Healthcare Engineering & Commercial Knowledge Base

Frequently Asked Questions

Everything you need to know about partnering with MEDISOFTS — transparent milestone pricing starting from $2,500, 100% intellectual property & source code ownership, certified HL7/FHIR interoperability, and HIPAA-compliant architecture.

Pricing, Commercials & Code Ownership

Starts from $2,500
Our software engineering engagements are structured modularly with transparent milestone pricing starting from $2,500 for specialized clinic modules, interface endpoints, or prototypes. Every engagement includes 100% intellectual property assignment and full source code ownership with zero ongoing license fees.

Our custom software development is structured modularly with prices starting from $2,500 for specialized clinical modules, interface connectors, or targeted workflow prototypes.

  • Starter & Specialized Modules ($2,500 – $7,500): Targeted practice tools, instrument data parsers, custom clinical charting forms, patient intake portals, or HL7 interface endpoints.
  • Mid-Tier Clinic & Laboratory Solutions ($7,500 – $25,000): Comprehensive outpatient EMR/PMS systems, specialized diagnostic laboratory LIMS, integrated telehealth suites, and electronic prescribing (eRx) configurations.
  • Enterprise Multi-Facility Platforms ($25,000 – $75,000+): Multi-hospital management suites, high-throughput commercial reference laboratory LIMS with 20+ analyzer drivers, and longitudinal HIE networks.

Every proposal includes a transparent, fixed-price milestone schedule with zero mandatory per-user licensing fees and zero recurring vendor lock-in.

Yes, 100%! Upon final project delivery and milestone sign-off, your organization receives complete, unencumbered ownership of all custom source code, database architectures, API endpoints, algorithms, and documentation.

You have full freedom to host on your own cloud (AWS, Azure, Google Cloud, or on-premise), modify the code with internal engineers, or scale across unlimited facilities without ever paying recurring per-seat licensing fees.

We provide three flexible engagement models tailored to your clinical roadmap:

  • Fixed-Price Milestone Contracts: The scope, technical specification, and deliverables are locked up-front. Payments are divided into milestones tied to verified deliverables (e.g., Architecture Design, MVP Deployment, Instrument Integration, and Final Go-Live).
  • Dedicated Healthcare Engineering Pods: A dedicated full-stack engineering team working in two-week agile sprints for continuous feature iteration, ideal for evolving SaaS platforms.
  • Monthly Support & Maintenance Retainers: Comprehensive post-launch SLA coverage for security updates, server monitoring, and instrument driver maintenance.

Timelines depend on functional scope, regulatory tier, and external interface requirements:

  • Specialized Modules & API Connectors: 2 to 6 weeks.
  • Outpatient Practice EMR or Specialized Diagnostic LIMS: 6 to 12 weeks.
  • Full Enterprise Healthcare Suites: 3 to 6 months, structured in iterative bi-weekly sprints with continuous clinical staging access.

We adhere to strict milestone deadlines, providing interactive staging environments so clinical stakeholders can test workflows early.

EMR, EHR & Clinical Systems

From Scratch Architecture
Custom ambulatory and inpatient electronic health records engineered specifically around your specialty's charting workflows. Includes configurable SOAP templates, computerized order entry (CPOE), integrated e-prescribing (EPCS), embedded WebRTC telehealth, automated billing, and patient portals.

Yes, absolutely. We build custom Electronic Medical Record (EMR) and Electronic Health Record (EHR) software entirely from scratch to match your clinic's exact specialty, charting preferences, and operational workflows.

Unlike off-the-shelf software bloated with irrelevant fields and rigid menus, a bespoke system gives your clinicians the exact screens, shortcuts, intake forms, and automated documentation they need to save 2+ hours per provider daily.

Yes. Whether you operate in psychiatry/behavioral health, dermatology, cardiology, orthopedics, physical therapy, pediatrics, pain management, or multi-specialty surgical centers, we custom-build your clinical charting templates.

This includes specialty-tailored SOAP notes, custom intake questionnaires, interactive anatomical point-and-click diagrams, pre-configured clinical macros, voice-to-text integration, and automated clinical summaries.

Yes, we integrate certified e-prescribing APIs (such as Surescripts, DrFirst, or regional gateway equivalents) directly into your custom EMR platform.

Features include electronic prescription routing to over 65,000 retail and mail-order pharmacies, automated refill authorization, medication history reconciliation, real-time formulary lookups, drug-drug interaction alerts, and DEA-certified EPCS (Electronic Prescriptions for Controlled Substances) with two-factor biometric authentication.

