Healthcare Software Development
Healthcare and EMR software development, led by a CTO.
We lead your healthcare build as fractional CTO and run the team that ships it. Every build starts with a paid discovery, then the build, then support.
Healthtech founders
You have a product to ship and patient data to protect. You need the architecture and the compliance right in the first version.
Clinic groups
Your practitioners have outgrown off-the-shelf software and you want a system built around how your clinics actually work.
Healthcare operators
You run imaging, screening or care services and need clinical data to move reliably between sites, with audit trails and encryption in place.
EMR, EHR and practice management
Aesthetic Record grew from a basic EMR into a full practice management suite while we led its technology, with integrations to aesthetics suppliers and payment providers.
Aesthetic Record case studyPatient and practitioner platforms
Platforms for clinical staff: 50,000+ healthcare professionals on Aesthetic Record, and a multi-country veterinary healthcare platform for A'alda.
A'alda case studyImaging and data pipelines
A DICOM transfer pipeline for Life Imaging with edge modules at each imaging center, lossless compression and no data loss during network outages, handling 10TB a day.
Life Imaging case studyAI in clinical workflows
AI diagnostic tools for A'alda's veterinary practitioners, deployed across multiple countries.
A'alda case studyIntegrations
Connections to the systems around the product: supplier and payment integrations for Aesthetic Record, and ingestion at every imaging center for Life Imaging.
How the Life Imaging pipeline worksOur strongest proof is an EMR. For 4 years we were the technology leadership behind Aesthetic Record, an electronic medical records platform for the aesthetics industry. We re-architected it for global scale and HIPAA compliance, and led the product strategy that took it from a basic EMR to a full practice management suite.
Along the way we put in CI/CD pipelines, monitoring and infrastructure automation, and built integrations with major aesthetics suppliers and payment providers. The platform scaled to 4,000+ clinics across the United States.
Read the Aesthetic Record EMR case study4,000+
US clinics
50,000+
Users
What an EMR build has to get right
- Clinical workflow first. Practitioners adopt a system that fits the consultation, not one that adds paperwork after it.
- Compliance in the architecture. Encryption, access controls and audit logging are designed in from the first version.
- Integrations and migration. Suppliers, payments and existing records have to come across without gaps.
HIPAA and Compliance
HIPAA compliant software development.
Life Imaging runs preventive health screening centers across Florida. Its DICOM transfer pipeline was failing under load, with 40% retry rates and 30-minute delays per scan. We designed and delivered a production-grade replacement with end-to-end HIPAA compliance, full audit trails and encryption at rest and in transit.
Transfer failures fell from 40% to under 5%, an 87.5% improvement, and the pipeline scaled to handle 10TB of imaging data a day. For what HIPAA asks of your architecture, read our guide to HIPAA compliance with a fractional CTO.
Read the Life Imaging case study87.5%
Fewer transfer failures
10TB
Imaging data a day
50%
Smaller files, lossless
What every build includes
- Encryption at rest and in transit, with keys managed separately from the data.
- Audit logs of who accessed patient data, when, and what they did.
- Role-based access limited to what each role needs.
- A vendor review, so patient data only goes to services covered by a BAA.
01
Paid discovery
Every custom build starts here. We map the clinical workflows, the compliance scope, the integrations and any data migration, then set the architecture. You get a written scope and a quote for the build, and you decide whether to go ahead.
02
Build
A vetted partner engineering team, run by a Kompella product lead, builds to the agreed scope. Your fractional CTO owns the architecture, the compliance decisions and the technical trade-offs, and you see working software as it lands.
03
Support
After launch we stay on for fixes, scaling and new features. If you would rather run it yourself, we hand the codebase to your own team with full documentation.
Builds are scoped and quoted on a call. Want the same approach outside healthcare? See our CTO-led product development service.
Aesthetic Record · Healthcare SaaS
Scaling an EMR platform to 4,000+ clinics and 50,000+ users nationwide
- US Clinics
- 4,000+
- Users
- 50,000+
Life Imaging · Healthcare Imaging
Re-architecting a HIPAA-compliant radiology pipeline processing 10TB of medical imaging data per day
- Failure Rate Reduction
- 87.5%
- File Size Reduction
- 50%
- Data Processed
- 10TB/day
A'alda · Healthcare
From zero to IPO: building a veterinary healthcare platform across Asia
- Outcome
- IPO in Japan
- Technology
- AI Diagnostics
- Scale
- APAC
Explore
Related services and reading.
Industry
Fractional CTO for Healthcare
Technology leadership for healthcare companies, without the build.
Service
Fractional CTO services
Senior technology leadership, part time, without a full-time hire.
Thinking
What is a fractional CTO?
What the role covers and when a company needs one.
Service
CTO-led product development
Build & Ship: product builds outside healthcare.
Service
AI Build Sprint
One AI feature added to a product you already run.
Thinking
HIPAA compliance for healthtech startups
Encryption, access controls, audit logs and BAA chains.
Thinking
Digital transformation in healthcare
Modernizing EMR platforms and adding AI without breaking compliance.
Building healthcare software? Start with the scope.
Book a 30-minute call about what you need built. We will tell you what the paid discovery would cover and whether we are the right fit.