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Healthcare Software Development

Healthcare Software Patients and Clinicians Trust

Telehealth apps, patient portals and EHR integrations, built to support HIPAA compliance, with access controls, audit trails and BAA-covered vendors from the first sprint.

Get a Quote See the HIPAA Safeguards

What Healthcare Software Does Fajarix Build?

We build telehealth apps, patient portals, EHR integrations, scheduling systems, medical billing tools and AI features that support clinical staff, for digital health startups, clinics and healthcare companies modernizing old systems. You can work with a Dedicated Team or add Individual Developers who already know HIPAA and FHIR.

  • Telehealth Apps

    Video visits with booking, intake forms, secure chat, e-prescribing connections and payments, on web, iOS and Android.

    Video VisitsIntakeChat

  • Patient Portals

    Places where patients see results, request refills, message their care team and pay bills, without calling the front desk.

    RecordsRefillsBilling

  • EHR Integrations

    Connections to Epic, Oracle Health and athenahealth through FHIR R4, SMART on FHIR and HL7 v2 interfaces.

    FHIR R4SMARTHL7 v2

  • Scheduling and Reminders

    Provider availability, waitlists, automatic reminders and calendar sync, designed to reduce missed appointments.

    AvailabilityWaitlistsReminders

  • Medical Billing Tools

    Insurance eligibility checks, claim generation, denial tracking and patient payment plans for practices and billing teams.

    EligibilityClaimsDenials

  • AI Triage and Documentation

    Symptom intake that routes patients to the right level of care, and note drafting that clinicians review before anything is saved.

    TriageClinical NotesHuman Review

How Does HIPAA Shape the Way a Health App Is Built?

The HIPAA Security Rule sets technical safeguards for any system holding electronic patient data: access control, audit logs, data integrity, authentication and secure transmission. Vendors that handle that data for you must also sign a business associate agreement. These requirements affect the database, APIs and vendor choices, so they are designed in first. Compliance belongs to your organization; we build software to support it.

SafeguardWhat the Rule RequiresHow We Build It
Access ControlUnique user IDs and emergency access, with automatic logoff and encryption as addressable specifications.Role-based permissions checked on every API route, session timeouts suited to clinical work, and break-glass access that alerts an administrator when used.
Audit ControlsRecord and allow review of activity in systems holding electronic patient data.An append-only log of reads and writes of patient data, showing who, what, when and from where, searchable by your compliance officer.
IntegrityProtect patient data from improper change or destruction.Versioned records with soft deletes, database constraints that surface corruption, and backups that are restored on a tested schedule.
AuthenticationVerify that anyone accessing patient data is who they claim to be.Multi-factor authentication for all staff, short-lived tokens instead of long-lived keys, and device checks for clinicians using phones.
Transmission SecurityGuard patient data sent over networks against unauthorized access.TLS 1.2 or newer on every connection, encryption of sensitive fields at rest, and no patient data in URLs, logs, push notifications or analytics.
Business AssociatesEvery vendor handling patient data for you must sign a business associate agreement (BAA).We map the vendors involved, from hosting to SMS, video and error tracking, and choose services and plans whose vendor signs a BAA. We can sign a Business Associate Agreement where we handle PHI.

What Should You Know Before Integrating With Epic or Oracle Health?

EHR integration is slower than most teams expect. Hospitals still use HL7 v2 alongside FHIR, production access needs approval from each health system, and the data arrives inconsistent. Starting approvals early and building a proper data cleaning layer keeps these issues from delaying launch.

  1. HL7 v2 Still Runs the Hospital

    FHIR R4 is the modern API, but admissions feeds, lab results and orders often still travel as HL7 v2 messages through interface engines. Many projects need both.

  2. A Sandbox Is Not Production

    Epic and Oracle Health sandboxes connect within days. Production needs marketplace review, security questionnaires and approval from each health system, which takes far longer.

  3. SMART on FHIR Is the Front Door

    Apps that launch inside an EHR or read records with patient consent use SMART on FHIR authorization. USCDI defines a baseline of data you can expect; anything beyond it varies by site.

  4. The Data Will Be Messy

    Codes are mapped inconsistently, fields are missing and free text appears where structure should be. Cleaning and validation have to be planned features, not afterthoughts.

