Software Development for Healthcare and HealthTech EHR, Telehealth & RPM
HIPAA and GDPR-ready healthcare software. EHR integration, telehealth, remote patient monitoring, clinical workflow tools, patient portals, and analytics. Shipped in 8 to 24 weeks. USD pricing.
We map your build against HIPAA, ISO 13485, and IEC 62304 from day 1 so the regulatory clock starts the moment we start coding.
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Who we've built for.
How we work in healthcare
- What we build
- EHR integration · Telehealth · RPM · Clinical workflow · Patient portals · Population health · SaMD · Healthcare AI
- Stack
- Next.js · Node.js · Python · PostgreSQL · AWS · FHIR · HL7 v2 · Redox · Azure API for FHIR · LangChain
- Compliance
- HIPAA · HITECH · GDPR · ISO 13485 · IEC 62304 · FDA SaMD · NHS DSPT · SOC 2 Type II
- Integrations
- Epic · Cerner (Oracle Health) · Athenahealth · eClinicalWorks · NextGen · Allscripts · Redox · 1upHealth · Health Gorilla
- Pricing in USD
- Starter build from $14,000 · Telehealth platform from $42,000 · EHR-integrated workflow from $40,000
- Output
- HIPAA-compliant code · risk analysis · audit logs · BAA-ready vendors · on-call coverage
Healthcare software is where clinical, regulatory, and engineering decisions intersect. A 90-day shortcut at integration spec time becomes a six-month rebuild after the first audit. This page covers what makes healthcare builds different, the segments we serve, what HIPAA actually requires from your software, the named clients we have shipped for, and what every category typically costs.
Named healthcare builds
Recent healthcare and clinical-adjacent builds.
Wellness and care coordination platform with patient-facing portal and clinician workflow.
Read case study →Clinical-adjacent accessibility tooling with WCAG 2.2 AA compliance baseline.
Read case study →AI-assisted home care platform with care coordination, scheduling, and documentation workflows.
Read case study →Healthcare segments we serve
Electronic Health Records and EHR integration
Epic App Orchard (Showroom), Oracle Health (Cerner) Code, Athenahealth Marketplace, eClinicalWorks, NextGen, Allscripts. FHIR R4 first, HL7 v2 where the EHR still demands it. SMART-on-FHIR for embedded apps.
Telehealth and virtual care
HIPAA-compliant video (Twilio, Doxy.me, Zoom for Healthcare), e-prescribing via Surescripts, asynchronous messaging, scheduling, payment, intake forms, post-visit summaries.
Remote patient monitoring (RPM)
Device ingestion (Fitbit, Apple Health, Withings, Dexcom, Omron, BodyTrace), threshold alerting, clinician dashboards, RPM CPT billing workflows (99453, 99454, 99457, 99458).
Clinical workflow and EHR-adjacent tools
Care coordination, referral management, prior authorisation, charge capture, chart review, AI-assisted documentation.
Patient portals and digital front door
Appointment booking, intake forms, lab and imaging result delivery, messaging, billing, education content.
Population health and analytics
Risk stratification, care gap closure, HEDIS measure tracking, payer-provider data exchange, social determinants of health overlays.
Healthcare AI and clinical decision support
Ambient documentation copilots, prior auth automation, radiology triage, RAG over clinical guidelines. We build with explainability and clinical safety review baked in.
SaMD and medical device software
Class I and Class II Software as a Medical Device under FDA 21 CFR 820 and EU MDR. IEC 62304 software lifecycle. ISO 14971 risk management.
Related services: Custom Software Development, AI & Machine Learning, AI-Powered Software, Mobile App Development, API Integration, Cloud & DevOps, Security Audit, Data Pipeline Engineering.
