Techdome
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Telehealth software development for US and UK clinics.

Techdome builds multi-tenant, HIPAA-compliant telehealth platforms. Our flagship build is a GLP-1 weight-management platform for the US and UK with 38 clinic tenants (10 operating at scale) and 12,400+ patients: asynchronous chart review, prescriber licensing by jurisdiction, e-prescribing into 503A pharmacies and split billing.

Read the case study
  • US, UK and India
  • HIPAA and UK GDPR from day zero
  • You own the code
Telehealth platform · clinical console

New intake · PT-2041

  • JurisdictionTexas, US
  • BMI check31.2 · eligible
  • Contraindication screenCleared
  • IdentityVerified

Intake designed to finish in under 3.2 minutes

Illustrative screens. No real patient data.

  • FHIR R4
  • NCPDP SCRIPT EDI
  • 21 CFR Part 11 signatures
  • HIPAA
  • UK GDPR
  • White-labelled React web app
  • Node.js
  • PostgreSQL, multi-tenant
  • AWS HIPAA infrastructure
  • n8n automation
  • Stripe Identity
  • Split billing at capture
  • 503A compounding partners
  • Carrier webhooks and in-box loggers
38
Clinic tenants, 10 operating at scale
12,400+
Patients on the platform
33
Engineers, architects and QA in the pod
6 months
Initial build, then ongoing scaling

Who it is for

Who it is for

  • GLP-1 and weight-management ventures

    You are launching or scaling clinics and need intake, prescribing and fulfilment working as one network.

  • Clinic networks

    You want each clinic isolated, with its own roles, on one shared platform you can grow.

  • Founders replacing vendor tools

    You have stitched several vendors together and the gaps show in compliance and in slow queues. We replaced four disconnected vendors with one clinical platform.

What we build

What a telehealth platform has to do

These are the stages of the platform we built, in the order a patient meets them.

Physician review screen of the GLP-1 telehealth platform
Physician review, one screen per case
Network dashboard listing clinic tenants
Network view across clinic tenants
Cold-chain logistics hub for medicine shipments
Cold-chain fulfilment

  • Intake and eligibility

    A structured questionnaire on a white-labelled web app, with BMI and contraindication checks before a physician sees the case.

  • Licensing by jurisdiction

    The prescriber must be licensed where the patient lives: a US state board or the UK GMC. Routing checks live registries before assigning a queue.

  • Asynchronous chart review

    A pre-compiled dossier for the physician, a 45-second review target and a signature, with escalation to a video visit.

  • Pharmacy routing

    Signed orders go to the pharmacy over NCPDP SCRIPT EDI or to a 503A partner over REST, chosen on inventory, licensing and proximity.

  • Cold-chain monitoring

    Carrier webhooks and in-box loggers watch the 36 to 46°F window through the whole shipment.

  • Multi-tenant clinics and billing

    Each clinic is an isolated tenant with its own roles, and split billing settles at capture.

How a build runs

Eight weeks, five steps, one deliverable each.

The same Blueprint we use for every product. Compliance work starts in week one, so nothing surprises you at launch.

  1. 01

    Week 1

    De-Risk & Architecture

    System Architecture, Data Schema & Risk Matrix

    We audit technical feasibility, lock compliance requirements (HIPAA/SOC2), design relational database models, and create interactive UX wireframes.

  2. 02

    Week 2–3

    Foundation & Core Engine

    Working Backend API & Cloud Infrastructure

    We provision cloud infrastructure, configure zero-trust authentication (OIDC/SAML), and build core business logic and third-party API adapters.

  3. 03

    Week 4–6

    Full-Stack Integration

    Complete Feature-Complete Staging Application

    We connect high-performance frontend interfaces with automated backend workflows, payment processing, and internal operational dashboards.

  4. 04

    Week 7

    Security, QA & Compliance

    Pen-Test Review, WCAG 2.2 AA Audit & Load Tests

    Exhaustive automated testing, accessibility auditing, vulnerability scanning, and end-to-end user scenario validation under high concurrency.