Yes. We engineer end-to-end telehealth suites directly embedded into your EMR software. Clinicians and patients can launch HIPAA-compliant video consultations with a single click without downloading external plugins.

Capabilities include virtual waiting rooms, split-screen charting during video calls, high-definition screen sharing for diagnostic imaging review, multi-party calls (family or medical interpreters), secure text chat, and Remote Patient Monitoring (RPM) Bluetooth device data synchronization.

Yes! We develop custom revenue cycle management (RCM) modules that support ICD-10-CM, CPT, and HCPCS coding with automated charge capture from clinical notes.

The system supports automated super-bill generation, ANSI EDI 837 professional and institutional claims batching, automated claim scrubbing to prevent denials, EDI 835 Electronic Remittance Advice (ERA) auto-posting, patient invoicing, and direct API synchronization with major clearinghouses (Change Healthcare, Availity, Waystar, Office Ally).

Yes, we develop responsive web and mobile patient portal applications that sync in real-time with the core clinical database.

Patients can securely self-schedule appointments, complete pre-visit digital intake and consent forms, view laboratory and imaging results with educational annotations, communicate with doctors via secure messaging, request medication refills, and settle outstanding balances via integrated PCI-compliant payment gateways.

LIMS & Laboratory Information Systems

Instruments & QC Automation
High-throughput Laboratory Information Management Systems engineered for clinical pathology, molecular diagnostics, and toxicology labs. Built to ISO 15189 and CLIA standards with bi-directional analyzer drivers (ASTM/HL7), barcode sample tracking, multi-rule Levey-Jennings QC, and reagent inventory management.

We engineer custom LIMS software for a comprehensive range of scientific and clinical environments:

  • Clinical diagnostic and reference laboratories (chemistry, hematology, immunology).
  • Molecular diagnostics and genetics laboratories (NGS, PCR workflows).
  • Surgical pathology and histology centers with grossing & slide management.
  • Toxicology, pain management, and pharmacology labs.
  • Food, dairy, and beverage quality control testing laboratories.
  • Environmental, water quality, and agricultural analytical labs.
  • Contract Research Organizations (CROs) and university research facilities.

Yes, bidirectional and unidirectional instrument interfaces are our core specialty. We build custom interface drivers connecting directly to laboratory equipment via RS232 serial ports, TCP/IP Ethernet sockets, file drop queues, and ASTM E1381/E1394 and HL7 standards.

We interface with analyzers from Roche (Cobas), Abbott (Architect/Alinity), Beckman Coulter, Sysmex, Siemens (Atellica), bioMérieux, Thermo Fisher, and Agilent. Results are automatically ingested, validated against normal ranges, and uploaded to patient charts without error-prone manual entry.

Yes. We develop complete sample lifecycle management modules supporting 1D barcodes (Code 128, Code 39) and 2D DataMatrix / QR codes for automated tube, microplate, and cassette label printers (Zebra, Brady, Sato).

The system tracks every specimen step: accessioning, aliquot generation, rack-and-well coordinates, centrifuge runs, freezer/refrigerator temperature logs, and complete chain-of-custody tracking with operator audit logs.

Yes, we build dedicated laboratory QC and instrument compliance modules aligned with CLIA and ISO 15189 regulations.

Features include automated generation of interactive Levey-Jennings charts, real-time evaluation of Westgard multi-rules (1-2s, 1-3s, 2-2s, R-4s, 4-1s, 10x), standard deviation calculations, multi-level control tracking, calibration curve verification, and automatic instrument run lockout when QC parameters fail validation.

Yes. We include a comprehensive laboratory inventory management module to track reagents, kits, controls, calibrators, and consumables across multiple laboratory locations.

The module monitors lot numbers, received dates, opened dates, expiration dates, and real-time stock levels. It triggers automated warnings when reagents approach expiration or minimum thresholds, and correlates lot numbers directly with patient test runs for full audit traceability.

Interoperability, HL7 & FHIR Standards

Connected Health Pipes
Eliminate clinical data silos with certified bi-directional integration. We engineer robust HL7 v2.x (ADT, ORM, ORU), HL7 v3, and modern FHIR R4 REST APIs connecting your custom applications directly to Epic, Cerner, Athenahealth, Allscripts, state registries, and regional Health Information Exchanges (HIE).

Yes, interoperability is in our architectural DNA. We engineer software with native support for both modern HL7 FHIR R4 JSON REST APIs and traditional HL7 v2.x messaging pipelines.

