Question 1

Do you integrate with Epic EHR systems?

Accepted Answer

Yes, we specialize in Epic EHR integration including FHIR APIs, CDS Hooks, and SMART on FHIR applications. We have experience working with multiple Epic instances and understand that each implementation behaves differently.

Question 2

What is FHIR integration?

Accepted Answer

FHIR (Fast Healthcare Interoperability Resources) is a standard for exchanging healthcare data electronically. We build FHIR integrations that connect your applications to EHR systems, enabling secure data exchange for patient records, clinical workflows, and healthcare analytics.

Question 3

Are your solutions HIPAA compliant?

Accepted Answer

Yes, all our healthcare software solutions are built with HIPAA compliance from the ground up. We have in-house legal and compliance expertise covering HIPAA, HITRUST, and SOC 2 requirements.

Question 4

What is CDS Hooks?

Accepted Answer

CDS Hooks (Clinical Decision Support Hooks) is a standard for integrating clinical decision support tools into EHR workflows. We build custom CDS Hooks that provide real-time guidance to clinicians at the point of care, helping prevent medical errors and improve patient outcomes.

Question 5

Do you work with healthcare startups or just large organizations?

Accepted Answer

We work with both healthcare startups and established organizations. Our clients range from early-stage digital health companies to large hospital systems and enterprise healthcare technology providers.

Question 6

What makes your approach different from other healthcare software consultancies?

Accepted Answer

We specialize in bespoke, complex healthcare integrations where cookie-cutter approaches fail. While others focus on repeatable patterns, we thrive in the nuanced, site-specific work that requires deep EHR expertise—like CDS Hooks that need custom configuration for each Epic instance, or AI/ML solutions that adapt to real clinical workflows.

Question 7

Do you work with early-stage healthcare startups?

Accepted Answer

Yes, we work with healthcare startups from pre-seed through Series A and beyond. We provide strategic technical guidance, fractional CTO services, MVP development, and help navigate critical decisions around EHR integration, HIPAA compliance, and technical architecture that impact fundraising and product-market fit.

Question 8

How much does FHIR integration cost for a startup?

Accepted Answer

Integration costs vary significantly based on your approach. A basic SMART on FHIR read-only app typically takes 4-6 weeks. Middleware platforms charge per-member-per-month fees that scale with your business. Custom integrations have higher upfront costs but better long-term economics for analytics use cases. We help model both approaches based on your specific market and use case.

Question 9

What is the timeline for Epic App Orchard certification?

Accepted Answer

Epic App Orchard certification typically adds 2-4 weeks to your integration timeline for their review process. The actual development of a SMART on FHIR application for Epic takes 4-6 weeks for simple read-only apps, or 8-12 weeks for complex read/write workflows. We handle the certification process and know how to navigate Epic's requirements.

Question 10

Can you help with HIPAA compliance for our SaaS product?

Accepted Answer

Yes, we provide technical HIPAA compliance consulting for healthcare SaaS companies. This includes security architecture review, BAA processes, encryption implementation, audit logging, and preparation for HITRUST or SOC 2 certification. We bridge the gap between legal compliance requirements and actual engineering implementation.

Question 11

What are common mistakes when building healthcare software?

Accepted Answer

Common mistakes include underestimating middleware platform costs at scale, treating HIPAA as just encryption (ignoring audit logging and organizational controls), expecting Epic FHIR APIs to work like sandboxes in production, underestimating integration maintenance costs, skipping security reviews early in sales cycles, and oversimplifying CDS Hooks implementation.

Question 12

Should startups build custom EHR integrations or use middleware?

Accepted Answer

It depends on your use case and market concentration. Middleware platforms (Redox, Healthjump, Particle) charge $1-3 per patient per month, which can destroy unit economics at scale for analytics use cases. Custom integrations have higher upfront costs but better long-term economics if you are targeting 2-3 EHR vendors representing 80%+ of your market. Consider middleware for transactional workflows and fragmented markets.

Question 13

What is SMART on FHIR?

Accepted Answer

SMART on FHIR is a standard for building applications that launch from within EHR systems and access patient data via FHIR APIs. SMART apps use OAuth 2.0 for authorization and can read or write clinical data depending on permissions. This is the primary way to build apps that integrate with Epic, Cerner, and other major EHR vendors.

Question 14

How long does SOC 2 certification take for healthcare companies?

Accepted Answer

SOC 2 Type I can be achieved in 2-3 months if your security controls are already implemented. Type II requires 3-12 months of audit observation period to prove controls work over time. Budget $30-50K for audit costs, plus engineering time to implement required controls and prepare evidence. Most enterprise healthcare customers require SOC 2 Type II before signing contracts.

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