Solution
Telemedicine Platform Development
Video visits, intake, and e-prescribing built to HIPAA requirements, connected to your EHR through HL7 FHIR instead of standing apart from it.
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A telemedicine platform is more than video calling with a healthcare label on it. It needs to handle patient intake, connect to the electronic health record the practice already uses, support e-prescribing where appropriate, and hold up to a HIPAA compliance review, all while keeping the actual visit experience simple enough for a patient with no technical background to join without help.
We build these for healthcare organizations that need the platform to integrate into existing clinical workflows rather than exist as a disconnected video tool alongside them.
Scope
Core features
Video consultation with a waiting room
Patients join a virtual waiting room and the provider admits them when ready, mirroring the flow of an in-person visit and giving providers a queue rather than a single disconnected video link per patient.
E-prescribing integration
Providers can send a prescription directly to the patient's pharmacy from within the platform, integrated with an e-prescribing network rather than requiring a separate system after the call ends.
Patient intake and medical history
Structured intake forms capture symptoms and relevant history before the visit starts, giving the provider context immediately rather than spending the first minutes of the call on basic questions.
Appointment scheduling tied to provider calendars
Patients book against real provider availability, synced with the same calendar the provider uses for in-person appointments, avoiding a separate scheduling system providers have to check independently.
Secure messaging between visits
Patients and providers can exchange messages about follow-up care between scheduled visits, kept within the same secure, auditable channel as the rest of the platform.
EHR integration through HL7 FHIR
Visit notes, patient data, and prescriptions sync with the practice's existing electronic health record using the HL7 FHIR standard, so the telemedicine visit becomes part of the patient's regular chart.
Insurance eligibility verification
Patient insurance can be verified before or at the start of a visit, reducing billing surprises and claim denials that come from seeing a patient without confirmed coverage.
Session documentation for the clinical record
Visit notes and any consented recording are stored as part of the clinical record with the retention and access controls required for protected health information.
Architecture
Decisions that shape the build
HIPAA-compliant infrastructure and a signed BAA
Video infrastructure, hosting, and any third-party service touching patient data need a signed business associate agreement and architecture that meets HIPAA's technical safeguards, not just a general claim of security.
HL7 FHIR integration with the existing EHR
Connecting to the practice's EHR requires mapping platform data to FHIR resources correctly, and EHR vendors vary in how completely they support FHIR, which affects integration scope significantly.
State-by-state licensure for providers
A provider generally needs to be licensed in the state where the patient is physically located at the time of the visit, which the platform needs to account for when matching patients to available providers.
E-prescribing compliance for controlled substances
Prescribing controlled substances via telehealth requires meeting Electronic Prescriptions for Controlled Substances requirements, which involve additional identity verification beyond standard e-prescribing.
Performance on low-bandwidth connections
Video quality needs to degrade gracefully rather than fail outright for patients on a weak connection, since a dropped visit for a rural patient is often the group telemedicine is meant to serve best.
Recording consent and retention rules
Where sessions are recorded, patient consent needs to be captured explicitly, and retention periods need to follow the same medical record retention rules as the rest of the practice's documentation.
Build vs buy
When to build and when to buy
Doxy.me and similar HIPAA-compliant video vendors, along with white-label offerings from larger telehealth companies, are the right call when you need video visits running quickly and do not need deep EHR integration or a fully custom patient workflow. They are a reasonable starting point for a practice testing whether virtual visits fit their patient population.
Custom development is worth it when the platform needs to integrate directly with your EHR through HL7 FHIR, when clinical workflows specific to a specialty do not fit a generic vendor's intake forms, or when the telemedicine platform is itself the product being built for other healthcare organizations to use.
Delivery
How delivery is phased
Define clinical workflow and compliance scope
We map the visit workflow end to end, confirm which EHR the platform needs to integrate with, and define the HIPAA and licensure requirements the platform has to meet.
Build the video, scheduling, and intake core
The core patient and provider experience, video visits, scheduling, and intake, gets built and tested against the compliance requirements defined earlier.
Integrate the EHR and e-prescribing
HL7 FHIR integration with the EHR and e-prescribing get connected and tested against real patient records in a staging environment. This typically takes several weeks given the EHR vendor's own integration process.
Pilot with providers and launch
A small group of providers runs real visits through the platform before a full rollout, since clinical workflow gaps surface faster with real patients than in internal testing.
Technology
Typical stack
FAQ
Telemedicine Platform Development FAQs
Is a telemedicine platform HIPAA compliant?
A telemedicine platform can be built to meet HIPAA's technical, physical, and administrative safeguards, and any third-party infrastructure used, such as video or hosting services, needs a signed business associate agreement. Compliance depends on how the system is built and operated, not on a general certification.
What is HL7 FHIR and why does it matter for telemedicine?
HL7 FHIR is the standard most modern electronic health records use to exchange clinical data. Building the telemedicine platform's data model around FHIR resources is what lets visit notes, prescriptions, and patient data sync cleanly with the EHR the practice already runs, instead of the telehealth visit existing outside the patient's chart.
Can a telemedicine platform integrate with our existing EHR?
Yes, through HL7 FHIR where the EHR supports it. The scope of integration depends on how completely your specific EHR vendor implements FHIR, which is one of the first things we assess during discovery.
How does e-prescribing work in a telemedicine platform?
Providers send a prescription electronically to the patient's pharmacy of choice through an e-prescribing network integrated into the platform. Prescribing controlled substances additionally requires meeting Electronic Prescriptions for Controlled Substances identity verification requirements.
Can providers see patients across state lines on a telemedicine platform?
Generally, a provider needs to be licensed in the state where the patient is physically located during the visit. The platform can be built to match patients only with providers licensed in their current state, which is a common requirement for multi-state telehealth operations.
Services
Services involved
- Custom Software DevelopmentWe build software around the processes your business already runs on, so operations stop depending on spreadsheets, workarounds and tools that were never built for your workflow.
- Backend DevelopmentWe build the server-side systems underneath your product: data models, business logic, queues and the infrastructure that keeps them fast under load.
- API DevelopmentWe design, build, document and version REST and GraphQL APIs that partners can integrate against without calling your engineers first.
- Mobile App DevelopmentWe build native and cross-platform mobile apps, handle App Store and Play Store submission, and design for the offline gaps and device permissions a phone actually has to deal with.
Industries
Industries that commission this
- HealthcareClinical and patient-facing software built to HIPAA technical safeguards, wired into the EHR your care teams already use.
- InsurancePolicy administration, claims and underwriting software that speaks ACORD to carriers, MGAs and agents on the first integration attempt.
- NonprofitDonor CRM, recurring giving and grant reporting software built for a team that has to do more with a smaller budget than a for-profit peer.
- Fitness & WellnessClass booking, membership billing, and wearable data sync built for studios and gyms outgrowing Mindbody or Glofox.
Insights
Planning guides
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