves, and what you left them able to diagnose next time.

  • 02

    You shipped the eligibility service against a fixed go-live with a 24-hour cache keyed on person and plan, no service date in the key and no computed-as-of field in the response, because the real-time payer inquiry path was two sprints behind. Enrolment files routinely terminate coverage retroactively — a file received on the fifth can terminate coverage effective the first. Describe shipping a compromise of this shape: what you wrote down, who accepted the risk, the bound you could honestly state, the measurement that sized the debt in money, and whether it was ever paid.

  • 03

    You designed registration to block when the external eligibility inquiry exceeds its timeout budget, reasoning that an unverified registration becomes a denial weeks later. Months in, the payer's p99 sits near the budget, front desks are queueing, and two teams have built on the guarantee that a completed registration implies verified coverage. You reversed the decision. Walk through it: the evidence that changed your mind, what you deliberately kept fail-closed, how you migrated the teams relying on the old behaviour, and what you would change about how you made the original call.

PracHub interview preparation framework ↗
Is this an official DeepTek Medical Imaging interview guide?

No. It is PracHub's own research and practice material for the Software Engineer role at DeepTek Medical Imaging. Rounds and questions reflect what candidates have reported, not a process DeepTek Medical Imaging has published, and they change over time. Confirm the current format and scope with your recruiter.

PracHub interview research ↗
How difficult are the technical interviews?

The interviews are considered challenging because they focus on both breadth and depth. Expect to be pushed on your understanding of fundamental concepts and your ability to apply them to system design.

PracHub interview research ↗
What is the best way to prepare for the system design round?

Focus on common patterns like rate limiting, message queues, and database sharding. Practice sketching out these systems on a whiteboard or digital document to get comfortable explaining your design choices.

PracHub interview research ↗
Does the interview process vary by location?

While the core technical expectations remain consistent, the specific focus may shift slightly depending on the team's current project needs. Always review the job description for specific technology stacks mentioned.

PracHub interview research ↗
How long does the process take from start to finish?

The process is generally efficient, typically involving a few rounds. Aim to be ready for an interview within 1–2 weeks of your initial application to maintain momentum.

PracHub interview research ↗
Sources & methodology 3 sources ↗

No official company page is cited. Rounds and questions come from candidate reports and PracHub editorial material; each source shows the date it was read.