Software for health systems & IDNs
Enterprise-grade EMR, integration, and clinical AI for the systems that run acute care at scale — built to ship in production, not on a roadmap.
Talk to our teamHealth systems and integrated delivery networks run on software that has to be correct, interoperable, and auditable on day one. AST embeds senior engineering teams that build and modernize the clinical platforms, integrations, and AI workflows large provider organizations depend on — owning architecture and delivery end to end.
What Healthcare Systems software has to do
The capability areas we engineer end to end — each one built to ship in production and stand up to a clinical and compliance review.
Enterprise EMR / EHR platforms
- Multi-facility, multi-specialty clinical records
- Configurable workflows per service line
- Legacy modernization without a big-bang cutover
- Role-based access across the enterprise
Interoperability & integration
- HL7 v2 and FHIR R4 interface engines
- Epic, Oracle Health, and MEDITECH connectivity
- Bi-directional orders, results, and ADT
- Resilient, monitored, alerting interfaces
Clinical AI & documentation
- Ambient capture and NLP pipelines
- Decision support inside the workflow
- Coding and documentation assistance
- Human-in-the-loop review on every output
Data platform & analytics
- Governed data lake across facilities
- Near-real-time operational reporting
- Quality and regulatory measures
- One version of the truth, enterprise-wide
Identity & access
- Enterprise IAM and single sign-on
- Minimum-necessary, role-based access
- Break-glass and consent handling
- Complete, queryable audit trails
Security & compliance
- HIPAA and SOC 2 engineered in
- Segmentation and zero-trust design
- Continuous monitoring
- Audit-ready evidence at all times
- EMR/EHR engineering
- HL7 & FHIR integration
- Clinical decision support
- Cloud & DevSecOps
- Identity & access (IAM)
- Audit & compliance by design
What we build
Enterprise EMR/EHR platforms
Ground-up clinical record systems and modernization of legacy platforms, built for multi-site, multi-specialty operations.
Interoperability & integration
HL7 v2 and FHIR R4 connections to Epic, Oracle Health, MEDITECH, and the systems your care teams already run.
Clinical AI & documentation
Ambient capture, NLP pipelines, and decision support that fit the clinician workflow instead of fighting it.
Data platforms & analytics
Governed data lakes and near-real-time reporting across facilities, so the enterprise sees one version of the truth.
Built to connect
Software only helps if it plugs into the systems you already run. We build standards-based integrations to the platforms that matter.
Epic
Bi-directional HL7 v2 and FHIR integration across orders, results, scheduling, and ADT.
Oracle Health (Cerner)
Certified interfaces for clinical and administrative data exchange.
MEDITECH
Integration with MEDITECH Expanse and legacy environments.
athenahealth / NextGen
Ambulatory EHR connectivity for multi-specialty networks.
Clearinghouses & payers
Eligibility, claims, and remittance integration for revenue workflows.
Identity providers
SSO and IAM through Okta, Azure AD, and enterprise directories.
What it changes
For the health system
- One integrated platform across facilities
- Lower total cost than stitched-together point solutions
- An audit-ready compliance posture
- A delivery partner that owns outcomes
For clinicians
- Records and orders that flow without rework
- Documentation that fits the workflow
- Decision support at the point of care
- Less time fighting software
For IT & security
- Standards-based, monitored integrations
- Designed-in access control and audit
- Incremental, low-risk modernization
- Fewer fragile interfaces to babysit
How we help
- 01
Fragmented systems that don't talk
We build the integration layer — standards-based, monitored, and resilient — so records and orders flow without manual rework.
- 02
Modernizing without a risky big-bang
A structured, incremental migration path that takes legacy systems to modern architecture facility by facility, with safety nets at each step.
- 03
Compliance that scales
HIPAA, SOC 2, and audit scaffolding engineered into the platform so growth doesn't multiply your risk surface.
How we deliver
One process, run by senior healthcare engineers — from first conversation to a platform that keeps shipping after launch.
- 01
Discovery & scoping
We map the clinical workflow, systems, data, and compliance constraints with the people who run them — and turn it into a delivery plan, not a wish list.
- 02
Architecture & compliance design
PHI handling, access control, audit trails, and integration boundaries are designed up front, so security is structural rather than retrofitted.
- 03
Build
A senior, healthcare-fluent pod ships production-ready increments every sprint — code review, automated testing, and clinical feedback built into the cadence.
- 04
Integration
Standards-based HL7 v2 / FHIR R4 connections to the EHRs, devices, and clearinghouses you already run — handling the hard edge cases, not just the happy path.
- 05
Validation & readiness
Clinical validation, security testing, and audit-evidence preparation so go-live and customer security reviews are confirmations, not fire drills.
- 06
Run & evolve
We stay on as an embedded team — monitoring, support, and a roadmap that keeps shipping after launch.
Ways to work with us
Embedded engineering pods
Senior, healthcare-only engineers who join your team and own delivery end to end — architecture, build, integration, and run.
Custom platform development
Ground-up clinical software shaped around your workflow: EHR/EMR, patient apps, portals, and the integrations that connect them.
Modernization & integration
Incremental migration of legacy systems and standards-based integration that brings existing platforms into a modern, compliant architecture.
Related solutions
Frequently asked questions
Do you integrate with Epic and Oracle Health (Cerner)?
Yes. We build and certify HL7 v2 and FHIR R4 integrations with the major EHRs — including Epic, Oracle Health, MEDITECH, PointClickCare, and athenahealth — handling the hard parts between systems, not just the happy path.
Can you modernize a legacy system without downtime?
We use an incremental, strangler-style migration so the new platform comes online alongside the old one and traffic moves over in controlled steps, with monitoring and rollback at each stage.
How do you handle PHI and compliance?
PHI handling, access controls, and audit trails are designed into the architecture from the start — not bolted on before an audit — and aligned to HIPAA and SOC 2.
Do you work alongside our existing IT team?
Yes. Our embedded pods integrate with your engineering, security, and clinical informatics teams — we own delivery without displacing the people who know your environment.
Building for healthcare systems?
Tell us where you are. A senior engineer who knows healthcare will get back to you within one business day.
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