Use cases — concrete examples with cost ranges
Telehealth platform v1
HIPAA-compliant video (Twilio or Doxy.me), e-prescribing via Surescripts, patient intake forms, scheduling, payment via Stripe with HIPAA-eligible config, post-visit summary delivery to patient and EHR. Stack: Next.js plus Node.js plus PostgreSQL plus Twilio plus Surescripts. Typical build 12 to 18 weeks. From $25,000 depending on EHR integration count and prescribing scope.
Remote patient monitoring (RPM) platform
Device ingestion (Fitbit, Apple Health, Withings, Dexcom, BodyTrace), threshold alerting, clinician dashboard, patient mobile app, RPM CPT billing workflow with monthly time tracking. Stack: Python ingestion plus Node.js API plus React Native mobile. Typical build 14 to 20 weeks. From $28,000 depending on device count and clinical alert complexity.
EHR-integrated clinical workflow
SMART-on-FHIR app launched inside Epic or Cerner. Pulls patient context, displays workflow UI, writes structured documentation back to the EHR. Typical use cases: prior authorisation, care gap closure, AI-assisted charting. Build 10 to 16 weeks. From $25,000 depending on EHR count and write-back complexity.
Population health analytics
Multi-source data ingestion (claims, EHR, lab, ADT, SDOH). Risk stratification model. Care gap tracking. HEDIS measure calculation. Payer-provider data exchange (X12 837, 270/271, FHIR Bulk). Stack: Python plus PostgreSQL plus Airflow plus Looker or Metabase. Typical build 16 to 24 weeks. From $32,000 depending on source count and measure scope.
Why healthcare software is different
Healthcare builds carry three costs that a standard SaaS does not. First, regulated patient data: every component that stores, transmits, or processes PHI sits inside the HIPAA boundary, which means BAAs with every subprocessor and audit logs every clinician and regulator can read. Second, clinical safety: software that influences diagnosis, treatment, or triage may fall under FDA SaMD or EU MDR, which changes the SDLC, the testing burden, and the documentation set. Third, integration complexity: every clinical workflow eventually touches an EHR, and each EHR (Epic, Cerner, Athena, eClinicalWorks) carries its own integration model, sandbox access, and certification pathway. We design healthcare builds around three principles. Treat PHI like radioactive material: minimise where it sits, encrypt it at every hop, log every access, and revoke aggressively. Build integration layers first, not last, because EHR sandbox onboarding (Epic App Orchard, now Showroom; Cerner Code; Athena More Disruption Please) takes weeks and the clinical workflow depends on what those APIs return. Make the audit trail a first-class product surface so the compliance officer is not the bottleneck at every release.
Implementation roadmap
Five-phase rhythm for HIPAA-scope builds. The risk analysis runs in parallel with discovery, not after.
Discovery and HIPAA scope (2 weeks)
Identify PHI flows, subprocessors, BAA gaps. Risk analysis kicked off using NIST 800-66 framework. Output: PHI inventory, data-flow diagram, BAA gap list.
Architecture and security review (2 weeks)
Segregated environments. Encryption baseline. Audit log spec. IAM model. EHR sandbox onboarding kicked off (Epic Showroom, Cerner Code, Athena MDP).
Build (8 to 18 weeks)
Two-week sprints. EHR sandbox testing every sprint. Clinical-safety review on any workflow that influences diagnosis or treatment. Test coverage gate on PHI-handling services.
Validation and clinical-safety review (2 weeks)
User acceptance testing with clinician stakeholders. Penetration test. SaMD validation testing if applicable. Audit-evidence collection.
Launch and go-live support (1 week plus 2 weeks dual on-call)
Production deploy. Monitoring. On-call rotation. Clinician training delivered. Runbook and risk file handed over.
Tech stack and architecture
Default healthcare stack. Every layer carries BAA-ready vendor agreements and HIPAA-applicable security controls. Substitute where your existing EHR or compliance landscape forces it.
- Front end: Next.js with TypeScript. WCAG 2.2 AA accessibility baseline. SSR for marketing surfaces, CSR for authenticated patient and clinician surfaces. Multi-tenant theming for white-label deployments.
