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

1. 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.
2. 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.
3. 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.
4. 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.
5. 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.
6. 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.