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HealthcareClient confidential (NDA)

Transforming the Patient Data Experience

A HIPAA-compliant telehealth and patient-data platform serving 200+ clinics, making clinical records more accessible and secure.

Engagement
9 months
Team
7 engineers
Services
Interoperability (FHIR) · Product Engineering · Security & Compliance · Cloud Infrastructure
200+
Clinics served
On a single unified platform
HIPAA
Compliant
Passed external audit
60%
Faster record access
For frontline clinicians
1
Unified record
Per patient, across systems

The Challenge

A healthcare network had grown by acquisition, and every clinic it absorbed brought its own systems. Patient records were scattered across dozens of incompatible tools, so the same patient could exist as several disconnected profiles depending on where they were seen.

For clinicians, this meant real friction at the worst possible moment — hunting across systems for a history, a prior result, or an allergy while a patient waited. For the organization, uncontrolled data-sharing between those systems was a standing HIPAA risk.

The mandate was twofold and in tension: make records dramatically more accessible to the people who need them, while meeting strict HIPAA requirements for privacy, least-privilege access, and complete auditability.

Our Solution

We built an interoperable data layer on HL7 FHIR that normalized records from every source system into a single, consistent patient model. Where clinics once had fragmented profiles, clinicians now saw one longitudinal record.

Access was governed by fine-grained, role-based controls with data encrypted in transit and at rest, so staff only ever saw what their role permitted. A clean clinician-facing portal surfaced the right information at the point of care, cutting the time spent searching.

Because this is healthcare, trust had to be provable, not just asserted. Every access event was logged to an immutable audit trail, and the infrastructure was hardened and configured specifically to pass third-party security review.

Our Approach

  1. 1

    Data model unification

    Mapped each source system to a shared FHIR-based patient model, reconciling duplicate and conflicting records.

  2. 2

    Least-privilege access

    Designed role-based access control and encryption so data exposure was minimized by default.

  3. 3

    Clinician-first portal

    Built the interface around real clinical workflows to reduce time-to-information at the point of care.

  4. 4

    Audit & compliance hardening

    Instrumented immutable access logging and configured infrastructure to pass external HIPAA review.

Technologies Used

ReactNode.jsAWSHL7 FHIRPostgreSQL

The Outcome

  • A single, unified patient record across 200+ clinics.
  • Faster, safer access to clinical data for frontline staff.
  • A defensible compliance posture that cleared external audit.

Building HIPAA-compliant systems requires absolute precision. The team scoped the architecture, planned our schema rules, and deployed secure infrastructure that passed auditing seamlessly.

VP of Product (name withheld under NDA)

A note on confidentiality: This project was delivered under a non-disclosure agreement. To respect our client's confidentiality, we've withheld their name and any identifying product details while describing the work, approach, and outcomes. We're happy to discuss relevant experience directly under NDA.

Figures shown are representative of the engagement and rounded to protect confidential details.

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