- Application layer: Node.js or Python (FastAPI). Stateless services behind an API gateway. Idempotency on every write. Tenant isolation enforced at the data layer, not the application layer.
- Data layer: PostgreSQL for transactional state. Field-level encryption on PHI columns. Audit log table per regulated entity. Encrypted backups with 7-year retention by default.
- Interoperability layer: FHIR R4 as the canonical patient model. HL7 v2 adapters for legacy EHRs. Redox or 1upHealth as integration accelerators for multi-EHR deployments. SMART-on-FHIR launch for embedded apps.
- AI layer (when applicable): Azure OpenAI Service or AWS Bedrock with BAA. RAG over clinical guidelines and your internal knowledge base. Model decisions logged with input, output, and clinician override for safety review.
- Cloud and infrastructure: AWS or Azure with BAA. HIPAA-eligible services only. Multi-AZ. Infrastructure as Code via Terraform. SOC 2 evidence collected via Drata or Vanta.
- Audit logging: Immutable audit log for every PHI read and write. Actor, timestamp, IP, request ID, purpose-of-use captured. Available to your compliance officer through a clinician-facing UI.
Compliance and audit readiness
Every healthcare build ships with the controls and documentation regulators and auditors expect. HIPAA Privacy Rule, Security Rule, and Breach Notification Rule for US workloads. GDPR with Article 9 special-category protections for EU workloads. ISO 13485 quality management for medical devices. IEC 62304 software lifecycle for SaMD. ISO 14971 risk management. FDA 21 CFR 820 quality system regulation for Class II devices. NHS Data Security and Protection Toolkit for UK NHS deployments. SOC 2 Type II for SaaS controls. We do not file 510(k) or CE-mark submissions. We build the architecture, the risk file, the design history file, and the documentation that supports the submission, and we hand it to your regulatory affairs lead or partner regulatory firm.
Cost drivers we see in healthcare builds
Healthcare build cost ranges widely for the same surface area. These are the seven drivers we see push or pull on the number.
- EHR integration count. One EHR is straightforward. Five is its own engineering project. Each EHR sandbox onboarding is 4 to 12 weeks of paperwork plus engineering.
- Read versus write to the EHR. Read-only SMART-on-FHIR is fast. Structured write-back (orders, notes, problems) carries clinical safety, sandbox testing, and EHR certification overhead.
- SaMD classification. Non-device software is fast. Class I SaMD adds quality management. Class II adds 510(k) submission support, IEC 62304, ISO 14971 risk management. Triples documentation cost.
- AI in the clinical path. AI for back-office automation is straightforward. AI in the clinical decision path adds explainability, decision-audit, clinical-safety review, and potentially FDA submission.
- Multi-region (US plus EU plus UK). HIPAA plus GDPR plus DSPT plus data residency rules. Doubles compliance documentation. Adds data residency architecture.
- Real-time clinical alerting. Batch reporting is cheap. Real-time alerting with clinical SLA (under 15 minute latency) adds infrastructure cost and on-call burden.
- Multi-tenant white-label. Single tenant deploys are fast. Multi-tenant with per-tenant theming, per-tenant BAA, and per-tenant audit reports adds 25 to 40 percent.
Pricing
Healthcare Starter build
From $14,000
- Single workflow, one EHR integration, HIPAA baseline.
- 10 to 14 weeks.
Telehealth platform
From $42,000
- Video, e-prescribing, scheduling, payment, post-visit summary.
- 12 to 18 weeks.
EHR-integrated workflow
From $40,000
- SMART-on-FHIR app with write-back, multi-EHR support, clinical-safety review.
- 14 to 20 weeks.
Population health platform
From $38,000
- Multi-source ingestion, risk strat, HEDIS, care gaps.
- 16 to 24 weeks.
HIPAA and SOC 2 readiness
From $8,000
- Risk analysis, control implementation, evidence automation.
