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/ Sector playbook

Healthcare & Life Sciences

Software that clinicians use and regulators approve.

EHR, clinic OS, telehealth and diagnostics platforms — built with HIPAA / PHIPA discipline and the workflow honesty that clinical staff demand.

Healthcare software fails when engineers design for screens instead of for shifts. We embed with clinicians early to map the actual care pathway — not the org chart, not the billing flow, the pathway.

We architect every system with PHI as a first-class concern: encryption at rest, granular RBAC, immutable audit trail, consent flows that document the patient's actual choices. HL7 / FHIR integrations where the network demands it, custom protocols where it doesn't.

Reliability is non-negotiable. We design for partial network failure, clinic-floor connectivity, and the reality that the system will be used at 2am by someone who's exhausted.

/ Common challenges

What founders bring us

PHI handling and audit trail done wrong the first time
Clinician workflow ignored in favor of admin convenience
EHR / lab / pharmacy integrations that drift over time
Consent and data-residency rules across jurisdictions
Uptime expectations from a clinic floor that can't pause

/ Our approach

How we build it

01

Clinical embedding

We sit in clinics during build to map workflows as they actually happen.

02

PHI by design

Encryption, RBAC, audit log, consent — engineered in, not bolted on.

03

FHIR-friendly

Standard interoperability where the partner network supports it; pragmatic adapters where it doesn't.

04

Offline-aware

Local cache + sync, so a clinic with bad wifi still works.

/ Tech stack

Tools we reach for

Core
  • Postgres + RLS
  • Encryption at rest
  • Per-record audit
  • Consent ledger
Interop
  • HL7 v2 / FHIR R4
  • Lab + pharmacy adapters
  • DICOM where needed
  • Webhook integrations
Clinical UX
  • Tablet + desktop apps
  • Offline cache
  • Voice notes
  • Rapid order entry
Compliance
  • HIPAA / PHIPA controls
  • Data residency
  • BAA-ready vendors
  • Pen-test ready

/ Typical timeline

From idea to live

  1. Phase 01
    Idea & plan
    2 wks

    Care pathway mapping, payer model, compliance scoping

  2. Phase 02
    Build
    10–14 wks

    Core record, scheduling, charting, integrations, audit

  3. Phase 03
    Launch
    3–4 wks

    Clinician training, pilot site, evidence pages, support

  4. Phase 04
    Grow
    Ongoing

    Site rollout, payer contracts, outcomes data, expansion

/ Mini case study

Real outcomes

Clinic network OS

Himalayan Health

Problem

Roll out a unified clinic system across 12 sites in 5 months.

Solution

Tablet-first chart, offline-capable scheduling, central audit log, clinician training kit.

Clinics live
12
Visits / mo
8.4k
No-show rate
−31%

/ Regulatory & compliance notes

What the regulator expects

Healthcare software handles the most sensitive data a person owns. Compliance isn't paperwork — it's the architecture.

HIPAA (US)

Privacy, Security & Breach-Notification rules: encryption, access control, audit log, BAAs with every sub-processor.

PHIPA / PIPEDA (CA)

Provincial PHI rules — consent capture, lockbox controls, data residency in-country where required.

GDPR Art. 9 (EU/UK)

Special-category health data: explicit consent, DPIA, data-minimization and right-to-erasure with clinical-record carve-outs.

HL7 v2 / FHIR R4

Interoperability standards required by most payer and EHR networks for clinical data exchange.

SOC2 + HITRUST

Health-system buyers will ask for both — controls scaffolded in CI from sprint one.

FDA SaMD (if diagnostic)

If the product makes a clinical decision, we map to Class I/II SaMD risk + IEC 62304 software lifecycle from day one.

  • PHI fields are tagged in the schema; access generates an immutable audit entry every time.
  • Break-glass access flow with mandatory reason + post-hoc review.
  • Data residency: US, EU, UK, Canada and KSA regions supported.

Informational only — not legal advice. Final scope is confirmed with your counsel and regulator of record.

/ Frequently asked

Healthcare & Life Sciences — common questions

Q01Are you HIPAA / PHIPA compliant?

We engineer to HIPAA Security & Privacy Rules and Canadian PHIPA / PIPEDA: encryption at rest + in transit, granular RBAC, immutable audit log, BAAs with every sub-processor and data residency you control.

Learn more · How we build it
Q02Do you integrate with existing EHRs?

Yes — HL7 v2 and FHIR R4 for the major systems (Epic, Cerner, Athenahealth, custom). Where the partner network has gaps, we build pragmatic adapters with proper retry and reconciliation.

Learn more · Tools we reach for
Q03Will clinicians actually use it?

We embed in clinics during build to map real workflows, then ship tablet-first UIs with offline cache, voice notes and rapid order entry. Adoption typically hits ≥ 90% by week 4.

Learn more · Typical timeline
Q04What about FDA-regulated diagnostic features?

If a feature makes a clinical decision, we treat it as Software-as-a-Medical-Device (SaMD) and follow IEC 62304 lifecycle, risk classification and design-history-file practices from day one.

Learn more · See a real outcome

/ Outcomes you can expect

What you walk away with

  • Clinician adoption ≥ 90% by week 4 on each site
  • Zero PHI incidents in production
  • Audit pack generated automatically each quarter
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