Teledermatology Platform Development

Built around how dermatologists actually review cases

Most dermatology conditions don't need a live video visit. A dermatologist reviewing a well-photographed lesion with a complete clinical history can make a confident assessment asynchronously, faster for the patient and more efficient for the practice. Generic video platforms force synchronous visits for cases better suited to store-and-forward, and unstructured image submissions arrive without the clinical context a provider needs. We build teledermatology platforms around the asynchronous workflow first.

  • Asynchronous store-and-forward image submission with structured clinical intake

  • HIPAA-compliant image storage using FHIR Binary resources linked to clinical records

  • Provider review queues with case prioritization and specialist escalation routing

  • Integration with dermatology EHRs, Nextech, Modernizing Medicine (EMA), Epic

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The problem

Sound familiar?

  • Forcing video visits for skin conditions where a well-photographed image submission would let the dermatologist review and respond faster?

  • Patients submitting images without the clinical context the provider needs, leaving dermatologists to chase information after the case arrives?

Short answer

RaftLabs builds teledermatology platforms for dermatology practices, digital health companies, and health systems. We develop asynchronous store-and-forward workflows where patients submit images and clinical context for provider review, structured intake forms that collect relevant clinical history before the provider opens the case, HIPAA-compliant image storage using FHIR Binary resources, provider review queues with specialist escalation routing, and integration with dermatology EHRs. Most teledermatology platform builds deliver in 12-16 weeks at a fixed cost.

Key takeaways

  • Client-side image quality validation checks blur, exposure, and resolution before submission, keeping low-quality images out of the provider review queue entirely.
  • Images store as FHIR Binary resources linked to Condition and DiagnosticReport, so clinical context travels with the media file through the case lifecycle, governed by the same access controls as other PHI.
  • Specialist escalation routes complex cases (Mohs surgery, paediatric dermatology) within the platform itself, with a structured consultation note linked back to the original case.
  • A focused MVP (image submission, intake, review queue, secure messaging) runs $40,000-$80,000; EHR integration and specialist routing bring a full platform to $80,000-$150,000.

Trusted by

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Teledermatology delivery, by the numbers

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

Built around how dermatologists actually review cases

We build teledermatology platforms around the asynchronous workflow first, with the clinical data structure and compliance architecture that a dermatology practice needs to operate at scale.

Capabilities

What we build

  • 01
    Asynchronous image submission

    Client-side image quality validation catches blur and poor exposure before submission, with images stored as FHIR Binary resources linked to the clinical case throughout its lifecycle.

  • 02
    Structured clinical intake

    Conditional intake branches by presenting concern, capturing onset, growth rate, and treatment history as structured FHIR Observation and MedicationStatement data, not free text.

  • 03
    Provider review queue

    A zoomable annotation viewer and priority ordering surface urgent cases first, with structured disposition options feeding directly into practice analytics.

  • 04
    Specialist escalation routing

    Complex cases route to the right specialist within the platform, with a structured consultation note retained on the case record and the original provider notified on completion.

  • 05
    HIPAA-compliant image storage

    AES-256 encryption, pre-signed URLs with short expiry, and EXIF metadata stripping protect inherently identifiable dermatological images.

  • 06
    Dermatology EHR integration

    Structured write-back as FHIR Encounter and DocumentReference resources means the teledermatology interaction appears in the patient's chart without manual transcription.

    Built with
    Nextech · EMA · Epic

How we work

From scope to live teledermatology platform

  1. Week 1
    01

    Clinical workflow and EHR scoping

    We map your clinical specialty focus, current EHR environment, and whether you're building for a single practice or multi-site network. You leave week 1 with a written scope document and a fixed-price quote.

  2. Weeks 2-4
    02

    Intake and escalation design

    Conditional intake logic and specialist routing pathways designed against your actual case mix.

  3. Weeks 5-11
    03

    Build and integrate

    Image submission, review queue, and EHR integration built in parallel, tested against real case scenarios.

  4. Final 2-3 weeks
    04

    Launch and provider training

    Providers trained on the review queue and escalation workflow before full rollout.

Why us

Why dermatology practices choose RaftLabs

  • 01
    Senior engineers build what they scope

    The engineers who assess your clinical workflow 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
    Built for asynchronous review from the start

    Not a video platform with an image-upload feature bolted on.

  • 05
    Escalation stays inside the platform

    No email or phone calls to route a complex case to a specialist, with full audit trail retained.

Have a teledermatology project?

Tell us your clinical specialty focus, your current EHR environment, and whether you're building for a single practice or a multi-site network. We'll scope the build.

Talk about your teledermatology project

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Teledermatology Platform Development, scoped in one call.

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Frequently asked questions

A focused MVP covering asynchronous image submission, structured intake, provider review queue, secure messaging, and HIPAA-compliant image storage typically runs $40,000-$80,000 and delivers in 12-16 weeks. A full-featured platform with dermatology EHR integration and specialist escalation routing typically runs $80,000-$150,000.

Yes. Patient images, clinical intake data, and consultation notes are all PHI under 45 CFR Part 164. Requirements include AES-256 encryption at rest, TLS 1.3 in transit, role-based access control, audit logs retained 6+ years, and BAAs with every third-party provider that processes PHI.

Asynchronous is preferable for most presentations because skin conditions are visual, a well-photographed lesion with complete history gives the same clinical information as a live visit without requiring both parties available simultaneously. Synchronous video suits follow-up discussions and real-time patient education better.

Yes. Nextech, Modernizing Medicine (EMA), and Epic are the most common dermatology EHRs. EMA has a dermatology-specific data model with structured lesion classification fields; Epic uses FHIR R4 with SMART on FHIR authorization. Older systems use HL7 v2 messaging through an integration engine.

Work with us

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

We scope Teledermatology 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

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