Who this is for
Founders, product leaders, and CTOs at health-technology companies selling to practices, health systems, or patients: care coordination, patient engagement, monitoring, scheduling, or administrative products. The EHR stays the clinical record; we build the product and its integrations, under a business associate agreement, to the standards a health system’s security review expects.
What makes it urgent
- A health system pilot depends on an EHR integration that does not exist yet.
- A security questionnaire arrived and the product cannot answer it.
- The roadmap has an integration or a mobile app the team cannot staff.
What usually breaks
- Every customer integration is custom-built and fragile.
- Audit logging and access control were added after the fact, or not at all.
- Patient data handling is undocumented.
Scope and price
What shapes the scope and price.
Every project is priced from a written scope. These are the factors that move it most.
EHR vendors and customers
Each EHR vendor and each customer’s configuration differs, so the number of target systems shapes integration, testing, and connector design effort.
Security review expectations
Health system security questionnaires and risk assessments vary in depth, and meeting them adds controls, documentation, and evidence alongside product work.
Patient-facing scope
Products used directly by patients add accessibility, identity verification, consent, and support considerations that tools for providers alone can avoid.
Condition of the existing code
Extending a well-structured product is narrower than retrofitting access control, audit logging, and data handling into code that grew without them.
Care coordination startup
A signed pilot moves from file exchange to a live EHR integration.
Health technology startups often sign a pilot while their product still exchanges data with the health system by file. What the pilot depends on is usually a FHIR integration for the resources in the workflow, such as referrals and encounters, plus single sign-on, roles that match care roles, and audit logging of patient-data access. The health system’s security review also asks for documentation, which is produced alongside the code. The connector is built for reuse, so the next health system on the same EHR starts from it rather than from scratch.