Top healthcare software development companies in 2026 (vetted shortlist)

A vetted shortlist of the best healthcare software development companies in 2026, evaluated on HIPAA-compliant product delivery, clinical workflow depth, and what each firm does best.

21 min read ·
In this article

Short answer

Healthcare software vendor selection comes down to whether the product has actually been used by licensed clinicians in live patient care, HIPAA compliance depth, and hands-on FHIR-based EHR integration experience. RaftLabs qualifies with shipped telemedicine, remote patient monitoring, and AI-diagnostics products for $40,000-$200,000, at $29-49/hr, with a 4.9/5 Clutch rating.

Key takeaways

  • HIPAA compliance is not a checkbox - it requires audit logging, PHI encryption at rest and in transit, Business Associate Agreements, and documented access controls. Any company that treats it as a formality is a liability.
  • HL7 FHIR API integration is now the standard for EHR connectivity in the US. If your product needs to pull or push patient data from Epic, Cerner, or Athenahealth, your development partner must have live FHIR integration experience.
  • Healthcare software that affects clinical decisions has a higher bar than consumer or enterprise software. Ask directly: has this team shipped a product used by licensed clinicians in a real patient care setting?
  • The most common reason healthcare software projects fail is underestimating clinical workflow complexity. A feature that takes two weeks to build can take six more weeks to validate against actual clinical use cases.

Healthcare software is not a standard software category. It touches patient safety, carries federal compliance requirements under HIPAA, and must pass through EHR vendor review processes before it can connect to patient data. The gap between a company that says it builds "healthcare apps" and a company that has shipped software used by licensed clinicians to make care decisions is wide. Most buyers do not discover that gap until the project is in trouble.

The eight healthcare software development companies on this list are Edenlab, GoodCore Software, RaftLabs, IT Craft, CleverDev Software, Kanda Software, KMS Healthcare, and Arkenea. RaftLabs is on this list. We wrote our own entry with the same directness we applied to everyone else.

How we evaluated this list

CriterionWhat we looked for
Production track recordAt least one product used by licensed clinicians in a live patient care setting - not a demo or a portfolio screenshot
HIPAA compliance depthBAA execution, PHI encryption at rest and in transit, audit logging, and documented breach response procedures
EHR integration experienceHands-on FHIR R4 API work with Epic, Cerner, Athenahealth, or similar - not generic "EHR integration" claims without named systems
Client profile fitEngagement model, team size, and budget range that matches most mid-market or enterprise healthcare buyers
Clutch rating4.7 or above with documented healthcare project track record

No company paid for placement on this list.

1. Edenlab

Edenlab is a healthcare-only development and consultancy shop, based in Cheyenne, Wyoming with an engineering base in Tallinn, that concentrates on one of the hardest problems in health software: HL7 FHIR interoperability. Their work centers on FHIR servers and FHIR facades that sit in front of existing clinical systems, plus the AI-ready health-data infrastructure that modern analytics and decision-support tools depend on. For an organization whose core challenge is moving patient data cleanly between systems rather than building a patient-facing app from scratch, that narrow focus is the point.

What Edenlab offers that a generalist cannot is depth in the FHIR layer specifically. A FHIR facade lets a team expose legacy EHR/EMR data through a standards-compliant FHIR R4 API without ripping out the underlying system, which is often the difference between a six-week integration and a six-month one. Because the firm works only in healthcare, conversations about FHIR resource types like Patient, Observation, and Encounter, profiling, and terminology binding start at a working level rather than from first principles.

Edenlab is an interoperability and data-infrastructure specialist first. If your build is a full consumer telehealth product with heavy clinical UI and workflow design, confirm during scoping how much of that surface they take on versus the FHIR and data layer where their depth clearly sits.

Notable work - Edenlab's public references include Phoenix Children's Hospital, Elation Health, and the Ministry of Health of Ukraine, all vendor-stated rather than independently verified. Ask for named FHIR server or facade deployments, the EHR systems involved, and the FHIR resource types handled when you scope.

Pricing signal - Edenlab does not publish rates. Treat pricing as unconfirmed and settle the engagement model - fixed scope versus a dedicated data-engineering team - during scoping before committing.

What to watch - Ratings are not verified on the usual review platforms, so confirm current review standing before engaging. Because their center of gravity is FHIR and health-data infrastructure, validate domain depth on any work that sits outside interoperability, such as clinical UX, mobile, or device integration, rather than assuming full-stack coverage.

