Healthcare integration development
HEDIS measurement reporting, FHIR and TEFCA interoperability, clinical document workflows, and the audit trail you can hand to a compliance team without flinching.
Healthcare integration is the engineering work most dev shops decline. FHIR R4 conformance, TEFCA QHIN handshakes, HEDIS measurement pipelines, HIPAA audit trails: each one carries regulatory consequences if it breaks or fails an external review. We have shipped these systems and stood behind them through the audits.
If your integration failed an info-blocking review, your HEDIS pipeline cannot reproduce its own output, or you are standing up a new TEFCA connection against a hard deadline, those are the conversations we are built for. One of our shipped integrations passed external info-blocking review without remediation. Our HEDIS pipeline reproduces every submission from raw inputs to final measure on demand.
Our healthcare integration development practice spans FHIR R4 and SMART-on-FHIR, TEFCA QHIN connectivity, USCDI v3 data classes, HEDIS measurement reporting, clinical document watchers, medical OCR and classification at scale, HL7 ingestion, multilingual clinic platforms, HIPAA-aware file delivery, and patient-facing native mobile applications. The audit trail comes baked in, not bolted on.
We are a generalist studio with a deep healthcare practice. Direct contracts under your BAA. No subcontracting. Cases below are anonymized but real. Names and specifics after a call.
Common questions
What is HEDIS measurement reporting in healthcare engineering?
How does FHIR R4 integration work in practice?
What does TEFCA QHIN connectivity require?
How do you handle HIPAA-aware development?
Selected work in healthcare integration development
Multi-clinic web platform
Multi-tenant Next.js framework that launches ADA-compliant, HIPAA-aware clinic websites from one shared codebase. Each location gets its own subdomain, branded theme, appointment widgets, and secure intake forms without ...
FHIR · TEFCA · USCDI integration
Production FHIR R4 server covering 42 resource types, SMART on FHIR v2.1 with PKCE, TEFCA QHIN handshake against Epic Nexus and CommonWell, and a tamper-evident audit chain scoped to the Consent that authorized each read...
HEDIS measurement pipeline
HEDIS measurement pipeline built on .NET Windows services: fax intake, insurance portal sync, document classification, retry queues, and Slack-native incident routing tied to stuck-order diagnostics. HEDIS submissions re...
Clinical document watcher
Fleet of .NET clinical document watcher agents running unattended at provider endpoints. Each agent detects signed documents, OCRs where needed, and pushes to a central store with chain-of-custody hashing. Buffers locall...
Image classify and OCR pipeline
High-volume image classification and OCR pipeline with GPU-aware batch scheduling and a variable worker pool. Structured clinical data extracts route downstream with content-hash deduplication. Survives bursty load witho...
Healthcare SEO program
Technical SEO program for clinical sites. JSON-LD schema markup for MedicalClinic, Physician, Service, and MedicalProcedure, Core Web Vitals optimization, hreflang for multilingual content, and GSC instrumentation that s...
Scan and fax image enhancement
Server-side enhancement pipeline for medical document imaging. Deskews, denoises, and normalizes contrast on scans and inbound faxes, then scores OCR readability before any document reaches the clinical record. Persisten...
Document reformat at scale
Memory-bounded streaming pipeline that converts clinical document corpora across PDF, TIFF, DOCX, structured XML, and clinical CDA. Structure survives format hops. Every transformation step writes an audit record with in...
Mobile medication selector
Patient-facing iOS and Android medication selector app built for a real symptomatic moment. Indication search, drug interaction and contraindication checks against the FHIR-backed patient profile, OTC versus Rx routing, ...
Multilingual clinic platform
Multilingual web platform for a private multi-location medical center serving the Eastern European diaspora. i18n routing in Polish, Ukrainian, and Russian, a multi-step appointment wizard wired to an external booking AP...
Automated medical reporting
Branded PDF report generator for clinical workflows. Templated layouts, dynamic chart binding, signature blocks, batch generation against patient cohorts, locale-aware content, and a downstream distribution integration. ...
HIPAA audited file proxy
Authenticated HIPAA-compliant file delivery proxy for clinical documents. Tokenized URLs scoped to one document, one recipient, and one time window. Virus scanning before delivery, configurable retention per partner, ful...
Clinical data warehouse
Long-running clinical data warehouse on MSSQL. Patient, encounter, and claim records normalized with full history, idempotent ETL batches against external partners, code-managed stored procedures, and read-only replicas ...
Clinical data aggregation hub
API hub aggregating multiple clinical data sources behind a single read-friendly contract for internal teams. Typed C# SDK shipped to consumers, schema-versioned endpoints, per-request budgeting, and audit logging so com...
Tell us about your healthcare integration.
HEDIS pipeline, FHIR exchange, document ingestion, or audit-grade infrastructure that someone forgot to maintain. We respond within one business day.