Custom healthcare software development, built to clinical and compliance requirements.
EHR and EMR integration services, medical software development, HIPAA-compliant software, patient-data platforms, and clinical tools, from Epic FHIR R4 and SMART on FHIR to dental practice-management systems, with PHI redaction and role-based access built in.
Live across 14+ hospital systems.
For a rare-disease clinical platform, we led the technical build that lets patients retrieve their own records from Epic, with PHI redaction, secure medical record uploads via S3 presigned URLs, and role-based access for admins, managers, doctors, and users.
The platform is now expanding into wearable data:
Clinical tools, dental integrations, and staffing.
Used across Emergency Medicine, Oncology, and Infectious Disease. A conditional-branching questionnaire engine, TNM cancer staging selector, expert voting system, and treatment-recommendation UI with efficacy and safety scoring. HIPAA-compliant.
A Dentrix and EagleSoft integration spanning 100+ locations, plus a practice-management connector and an online booking system for a multi-location dental practice.
An operations platform for a nurse staffing client, covering license tracking, payroll, and bulk communications.
Healthcare IT solutions: EHR integration and HIPAA-compliant development.
EHR & practice systems
Data protection & access
Clinical & operational tools
Choosing the right healthcare software approach.
Most healthcare teams don't need to replace their EHR. The real decision is what to connect, what to build around it, and what to buy off the shelf.
Best when your EHR, practice-management, and billing systems work, but data doesn't move between them. We pull records through Epic FHIR R4 and SMART on FHIR, sync practice-management data, and keep each system as the source of truth for its own records.
Best when a clinical or operational workflow is what sets you apart: decision support, patient-facing record access, staffing operations. The custom application sits alongside the EHR and exchanges data with it through standard APIs.
Best when a mature product already covers the workflow and your process can adapt to it. We'll tell you when that's the cheaper route; a custom build only makes sense when it pays back.
HIPAA-compliant software, with compliance designed into the architecture.
HIPAA compliance isn't a checklist at the end of a project. These are the safeguards we design in from the first sprint.
Protected health information is redacted before records reach the parts of the platform that don't need it. On our patient-mediated EHR retrieval platform, redaction runs between Epic and the clinical application.
Every user sees only what their role allows. Our clinical platforms separate admins, managers, doctors, and users.
Who viewed or changed which record, and when. On one Epic integration, audit logging needed a dedicated service of its own, so we plan it as part of the architecture. Audit logging for healthcare apps →
Medical record uploads go through short-lived S3 presigned URLs instead of passing files through the application, and releases ship through Docker-based CI/CD on AWS. HIPAA compliance checklist →
Healthcare interoperability standards we work with.
The standard behind Epic's APIs and most new integrations. Our EHR retrieval platform runs on Epic FHIR R4 across 14+ hospital systems. What is FHIR →
OAuth 2.0 for healthcare: how an app gets scoped, auditable access to a patient's records, with the patient's authorization. SMART on FHIR explained →
Many systems advertise FHIR but still depend on HL7 v2 in practice. On one platform, HL7 v2 and FHIR ran in parallel for eight months during migration. FHIR vs HL7 →
We built decision support for a multi-tenant clinical platform with CDS Hooks cards returned in under 200 ms. CDS Hooks explained →
Our custom healthcare software development process.
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01Discovery & data mapping
We map which systems you need to connect (Epic, Cerner, athenahealth, Dentrix and others), what data has to move, and who is allowed to see it, before any code is written.
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02Architecture with compliance built in
PHI handling is designed up front: what gets redacted, where records are stored, how uploads are secured, and which roles can access what.
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03Build & integrate
We build the application and its integrations (FHIR R4 APIs, SMART on FHIR authentication, and practice-management connectors) in iterative releases you can review as we go.
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04Test against real EHR environments
Integrations are tested against vendor sandboxes and then real hospital environments, where differences between systems actually show up.
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05Launch & expand
We go live system by system. Our patient-mediated EHR platform, for example, now runs across 14+ hospital systems and is expanding into wearable data.
Want to estimate the payback first? Try our free healthcare data entry ROI calculator.
Questions about our healthcare software development services.
What does custom healthcare software development cost?
It depends on scope: how many systems you need to integrate, how much PHI the application handles, and whether you need web, mobile, or both. We scope each project after a discovery conversation, so the estimate reflects your actual requirements rather than a generic price list.
Which EHR and practice-management systems do you integrate with?
Our work spans Epic (FHIR R4 and SMART on FHIR), Cerner, athenahealth, Open Dental, Dentrix, and EagleSoft, including a Dentrix and EagleSoft integration covering 100+ dental locations.
Do you build HIPAA-compliant software?
Yes. Our healthcare builds include PHI redaction, role-based access control, and secure medical record uploads, and our clinical decision support platform was built to HIPAA requirements.
Can you connect a new app to Epic using SMART on FHIR?
Yes. We led the technical build of a patient-mediated EHR retrieval platform that connects to Epic using FHIR R4 and SMART on FHIR, now live across 14+ hospital systems.
Do you only do EHR integrations, or full applications too?
Both. Alongside integrations, we have built full clinical products, such as AI-powered clinical decision support used across Emergency Medicine, Oncology, and Infectious Disease, and a nurse staffing platform that cut a client's manual recruitment work by 75%.
Can you work with our existing systems instead of replacing them?
Yes. Most of our healthcare work connects existing systems rather than replacing them: pulling records from EHRs, syncing practice-management data, and adding new tools on top of what your team already uses.
How long does an EHR integration take?
It depends on the EHR, the data involved, and the health system's own review and configuration steps. Most projects move through discovery, sandbox development, a pilot with one health system, and then production rollout. Sandbox work is the fastest part; health-system approvals and production configuration usually set the pace.
Do you work with HL7 v2 as well as FHIR?
Yes. Many hospitals still run HL7 v2 interfaces even when they offer FHIR APIs. We have worked on a platform where HL7 v2 and FHIR ran in parallel for eight months during a migration, so we plan for both rather than assuming one standard.
Can you add AI or decision support to clinical workflows?
Yes. We built AI-powered clinical decision support used across Emergency Medicine, Oncology, and Infectious Disease, and decision support for a multi-tenant clinical platform with CDS Hooks cards returned in under 200 ms.
Can you integrate wearable and patient-generated health data?
Yes. Our patient-mediated EHR retrieval platform is expanding into wearable data from Fitbit, Oura, continuous glucose monitors, Apple Health, and Samsung Health.
Do you integrate with dental practice-management systems?
Yes. We have built a Dentrix and EagleSoft integration covering 100+ dental locations, a practice-management connector, and an online booking system for a multi-location dental practice, with Open Dental experience as well.
Do you build mobile apps for healthcare?
Yes. We build native iOS apps in Swift and cross-platform apps, and we design the API and data handling behind them with the same PHI and access controls as our web platforms.
Working with you is top notch professional, nothing compared to other companies we've worked with before.
Healthcare integration guides.
All 26 articles →
Six EHR integration patterns for healthcare SaaS: direct FHIR, SMART on FHIR, backend services, unified APIs, events, and batch, with...
What Epic FHIR integration really takes: SMART on FHIR launch types, scopes, health-system setup, common mistakes, and a realistic...
What is HIPAA, and why does it matter for healthcare software? The rules, who they apply to, and what developers must build in from day one.
Guides worth reading next.
The same depth, applied elsewhere.
Connecting to an EHR? Let's talk it through.
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