- 6 to 10 weeks.
Maintenance retainer
From $4,250 / month
- On-call cover, dependency upgrades, EHR API change tracking, audit-log review. SLA-backed.
Healthcare trends shaping 2026 builds
Six healthcare-software shifts we are scoping into 2026 builds.
- Ambient documentation moving to default. Abridge, DAX Copilot, Suki, and Nuance setting the bar. New telehealth and clinical workflows assume ambient note generation with clinician review.
- Prior auth automation under CMS rule. CMS-0057-F effective 1 January 2026 requires payer FHIR APIs for prior auth, claims, and clinical data. Provider-side automation is the highest-velocity build category right now.
- TEFCA and QHIN adoption widening. Trusted Exchange Framework providing national-scale interoperability. Builds increasingly assume QHIN connectivity for cross-organisation patient data exchange.
- FHIR R5 transition starting. Most net-new builds still target R4 (the regulatory baseline). R5 adoption growing in pilot deployments, especially for clinical AI use cases needing richer extensibility.
- Patient-facing AI assistants. Symptom triage, post-visit Q&A, medication adherence. Builds carry conversation logging, safety guardrails, and clinician escalation paths as defaults.
- Embedded payments in healthcare workflows. Eligibility check, copay collection, patient financing. Stripe, Cedar, Waystar increasingly embedded directly in clinical and front-desk workflows.
FAQ
We do not store PHI ourselves. We architect, build, and operate software that processes PHI under your HIPAA covered entity or business associate status. We sign a BAA with you, and we use HIPAA-eligible AWS or Azure services with BAAs from the cloud provider. Subprocessor BAAs (Twilio, Surescripts, OpenAI) are stood up before any PHI flows.
Yes. Epic Showroom (formerly App Orchard), Oracle Health Code (Cerner), Athenahealth Marketplace (formerly More Disruption Please), eClinicalWorks, NextGen, Allscripts. FHIR R4 first. HL7 v2 where the EHR requires it. SMART-on-FHIR for embedded launch. Sandbox onboarding typically 4 to 12 weeks.
Yes. We build to IEC 62304 software lifecycle, ISO 14971 risk management, and ISO 13485 quality management. We do not file the 510(k) submission ourselves. We deliver the design history file, risk file, software verification and validation evidence to your regulatory affairs lead or partner regulatory consultancy.
Yes. HIPAA-compliant video via Twilio Programmable Video, Doxy.me, Zoom for Healthcare, or Amazon Chime SDK. All under BAA. Recording, transcription, and ambient note generation supported with clinician opt-in.
Yes. Surescripts integration for e-prescribing including controlled substances (EPCS). DEA-compliant identity proofing and two-factor authentication for prescribers. State PDMP integration where required.
Yes. RAG over clinical guidelines (NCCN, AHA, IDSA, USPSTF) and your internal knowledge base. Ambient documentation. Prior auth automation. Every model decision logged with input, output, confidence, and clinician override for safety review. We do not deploy autonomous clinical decisioning without explicit clinician-in-the-loop.
Article 9 special-category data protections applied. Data residency within EU. Subprocessor list and DPA review with your DPO. Right-to-erasure and data portability flows built into patient-facing surfaces.
Yes. NHS Data Security and Protection Toolkit (DSPT) compliant build. NHS login integration for patient identity. NHS Spine connectivity via approved aggregators. We have worked with UK-based clinical partners through end-to-end deployment.
Yes. Apple Health, Google Fit, Fitbit, Withings, Dexcom CGM, Omron BP, BodyTrace scales, and direct Bluetooth ingestion for FDA-cleared devices. Threshold-based clinician alerting with configurable rules and RPM CPT billing time capture.
Tenant isolation enforced at the database row level. Per-tenant theming, per-tenant BAA, per-tenant audit reporting. Subprocessor list maintained per tenant where required.