HIPAA · HITRUST · HL7 FHIR

Technology built
for the complexity
of modern care

Healthcare software that actually ships - and meets the compliance bar on day one. We build clinical platforms, interoperable data systems, and AI-powered care tools for hospitals, health networks, and digital health startups.

HIPAA HITRUST SOC 2 HL7 FHIR R4 DICOM ISO 27001
Healthcare Track Record
40+
Healthcare clients served
12M+
Patient records handled securely
0
HIPAA data breach incidents
99.97%
Uptime on clinical systems
6wk
Avg. time to HIPAA certification

Healthcare technology
that clinicians trust

We build for the actual environment - interoperability requirements, clinical workflow constraints, EHR integrations, and all the compliance layers that general-purpose software firms skip.

Telehealth & Virtual Care

End-to-end telehealth platforms - video consultation infrastructure, asynchronous messaging, remote monitoring integrations, and the administrative workflows around scheduling, billing, and documentation. HIPAA-compliant from the transport layer up.

WebRTC HIPAA BAA Remote monitoring

Health Data & Interoperability

HL7 FHIR R4 APIs, CCDA document processing, and real-time EHR data pipelines. We've built interoperability layers connecting dozens of healthcare systems - Epic, Cerner, Meditech, Athenahealth - without destroying the clinical data model in translation.

HL7 FHIR R4 CCDA DICOM IHE profiles

Patient Engagement Apps

Mobile apps and patient portals that people actually use between appointments - medication adherence, care plan tracking, symptom diaries, and bi-directional communication with care teams. Designed with accessibility and health literacy front of mind.

React Native Patient portal WCAG 2.1 AA

Healthcare AI & Analytics

Predictive risk models, NLP-powered clinical documentation, imaging analysis pipelines, and population health dashboards. We build AI tools that enhance clinical judgment rather than replacing it, with the explainability and audit trails that clinical governance requires.

Predictive modelling Clinical NLP FDA SaMD guidance

Compliance built in,
not checked off

Every healthcare system we build starts with the privacy and security architecture - not with a feature backlog that "adds HIPAA later". That shift in sequencing is why our clients haven't had a breach.

HIPAA Privacy & Security by design

Minimum necessary access, PHI segmentation, and audit logging are architectural decisions we make before writing a user story - not compliance tasks added in sprint 12.

End-to-end encryption for PHI

Data encrypted at rest (AES-256), in transit (TLS 1.3), and at the field level where clinical data warrants it. Encryption keys managed through HSM-backed key management services, not application secrets.

Audit trails & access governance

Immutable audit logs for every PHI access - who saw what, when, from where. Role-based access control mapped to clinical roles, with automated access reviews and separation of duties for sensitive data classes.

Breach response in under 60 minutes

Documented incident response runbooks, automated anomaly detection, and a defined escalation path that gets a clinical security engineer on the issue within 60 minutes of detection - day or night.

HIPAA
Privacy & Security Rule compliance with full BAA coverage
HITRUST
CSF framework implementation and certification support
SOC 2 Type II
Security, availability, and confidentiality controls
ISO 27001
Information security management system alignment
HL7 FHIR R4 & SMART on FHIR
Certified interoperability with Epic, Cerner, Meditech, and Athenahealth via standards-compliant FHIR APIs. ONC HTI-1 compliant data access for patient-facing applications.

What we've actually built

Real outcomes from real healthcare engagements - numbers from deployed systems, not projections.

NHS Trust · 1,200 beds

Clinical decision support for sepsis detection

An NHS acute trust needed earlier sepsis identification across ED and inpatient wards. We built a real-time risk scoring engine integrated into their existing Epic workflow - surfacing alerts inside the EHR without requiring clinicians to leave the system they're already working in. Rolled out to 14 wards in 16 weeks.

34%Earlier sepsis identification
16wkDeployment across 14 wards
US Telehealth · Series B

Multi-state HIPAA telehealth platform, 0 to 800k users

A US digital health startup expanding from 3 states to 28 needed infrastructure that could handle the compliance and licensure complexity of multi-state virtual care. We built the platform, the HIPAA compliance layer, and the provider credentialling workflow - scaling from 12,000 to 800,000 active patients in 18 months.

66×Patient growth in 18 months
28States, fully compliant
Health Network · 6 hospitals

Unified patient data platform across 6 disparate EHRs

A regional health network operating across Epic, Cerner, and two legacy systems had no consolidated view of patient history across sites. We built a FHIR-native data platform that normalises records across all four systems in real time - giving clinicians a unified longitudinal record without replacing any of the underlying EHRs.

4EHR systems unified
2.1MPatient records consolidated

The systems we
connect and build on

Healthcare runs on legacy infrastructure. We work with what's there - integrating cleanly rather than ripping and replacing.