Which Tools Are Safe to Use With Patient Data?

Only tools whose vendor signs a BAA, or tools that do not receive patient data at all. Many common products, such as standard analytics, ad pixels and consumer video apps, are not covered. Health data also leaks through notifications and error logs, so we check the routes data can take.

What to Avoid

  • Standard analytics and ad pixels on pages patients log into
  • Consumer video or messaging apps without a BAA
  • Push notifications or texts that reveal a diagnosis
  • Error logs that capture request bodies with patient data

What We Use Instead

  • Hosting on a BAA-covered cloud plan, such as AWS, Google Cloud or Azure
  • Video infrastructure from a vendor that signs a BAA
  • Self-hosted or BAA-covered product analytics
  • Error tracking with patient data removed before it is sent
  • Notifications that say only “You have a new message”

How Do We Build Healthcare Software?

Six stages, with compliance mapped first and a pilot with one clinic before the wider rollout.

  1. Compliance and Workflow Mapping

    We sign an NDA on request, before you share anything confidential. Then we map which rules apply, which vendors touch patient data, and how clinicians and staff work today.

  2. Clinical Design

    Screens tested with clinicians and patients, including older users and people using assistive technology.

  3. Integration Setup

    EHR sandbox access and health system approvals started in week one, running alongside the build.

  4. Build in Sprints

    Two-week sprints, a written update every week and a demo of working software every two weeks, with audit logging and access control present from the first release.

  5. Security Testing

    Access reviews and a check for patient data leaking into logs, analytics or notifications. Penetration testing is arranged with a third party on request.

  6. Pilot and Rollout

    Launch with one clinic or department, monitor closely, then expand once staff and patients are comfortable.

  • We can sign a Business Associate Agreement where we handle PHI
  • Full code ownership transfers to you once it is paid for
  • A demo of working software every two weeks
  • Video visits
  • Online booking
  • Digital intake
  • Secure messaging
  • Lab results
  • Refill requests
  • Insurance checks
  • Patient payments
  • Reminders
  • Audit logs
  • FHIR APIs
  • Care team dashboards

Health Data Standards and Tools We Use

Interoperability standards, EHR platforms and the infrastructure that keeps patient data protected.

How Much Does Healthcare Software Development Cost?

Fixed-Price Projects typically start from $3,000 for a small, clearly defined piece of work, such as a booking flow or a single FHIR integration. Telehealth platforms and patient portals cost more, depending on integrations, apps and compliance scope. You receive a written proposal within 48 hours of the scoping call.

Many patients use health apps on their phones. Our mobile app development team builds the iOS and Android apps with the same safeguards as the web platform.

Frequently Asked Questions

  • Does HIPAA Apply to My Health App?

    If you handle patient information on behalf of a healthcare provider, health plan or clearinghouse, you are a business associate and HIPAA applies. A consumer wellness app with no provider relationship may fall outside it, but state privacy laws, the FTC Health Breach Notification Rule and enterprise buyers still expect similar protection. We assess this with you at the start. It is not legal advice, so confirm the conclusion with your counsel.

  • Will Fajarix Sign a BAA?

    We can sign a Business Associate Agreement where we handle PHI. Where our team works only with test data and has no access to production systems, one may not be needed, and we agree that with you before work starts.

  • How Do You Handle Telehealth Video Visits?

    We use video infrastructure from vendors that sign a BAA, with encrypted media. Visits are not recorded by default. If recording is needed, it happens only with patient consent, is stored encrypted and has its own audit trail. We do not use consumer video tools without a BAA for patient visits.

  • How Long Does It Take to Build a Telehealth App?

    A focused first version for a pilot typically takes 8 to 12 weeks from an agreed scope. A platform with web and mobile apps, video and booking takes longer, and EHR integration can extend the timeline, mostly because of health system approvals rather than engineering. We plan the pilot with one clinic so feedback from staff and patients arrives early.

Related Services

Building for Patients or Clinicians? Let’s Make It Secure and Simple

Tell us who uses the product and which systems it must connect to. We will map the compliance work and suggest a first version you can pilot.

Get a Quote How We Work