  • Best for: Healthcare organizations that need HL7 FHIR interoperability, FHIR servers or facades, and AI-ready health-data infrastructure rather than a full product build

  • Specialization: HL7 FHIR interoperability, FHIR servers and facades, health-data infrastructure

  • Pricing: Not published; confirm before engaging

  • Clutch: Ratings not verified; confirm before engaging

2. GoodCore Software

GoodCore Software is a Croydon-based custom software firm that has spent more than 20 years building business-critical systems for regulated sectors, healthcare among them. Their healthcare work runs to patient and clinic platforms, the operational software a practice or provider runs day to day, and the firm holds ISO 27001 and SOC 2 certifications, which speaks to the information-security posture any team handling PHI has to demonstrate.

The regulated-sector track record is the relevant signal here. A firm that has delivered into finance, healthcare, and other compliance-heavy environments has usually internalized the discipline that healthcare buyers need: documented access controls, security certification, and a delivery process that survives a vendor risk assessment. For a UK or international provider building a patient or clinic platform, that combination of longevity and certification is a practical starting point.

GoodCore is a broad custom-software firm rather than a healthcare-only specialist, so its healthcare depth varies by project. Confirm during scoping how much live HIPAA and HL7 FHIR EHR-integration experience the specific team assigned to you carries, especially if your product must connect to US EHR systems like Epic, Cerner, or Athenahealth.

Notable work - GoodCore cites London Women's Clinic among its healthcare references, a vendor-stated testimonial rather than an independently verified deployment. Ask for named patient or clinic platforms in production, and the compliance frameworks each was built against, when you scope.

Pricing signal - GoodCore does not publish rates. Treat pricing as unconfirmed and settle the engagement model and budget band during scoping.

What to watch - The firm describes itself as Clutch-recognized, but confirm the current rating and healthcare-specific review count on Clutch directly before engaging rather than taking the claim at face value. Because its remit spans many sectors, validate that the assigned team's healthcare and FHIR experience matches your build.

  • Best for: Regulated-sector buyers, including healthcare providers building patient or clinic platforms, who value a long track record and ISO 27001 / SOC 2 certification

  • Specialization: Business-critical custom software for regulated sectors, patient and clinic platforms, ISO 27001 / SOC 2-certified delivery

  • Pricing: Not published; confirm before engaging

  • Clutch: Clutch-recognized (claimed); confirm rating before engaging

3. RaftLabs

RaftLabs builds HIPAA-compliant healthcare software for mid-market medical businesses and health startups - telemedicine platforms, remote patient monitoring systems, AI-assisted diagnostics tools, and clinical dashboards with real-time connected device data. PHI handling includes encrypted storage at rest and in transit, audit logging, role-based access controls, and BAA execution before any project begins. Their engagement model is built around one accountable team covering HIPAA architecture, FHIR integration, clinical UI, and production deployment.

What separates RaftLabs from boutique studios that claim healthcare experience is delivery across multiple clinical product categories: patient-facing mobile apps with secure video consultation, connected device dashboards displaying real-time vitals to clinicians, and AI tools that surface diagnostic patterns from patient history. Their healthcare work includes an AI-powered remote patient monitoring platform now operating at 80+ clinical sites, with HIPAA-compliant architecture and alert logic driven by clinical-workflow research rather than standard monitoring conventions (case study).

RaftLabs works on fixed-price engagements with milestone-based payment and NDA protection from day one. This model suits mid-market healthcare companies with defined budgets who need a complete product built by one team, not staff augmentation or hourly retainers across scattered vendors.

Notable work - RaftLabs has shipped telemedicine platforms, remote patient monitoring systems, and AI diagnostics tools for medical businesses and health startups. HIPAA architecture and FHIR integration are standard components of their healthcare engagements.

Pricing signal - $29-$49/hr with fixed-price engagement options for scoped builds. Milestone-based payment protects the client through delivery phases. NDA from day one. Typical healthcare projects start at $40,000 for a HIPAA-compliant MVP and scale with scope and integration complexity.

What to watch - RaftLabs works best when you need the full build - healthcare software and engineering in one team. If you need only a point solution or standalone staff augmentation, a more specialized vendor may be faster.

