Shankaa is a software company specialized in medical telecom services. Shankaa was initially founded to propose a series of telecom medical services such as prescription by SMS (access to the prescription through SMS code) and remuneration of the medical telephone consultation. Shankaa has developed a series of tools to support the access to those services such a scalable adaptive secured persistence system on the cloud for evolutive sensitive data, a medical ERP system that includes Shankaalipi, a mailer that can be adapted to the end user, a video conference system and an entertainment center for hospitalized people. Shankaa has expertise in mobile phone application development, voice over IP, radio communication systems, radio navigation systems (hyperbolic and satellite outdoor location and precise indoor location) and massively parallel programing on GP GPU. Shankaa is partnering with companies that provide tele-monitoring systems. The company has a development center in Tunisia.