# HIPAA / GDPR Telemedicine App Development | Video Visits + EHR | Alher Tech > Telemedicine apps with HIPAA/GDPR compliance, secure video, e-prescriptions where regulated, EHR integration. Built for clinics, insurers and digital-health startups. - Canonical page: https://alhertech.com/en/solutions/telemedicine-app-development/ - Site: Alher Tech (custom software, AI agents and SEO engineering, https://alhertech.com/) - Contact: https://alhertech.com/en/contact/ --- A telemedicine app that survives a clinical audit on day one: encrypted video, signed prescriptions, EHR integration and a paper trail for every action. ## What Telemedicine App Delivers - **Compliance Modeled In, Not Bolted On**: Telemedicine has two failure modes: shipping fast and getting shut down by a regulator, or shipping slow with so much paperwork doctors refuse to use the app. The right path is fast and compliant: pick a tightly scoped use case (asynchronous follow-up, primary care, mental-health), build that compliance-first, and expand from there. - **Video Built for Doctors, Not Zoom**: Twilio Video or LiveKit with end-to-end encryption, in-call vitals capture, screen sharing of test results, automatic recording opt-in for medico-legal evidence, all inside the app, no external links. - **EHR Integration via FHIR / HL7**: FHIR R4 client to your EHR (Epic, Cerner, regional public health systems), HL7 v2 fallback for legacy. Patient demographics, allergies and active medications stay in sync. - **E-Prescriptions Where Legal, Workflow Where Not**: In Spain we integrate with Receta Electrónica del SNS for public-side prescriptions. In US states with EPCS we sign and route via Surescripts. Where local law forbids it, we deliver a compliant offline workflow. - **Async + Sync in One App**: Live video for primary visits, secure messaging for follow-ups, store-and-forward for image review. Doctors split their day between modalities without switching apps. - **A Clinical Pathway Engine**: Configurable care pathways (post-op recovery, chronic management, mental-health programs) with automated check-ins, escalation rules and outcomes capture. Reduces no-clinical-relevance visits. ## How We Build Your Telemedicine App - **Regulatory Discovery**: Two weeks aligning with your DPO, medical director and legal: what is in scope, what data flows where, what consents are required, what we cannot ship. - **Privacy & Security Architecture**: A documented architecture with threat model, data flow diagram, encryption keys management plan and audit log specification before any user-facing code. - **MVP One Pathway**: We pick one care pathway and ship it end-to-end including doctor app, patient app, EHR sync and audit. Lessons feed every subsequent pathway. - **Pilot With Real Patients**: Limited cohort, observed by your medical team. Every feedback item triages into product, training or process: we leave nothing in a vague backlog. - **Audit & Certification Prep**: We help with the SOC 2, ISO 27001 or local equivalent (ENS in Spain), handing over architecture diagrams, control evidence and pen-test results. - **Scale Pathways**: Once one pathway is stable, we add the next at roughly half the time of the first because the foundations are reused. ## High-performance stack used by global leaders React/Next.js/Angular on the frontend and Java 21 + Spring Boot + PostgreSQL 14 on the backend: the same stack that BBVA, ING, and Netflix use for their security and performance. ## Telemedicine App: FAQ ### Are you experienced with healthcare regulations? Yes. We've shipped HIPAA-aligned platforms in the US and GDPR + LOPD-compliant in Spain, with one EU MDR Class IIa medical-device companion app. We bring our DPO and medical-device QA partner to projects that need them. ### How much does it cost? A single-pathway audited telemedicine MVP is €80,000-€160,000. A multi-pathway platform with EHR integration and certification prep reaches €250,000-€600,000. ### How long to launch? 12-20 weeks to first audited consult. Multi-pathway, certified platforms in 6-12 months. ### Can patients access from any device? iOS, Android and a web client share the same backend. Older patients often prefer web on a tablet, so we test extensively on that combination because it is underestimated by most teams. ### How is the video kept secure? End-to-end encryption (DTLS-SRTP), no recording by default, optional encrypted recording stored in your EU-region S3 bucket with KMS-managed keys, access logged per view. ### Do you handle the medical-device certification path? Where applicable (the app makes a diagnosis, dosing recommendation, or processes physiological signals), we partner with a notified body and a medical-device QA consultancy. We do not pretend that path is short: it is 6-18 months on top of the build. ### Where is the data stored? Your AWS / Azure / GCP account in EU regions by default (Spain or Ireland). US deployments use HIPAA-eligible AWS regions with a signed BAA. Cross-border transfer requires explicit DPO sign-off. ### Do you work with clients globally? Yes. We work fully remote with clients across Spain, Europe, the US and LATAM. Time zones, video calls and live demos at every milestone.