Healthcare software development company for providers, payers and health-tech products.
We build clinical and patient-facing software, from consultations to remote monitoring.
Our healthcare software development connects your workflows with HL7 v2, FHIR and vendor interfaces.
- 120+Projects delivered across 12 countries since 2012
- 100+Senior in-house engineers, six countries
- 5.0Unified rating across 61 client reviews on Clutch
- 2 to 4 weeksTypical time from signature to start
- ISTQBISTQB-certified QA engineers
- ISO 27001Certified security practice, audited by Quay Audit UK
01Overview
Scope the clinical workflow before the interface
At unicrew, healthcare software development starts with one clinical or patient workflow and the data it needs. Your product and clinical teams identify the action a user must complete; we assess sample records and system access to define the first build or integration.
- See and consultConsultations, appointments and messages put the relevant information in front of the patient or clinician.
- Telemedicine and consultations
- Scheduling and messaging
- Patient and clinician portals
- Measure and monitorDevice and service data becomes a monitoring view, with alert conditions and review responsibilities agreed for the product.
- Remote and home monitoring
- Device and feed ingestion
- Alerting and escalation
- Exchange and reconcileInterfaces move selected records between systems, with mappings and matching rules tested against the agreed workflow.
- HL7 v2 interfaces
- FHIR APIs and vendor apps
- File feeds and reconciliation
- Published healthcare workOur two published healthcare case studies cover a private consultation platform and a home health monitoring platform.
02Routes
Choose the data exchange your healthcare workflow needs
The integration route depends on the records and actions each system supports, and the access your partners permit.
| Data exchange route | What we confirm | Scope for the workflow |
|---|---|---|
| HL7 v2 over MLLPADT, ORM and ORU feeds | Message formats and local profiles | We review sample messages, including any Z-segments and locally required fields. The interface maps those messages to your application and validates the agreed cases before release.Platform development and integrationOr book a meeting |
| FHIR REST APIsR4 resources over HTTP | Supported resources, actions and authentication | We inspect the endpoint’s CapabilityStatement and test the resources and actions needed by your workflow. Read and write access, authentication and permissions are confirmed with the system owner.How we build custom systemsOr book a meeting |
| A vendor app programmeEpic, Oracle Health, your client’s platform | Programme approval and interface access | We assess the electronic health record (EHR) provider’s supported integration functions, registration and sandbox access. Existing vendor capabilities or middleware can serve the workflow where their scope and permissions fit.A platform we wired to third-party feedsOr book a meeting |
| Flat files over SFTPCSV, fixed width, nightly batch | File format, transfer schedule and validation | We agree the transfer schedule and validate each feed for duplicates, missing fields and reconciliation totals. The workflow records what arrived and routes exceptions for review.Data and pipeline engineeringOr book a meeting |
| Workflow without a usable interfaceManual entry or an unsupported connection | Available exports and the work users perform | We assess the clinical workflow, available exports and supported vendor functions before defining an integration or custom input step. The scope sets review responsibilities and acceptance data for the chosen route.Scope it with business analysisOr book a meeting |
In healthcare, the integration is the project. No two systems implement HL7 v2 or FHIR the same way, so we ask for real sample messages at discovery. We then write the estimate from what your partner actually sends.
Vuhar MamedovManaging Partner for Europe, unicrew03Solutions
What we build for providers, payers and health-tech products
Select the platform or integration work that supports your clinical and patient workflows.
We build private consultation, messaging and scheduling workflows for patients and care teams. The product scope defines what each user can see, send and approve, including any payment integration.
- Right when
- A clinical or patient workflow needs a dedicated product
We ingest device and third-party feeds and organize them for the user responsible for reviewing them. Alert conditions, data freshness and escalation are agreed with your clinical and product teams.
- Right when
- Monitoring continues outside the clinic
We build HL7 v2 message mappings, FHIR clients and secure file pipelines against the interfaces your partners support. Record matching and exception handling are tested against the workflow's acceptance examples.
- Right when
- Health records need to move between systems
We assess the existing code, infrastructure and integrations, then sequence improvements around the platform's operating needs. The plan covers stabilization, migration checks and continued development.
- Right when
- An existing health platform is ready for its next release
We design cloud environments for protected health information (PHI), with network isolation, encryption and access controls scoped to your product. Hosting arrangements and contractual requirements are assessed alongside the technical safeguards.
- Right when
- Your product needs a defined health-data access model
We design the task a clinician repeats during a shift and the information a patient needs between visits. Workflow review and usability checks inform the screens and actions in the release.
- Right when
- Staff and patients need a clearer task flow
04Obligations
Safeguards scoped to the clinical product
We translate the responsibilities confirmed by your clinical, security and compliance teams into an engineering scope.
Protected health information under HIPAA
Where HIPAA applies, we scope the Security Rule's safeguards for electronic protected health information (ePHI). Access, authentication and audit controls are reviewed alongside integrity and transmission security.
- In a build
- Technical safeguards mapped to the data flow
Business associate agreements
We assess whether the proposed work creates a business-associate relationship and which services handle PHI. Any required agreement and permitted data uses are confirmed before access is scoped.
- In a build
- Agreement scoped to the relationship and PHI use
The interoperability rules
We assess the electronic health record's supported resources, interactions and authentication. A standard such as FHIR provides the interface model; the endpoint's actual capabilities define the integration.
- In a build
- Supported resources and actions verified
Health data under GDPR and UK GDPR
For health data subject to GDPR or UK GDPR, we build the agreed access, retention and erasure controls around your processing requirements and the applicable record-keeping duties.
