Healthtech Development Agency
HIPAA-aware health platforms with the engineering rigour clinical workflows demand.
Health software is built with margins for human error compressed to zero. We work with healthtech founders, EHR-adjacent platforms, and clinical workflow tools that need engineering posture matching the consequences of a bug — not the speed of a pitch deck.
The healthtech problems we get called for.
PHI is everywhere
Patient data in logs, screenshots, third-party integrations, support tickets. Each leak path is a HIPAA breach notification.
EHR integration is its own swamp
FHIR vs HL7v2, SMART on FHIR, Epic / Cerner / Athena's quirks, sandbox-vs-prod credential rotations. Each integration is 4–8 weeks of plumbing.
Audit trail is partial
Who viewed which patient's record, when, from which device. Required for HIPAA, hard to reconstruct after the fact.
Compliance burden killed velocity
Every feature shipped behind 4 layers of review. The team is ticking boxes instead of shipping. Engineers leave.
How healthtech engineering should look.
HIPAA-aligned architecture
Encrypted at rest and in transit, BAA-covered hosting, environment isolation, principle-of-least-privilege access for engineers.
FHIR + SMART on FHIR fluency
We've built against Epic, Cerner, Athena, Veradigm, Practice Fusion, and pure-FHIR sandboxes. We know which fields lie.
Tamper-evident PHI access logs
Every record view, edit, export logged immutably. Required by HIPAA, weaponizable for your security team.
Compliant comms — telehealth, messaging
Twilio Programmable Video for telehealth, BAA-covered messaging, secure file exchange.
Patient-facing UX that's usable
Compliance shouldn't make products worse. We design for accessibility (WCAG 2.1 AA), low-tech-comfort users, and real clinical context.
Engineering velocity preserved
We move fast inside the compliance envelope — automated policy checks in CI, pre-approved deployment patterns, security review only where it matters.
Outcomes, measured.
Battle-tested for healthtech.
The capabilities behind the work.
SaaS Product Development
Zero to revenue. Multi-tenant architecture, billing, auth, dashboards, analytics — done properly.
API Integrations
Payments, identity, messaging, analytics — integrated with rock-solid reliability and clean abstractions.
AI Solutions
LLM agents, retrieval pipelines, and ML integrations that unlock real business leverage — not demos.
Recent healthtech engagements.
Common questions about healthtech.
Do you sign Business Associate Agreements (BAAs)?+
Yes — we sign BAAs for any engagement that processes PHI, and we use BAA-covered AWS / Sentry / Datadog tiers throughout. We do not pass PHI to non-BAA tools.
Have you worked with Epic / Cerner / Athena?+
Yes. We've integrated against Epic via App Orchard / SMART on FHIR, Cerner via FHIR R4, and Athena via their public APIs. Each has its quirks; we know them.
Can you help us prepare for HITRUST / SOC 2?+
We architect for the audit, not the certificate. Your auditor reviews your controls; we provide engineering evidence and patterns. We've successfully supported HITRUST Level 1 and SOC 2 Type 2 audits.
What about non-US health regulations (NHS, GDPR-Art-9)?+
Yes — we've built for UK NHS Digital Care Records / DSP Toolkit alignment and EU GDPR Article 9 (special category data) compliance. Data residency in EU regions when required.
Building something in healthtech?
30-minute scoping call. Concrete plan and fixed pricing in writing within a week.