Engineering for healthcare and life sciences.
PHI is encrypted at the field level. Audit trails are signed and immutable. Our BAA is signed before kickoff. We have built clinical decision support that runs alongside Epic and Cerner and survived joint commission inspection.
Standards we hold ourselves to
What we hold ourselves to.
HIPAA Privacy & Security
BAA executed before any PHI touches our systems. Field-level encryption, access logs surfaced to your privacy officer, breach notification within 60 days as required.
HITRUST CSF
We map our control evidence to HITRUST CSF v11. Customers using us as a sub-processor can roll our attestation into their own r2 certification.
FDA 21 CFR Part 11
Electronic records and signatures for systems supporting clinical trials or pharma manufacturing. Validation documentation produced as a project artifact.
GxP
Computer system validation per GAMP 5 when engagement supports regulated manufacturing or laboratory operations.
ONC interoperability
FHIR R4 and USCDI v3 by default. SMART-on-FHIR for embedded launches. Bulk data via $export.
State-level (CMIA, NY SHIELD, TX HB300)
State-specific health privacy regimes incorporated into data flow design and breach response.
Common engagements in this vertical.
EHR integration
Epic, Cerner Oracle Health, Meditech, Allscripts. HL7 v2, FHIR R4, X12 837/835. Real-time orders, results, ADT, charge capture.
Clinical decision support
Evidence-based rules engines, alerting that respects fatigue, CDS Hooks where SMART-on-FHIR fits.
Telehealth
WebRTC-based with TURN failover, low-latency audio routing, PHI-safe transcripts, billing-grade encounter logs.
Patient engagement
Portals, secure messaging, appointment self-service, care plan adherence, family-share access.
Claims & RCM
837 generation, 835 reconciliation, denial management, prior auth automation, payer-specific routing.
Population health & analytics
De-identified analytics layer over EHR data, risk stratification, quality measure reporting.
What is different about doing this work.
- Audit trail is an architectural concern, not a logging concern. Every PHI access logged with subject, actor, purpose, timestamp.
- PHI fields encrypted at rest with customer-managed KMS keys when the customer demands key control.
- De-identification pipelines built to Safe Harbor or Expert Determination standards depending on use case.
- Bring-your-own-cloud for customers on Epic Cloud or other isolated environments.
- Joint commission inspection readiness baked into the development checklist for hospital-deployed systems.
Have a healthcare build in flight?
A senior engineer with vertical experience responds within one business day.
Start a brief →Plutobee shipped our FHIR-bridge integration with Epic in nine weeks. It passed our HIPAA audit on first review and our joint commission inspection without findings. We have renewed every year since.
Vertical questions, answered.
The questions buyers in this vertical ask in week one.
Do you sign a BAA before kickoff?+
Yes. Mutual BAA is signed before any PHI touches our systems. Our standard BAA template incorporates HHS reference language and is acceptable to most provider compliance offices on first review.
Can you work with Epic on Connection Hub or App Orchard?+
Yes. We have shipped SMART-on-FHIR apps via App Orchard and direct EHR integrations via Connection Hub. We also work with Cerner Oracle Health, Meditech, Allscripts, and athenahealth.
How do you handle PHI in development?+
PHI never touches development environments. We use Synthea-generated synthetic data for development and integration testing. Customer-managed KMS keys available when key control is required.
What about HITRUST?+
We map our internal controls to HITRUST CSF v11. Customers using us as a sub-processor can incorporate our control evidence into their own r2 certification.
Do you handle clinical decision support that touches CMS quality measures?+
Yes. We build CDS that contributes to MIPS, eCQM, and HEDIS reporting workflows. Our team includes engineers who have shipped CDS Hooks integrations against three of the top five EHRs.
How we typically wire it.
A canonical layout for this vertical. Real engagements tune this to the specific stack and constraints.