Primary Care Telehealth Platform Development

Built for the full clinical workflow, not just the video call

The failure mode of generic telehealth in primary care isn't the video quality, it's everything that happens before and after the visit. A clinician needs to see the active problem list and recent labs before the call, write a structured note that goes directly into the EHR encounter, and order labs or prescriptions without leaving the consultation interface. When those capabilities aren't integrated, clinicians work around the platform: duplicate charting, manual lab coordination, and fragmented follow-up.

  • HIPAA-compliant video with bidirectional EHR write-back (Epic FHIR R4, Cerner, Athenahealth)

  • E-prescribing integrated within the consultation workflow, including EPCS for controlled substances

  • Lab order integration with structured result delivery back to the patient via the telehealth platform

  • Chronic disease management follow-up with between-visit data collection and automated scheduling

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See our work

The problem

Sound familiar?

  • Running telehealth visits but writing notes twice, once in the platform and again in the EHR, because your telehealth tool doesn't write structured notes back to Epic or Cerner?

  • Ordering labs during a telehealth visit but having no way to deliver results back to the patient through the same platform?

Short answer

RaftLabs builds primary care telehealth platforms for primary care practices, federally qualified health centres, and health systems. We develop HIPAA-compliant video consultation infrastructure, bidirectional EHR integration (Epic FHIR R4, Cerner Ignite, Athenahealth), e-prescribing, lab order integration with result delivery back to the telehealth platform, and chronic disease management follow-up workflows. Most primary care telehealth platform builds deliver in 12-16 weeks at a fixed cost.

Key takeaways

  • Without EHR write-back, clinicians duplicate charting, adding 10-20 minutes per visit; structured FHIR write-back makes the EHR encounter the single source of truth instead.
  • Lab orders transmit as FHIR ServiceRequest resources at the point of order and write to the EHR simultaneously, with results returned as DiagnosticReport resources for provider review before patient release.
  • Chronic disease protocols are configured against your clinical team's existing care plans, not a generic protocol, with alert thresholds set per condition and per patient.
  • A focused MVP (video, EHR read integration, e-prescribing) runs $50,000-$90,000; bidirectional write-back, EPCS, and lab integration bring a full platform to $100,000-$200,000.

Trusted by

Vodafone logo
Aldi logo
Nike logo
Microsoft logo
Heineken logo
Cisco logo
Calorgas logo
Energia Rewards logo

Primary care telehealth delivery, by the numbers

week delivery
12-16
compliant architecture
HIPAA
cost delivery
Fixed
products shipped
100+

Built for the full clinical workflow, not just the video call

We build primary care telehealth platforms around the full clinical workflow, the EHR is a first-class integration partner, not an afterthought export.

Capabilities

What we build

  • 01
    HIPAA-compliant video infrastructure

    Pre-session views surface active medications and recent labs before the call starts, with structured SOAP notes writing back to the EHR before the consultation record closes.

    Built with
    Twilio · Daily.co
  • 02
    EHR integration with structured write-back

    Post-visit documentation creates FHIR Encounter and DocumentReference resources automatically, so the telehealth interaction appears in the patient's chart without transcription.

    Built with
    FHIR R4 · Epic · Cerner
  • 03
    E-prescribing

    Prescribing happens inside the consultation interface with real-time formulary lookup, and EPCS two-factor authentication for controlled substances.

    Built with
    Surescripts
  • 04
    Lab order integration

    Orders transmit as FHIR ServiceRequest resources at the point of order, with results returned as DiagnosticReport resources for provider review before patient release.

  • 05
    Chronic disease management follow-up

    Condition-specific protocols collect between-visit readings as FHIR Observation resources, with care manager dashboards flagging missed submissions or out-of-threshold values.

  • 06
    Patient-facing app

    Structured pre-visit intake, biometric authentication, and WCAG 2.1 AA accessibility for a patient population that includes older adults.

How we work

From scope to live primary care telehealth platform

  1. Week 1
    01

    EHR and clinical workflow scoping

    We map your EHR environment, your patient population, and the clinical workflows you need to support. You leave week 1 with a written scope document and a fixed-price quote.

  2. Weeks 2-5
    02

    Write-back and lab integration design

    FHIR write scope, e-prescribing, and lab integration designed against your EHR's actual API capability.

  3. Weeks 6-15
    03

    Build and integrate

    Video, EHR write-back, and chronic disease workflows built in parallel, tested against real clinical scenarios.

  4. Final 2-3 weeks
    04

    Launch and clinical team training

    Clinicians and care managers trained on the workflow before full rollout.

Why us

Why primary care practices choose RaftLabs

  • 01
    Senior engineers build what they scope

    The engineers who assess your EHR environment also build the solution. No bait-and-switch, no offshore handoff after the contract is signed.

  • 02
    Fixed price before development starts

    We scope the work, calculate the cost, and lock it in writing before any development starts.

  • 03
    9 years and 100+ products shipped

    Clients include Vodafone, T-Mobile, Aldi, Nike, Cisco, and Lockheed Martin. Track record building HIPAA-compliant clinical platforms.

  • 04
    No duplicate charting

    Structured write-back means the EHR encounter is the single source of truth, not a second manual entry.

  • 05
    Chronic care protocols built around your care plans

    Not a generic protocol, configured to reflect what your clinical team already defined.

Have a primary care telehealth project?

Tell us your EHR environment, your patient population, and the clinical workflows you need to support, chronic disease, acute visits, or both. We'll scope the build.

Talk about your primary care telehealth project

Related services

Primary Care Telehealth Platform Development, scoped in one call.

Tell us what's broken. Within one business day you get a straight take on cost, timeline, and the right first step. No deck, no pressure.

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Frequently asked questions

A focused MVP with HIPAA-compliant video, EHR read integration, e-prescribing, and patient/provider web interfaces typically runs $50,000-$90,000 and delivers in 12-16 weeks. A full-featured platform with bidirectional EHR write-back, EPCS, lab integration, and chronic disease follow-up typically runs $100,000-$200,000.

Write-back means the platform transmits structured clinical data, encounter, consultation note, prescriptions, orders, back to the EHR after each visit without manual re-entry. Without it, clinicians duplicate charting, adding 10-20 minutes per visit and creating gaps between the telehealth summary and the EHR encounter.

During the session, the provider places a lab order that transmits to the reference lab as a FHIR ServiceRequest and writes to the EHR chart simultaneously. Results return as FHIR DiagnosticReport resources for provider review and release to the patient through the same platform.

Three components: between-visit data collection via the patient app, care team monitoring via a dashboard flagging missed submissions or out-of-threshold readings, and automated follow-up scheduling generating reminders at care-plan-specified intervals.

Work with us

Tell us what you need. We'll tell you what it would take.

We scope Primary Care Telehealth Platform Development in 30 minutes. You walk away with a clear cost, timeline, and approach. No commitment required.

  • Scope and cost agreed before work starts. No surprises. No obligation.
  • Working prototype within 3 weeks of kickoff.
  • Pay by milestone. You see progress before each invoice.
  • 60-day post-launch warranty. Bug fixes, UI tweaks, and deployment support. No retainer.
  • All conversations are NDA-protected.

Go deeper

Browse our case studies

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