Healthcare IT software engineering with FHIR, HIPAA, and PHI handling built in
Healthcare software requires more than feature delivery — PHI handling, HL7 FHIR interoperability, SMART on FHIR scopes, CMS interoperability rules, and HIPAA audit readiness are design constraints from day one. Maxiom engineers have implemented production FHIR R4 APIs, engineered under BAAs, and built encryption, access control, and audit logging into healthcare system architecture. We help health tech teams, payers, and providers ship software that passes security review and audit scrutiny.
- 2002
- Founded
- $100M+
- Delivered
- 98%
- Satisfaction
The problem
AI tools misread PHI handling requirements
AI-generated code can implement features that look correct while violating minimum necessary access, missing audit logging, or mishandling consent boundaries.
FHIR implementation complexity
Production FHIR APIs require more than reading the spec. Resource versioning, SMART on FHIR scopes, bulk export, and CMS interoperability rules all affect how systems are built and tested.
HIPAA compliance as an engineering problem
Compliance lives in data models, access controls, encryption, retention policies, and third-party integrations. Documentation alone does not reduce breach risk.
Relevant services
Compliance Engineering
HIPAA-aligned architecture, FHIR API development, audit logging design, and BAA-compatible service integration.
Learn moreAI Code Oversight
Independent review of AI-generated code for PHI handling gaps, security vulnerabilities, and compliance risk.
Learn moreLegacy Modernization
Phased migration of aging clinical and administrative systems without losing embedded business logic.
Learn moreHL7/FHIR implementation depth
Production experience with FHIR R4, SMART on FHIR, and CMS interoperability requirements.
HIPAA architecture experience
Engineering under BAAs with encryption, access control, and audit logging built into system design.
BAA-capable engineering partner
Senior engineers who understand the contractual and technical obligations of healthcare delivery.
- NDA signed before access
- Read-only repository only
- Senior engineers every time
- Report in 10 business days
Frequently asked questions
What healthcare IT engineering services does Maxiom provide?
Compliance engineering for HIPAA and FHIR, AI code oversight for PHI-handling systems, and legacy modernization for aging clinical and administrative platforms. Engagements are staffed by senior engineers with production healthcare IT experience.
Does Maxiom have FHIR implementation experience?
Yes. Production experience with FHIR R4, SMART on FHIR, bulk export, resource versioning, and CMS interoperability requirements — not spec reading on your timeline.
Can Maxiom operate under a BAA?
Yes. Maxiom is a BAA-capable engineering partner. Senior engineers who understand both the contractual obligations and the technical implementation of PHI protection.
How does Maxiom handle PHI in software architecture?
Encryption, role-based access, audit logging, retention policy, and minimum necessary access are designed into data models and services — not added as documentation after features ship.
Can Maxiom review AI-generated code in healthcare systems?
Yes. AI code oversight evaluates PHI handling gaps, authentication and authorization risks, missing audit trails, and compliance exposure in Copilot- or Cursor-assisted codebases.
Do you modernize legacy clinical or administrative systems?
Yes. Phased legacy modernization preserves embedded business logic while migrating aging platforms to maintainable infrastructure — without a big-bang rewrite that freezes care or operations workflows.
What healthcare organizations does Maxiom work with?
Health tech teams, payers, providers, and regulated healthcare software organizations that need senior engineers for interoperability, HIPAA-aligned delivery, and audit-ready architecture.
How do healthcare IT engagements start?
With a scoping conversation about your stack, FHIR/HIPAA context, and timeline. Written scope and NDA precede any repository or environment access.
Is HIPAA treated as engineering or paperwork at Maxiom?
As engineering. Controls live in architecture, integrations, logging, and access patterns. Maxiom builds systems so audit evidence comes from implementation, not questionnaires alone.
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