Industry: Healthcare

Software development for healthcare

HIPAA ready engineering for clinics, hospital networks, payers, and digital health startups. We integrate with EHRs over FHIR and HL7v2, ship telemedicine on WebRTC, and bring AI into clinical documentation without losing the clinician in a workflow they do not trust. BAA available. UK, US, and UAE data residency.

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Industry challenges we solve

Healthcare software has to be safe, auditable, and integrated with systems that were not designed for the modern web. We focus on the failure modes that actually slow product teams down.

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Fragmented EHR integration. Every hospital has a different blend of Epic, Cerner, Athenahealth, or a regional EMR with its own export quirks. A two month integration becomes a six month integration the moment HL7v2 segments start drifting.

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Clinicians drown in paperwork. Discharge summaries, referral letters, and prior authorisations are still rekeyed by hand. Burnout grows and so does the data quality tax on every downstream report.

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Telehealth that breaks under load. A WebRTC stack built for ten concurrent calls collapses at a thousand. Audio drops mid consultation. Reconnection logic is missing. The clinician blames the platform and stops using it.

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PHI security feels like a moving target. Encryption at rest, key rotation, audit logs, RBAC, immutable backups, breach playbooks: each control is small, but missing one of them is what shows up on the audit report.

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Slow velocity in a regulated environment. Compliance teams hold every release. QA cycles double. By the time a feature reaches production, the original clinical workflow has already changed.

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Legacy patient portals that nobody uses. Slow logins, ageing UI, no mobile experience. Patients call the front desk instead of using the portal, and the business case for the portal disappears.

Capabilities

Our healthcare capabilities

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EHR & EMR integration

FHIR R4 with SMART on FHIR for Epic and Cerner. HL7v2 over MLLP for older EMRs. CDA, IHE PIX/PDQ, and direct read replicas where no API exists. Two way sync with conflict resolution, not just one off pulls.

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Patient portals & mobile apps

Web and React Native portals with appointment booking, prescription management, secure messaging, and lab results. Sub one second page loads, accessible to WCAG 2.2 AA, and offline tolerant for unstable mobile networks.

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Telemedicine on WebRTC

Group and one to one consultations on LiveKit or a self hosted SFU. Recording with PHI aware retention, waiting rooms, screen sharing for imaging, and graceful fallback to PSTN when bandwidth drops below a clinical safety threshold.

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AI for clinical documentation

Ambient scribe pipelines, referral letter generation, prior auth packet assembly, and radiology pre read. LLM extraction is gated by confidence scores and routed to a clinician for sign off on anything below threshold.

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Clinical decision support

Rules engines for screening protocols, risk scoring (sepsis, readmission, deterioration), and medication interaction checks. Every recommendation is explainable, every override is logged, and every model is versioned.

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Secure messaging & care coordination

HIPAA ready messaging between patients, clinicians, and care teams. Read receipts, audit trail, escalation rules, and a deferred delivery queue when a recipient is off shift. No PHI ever leaves your tenant.

Compliance & regulatory considerations

We build compliance into the architecture from day one rather than bolting it on before an audit. Below are the frameworks we routinely target on healthcare engagements.

HIPAA Privacy & Security HITRUST CSF readiness SOC 2 Type 1 (in progress) GDPR & UK GDPR NHS DSP Toolkit FDA 21 CFR Part 11 Cyber Essentials Plus aware ISO 27001 control mapping

HIPAA is a programme, not a certificate. There is no government issued HIPAA certification, and any vendor that claims one is bluffing. What we deliver is a compliance ready architecture: AES-256 encryption at rest with customer managed KMS keys, TLS 1.3 in transit, role based access with least privilege, immutable append only audit logs for every PHI access, MFA on every console and bastion, automated key rotation, regional data residency, and a breach response playbook tested with tabletop exercises before go live. We sign a Business Associate Agreement before touching PHI and flow that BAA down to every subprocessor.

UK and EU clients get UK GDPR compliant architecture with London or Ireland hosting, DPA appendices, ROPA documentation, and NHS Data Security and Protection Toolkit alignment when integrating with NHS Trusts. Where a deployment crosses into a clinical safety case, we work to DCB0129 (manufacturer) and DCB0160 (deployment) and produce the hazard log your clinical safety officer needs.