  • Best for: Mid-market businesses ($1M-$100M revenue) needing HIPAA-compliant healthcare software delivered by one accountable team

  • Specialization: Telemedicine platforms, remote patient monitoring, AI diagnostics, FHIR integration

  • Pricing: $29-$49/hr, fixed-price engagements

  • Clutch: 4.9/5

4. IT Craft

IT Craft has been building healthcare software for more than 20 years, with 330 engineers, 40+ long-term healthcare projects, and a six-year average client engagement. Their healthcare work concentrates on product engineering rather than hospital infrastructure: HIPAA-aligned SaaS platforms, patient portals, telemedicine and remote patient monitoring, EHR/EMR integration through HL7 FHIR and CDA, and claims and RCM automation for insurers. The fit is digital health companies building or scaling a product, not health systems replacing clinical infrastructure.

What IT Craft offers that larger firms cannot is a team that stays with a product across its full lifecycle at a size the client can actually direct. Engagements run through three models - dedicated team, staff augmentation, or full outsourcing - and cover discovery, design, development, AI integration and automation, QA, DevOps, and SLA-based maintenance without a program management layer priced on top. Compliance work spans HIPAA, GDPR, MDR, NIST CSF, IEC 62304, SNOMED CT, and RxNorm.

Notable work - IT Craft built and scaled Arctrieval, a HIPAA-aligned SaaS platform now processing tens of thousands of medical record requests daily for U.S. personal injury firms. Other healthcare delivery includes Flexwise and Aya Healthcare, an AI-driven clinic staffing system rebuilt from a monolith into microservices, and DRG Claims Management, a claims audit and verification system for insurers.

Pricing signal - $50-$90/hr range. Their own guidance puts medical software builds between $60,000 and $150,000, with enterprise-level systems reaching $300,000.

What to watch - IT Craft is not the right fit for projects under $25,000, where the scope is too small to justify a dedicated team. Their strength is a digital health product that needs to be built, scaled, and maintained by one team over time.

  • Best for: Healthcare companies and digital health startups building HIPAA-compliant patient portals, telemedicine platforms, mobile apps, and clinical data systems with EHR connectivity

  • Specialization: Patient portals, telemedicine platforms, remote patient monitoring, EHR/EMR systems, medical billing and RCM software

  • Pricing: $50-$90/hr; typical engagements $60,000-$300,000

  • Clutch: 4.9 (57 verified reviews)

5. CleverDev Software

CleverDev Software is a custom software firm based in Austin, Texas with a development team in Warsaw, and its healthcare work has a clear anchor: dental practice-management software. Around that core it builds broader healthcare systems - EHR and EMR platforms and telemedicine products - which makes it a fit for provider organizations that want an operational clinical system rather than a one-off patient app.

Dental practice-management is a useful proving ground. It forces a team to handle scheduling, charting, billing, and patient records inside a real clinical operation, which are the same primitives that EHR/EMR and telemedicine builds rest on. A firm that has shipped practice-management software has usually confronted the workflow-complexity problem - the gap between what a clinician says they do and what they actually do - that trips up teams new to the domain.

The public portfolio does not name verified reference clients, so treat CleverDev's healthcare claims as needing confirmation. During scoping, ask for named EHR/EMR or telemedicine systems in production, whether any connect to US EHR vendors via HL7 FHIR, and how the team handles HIPAA - BAA execution, PHI encryption, and audit logging - on a live build.

Notable work - Named clients are limited in the public portfolio. CleverDev's healthcare positioning rests on dental practice-management and broader EHR/EMR and telemedicine work; ask for specific production deployments and the compliance frameworks behind them when you scope.

Pricing signal - CleverDev does not publish rates. Treat pricing as unconfirmed and settle the engagement model and budget band during scoping.

What to watch - CleverDev displays GoodFirms and DesignRush badges, but a specific star rating is not verified, so confirm current review standing before engaging. Validate live HIPAA and FHIR EHR-integration experience directly rather than inferring it from the dental practice-management focus.

  • Best for: Dental and healthcare providers needing practice-management software or broader EHR/EMR and telemedicine systems built by one custom-software team

  • Specialization: Dental practice-management software, EHR/EMR systems, telemedicine

  • Pricing: Not published; confirm before engaging

  • Clutch: No Clutch rating verified; GoodFirms and DesignRush badges shown - confirm before engaging

6. Kanda Software

Kanda Software is a Boston-based engineering firm whose healthcare and life-sciences work centers on HIPAA-compliant builds, with a current line in agentic AI - systems that carry out multi-step clinical or operational tasks rather than just answering questions. For a healthcare organization that wants an engineering partner with a verified track record and a foothold in applied AI, Kanda sits in a credible middle band between boutique studios and enterprise integrators.