  5. 05

    Week 8+

    Production Launch & Handover

    Live Production URL, CI/CD Pipelines & Telemetry

    DNS cutover, real-time APM telemetry instrumentation, staff enablement training, and structured handover to ongoing growth pod or internal team.

Compliance

Built for HIPAA and UK GDPR from day zero

HIPAA on AWS, with a BAA
AWS HIPAA infrastructure under a signed BAA, with tenant data isolation and role-based access control.
UK GDPR and a DPA
UK patients are covered by a UK GDPR architecture and a data processing agreement.
Signatures and audit
Provider signatures follow 21 CFR Part 11 and every action goes to an append-only audit log.
Data exchange
FHIR R4 for clinical data and NCPDP SCRIPT for prescriptions.

Clinical standards

  • FHIR R4
  • NCPDP SCRIPT EDI
  • 21 CFR Part 11 signatures
  • HIPAA
  • UK GDPR

Platform

  • White-labelled React web app
  • Node.js
  • PostgreSQL, multi-tenant
  • AWS HIPAA infrastructure
  • n8n automation

Identity, billing and fulfilment

  • Stripe Identity
  • Split billing at capture
  • 503A compounding partners
  • Carrier webhooks and in-box loggers

Pitfalls

Where telehealth builds go wrong

Five patterns, and the design that avoids each.

  • Compliance added after launch

    HIPAA and UK GDPR controls are cheapest as architecture. Retrofitting them is the most expensive mistake in this category.

  • Licence checks done by hand

    Matching prescribers to patients by hand does not scale across 50 US states and the UK. Route by jurisdiction against live registries.

  • A review queue nobody designed

    A physician needs the whole case on one screen. We designed around a 45-second review target and a one-step escalation to video.

  • Forgetting the cold chain

    Medicine that leaves its temperature window is a refund and a risk. Watch the shipment through transit, not only the order.

  • Billing as an afterthought

    Bolt-on billing lets the books drift. Settle splits at capture so the platform and each clinic stay in step.

Before you hire anyone

Six questions to ask a telehealth development partner

They apply to any partner. The answers tell you how much of the hard part they have done before.

  • How do you match a prescriber’s licence to the patient’s location?

    Ask for a rule-based check against live registries, not a manual list.

  • How long should a physician need to review a case?

    A partner who has measured this can give you a target and show how the screen is built for it.

  • How do prescriptions reach a pharmacy?

    Look for standard messages such as NCPDP SCRIPT, and a choice of pharmacy by inventory and licence.

  • How do you monitor temperature-sensitive shipments?

    Carrier data and in-box loggers beat a signature at delivery.

  • Can each clinic be isolated on one platform?

    Ask how isolation is enforced and how it is tested.

  • Will you sign a BAA, and a DPA for UK patients?

    Both should be in place before patient data is touched.

Proof

The telehealth build, and the healthcare work around it

Client names stay private. The build and the outcomes are real.

Pricing

Three ways to start.

Fixed scope and dates agreed before work begins. You own the code, the repositories and the infrastructure once milestones are paid.

  • Fixed-scope sprint

    For one defined piece of work

    From $8,000

    For a defined piece of work that is smaller than a full MVP, agreed up front.

    How sprints work
  • For a new platform

    MVP

    From $25,000

    Typically 8 to 12 weeks, scoped with our Blueprint, to a working product that you own.

    How the studio works

  • Per engineer

    For a team on your roadmap

    $25 to $45 an hour

    All-in. At full time (160 hours) that is about $4,000 to $7,200 per engineer per month, depending on seniority.

    How pods work

Full terms are on the pricing page. The MVP cost estimator gives a first range before a call.

Read next

Guides from the same work.

Questions

Straight answers on scope, compliance, timelines and cost.

It depends on scope: the number of clinics, the integrations and the compliance regions. Our pricing page lists the engagement models, and the MVP cost estimator gives a first range before you book a call.

Building for clinics, labs or a digital health venture?

Tell us what you are building. You talk to an architect, not a salesperson, and leave with a scope and a range.

Send us a message