EHR Systems
Epic (MyChart API) Cerner (Millennium) Meditech Athenahealth Allscripts DrChrono
Standards
HL7 FHIR R4 HL7 v2.x CCDA / C-CDA DICOM IHE XDS SMART on FHIR CDS Hooks
Infrastructure
AWS GovCloud Azure for Healthcare Google Cloud HCLS HIPAA-BAA certified VPC isolation HSM key management
AI & Analytics
AWS HealthLake Google Healthcare API Azure Health Data Custom ML pipelines NLP / clinical notes Predictive risk models
Frontend & Mobile
React React Native Next.js WCAG 2.1 AA iOS / Android Offline-capable PWA
Security
AES-256 encryption TLS 1.3 RBAC / ABAC Audit logging (immutable) Zero-trust networking Pen testing (quarterly)

We've seen what happens when healthcare software ships without the right foundation

Not a cautionary tale - a methodology. The healthcare teams we work with best are ones who've tried the general-purpose software firm and ended up with a HIPAA gap or a system that clinicians worked around.

Start a healthcare project

Clinical context, not just technical capability

We have clinical informatics specialists and former NHS digital architects on the team - people who understand the difference between a workflow that works in a demo and one that works during a night shift. That context shapes every design decision.

HIPAA compliance is an engineering practice, not a checkbox

We run threat modelling sessions for every new system, maintain Business Associate Agreements with all sub-processors, and keep a living data flow map updated throughout the engagement. When auditors come, the documentation already exists.

EHR integrations that actually work

Epic and Cerner have reputations for difficult integrations. Ours work because we've done them before - we know the sandboxing process, the vendor review timelines, and the specific edge cases in FHIR implementations that aren't in the documentation.

Clinician adoption is an engineering goal

A clinical tool nobody uses is a failed project, even if it's technically correct. We run early co-design sessions with frontline clinical staff, prototype with real workflows, and measure adoption rates - not just launch metrics.

99.97% uptime on clinical systems

Healthcare systems don't get scheduled maintenance windows. We architect for continuous availability - active-active deployments, automated failover, and rolling deployments that update without disrupting an active clinical session. Our SLA is 99.97% and we've held it.

Common questions about healthcare software

Healthcare software procurement has a reputation for going wrong. These are the questions we hear most from teams trying to avoid that.

Still have questions? Talk to us →
We treat HIPAA compliance as an architectural requirement, not a sign-off task at the end. Every project starts with a PHI data flow mapping session, threat modelling, and a risk analysis. We define the technical safeguards - encryption, access controls, audit logging, transmission security - in the design phase, implement them in development, and document them in a Security Risk Assessment we maintain and update. You'll have everything you need for an audit before you go live.
Yes - and it's one of the things we've done often enough to be honest about the timeline. Epic and Cerner integrations require sandbox access, vendor review, and in some cases a technical review with the EHR vendor's team. We know this process well. A typical SMART on FHIR or CDS Hooks integration takes 8–14 weeks from kickoff to production, including the vendor approval period. If you need something faster, we can discuss which integration approach is feasible in your timeframe.
Yes. We've delivered projects for NHS trusts and integrated care systems. We're familiar with NHS DSP Toolkit requirements, NHS login integration, the GP Connect APIs, and the data security and protection standards that NHS organisations must meet. We also understand the procurement environment, which is different from private healthcare in ways that affect project planning.
Every clinical AI tool we build has a defined scope of use, a clear explainability model, and a human-in-the-loop design where the software informs clinical judgment rather than making autonomous decisions. We follow FDA Software as a Medical Device (SaMD) guidance for anything that might be classified as a medical device, and we design for clinical governance from the start - including audit trails, model performance monitoring, and defined escalation paths when predictions fall outside expected parameters.
Every engagement includes post-launch support with documented incident response runbooks. For healthcare clients, we have a specific HIPAA Breach Notification protocol: initial response within 60 minutes, preliminary investigation within 4 hours, and formal notification support within the 60-day HIPAA reporting window. We also provide quarterly security reviews and penetration testing as part of ongoing managed services.
Yes - we've supported several healthcare organisations through HITRUST CSF certification. We implement the technical controls that HITRUST requires, help you document them in the format assessors expect, and work with your chosen HITRUST assessor during the review. Full certification typically takes 6–9 months for a new system; we can usually have the technical controls in place within 12 weeks, with the remainder of the time spent on documentation and the assessment process itself.

Let's build something that works for clinicians - and survives an audit.

Book a free 60-minute technical session with a healthcare engineering specialist. We'll review your requirements, identify the compliance and integration questions worth answering early, and give you a realistic view of timeline and approach - before anything is committed.

Start a Healthcare Project
No commitment required
HIPAA BAA signed if required
Response within 24 hours