Most breaches trace back to software built without HIPAA architecture. We build the architecture first.
PHI-safe architecture. HIPAA built into every sprint. Not added after launch.
Custom healthcare software with HIPAA technical safeguards designed in from Sprint 1. HL7 FHIR integration and EHR connectivity are part of the architecture, not afterthoughts. Generic agencies bolt compliance on after launch. We scope it before the first line of code.
Most healthcare software failures are not coding errors. They are architecture decisions made before anyone read what HIPAA requires.
Check your HIPAA posture now. See your gaps before your development partner does.
This is the exact checklist we run at project discovery. Check off each safeguard you have in place. Your compliance score updates instantly.
Four types of healthcare software we build and ship HIPAA-compliant.
A patient portal becomes a PHI system the moment it stores a first name and birth date. We design the authentication layer before we write the first form field. Consumer portals get Sign In with Apple or Google. Enterprise portals get single sign-on. Every role sees only the PHI its function requires. Every record view generates an immutable audit entry.
FHIR integration fails in the edges: pagination across large result sets, SMART on FHIR OAuth flows, and resource model inconsistencies between EHR versions. We have shipped these integrations. We know the edge cases before your project reaches them. Epic and Cerner via FHIR R4 APIs. Older systems via HL7 v2 message parsers for ADT, ORM, and ORU messages.
We built the custom CMS for Saratoga Hospital. That build taught us three things generic agencies miss: ADA WCAG 2.1 compliance must be enforced at publish time, not tested afterward. Appointment request forms must route without storing PHI in the CMS. Healthcare content requires an editorial approval workflow that meets clinical governance standards.
Healthcare analytics requires de-identifying PHI before it reaches any analytics pipeline. HIPAA Safe Harbor removes or generalizes 18 specific patient identifiers. We implement de-identification at the data extraction layer. Your BI dashboards never touch identifiable patient data.
Saratoga Hospital replaced fragmented manual workflows with a custom HIPAA-compliant CMS. Built in 12 weeks. 80% reduction in manual content update time.
Most agencies have never signed a BAA. Here is the checklist to verify before you commit.
Five questions every healthcare CTO should ask any development partner.
HIPAA technical safeguards require four things from your software architecture: access controls that restrict who can read or modify PHI, audit controls that log every access with a timestamp and user identifier, integrity controls that detect unauthorized PHI modification, and transmission security that encrypts PHI in transit. These must be designed into the data model, authentication system, and API layer from Sprint 1. An application rebuilt for HIPAA compliance after launch costs 5 to 10 times more than one designed for it from the start. Use the HIPAA Assessment above to identify your current gaps.
Yes. We integrate with Epic and Cerner via their FHIR R4 APIs and SMART on FHIR authorization framework. For older electronic health record systems that expose HL7 v2 interfaces, we build message parsers and translation layers for ADT, ORM, and ORU messages. We also integrate with Health Gorilla and other health data aggregators for multi-EHR access.
A Business Associate Agreement is a contract required by HIPAA whenever a covered entity shares PHI with a vendor that processes, stores, or transmits that data. As a software development company building systems that handle PHI, Redefine is a Business Associate under HIPAA. We execute a Business Associate Agreement before accessing any PHI, including sample or test data. Any development partner who declines to sign a Business Associate Agreement is operating outside HIPAA requirements.
A HIPAA-compliant patient portal with authentication, appointment scheduling, secure messaging, and basic health record access takes 16 to 22 weeks. A clinical workflow application with EHR integration, role-based access, and audit logging takes 20 to 28 weeks. A healthcare content management system like the one we built for Saratoga Hospital takes 10 to 14 weeks. We scope before we quote.
We built the custom HIPAA-compliant CMS for Saratoga Hospital. That project replaced four disconnected content tools with a single centralized platform built in Laravel. Full HIPAA technical safeguards were implemented from Sprint 1. The system went live in 12 weeks. We scope and build patient portals, EHR integrations, and clinical workflow applications for healthcare providers and health technology companies.
What are you building? We scope before we quote.
Submit your brief. We respond within two business days with a HIPAA-scoped project outline. No commitment. No pitch.
