SaaS Development · for Healthtech founders
SaaS Development for Healthtech
In short
Aqib Ops builds HIPAA-aware healthtech SaaS in 10–14 weeks. We deliver PHI-isolated multi-tenant data, signed BAAs with every infrastructure provider, immutable audit trails on every PHI access, and the FHIR/HL7 integrations that get you talking to EHRs without a six-month standards detour.
The problem
Healthtech SaaS dies on compliance and integrations. Generalist agencies ship a beautiful product that can't be sold to a single covered entity because the audit trail is missing, the BAA chain has a gap, or the FHIR mapping was hand-rolled wrong.
Our approach
We start by mapping PHI flows on a whiteboard before a single screen is designed: where it enters, where it lives, who can read it, when it's purged. Audit logging goes in the schema, not a wrapper. Every third-party we touch needs a signed BAA before integration begins. FHIR is treated as a first-class API surface.
Stack we'd reach for
Next.js + tRPC
Type-safe API surface; faster review with auditors who can read TypeScript.
AWS HIPAA-eligible services
RDS, S3, KMS — all under a signed BAA, with infrastructure as code.
Medplum or AidBox (FHIR)
Standards-compliant FHIR server so EHR integrations don't become custom forever.
Pangea or Vanta
Audit log primitives + SOC 2 / HIPAA evidence collection automated.
Sentry (HIPAA plan)
Error tracking that doesn't accidentally exfiltrate PHI to a third party.
What you'd get
- Multi-tenant Postgres with row-level PHI isolation
- Immutable audit log on every PHI read and write
- FHIR R4 read/write surface + Smart-on-FHIR launch flow
- BAA-ready infrastructure (AWS, Pangea, Vanta) wired
- Role-based access aligned to clinical roles
- Patient-facing portal + clinician console + admin tooling
Frequently asked
Do you build HIPAA-compliant SaaS?
We build HIPAA-aligned: signed BAAs across the infrastructure chain (AWS, Pangea, Sentry, your email provider), PHI isolation at the database level, immutable audit logging, and least-privilege IAM. Formal HIPAA assessment is a separate engagement with a partner like Vanta or Drata.
Can you integrate with Epic, Cerner, or athenahealth?
Yes — via FHIR R4 (the modern standard) and Smart-on-FHIR for embedded launch. Direct HL7 v2 integrations are doable but slower; we recommend FHIR-first wherever the EHR supports it.
How do you handle PHI in error logging?
We use Sentry's HIPAA-eligible plan with PII scrubbers and request-body redaction at the SDK level. PHI never leaves your infrastructure unredacted, and we audit our own logging on every release.
How long until we can sell to a health system?
12–16 weeks for a pilot-ready product. Selling to a health system itself takes longer (procurement, security review) — we'll set you up with the artifacts security teams ask for: data flow diagram, BAA chain, threat model, audit log samples.
What does a healthtech MVP cost?
Most healthtech MVPs we ship land between $60k and $140k depending on EHR integration count and the depth of compliance evidence required at launch. We quote per scope after a discovery call.
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