The HIPAA-compliant and life-sciences framing matters because life-sciences work - which touches regulated data, validation discipline, and audit expectations - builds the same muscles a healthcare software team needs: encryption of sensitive data, access controls, and documentation that survives scrutiny. Kanda's agentic-AI capability is relevant for providers exploring automation of clinical or administrative workflows, provided that automation is designed around real clinical tasks rather than bolted on.

Kanda is an engineering partner more than a full clinical-product studio, so if you need deep clinical UX design or specific EHR app-review navigation, confirm that experience during scoping. Its strengths are engineering execution, HIPAA-compliant delivery, and AI.

Notable work - Named healthcare clients are limited in the public portfolio. Kanda's positioning rests on HIPAA-compliant health and life-sciences engineering and agentic AI; ask for named production builds, the EHR systems involved, and any live FHIR integration work when you scope.

Pricing signal - Clutch lists an hourly rate of $50-$99/hr. Confirm the engagement model - fixed scope versus a dedicated team - and project minimums during scoping.

What to watch - Kanda's rating is strong but rests on a modest review count, so read the healthcare-specific reviews rather than the headline number. Validate that the agentic-AI work is grounded in real clinical or operational workflows, not a general-purpose demo repurposed for healthcare.

  • Best for: Healthcare and life-sciences organizations needing HIPAA-compliant engineering with applied, agentic-AI capability

  • Specialization: HIPAA-compliant health and life-sciences engineering, agentic AI

  • Pricing: $50-$99/hr per Clutch

  • Clutch: 4.9/5 (17 reviews)

7. KMS Healthcare

KMS Healthcare is the healthcare arm of KMS Technology, based in Atlanta with delivery in Vietnam. Its focus is clinical software, quality engineering and testing, and AI automation - a combination that leans as much on the testing and QE discipline healthcare software demands as on feature development. For organizations where reliability and validation matter as much as shipping, which is most clinical software, a partner with a dedicated QE practice is a meaningful signal.

The quality-engineering emphasis is the differentiator worth noting. Healthcare software that affects clinical decisions carries a higher bar than consumer software, and a team that treats testing as a first-class discipline rather than an afterthought is better positioned to catch the failure modes that matter in a care setting. The AI-automation line extends that into automating clinical or administrative workflows, again where the value depends on grounding it in real clinical use.

As a dedicated healthcare unit inside a larger engineering company, KMS Healthcare can draw on parent-company capacity, which suits organizations that need both build and sustained QE. Confirm during scoping how the healthcare team's specific EHR and HL7 FHIR integration experience maps to your product.

Notable work - Named healthcare clients are limited in the public portfolio. KMS Healthcare's positioning rests on clinical software, quality engineering, and AI automation; ask for named production deployments, the EHR systems connected, and the FHIR resource types handled when you scope.

Pricing signal - KMS Healthcare does not publicly list rates. Treat pricing as unconfirmed and settle the engagement model and budget band during scoping.

What to watch - The 4.8/5 rating on Clutch belongs to the parent KMS Technology profile rather than a standalone KMS Healthcare profile, so read it as a parent-company signal and confirm healthcare-specific references directly. Validate live FHIR and HIPAA experience on the clinical-software side rather than assuming it from the parent's broader track record.

  • Best for: Healthcare organizations that need clinical software built with a strong quality-engineering and testing discipline, plus AI automation

  • Specialization: Clinical software, quality engineering and testing, AI automation

  • Pricing: Not publicly listed; confirm before engaging

  • Clutch: Parent KMS Technology 4.8/5 (17 reviews); no standalone healthcare profile - confirm before engaging

8. Arkenea

Arkenea is a Chicago-based, healthcare-only custom software firm that has built HIPAA-compliant medical apps since 2011 for hospitals, private practices, and healthtech startups. The healthcare-only focus is the headline: unlike generalist firms that maintain a healthcare vertical, Arkenea's entire book of work is medical software, which means domain conversations about HIPAA, clinical workflow, and EHR connectivity start from shared ground.

More than a decade building only healthcare software is a real advantage on the domain-depth problem that sinks most clinical projects. A team that has repeatedly navigated HIPAA compliance, PHI handling, and the workflow-validation gap tends to scope realistically and price the regulatory overhead in from the start rather than discovering it mid-project. The mix of hospital, practice, and startup clients also means the firm has worked across budget and maturity levels.

