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HIPAA-Compliant Development

Healthcare Software Development

Enterprise-grade, HIPAA-compliant healthcare software delivered 97% faster. Booking platforms, patient portals, telehealth, and EHR integrations — built right the first time.

Healthcare software carries a weight that other categories do not. A booking system that goes down at 2 a.m. affects real patients. A data breach does not just damage a brand — it violates trust at the most personal level. A platform that fails an ADA audit excludes the people who most need access.

OneChair builds healthcare software with compliance as a foundation, not a final layer. Using OneSpark, our 85-agent AI orchestration system, we deliver platforms that traditional agencies quote at 3–6 months — in days. WellChild, a pediatric healthcare booking system with 116 screens, was delivered in 27 hours. OutcomeRx, a Cell and Gene Therapy resource center, shipped in 30 hours.

What We Build for Healthcare

Booking and Scheduling Platforms

Multi-provider booking systems with real-time availability, patient self-scheduling, provider calendar management, and automated reminders. Designed for practices, clinics, and hospital networks. Our WellChild platform is a working example: a pediatric booking system serving a multi-provider network, built in 27 hours with full HIPAA compliance.

Patient Portals

Secure patient-facing portals for accessing medical records, managing appointments, completing intake forms, and communicating with care teams. Built with role-based access control, session management, and PHI protection enforced at the data model level.

Telehealth Platforms

Video consultation infrastructure, asynchronous messaging, prescription management, and follow-up workflows. HIPAA-compliant at every layer — from WebRTC encryption to storage and transmission of session recordings.

Resource Centers and Clinical Content Platforms

Structured content platforms for clinical education, treatment protocols, and patient information. OutcomeRx, a resource center for Cell and Gene Therapy, was delivered in 30 hours — a platform typically estimated at two months of agency time.

EHR Integrations

HL7 FHIR-compliant integrations connecting your platform to Epic, Cerner, Athenahealth, and other EHR systems. Data normalization, mapping, and bidirectional sync with full audit trails.

HIPAA Compliance Built In — Not Bolted On

Most development teams treat compliance as a phase at the end of a project. They build the application, then add encryption, then review access controls, then conduct a security audit. This is the wrong order — and it is expensive to fix.

We design for compliance from the first architectural decision. Every data model, API endpoint, and user flow is reviewed against HIPAA requirements before implementation begins. The result is a system where compliance is load-bearing infrastructure, not surface-level policy.

What Every Healthcare Build Includes

  • Encryption at rest and in transit — AES-256 encryption for stored PHI, TLS 1.3 for all data in transit
  • Role-based access control — minimum necessary data access enforced at the API layer, not just the UI
  • Comprehensive audit logging — every PHI access, modification, and export logged with user, timestamp, and IP
  • Session management — automatic timeouts, concurrent session detection, secure token handling
  • Business Associate Agreement (BAA) — signed before any work begins on PHI-handling systems
  • Penetration testing documentation — security review and remediation report included at delivery
  • Breach notification procedures — documented incident response process included in handover

ADA Accessibility as Standard

Healthcare platforms serve populations with elevated rates of disability. An inaccessible patient portal is not just a legal risk — it is a failure of care. Every OneChair healthcare build meets WCAG 2.2 AA as a baseline requirement, not an optional feature.

  • Screen reader compatibility tested with NVDA and VoiceOver
  • Full keyboard navigation without mouse dependency
  • Color contrast ratios meeting WCAG AA minimums across all UI states
  • Focus management for dynamic content and modal dialogs
  • ARIA labels and roles for all interactive elements
  • Text scaling up to 200% without layout breakage

Case Study — WellChild and OutcomeRx

WellChild — Pediatric Healthcare Booking Platform

A multi-provider pediatric practice needed a patient-facing booking system to replace a fragmented mix of phone scheduling, paper forms, and a legacy portal that had not been updated in five years. Requirements included multi-provider availability management, parent-facing booking flows, HIPAA-compliant storage of patient records, a clinical admin dashboard, and reminder automation.

Traditional agency estimate: 2.5 months and a five-figure monthly retainer. OneChair delivered the complete platform — 116 screens, HIPAA-compliant, production-ready — in 27 hours of build time.

Read the WellChild case study

OutcomeRx — Cell and Gene Therapy Resource Center

OutcomeRx required a structured content platform for healthcare professionals working in Cell and Gene Therapy — a highly specialized clinical domain with strict content governance requirements. The platform needed role-gated content, search across clinical protocols, and a publishing workflow for clinical editors.

The platform was delivered in 30 hours. Traditional estimates for comparable scope run to two months.

Read the OutcomeRx case study

Our Healthcare Tech Stack

We select technology based on the specific compliance and performance requirements of each healthcare project. Our default stack for regulated healthcare builds:

Healthcare Tech Stack

Next.js React TypeScript NestJS PostgreSQL Supabase Redis AES-256 Encryption FHIR R4 HL7 AWS / GCP Prisma Tailwind CSS React Native WebRTC Twilio

Compliance Standards

Every healthcare build is scoped against the relevant compliance framework from day one. We build to:

HIPAA ADA / WCAG 2.2 AA SOC 2 GDPR HITECH OWASP Top 10

If your project requires HITRUST CSF certification preparation or state-specific privacy regulations (CCPA, CPRA, NY SHIELD), we scope for those requirements explicitly.

Looking for a dedicated custom software build? See our custom software development service. For ongoing feature development and compliance maintenance, technical partnership is the right structure.

How Every Healthcare Build Works

01

Compliance Scope

We identify every PHI data element, map your compliance requirements (HIPAA, HITECH, state law), and lock the data architecture before any code is written. BAA signed before work begins.

02

Architecture Review

Every API, storage layer, and access control is designed for compliance. We present the architecture for your review and approval before build begins.

03

Build + Test

OneSpark deploys specialized agents in parallel — clinical UX, HIPAA data layer, admin tools, and security audit running simultaneously. Staging URL from day two.

04

Compliance Handover

Full delivery package: source code, compliance documentation, audit logs configuration, penetration testing summary, and a recorded walkthrough. You own everything.

Common Questions

HIPAA compliance is a design constraint, not a final checklist. We architect for it from day one: data encryption at rest and in transit (AES-256), role-based access control, comprehensive audit logging, automatic session timeouts, and minimum necessary data principles enforced at the data model level. We provide a Business Associate Agreement (BAA) and full compliance documentation at delivery.

We quote fixed prices based on scope. HIPAA compliance does not add a separate fee — it is built into every healthcare project. WellChild, a 116-screen pediatric booking platform with full HIPAA compliance, was delivered at a fixed price within a 27-hour build window. Contact us with your requirements for a detailed quote.

WellChild, a pediatric healthcare booking platform with 116 screens, multi-provider scheduling, and HIPAA-compliant data storage, was delivered in 27 hours of build time. OutcomeRx, a Cell and Gene Therapy resource center, was delivered in 30 hours. Traditional agencies quote 2–6 months for comparable scope.

Yes. We sign a BAA before any work begins on projects handling Protected Health Information (PHI). The BAA covers our development and delivery process. We also document all data flows, encryption standards, and access control mechanisms as part of the project handover package.

Every delivery includes a post-launch support window. For ongoing feature development, compliance monitoring, and technical partnership, we offer a retained Technical Partnership engagement — a monthly retainer covering a defined scope of feature work. No hourly billing, no surprise invoices.

HIPAA-Compliant by Default

Start With a Free Audit

Tell us what you need to build. We will review your compliance requirements and issue a fixed-price quote with a BAA ready to sign.

GET FREE AUDIT