Life sciences and medical device adjacent products can layer FDA 21 CFR Part 11 controls on the same foundation: electronic signatures, audit trails for any record creation or modification, validated software development lifecycle, and IQ/OQ/PQ documentation. We are not an FDA registered manufacturer; if the device classification requires that, we work alongside your regulatory affairs team rather than replacing it.

Tech stack we use for healthcare

Boring, well understood technology wherever possible. We reach for novelty only when it actually solves a clinical or operational problem.

Node.js 20 + TypeScript React 18 + React Native FHIR R4 + SMART on FHIR HL7v2 + Mirth Connect PostgreSQL 16 + row level security AWS HIPAA eligible services AWS KMS + Secrets Manager LiveKit / WebRTC OpenAI + Anthropic Claude AWS Textract + Hyperscience Auth0 / Okta + MFA Datadog + immutable audit logs

AI / ML Integration UK insurance broker · 12 weeks · 4 engineers

AI document processing for an insurance broker handling medical claims

Three thousand monthly claims arrived as scans, PDFs, and medical reports. Handlers retyped policy numbers and clinical codes by hand. We paired AWS Textract with GPT-4 structured outputs, validated each field against the policy API, and added a rules plus ML triage lane. Eighty five percent of claims now clear in under four hours and reviewers only touch low confidence rows. The same pipeline pattern applies to discharge summaries, referral letters, and prior auth packets.

85%Claims auto triaged

4 hrsAvg processing (was 5 days)

96%Extraction accuracy

12 wksConcept to production

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FAQ

Common questions

Will you sign a Business Associate Agreement (BAA)?

Yes. We sign a HIPAA Business Associate Agreement before any engagement that touches Protected Health Information. The BAA covers permitted uses, safeguards, breach notification, subcontractor flow-down, and termination obligations. Our standard template is available for legal review during the proposal stage and we are happy to redline yours.

Where will Protected Health Information be hosted?

PHI is hosted on HIPAA eligible services on AWS, GCP, or Azure in a region you choose: us-east-1 or us-west-2 for US clients, eu-west-2 (London) or eu-west-1 (Ireland) for UK and EU clients. Encryption at rest uses AES-256 via cloud KMS; transit uses TLS 1.3 only. Engineers in India access PHI through a zero trust bastion with MFA, session recording, and least privilege roles.

Are you HIPAA certified?

HIPAA is not a certification. There is no official HIPAA certification body. We deliver compliance ready architecture aligned to the HIPAA Security and Privacy Rules, sign a BAA, and provide the evidence (encryption, audit logs, RBAC, breach playbooks, training records) your auditor needs. If you require a third party attestation, we can layer HITRUST CSF readiness or SOC 2 Type 1 (in progress) onto the same controls.

Can you integrate with our EHR system?

Yes. We integrate with Epic, Cerner (Oracle Health), Athenahealth, Allscripts, eClinicalWorks, NextGen, and bespoke EMRs. Preferred path is FHIR R4 via SMART on FHIR for modern systems, with HL7v2 over MLLP for older deployments. We also handle CDA documents, IHE profiles (PIX/PDQ, XDS), and direct database read replicas when no API is available.

Do you have experience with NHS or UK healthcare projects?

Yes. We build to the NHS Data Security and Protection Toolkit standards, support NHS Login and OpenID Connect integration, and host UK patient data in London or Ireland regions. We have shipped UK facing health adjacent products and understand the DCB0129/DCB0160 clinical safety case requirements when working with NHS Trusts.

How quickly can a telemedicine pilot go live?

A focused telemedicine pilot, including scheduled appointments, secure video on WebRTC, prescription notes, and patient portal authentication, typically ships in 8 to 10 weeks with a 3 person team. AI agents handle scaffolding and tests; senior engineers own architecture, security, and the clinical workflow design. Production grade scale (10K+ concurrent video sessions) usually takes a further 4 to 6 weeks of hardening and load testing.