Healthcare software development, by people who operate a live HMS
We did not read about hospital workflows in a requirements document. We built a clinic ERP, put it in front of real clinics, and spent the following year fixing everything that only breaks once a receptionist, a doctor and a pharmacist are using it at the same time.
The system we run ourselves
VixitAI HMS is our own product: patient registration, appointments, a live queue, consultations with an EMR bridge, prescriptions, pharmacy dispensing, laboratory orders and results, radiology, in-patient management, and billing that ties back to all of it. It is multi-tenant, so one deployment serves many clinics with their data separated.
We certified it end to end by walking a single new patient through every module boundary in sequence — register, appointment, queue, consultation with vitals, lab order with automatic invoicing, prescription, result entry, billing ledger, pharmacy dispense. Eleven boundaries, all green. Integration bugs live at those seams, and the only way to find them is to cross every one.
What clinical software demands that ordinary software does not
A result that changes must not overwrite its own history. We implemented amendment and revision flow so a corrected report keeps its prior versions, carries a visible amended marker, and forces re-verification rather than silently replacing what a doctor already signed.
A critical value cannot depend on someone noticing. Results outside the critical range raise an acknowledgement record automatically, with a communication trail that prints on the report itself — so the question "was anyone told, and when" has an answer.
Reference ranges are not one number. They vary by sex and by age band, and an age band has to be evaluated against a real date of birth, recomputed server-side, not trusted from whatever the client sent.
- ABDM and ABHA integration for Indian deployments
- Sample accession and a verification chain, so every result has a named verifier
- Amendment history with forced re-verification
- Automatic critical-value acknowledgement logging
- Age-band and sex-specific reference ranges, recomputed server-side
- Turnaround-time analytics at order and test level
The failure modes we have already paid for
Invoice numbers were racing. Patient codes were duplicating with no unique constraint to catch it. Both are the kind of defect that produces a quiet data-integrity problem rather than an error message, and both are now counter-based and proven under parallel load.
Dates were shifting by a day in JSON responses, because raw PostgreSQL date columns were being serialised through a server running in a different timezone — which broke an appointments "today" filter in a way that looked like a scheduling bug. The fix belongs in SQL, not in front-end string slicing.
A PDF export rendered blank on phones while working perfectly on desktop, because the generator was handed a string source at a width the mobile browser would not lay out. We hit that one twice, in two different modules, before writing it down.
We list these because any vendor who tells you their clinical system had no defects is either new or not being straight with you. What matters is whether they were found by the team or by the clinic.
Compliance, stated honestly
We build to the practices that certifications test for: tenant isolation, role-based access, audit logging, encryption of data at rest for uploaded imaging, forced credential rotation, and token revocation that actually terminates a live session.
We do not hold a HIPAA or SOC 2 attestation, and we will not claim one to win work. If your procurement requires a certified vendor, we will tell you that at the first call rather than the last. If it requires a system that can pass an audit, that we can build.
Frequently asked
Do you build for hospitals or only small clinics?
Both, though the architecture differs. A single-doctor clinic wants speed and almost no configuration. A hospital wants departments, in-patient flow, role separation and reporting. The same core supports both; the difference is how much of it you switch on.
Can you integrate with our existing lab or pharmacy system?
Usually yes, via API or scheduled exchange. The honest answer depends on what the incumbent exposes — some vendors make it easy and some deliberately do not. We will find out before quoting.
Is ABDM support included?
Yes for Indian deployments, including ABHA handling. It is already implemented and live in our own HMS rather than being a line item we would build from scratch for you.
How do you handle patient data during development?
With synthetic data. We do not want your production patient records on a developer machine, and you should not offer them to any vendor who asks.
Related
Want this built?
Tell us what you are trying to ship and we will tell you honestly whether we are the right team for it.