Healthcare - Fixed-bid integration, data architecture, and AI for healthcare.
EHR ↔ CRM sync, claims integration, FHIR-native API platforms, HIPAA-compliant data warehouses, and audit-grade clinical AI. Senior-architect-led delivery for healthcare providers, payers, EHR vendors, and digital health startups.
Compliance posture - HIPAA + HL7 / FHIR by default.
Every healthcare engagement runs to the standards regulated buyers ask for. We do not retrofit compliance after delivery — it is built into the architecture from the first design review.
- HIPAA + BAA. Every engagement runs under a Business Associate Agreement when PHI is in scope. Encryption at rest + in transit, audit logging, breach-notification protocols.
- PHI de-identification. Safe Harbor and Expert Determination patterns for moving data out of the BAA boundary into analytics and AI workloads. No naive copy operations.
- HL7 v2 / FHIR R4. Bidirectional HL7 v2.x and FHIR R4 integration patterns. ADT, ORM, ORU, CCD/C-CDA. FHIR Bundle, Subscription, and SMART-on-FHIR for app integration.
- HITRUST + SOC 2. Architecture aligned to HITRUST CSF and SOC 2 Type II controls. Documentation passes vendor security questionnaires on first review.
What we ship - Six common engagement shapes in healthcare.
Each ships as a fixed-bid SOW with target-state architecture diagram, returned within 3 business days of intake. $25K floor, $25K increments.
- EHR ↔ Salesforce Health Cloud sync. Bidirectional patient / encounter / claims sync between an EHR (Epic, Cerner, athenahealth, eClinicalWorks, Tebra, NextGen) and Salesforce Health Cloud via MuleSoft. Canonical patient model with HIPAA-compliant audit trail.
- Claims integration platform. Payer-side claims ingestion + adjudication routing across multiple clearinghouses and provider networks. X12 837 / 835 / 270 / 271 with Workato or MuleSoft. Real-time eligibility + remittance.
- Clinical AI with audit-grade observability. LLM-powered clinical documentation, prior-authorization triage, or chart-review automation. Structured-output JSON, confidence gating, human-in-the-loop checkpoints, prompt + response logging to Splunk / Datadog.
- Data warehouse for population health. HIPAA-compliant medallion lakehouse on Snowflake or Databricks. Bronze inside BAA, de-identification at Silver, Gold for analytics + ML. Unity Catalog or Snowflake Horizon governance.
- Patient-facing app + API platform. SMART-on-FHIR app integration, patient portal data exchange, scheduling and intake automation. Workato or MuleSoft as the integration spine, FHIR-native API gateway.
- M&A integration (clinic / practice acquisition). Standardize EHR data across acquired practices into a single canonical model. Migration playbook + canonical model + rollout plan within fixed-bid scope.
Related reading - Healthcare-relevant field notes.
Fixed-bid healthcare integration. HIPAA by default.
Submit a 6-step intake. Receive a fixed-bid SOW with target-state architecture diagram, returned within 3 business days.
Ready to scope an integration?
Six-step intake. Fixed-bid SOW returned in 3 business days. $25K floor, $25K increments.
Office
- San Ramon, California
Green Dolphin Software LLC
3635 Sandalford Way
San Ramon, CA 94582 - Get in touch
max@greendolphin.ai
(415) 215-3601