We support ADT (Admit, Discharge, Transfer), ORM (General Order Message), ORU (Observation Result), MDM (Medical Document Management), and SIU (Scheduling Information) messages, enabling bidirectional clinical synchronization with external hospital networks, reference laboratories, state public health registries, and Health Information Exchanges (HIEs).

Yes. We engineer compliant integrations with enterprise health systems utilizing certified SMART on FHIR OAuth 2.0 authorization, Epic App Market APIs, Cerner Code APIs, and Athenahealth APIs.

For on-premise or hybrid architectures, we configure interface engines (Mirth Connect / NextGen Connect, Cloverleaf) over IPsec VPN tunnels to exchange orders, laboratory results, and clinical continuity documents (C-CDA) safely.

Security, HIPAA & 21 CFR Part 11 Compliance

Strict Regulatory Alignment
Software built to the highest medical data governance standards. Every deployment features end-to-end AES-256 data encryption at rest and TLS 1.3 in transit, role-based access controls (RBAC), cryptographically sealed SHA-256 audit trails, FDA 21 CFR Part 11 electronic signatures, and executed Business Associate Agreements (BAA).

Yes, 100%. Every healthcare application we engineer strictly complies with HIPAA, HITECH, FDA 21 CFR Part 11, CLIA, PIPEDA (Canada), and GDPR (Europe).

Our security architecture includes AES-256 database encryption at rest, TLS 1.3 protocol encryption in transit, automatic inactivity session timeouts, multi-factor authentication (MFA), cryptographic electronic signatures with password re-prompting, and complete disaster recovery backup mechanisms.

Under FDA 21 CFR Part 11 and HIPAA Security Rule mandates, our platforms maintain tamper-evident, append-only audit logs for every PHI and laboratory data action (read, create, edit, approve, sign, export, delete).

Audit records log the precise timestamp (UTC), operator user ID, IP address, workstation, action type, before-and-after values, and mandated reason for change. Digital signatures are cryptographically bound to document revisions and cannot be modified or repudiated.

Healthcare AI & Innovation

Clinical AI Capabilities
Purpose-built artificial intelligence tools designed to accelerate clinical documentation and diagnostic throughput while maintaining clinician supervision. Capabilities include ambient voice-to-charting scribes, automated ICD-10/CPT coding suggestions, and rule-based LIMS delta checks with automated normal verification.

Yes. We integrate HIPAA-compliant, specialized healthcare AI models into custom EMR platforms:

  • Ambient AI Medical Scribing: Listens to physician-patient conversations and automatically structures subjective/objective clinical summaries into SOAP formats for doctor review.
  • Intelligent Medical Coding: Analyzes clinical notes and suggests appropriate ICD-10-CM and CPT evaluation codes to minimize claims rejections.
  • Clinical Decision Support (CDS): Real-time alerts analyzing patient vitals, active medications, and lab trends to flag potential adverse interactions or protocol deviations.

Yes. We engineer AI capabilities specifically tailored for modern laboratory workflows:

  • Automated Result Auto-Verification: Machine learning algorithms that evaluate test results against normal ranges, historical patient delta checks, and QC metrics for hands-free auto-release.
  • Predictive Analyzer Maintenance: Analyzes instrument telemetry, error frequencies, and reagent consumption patterns to warn lab technicians before hardware failure occurs.
  • Epidemiological & Trend Analytics: Automated identification of infection clusters, antimicrobial resistance trends, and specimen volume forecasting.

Support, Maintenance & Training

Long-Term Reliability
Long-term post-launch engineering backing for your medical practice or laboratory. Our support agreements provide 24/7 critical uptime monitoring, rapid SLA response times, routine security patching, database optimization, comprehensive user documentation, and live clinical staff onboarding.

Yes, absolutely. We offer structured monthly support and maintenance retainers to ensure your EMR or LIMS software remains secure, high-performing, and fully updated.

Our ongoing support packages include 24/7 server and database health monitoring, automated off-site encrypted backups, operating system and library security patches, analyzer protocol updates, regulatory compliance reviews, and priority developer bug-fix response under strict SLA terms.

Yes. A software implementation is only as good as its clinical adoption. We provide comprehensive change-management materials:

  • Role-specific user training webinars (for physicians, nurses, lab techs, and billing staff).
  • Downloadable PDF quick-start guides and interactive step-by-step video tutorials.
  • Detailed System Administrator and DevOps runbooks.
  • Complete OpenAPI / Swagger technical documentation for your internal IT staff.
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