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Medical software development

Healthcare systems, built to work together.

Patient apps, clinic workflows and data pipelines, connected to the EHR. We have worked through 40+ EMRs, including athenahealth, Epic, Oracle Cerner and ModMed.

Book a discovery call→
Or get the free 48-hour code audit →30 minutes with the BitLab team. No code access needed.

Integration work across

Leadership experience at

AppleEricssonTELUSUber

Proof we have done this

GenoplexCaesar HealthMONMEDX

Founders who shipped through what you're facing

HealthTech & AI<60 Days

Genoplex.ai

Before

2 agencies failed. All code scrapped.

After

Live from scratch in 60 days. Patent jointly filed. Global pharma interest.

BitLab didn't just build our platform, they co-invented the technology with us.

Chris Leidli

Chris Leidli

CEO, Genoplex.ai

DOES THIS SOUND FAMILIAR?

A healthtech product needs a workable integration plan and clear responsibility for technical decisions. Review the architecture, development process and workflow constraints before committing to the next build phase.

Architecture
  • Which parts of the product need a new architecture?
  • Which workflows depend on your EHR integration?
  • What information does your team need to make the decision?
Team review
  • Who owns architecture and engineering decisions?
  • What can your current team deliver within the agreed scope?
  • Where do handoffs or missing skills delay the work?
Technical evidence
  • Can the team explain the product architecture?
  • Are security and data access requirements documented?
  • Which technical risks need to be resolved first?
Implementation plan
  • What access and approvals does the next workflow require?
  • Which changes can be tested in a focused pilot?
  • What evidence will support expanding that pilot?

Start with a free 30-minute discovery call. We confirm whether an advisory conversation or code audit fits your current needs.

Sample Audit

Here's What We Typically Find

This is a real (anonymized) audit from a seed-stage healthtech startup spending $35K/mo on an offshore team. Five findings. Three of them were invisible to the founder.

Technical Architecture Audit

CLIENT: [REDACTED] | PREPARED BY BITLAB

---
PENDINGARCHITECTURE

Awaiting analysis...

PENDINGHIPAA

Awaiting analysis...

PENDINGSECURITY

Awaiting analysis...

PENDINGEHR

Awaiting analysis...

PENDINGTESTING

Awaiting analysis...

Full Audit Scope: 12 Categories

Every audit covers these areas. Here's one sample point from each.

Licenses & IP

3rd-party licenses, restrictions, IP

Technologies

Future-proof stack, growth-ready

Codebase

Testing, errors, docs, code review

Architecture

Maintainability, scalability, resilience

Operations

Monitoring, alerting, outage detection

Technology Cost

Cost per user, waste without efficiency loss

Revenue & Leakage

Leaks in payments and billing

Metrics & Systems

Data flow: app ↔ 3rd parties

Security

Medical, financial, PII data handling

Compliance

HIPAA, SOC2, HITRUST, PIPEDA, GDPR posture

Agentic ReadinessNew

Survive if AI replicates your workflows?

Team & Org EfficiencyNew

AI-replaceable roles, 5-person squad math

100+ audit points across 12 categories. Codebase AND team. Full report delivered in 48 hours.

48-Hour Audit · Free

The audit is free. Another quarter of guessing is not.

Book the Free 48-Hour Audit

See how the Fractional CTO engagement works

How It Works

4 Steps to Clarity

From first call to full report. Here's what happens.

01

Book a Call

(2 min)

Pick a time. Tell us about your startup.

02

Discovery Call

(30 min)

We learn your situation. Not the right fit? We'll say so.

03

Codebase + Team Audit

(48 hrs)

Repo access under NDA. Our CTO and senior engineers review your architecture, compliance posture, tech debt, AND your team structure. We assess which roles AI should be handling and where headcount is burning runway.

Agentic Defensibility Map

Review your integration dependencies, data access and workflow boundaries.

Team Math Reset

Review technical ownership, team responsibilities and gaps against the agreed product scope.

Investor-Ready Story

Identify the architecture decisions and technical evidence your stakeholders need to evaluate the product.

90-Day Roadmap

Prioritize follow-on work after the audit scope is agreed. The written report is yours to keep.