Arkenea suits healthtech startups and provider organizations that want a healthcare-native partner to own HIPAA architecture and clinical product thinking. Confirm during scoping which US EHR systems the assigned team has connected to via HL7 FHIR, and the resource types involved, so the interoperability depth is verified rather than assumed.

Notable work - Named clients are limited in the public portfolio. Arkenea's positioning rests on more than a decade of HIPAA-compliant medical app work for hospitals, practices, and healthtech startups; ask for named production deployments and the EHR integrations behind them when you scope.

Pricing signal - Arkenea does not publicly list rates. Treat pricing as unconfirmed and settle the engagement model and budget band during scoping.

What to watch - Arkenea lists reviews on Clutch, but confirm the current rating and read the healthcare-specific reviews before engaging rather than relying on the review count alone. Its healthcare-only focus is a strength; still validate live FHIR EHR-integration experience for your specific EHR vendor.

  • Best for: Healthtech startups, hospitals, and practices wanting a healthcare-only partner to build HIPAA-compliant medical apps

  • Specialization: HIPAA-compliant medical apps, healthcare-only custom software since 2011

  • Pricing: Not publicly listed; confirm before engaging

  • Clutch: 14 reviews listed on Clutch; confirm rating before engaging

Side-by-side comparison

CompanyPrimary strengthTypical engagementPricing
EdenlabHL7 FHIR interoperability and health-data infrastructureNot published; confirm in scopingNot published
GoodCore SoftwareRegulated-sector custom software, patient and clinic platformsNot published; confirm in scopingNot published
RaftLabsFull-stack HIPAA build for mid-market healthcare companies$40,000-$200,000$29-$49/hr
IT CraftHIPAA-aligned SaaS product engineering for digital health companies$60,000-$300,000$50-$90/hr
CleverDev SoftwareDental practice-management plus EHR/EMR and telemedicineNot published; confirm in scopingNot published
Kanda SoftwareHIPAA-compliant engineering with agentic AIConfirm in scoping$50-$99/hr
KMS HealthcareClinical software with quality engineering and AI automationNot listed; confirm in scopingNot listed
ArkeneaHealthcare-only HIPAA-compliant medical apps since 2011Not listed; confirm in scopingNot listed

The question that separates clinical software firms from healthcare-adjacent builders

The most common mistake buyers make is treating "we build healthcare apps" as evidence of clinical software competence. Healthcare-adjacent apps - patient scheduling, symptom checkers, wellness trackers, medication reminders - require standard mobile development skills and basic HIPAA data handling. Clinical software - tools used by licensed clinicians to make care decisions, EHR-connected platforms that push and pull live patient data, remote monitoring systems that trigger clinical alerts - requires a fundamentally different level of domain depth and compliance rigor.

Category A vendors have shipped software that licensed clinicians use in real patient care settings. They have navigated EHR vendor approval processes, FHIR integration challenges, clinical workflow validation with actual clinical staff, and the difference between software that technically works and software that gets used in a care environment. RaftLabs has verifiable experience in this category, and healthcare-only specialists like Edenlab and Arkenea position themselves squarely in it - though you should confirm their clinical deployments during scoping, since much of their public reference work is vendor-stated rather than independently verified.

Category B vendors build well-designed, HIPAA-compliant products that serve patients outside the clinical setting. Their work is valuable and real, but it does not prepare a team for the complexity of clinical workflow design, EHR app approval processes, or the regulatory documentation required for software deployed in licensed care settings. Some vendors on this list operate in both categories; what matters is whether their documented healthcare work aligns with the specific category you need.

Getting the category wrong is more expensive than getting the vendor wrong. A well-credentialed vendor building the wrong type of healthcare product still produces a product that does not work in a clinical setting.

"A system that promised to increase my mastery over my work has, instead, increased my work's mastery over me."

  • Dr. Atul Gawande, surgeon and author, writing about EHR systems in "Why Doctors Hate Their Computers" (The New Yorker, 2018)

That failure pattern - software designed around documentation requirements rather than care delivery - is not specific to EHRs. It describes what happens when a development team does not understand clinical workflow. The compliance cost of getting it wrong is significant. According to IBM's Cost of a Data Breach Report 2025 (Ponemon Institute), healthcare recorded the highest average data breach cost of any industry for the 14th consecutive year, at $7.42 million per incident - well above the global average of $4.44 million, and healthcare breaches still take the longest to identify and contain, at 279 days. That figure is the compliance cost floor that healthcare software must be built against from the first line of code, not patched in during a security review.