- In a build
- Retention and erasure defined by record type
Products that become medical devices
For software used in diagnosis or treatment decisions, classification and validation requirements are agreed with your relevant clinical and regulatory experts. Those decisions guide architecture, testing, documentation and change control.
- In a build
- Intended use confirmed before validation scope
Audit trails and record retention
We define which access and change events must be logged, who can review them and the retention period for each record type. Validation checks the agreed audit and retention behavior.
- In a build
- Audit events and retention tested
ISO 27001:2022 and ISO 9001:2015
unicrew holds ISO 27001:2022 for information security and ISO 9001:2015 for quality management, renewed through a multi-stage audit with Quay Audit UK. These are company management-system credentials.
- What it gives you
- Credentials for your supplier security assessment
ISTQB-certified QA engineers
We have ISTQB-certified QA engineers. The engagement defines QA roles and the clinical data exchanges, access rules and exception paths to be tested.
- What it gives you
- QA coverage agreed for the healthcare workflow
Least-privilege access for healthcare builds
For build engagements, we agree access with your technical contact, read-only wherever the work allows, with no production write access during discovery. We work in your cloud where required. Maintenance and takeover access is scoped separately.
- What it gives you
- Discovery access limited on build engagements
05Proof
Healthcare platforms built and improved
- Private consultations with isolated health-data environmentsWe built CancerDocs for private online consultations on cancer-related topics, with real-time chats for doctors and nurses and payment integration through Authorize.Net and PayPal. The AWS environment used Docker containers, database encryption and automated deployment. We studied the HIPAA Security Rules before development.HIPAAthe rules read before the code
- An existing health platform, extended and maintainedWe extended a US home health monitoring platform with .NET and TypeScript, updated cloud infrastructure and monitoring, reduced AWS operating costs, redesigned the UI/UX and integrated third-party feeds. Founder Kevin Terry wrote in his June 2025 Clutch review: "We've been working with unicrew since June 2024, and the engagement is ongoing." "The team stays on budget and meets deadlines." "We feel like we have a partner, and that's been incredible."2024the year this client brought us in
- Company credentials for healthcare procurementunicrew holds ISO 27001:2022 and ISO 9001:2015, renewed through a multi-stage audit with Quay Audit UK, and has ISTQB-certified QA engineers. We scope safeguards and QA coverage for the product being delivered.ISO 27001plus ISO 9001, audited by Quay Audit UK
06Case studies
Clinical and home health platforms we have built and extended
Explore the clinical workflows, infrastructure choices and integrations behind each platform.
See all case studies
HealthcareCancerDocs: HIPAA-compliant healthcare software developmentDevelopment in accordance with HIPAA Security Rules within a medical project.- HealthcareStabilizing and Scaling a Home Health Monitoring PlatformA U.S. consumer health tech company needed system stability and an experienced partner. unicrew stabilized the platform, optimized infrastructure costs, and delivered new features, becoming a long-term technology partner.
07Questions
Questions we get asked before a healthcare build
The route depends on the data and actions your workflow needs, the interface each system supports and your access permissions.
We review sample HL7 v2 messages or the FHIR endpoint's resources and permitted interactions. An electronic health record (EHR) provider's integration functions or middleware may meet the requirement; custom mapping or a file feed can be scoped where needed. Partner registration and sandbox access are confirmed before the estimate.
We price the healthcare workflow and integration scope using three engagement models.
- Time and materials, billed hourly and quoted per project.
- Fixed price, quoted per project against an agreed outcome.
- Team extension, billed monthly per team member.
The model follows the agreed scope, including integration access, acceptance testing and operating responsibilities.
Most engagements start within two to four weeks. Total duration depends on the workflow, integration access and testing scope.
Discovery identifies partner registration, sandbox access and security-review dependencies alongside the build work. We agree an initial release and acceptance criteria with your product and clinical teams, then plan the work around those dependencies.
We engineer the HIPAA safeguards agreed for the product and its protected health information (PHI). The business-associate relationship and any required agreement are assessed for the engagement.
unicrew holds ISO 27001:2022 and ISO 9001:2015, renewed through a multi-stage audit with Quay Audit UK. These are company management-system credentials. Your compliance team confirms the product obligations; we define the implementation and evidence needed to support them.
Yes. We assess the existing codebase, health-data flows and operating environment before planning changes.
The scope identifies the interfaces and controls to preserve, the monitoring and tests needed for acceptance, and the migration sequence. Continued development and maintenance responsibilities are agreed alongside the release plan.
Yes. We can scope an assessment and bounded pilot around a defined clinical or patient task.
Where a feature could fall under Software as a Medical Device requirements, classification and validation are agreed with your clinical and regulatory experts. We define the data access, evaluation and human review for the pilot against those requirements. See our AI integration services.
Ownership and permitted use are agreed in the contract, covering bespoke code, client data and any third-party components.
We define repository access, deployment accounts, data rights and the handover needed by the team that will operate the product. Third-party software and services retain their applicable licence terms. Fixed-scope work includes a post-launch warranty, with the length agreed per contract.
Scope the connections your healthcare platform needs
Bring the clinical workflow, systems list and example data formats. We will identify the interface access and decisions needed to scope the next build or integration.
What happens after you contact us
- We reply within one business dayInclude the intended workflow and the systems that hold its data.
- A call about the integrationThe records to exchange, the actions users need and the access available.
- Route and engagement model, in writingThe integration route, priced as time and materials, fixed price, or team extension.
- NDA, then discoveryMost engagements start within two to four weeks of signature.