Telemedicine App Development
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?
It depends on how many types of consultation you cover, whether it has to connect to the medical record system you already use, and how far you go with regulatory certification. Those three things move the number more than anything we could print here. A free call with one of our engineers, then a written quote for your scope.
How long to launch?
6 to 10 weeks to a first audited consult. Multi-pathway certified platforms take longer, and the extra time is regulatory work rather than code, audits and certification set that pace, not us.
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.