Healthcare

Healthcare software that clinicians will actually use

Patient-facing portals, clinical workflows and the integration layer between them — built for the constraints of real care delivery: interruptions, partial data and mandatory audit trails.

Ruby on RailsElixirPostgreSQLHL7 / FHIRGo
When to call us

Where we are most useful

Records must be provably unchanged

Every write needs an author, a timestamp and a history. We design that in rather than bolting on logging later.

Integration with clinical systems

HL7 v2 feeds, FHIR endpoints and CSV drops from a system nobody maintains — normalised into one model your app can trust.

Workflows built for interruption

Clinical users get pulled away mid-task. Screens have to hold state, forgive partial input and never lose a note.

How we work in this field

Care work is interrupted work. We design for partial data and for the moment someone has to explain, months later, exactly what the system did.

Data model first

We spend the first weeks on the domain: who may see what, what an amendment means, how consent is recorded and expires. In healthcare these are not settings — they are the shape of the schema, and changing them late is the expensive kind of rework.

Privacy follows from that model. Access is scoped per role and per episode of care, and reads are logged with the same seriousness as writes.

Integration without a big bang

New systems run alongside the old ones. We move one workflow at a time behind feature flags, keep both sources reconciled, and only retire the legacy path once the numbers match for a full billing cycle.

That pace is slower to demo and dramatically cheaper to live with.

In healthcare, the audit trail is a feature — usually the one that gets checked first.

Building or replacing a clinical system?

Send the context you have — a repo, a diagram, or three paragraphs of frustration. We reply within one business day.

sales@evolvetech.group