We give this to qualified startups for free because founders who see the real state of their codebase and team almost always ask us to fix it.

04

Strategy Call with Shoukri

(Arranged after the audit)

Every finding walked through. Prioritized 90-day roadmap. Report is yours forever.

We Carry All the Risk. You Carry None.

Free Audit

No credit card. No deposit. 48 hours reviewing your codebase and team. Report yours to keep.

Compliance Guarantee

System fails a HIPAA or PCI-DSS audit within 12 months? We fix it. Our cost.

2-Week Money-Back

Not blown away in the first 2 weeks? Full refund, no questions.

$50K Finding Guarantee

We find $50K+ in avoidable costs, compliance gaps, or team inefficiencies. If we can't, we tell you you're in good shape.

Your Code, Always

Full IP ownership from day one. NDAs, MSAs. We never hold code hostage.

Zero Equity

We charge fees. You keep 100% of your cap table.

The only risk is not knowing what AI can replace. The audit eliminates that for free.

Who Leads Your Audit

Your CTO on Day One

Shoukri Kattan

Shoukri Kattan

CEO & Chief Technology Officer

Former Ericsson Director of Engineering. 100+ engineers managed. Systems built for Apple, AT&T, TELUS. Now he builds and operates Caesar Health, BitLab's own HIPAA-compliant AI platform.

  • 20+ years in regulated industries (healthcare, telecom, fintech)
  • 50+ products shipped, 0 compliance failures
  • Personally leads every codebase + team audit and strategy call
  • Reviews your code against the same standards he holds his own product to
20+
Years Engineering
50+
Products Shipped
0
Compliance Failures
AppleEricssonTELUS

"I don't consult from a slide deck. I open your codebase, find the problems, and fix them. If your team is doing well, I'll tell you that too."

Common Questions

Still Thinking It Over?

Here's what other healthtech founders asked before booking their free audit.

Choose a fractional CTO who can explain the healthcare workflows and integration constraints your product faces. Ask for relevant project evidence and a clear scope. BitLab offers technical leadership and EHR integration planning for healthtech startups. Start with the workflow you need to build or repair.

We start with the clinic workflow, existing EHR and data access requirements. The architecture review identifies permissions, audit logs and human oversight before implementation. We agree the supported actions and pilot scope for that specific environment.

Define the task, the data it needs and the clinician responsible for reviewing its output. Agree EHR access and escalation rules before the pilot. Deployment scope and acceptance checks depend on the intended workflow.

You discuss your product, team and current priorities with the BitLab team. We confirm whether advisory help or a deeper code audit fits. Code access is arranged separately when needed.

The discovery call establishes your needs and the scope of any follow-on review. A code audit requires agreed access and a separate review process.

Yes. The discovery call is free. Any paid engagement has its own written scope and terms.

The booking is with the BitLab team through its round-robin calendar. Confirm the host on your booking confirmation.

Yes. We have done sessions with 2 to 4 people on the founder side. If you want your investor on the call to hear the read directly, even better.

Use the audit request to explain what you need reviewed. We confirm fit, access requirements and timing before starting. The written report is yours to keep.

No. Fees only. You keep 100% of equity and IP. Everything we build is yours, day one.

Built in from sprint one. 30+ healthcare products shipped. If any system we build fails a HIPAA audit within 12 months, we fix it at our cost.

Yes. EHR integration is the number-one reason healthtech startups stall. MONMEDX is live in major US and Canadian clinics on ModMed integration we built. We have working integrations with athenahealth in production.

Genoplex: 0 to live in 60 days (2 agencies failed before us). Caesar Health: 7-agent AI platform in production in 90 days. MONMEDX: stalled offshore project to EMR live in major clinics.

Agentic AI can now handle multi-step clinical workflows, make decisions, and build software autonomously. If your product's value can be replicated by an AI agent in days, your moat is at risk. We assess how defensible your architecture, data, integrations, and distribution actually are in this new landscape.

Still have a question? The fastest way to get an answer is a 30-minute discovery call with the BitLab team.

Service information updated October 28, 2026. Your proposal confirms the agreed scope.