The verdict

Edenlab for healthcare organizations whose core need is HL7 FHIR interoperability, FHIR servers or facades, and AI-ready health-data infrastructure rather than a full product build. GoodCore Software for regulated-sector buyers who want a long track record and ISO 27001 / SOC 2 certification behind a patient or clinic platform. RaftLabs for mid-market medical businesses and health startups that need the full product - HIPAA architecture, FHIR integration, clinical UI, and production deployment - built by one accountable team. IT Craft for digital health companies and healthcare startups that need a HIPAA-aligned product built and maintained by one team across its full lifecycle - patient portals, telemedicine, EHR/EMR integration, or claims and RCM automation. CleverDev Software for dental and healthcare providers needing practice-management software or broader EHR/EMR and telemedicine systems. Kanda Software for healthcare and life-sciences organizations that want HIPAA-compliant engineering with applied, agentic-AI capability. KMS Healthcare for organizations that need clinical software built with a strong quality-engineering and testing discipline plus AI automation. Arkenea for healthtech startups, hospitals, and practices that want a healthcare-only partner to build HIPAA-compliant medical apps.

The fastest way to narrow this list: decide whether your product will be used by licensed clinicians to make care decisions, or by patients outside a clinical setting. That single question eliminates half the wrong conversations before the first vendor call.


RaftLabs designs and builds HIPAA-compliant healthcare software - telemedicine, remote patient monitoring, clinical tools - with no handoff gap between product design and engineering. 4.9/5 on Clutch. Talk to a founder about your healthcare project.

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Frequently asked questions

A HIPAA-compliant patient portal or telemedicine MVP costs $40,000-$80,000. A clinical tool with EHR integration (Epic, Cerner, or Athenahealth via FHIR API) costs $80,000-$200,000. A full-featured remote patient monitoring platform with device integrations, clinical dashboards, and alerting costs $150,000-$400,000. Regulatory documentation, security audits, and BAA management add 15-25% to base development cost.
A basic HIPAA-compliant patient-facing app takes 10-16 weeks. A clinical tool with EHR integration takes 16-24 weeks. The biggest variables are EHR vendor approval timelines (Epic's App Orchard review can take 8-12 weeks alone), FHIR API access provisioning, and clinical workflow validation with actual clinicians. Plan for regulatory and integration overhead from week one.
HL7 FHIR (Fast Healthcare Interoperability Resources) is the current standard for exchanging healthcare data between systems. If your software needs to read or write patient data from an EHR like Epic, Cerner, or Athenahealth, it connects via FHIR APIs. The US 21st Century Cures Act requires major EHR vendors to expose FHIR R4 APIs, which means FHIR is now the de facto integration layer for healthcare software. A development company without FHIR experience will take 2-3x longer to build EHR integrations and is more likely to get stuck in EHR vendor review processes.
A case study with screenshots and a client quote is not evidence of clinical deployment. Ask for the name of the product, where it is deployed, and whether licensed clinicians use it in a patient care setting today. A company that has shipped clinical software will answer specifically - vague references to "healthcare clients" and "HIPAA-compliant projects" without naming a live deployed product are not the same thing.
HIPAA requires a signed Business Associate Agreement before any PHI is handled, audit logging of who accessed what data and when, PHI encryption at rest and in transit, and documented breach notification procedures. Ask for the vendor's BAA template and their audit log schema. Vendors with real HIPAA experience will answer without hesitation; vendors without it will describe following best practices in general terms.
HL7 FHIR R4 is the standard API layer for US EHR connectivity under the 21st Century Cures Act. Ask which EHR vendor a company connected to - Epic, Cerner, Athenahealth, or others - which FHIR resource types they used (Patient, Observation, Condition, Encounter, MedicationRequest), and how they handled the EHR vendor's app review process. Generic answers about EHR integration experience without named systems and resource types indicate limited hands-on FHIR work.
Healthcare software that does not match actual clinical workflows does not get used. Ask how a vendor involves clinicians in requirements definition, how they test UX against real clinical tasks, and how they handle the gap between what a clinician says they do and what they actually do in practice. The answer reveals whether they treat healthcare software as a domain-specific problem with patient safety implications or as a general software problem.
Healthcare software that affects clinical decisions may face scrutiny from hospital credentialing committees, state health departments, or FDA oversight for software that meets the definition of a medical device. Ask whether a vendor maintains development documentation that satisfies audit requirements. A vendor that has only built consumer apps will not have considered this; one with clinical software experience will have a documented process.