HEALTHCARE & LIFE SCIENCES · PRODUCTION SOFTWARE SINCE 2010
EHR, telehealth, clinical workflow, EVV, voice-to-text clinical notes, AI document intelligence, predictive scheduling, risk detection. Built with HIPAA-architected isolation, BAA-ready operational posture, and audit logs on every clinical action. Anchored in production by Adult Home Care SaaS for a US healthcare operator. Read the case study →
THE PROBLEM
Healthcare software fails in three predictable ways. First, it treats HIPAA as a documentation exercise — a checkbox on a sales call — rather than an architecture choice that shapes every line of code. Multi-tenant isolation is sloppy. Audit logs are partial. BAA negotiations turn into a panic when a real customer asks.
Second, it’s built for the demo, not the workflow. The clinical staff at 7am don’t have time to navigate three screens to record a visit. They need a voice note that becomes a structured clinical record, on the same device they already use, with no separate hardware. Most healthcare platforms can’t do that — or they can in the demo but not at the 200-patient-a-day scale of the production deployment.
Third, it doesn’t survive year three. Healthcare regulations change. EHR integration APIs deprecate. Compliance auditors rotate. Most healthcare vendors disappear or hand the system off to maintenance contractors who don’t understand the architecture. The operator gets stuck.
We’ve been engineering healthcare platforms since 2010. We architect around all three failure modes. That’s how we earned and kept the engagement that put the Adult Home Care SaaS into production for a US healthcare operator.
OUR APPROACH
We map the actual workflow of the clinical staff who will use the system — not the workflow described in the RFP. Where do they stand? What device? How many seconds per patient encounter? What’s the integration touch-point? The architecture answers to the workflow, not the other way around.
We design the multi-tenant isolation model (schema-per-tenant, encryption-at-rest, encryption-in-transit, key management) and the audit-log substrate before we design any clinical UI. By the time we ship a screen, every clinical action already generates a HIPAA-defensible audit record.
EHR / clinical record management, voice-to-text notes, predictive scheduling, document intelligence, EVV (electronic visit verification), integrations with billing and labs — built to operate at the patient volumes of a real production deployment, not the demo deployment.
Healthcare software is not a one-off. We stay engaged through HIPAA regulation updates, EHR API deprecations, BAA renegotiations, and the steady drumbeat of compliance changes — the way we’ve stayed engaged with our US healthcare operator.
CAPABILITIES WE SHIP
Electronic Health Records with structured clinical data, version history, and audit trails on every modification. Configurable record templates per specialty.
AI-powered voice transcription that turns dictated visit summaries into structured clinical records — on the same device the clinician is already holding.
Electronic Visit Verification with GPS / time / signature capture, plus AI-driven scheduling that learns from historical visit patterns to reduce no-shows.
Extract structured data from scanned referrals, lab results, insurance documents, and historical paper records — with human-in-the-loop review for clinical accuracy.
Pattern-detection on clinical data to surface deteriorating-patient signals to the care team before a critical event — the operational difference between reactive and proactive care.
Schema-per-tenant isolation, encryption at rest + in transit, audit logs on every PHI access, BAA-ready operational posture — the architecture choices a HIPAA auditor expects.
CASE STUDY DEEP-DIVE
We built an AI-powered, HIPAA-architected, multi-tenant home care SaaS for a US healthcare operator (under NDA). The platform handles EVV with GPS + biometric capture, voice-to-text clinical notes, AI document intelligence on insurance and referral paperwork, predictive scheduling that learns from caregiver visit history, and risk detection signals surfaced to the care team.
The architecture choices on this page — schema-per-tenant isolation, audit-on-every-PHI-access, voice-first clinical capture, AI-augmented operational workflow — are what carried that project from RFP to production. They’ll carry yours too.
TECH STACK
Our default for new clinical builds. Strong typing helps prevent the data-shape bugs that cause silent clinical errors. Single language across server + mobile + web.
The default isolation model for HIPAA multi-tenant. Each healthcare operator gets its own schema, with key management isolated per tenant — auditor-defensible from day one.
Compute, storage, and AI services running on AWS’s HIPAA-eligible service list with the BAA in place. Region-locked to keep PHI within jurisdictional boundaries.
Whisper-class transcription + LLM-driven structured extraction. All inference happens within the HIPAA-eligible perimeter; we don’t send PHI to OpenAI or other unsigned third parties.
Every access to PHI is recorded in an append-only ledger with actor + payload + access reason. Retention windows enforced at the storage layer.
The clinical staff use the platform on a mobile device while standing next to a patient. Mobile-first design is not an option; it’s the design.
HOW WE ENGAGE
2 weeks · fixed fee
You have a healthcare platform that’s working but you’re not sure it will hold up to a real HIPAA review. We audit the isolation model, audit-log architecture, access controls, and BAA-readiness — and deliver a written report with concrete remediation priorities.
12–24 weeks · phased delivery
You need a clinical or operational healthcare platform from scratch. We deliver the core HIPAA architecture plus your specific clinical workflows — production-deployable, BAA-ready, and documented for your compliance officer.
ongoing
You have a clinical system that needs to keep up with HIPAA changes, EHR API updates, and evolving operational workflows. We stay engaged on a retainer model — long-tenure clinical operations is what we do.
FREQUENTLY ASKED
Tell us your clinical workflow. We’ll tell you the HIPAA architecture we’d use on day one.
Direct line, founder-to-founder +977 9851038796 — Roshan Subedi, Founder & MD · 48-hour reply, engineer-only