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HIPAA-compliant software engineering from Poland. We build EHR integrations, patient portals, telemedicine platforms, practice management systems and clinical trial software for US and EU healthcare companies. BAA-ready, GDPR and HIPAA aligned, with senior engineers experienced in FHIR R4 and HL7 v2.
Trusted by teams across Europe
US healthcare software agencies charge $180-280/h for senior devs with HIPAA experience. India and Philippines cost less but rarely sign HIPAA BAAs on terms US counsel accepts, and 10-12 hour timezone gaps make incident response impossible. Polish nearshore sits in a sweet spot: senior healthcare engineers at $65-85/h, BAA + SCCs + GDPR stack that legal teams accept, and 3-5 hours of live overlap with US East Coast for real-time escalations. We've built FHIR integrations, telemedicine platforms, and clinical trial systems for 7+ healthcare clients since 2019.
Integrate or extend Epic, Cerner (Oracle Health), athenahealth, eClinicalWorks and Allscripts. FHIR R4 is our default, HL7 v2 for legacy interfaces.
Branded patient-facing portals for appointments, records access, secure messaging, e-prescribing, and care plan tracking. Native iOS and Android apps when needed.
End-to-end telemedicine: video consultations, e-prescribing via Surescripts, digital intake forms, payment, insurance verification. Mobile-first.
Custom PMS for specialty practices that don't fit into Epic/Cerner workflows. Scheduling, billing, claims, denial management, analytics.
Electronic Data Capture (EDC) and clinical trial management systems for sponsors and CROs. Built to 21 CFR Part 11 and ICH-GCP expectations.
RPM platforms integrating wearables and home medical devices with clinician dashboards. Alert engines for clinical thresholds, CPT 99453/99454/99457 billing workflows.
We don't self-certify. We build to the standard and support your QA, security and regulatory teams through their audits. For each project, we agree up front on which frameworks apply and document the corresponding technical and procedural controls.
A mid-sized US specialty clinic group (12 locations) came to us to replace their legacy PMS with a custom platform integrated with Epic via FHIR. Timeline: 7 months, team of 6, total budget $280k. What that actually looked like in practice:
BAA signed week 1. Security architecture review with client CISO. Data flow diagrams, PHI boundary documented. Synthea-generated test data pipeline stood up. Zero real PHI left client environment.
Epic App Orchard registration, SMART on FHIR authorization flow, Patient / Encounter / Observation / Appointment FHIR resources wired. Staging environment integrated with Epic's sandbox.
Scheduling, billing, claims, denial workflows. Availity clearinghouse integration for eligibility. Role-based access control aligned to clinical job functions. Audit log table immutable, streamed to client's SIEM.
Phased rollout (3 locations → 6 → 12). Penetration test by external firm (client's choice). HIPAA risk assessment document delivered to client's HIPAA officer. Runbook for incident response and breach notification.
BAA signed, audit logs immutable, encryption at rest and in transit, MFA-gated VPN, MDM-managed laptops, synthetic PHI in dev. Real PHI never leaves the client's production environment.
FHIR R4 integrations with Epic App Orchard, Cerner Ignite, athenahealth Marketplace. HL7 v2 interfaces for hospital information systems. We do not self-certify, we build to the standard and support your auditor.
Discuss your healthcare projectYes. While Poland is not within the US HIPAA jurisdiction, Business Associate Agreements (BAA) with foreign subprocessors are permitted under HIPAA if Standard Contractual Clauses and contractual safeguards equivalent to US requirements are in place. We sign BAAs, maintain HIPAA Security Rule technical safeguards, and can provide audit logs, encryption-at-rest, access control records, and incident response procedures per HHS guidance.
Typical projects: custom EHR/EMR systems for specialty clinics, patient portals integrated with Epic/Cerner/athenahealth via FHIR, telemedicine platforms (video, messaging, e-prescribing), practice management systems (PMS), clinical trial data collection (EDC), medical device software (SaMD), healthcare analytics dashboards, remote patient monitoring (RPM) platforms.
Yes. We have delivered FHIR R4 integrations with Epic App Orchard, Cerner Ignite APIs, athenahealth Marketplace, and custom HL7 v2 interfaces for hospital information systems. Common use cases: patient demographics sync, appointment scheduling, clinical observations (vitals), lab results (ORU^R01), and medication orders (RDE^O11).
Depending on scope: HIPAA (US patient data), GDPR (EU patient data), HITRUST CSF (we build to HITRUST controls if client is HITRUST-certified), SOC 2 Type II (infrastructure compliance), FDA 21 CFR Part 11 for electronic records, ISO 13485 and IEC 62304 for Software as a Medical Device (SaMD). We do not self-certify, we build to the standard and support your auditor.
Strict separation. Real PHI never leaves the client's production environment. Development happens against synthetic data (Synthea, Faker-based generators) or HIPAA-compliant sandboxes. If real PHI is unavoidable for debugging, we use time-limited VPN access with encrypted screen recording and revoke on ticket close. All developer laptops are encrypted (LUKS/FileVault), MDM-managed, and access is MFA-gated.
Patient portal with FHIR integration: $45-120k (3-5 months). Custom EHR for specialty clinic: $120-400k (6-12 months). Telemedicine MVP: $60-150k (4-6 months). Clinical trial EDC: $80-250k (5-9 months). Rates: senior healthcare dev with HIPAA experience $65-85/h, architect $85-115/h. 40-60% cheaper than US healthcare software agencies at comparable seniority.
Tell me what healthcare product you want to build, regulatory load and timeline. We propose scope and BAA-ready setup within 5 working days.
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