EHR Integration & FHIR
HL7 v2, FHIR R4 and SMART-on-FHIR against Epic, Cerner, Meditech and TPP/EMIS, audit-ready by default.
Industries / HealthcareHealthcare
Healthcare software, built audit-ready
EHR integration, clinical AI, telehealth, and population-health, shipped by senior teams, with the clinical safety case and DPIA in the box.
0+NHS trusts & health systems shipped
0%First-pass clinical safety review
0%Median documentation time saved
What we deliver
One senior pod for the entire clinical stack
One accountable senior pod owns the whole stack end to end: architecture, build, clinical safety and handover.
Clinical AI & Ambient Scribes
Ambient scribes and summarisation, clinician-edited before commit, DSPT-compliant from day one.
Patient Apps & Telehealth
Booking, video consult, results and secure messaging, NHS Digital and HIPAA grade, accessible by default.
Clinical Decision Support
Risk scores, early-warning and triage, explainable, drift-monitored, cleared at safety review.
Population-Health Data
Pseudonymised lakehouses on Databricks and Snowflake, lineage-tracked, OneLondon and TRE-ready.
DSPT & Clinical Safety
HIPAA, DSPT and DCB0129/0160 evidence built in, handed over every release, not after the gate.
The healthcare advantage
Care moves faster. Audits clear sooner.
Every BritonOne Technology build ships clinical safety, DPIA and DCB0129/0160 evidence with the code, not months after the gate. Platforms clear DSPT first time, and clinicians get their hours back.
BritonOne Technology
Before: Traditional Healthcare ITIntegrations break on upgrade
Hand-written HL7 v2 shims silently drop fields each EHR release.
Notes consume half the consult
Clinicians type instead of listen; coding windows slip.
Risk models stall at the gate
Black-box scores, no drift monitoring, rejected at clinical review.
Audits become remediation sprints
Six forensic weeks per submission; the same findings recur yearly.
BritonOne Technology
Now: BritonOne Technology-Engineered HealthcareIntegrations survive every upgrade
Versioned contracts and pinned mappings catch breaking changes before release.
Scribes hand clinicians their time back
Ambient drafts they edit, not write: hours of typing returned each week.
Risk models cleared first pass
Explainable, drift-monitored early-warning scores, signed off at review.
Compliance shipped by default
DSPT and DCB0129/0160 evidence lands with each build. Submission's a checkbox.
3×Faster clinician workflows
41%Less time writing notes
100%Cleared at first review
0DSPT remediation sprints
3×Faster clinician workflows
41%Less time writing notes
100%Cleared at first review
0DSPT remediation sprints
Live programmes. Measurable outcomes.
Selected work across NHS trusts, US health systems and digital-first providers, anonymised where required, specific on the result.
NHS Acute Trust41% time saved
AI scribe for clinical encounters at a multi-site NHS trust
Ambient drafts for 600 clinicians across outpatients, A&E and wards, DCB0129 and DPIA shipped with the build; 95% of notes hit the coding window.
- Ambient AI scribe
- DCB0129 / DPIA
- Azure + FHIR
US Health System27% sepsis lead time
Epic-connected risk model for inpatient deterioration
Real-time early-warning score wired into Epic, explainable, drift-monitored and MHRA SaMD-evidenced; sepsis lead time cut 27% on acute wards.
- Epic + SMART-on-FHIR
- PyTorch risk model
- MHRA SaMD
Private Healthcare61% portal adoption
Patient engagement portal for a top-10 UK insurer
Booking, results, secure messaging and PROMs in one HIPAA-grade app, wired to the EHR with a full FHIR audit trail; 61% adoption in year one.
- Patient portal
- HIPAA + GDPR
- FHIR audit log
Digital-First Provider9 min median wait
Virtual urgent-care platform for an EU payer
End-to-end telehealth from booking to prescribing, at NHS Digital and HIPAA grade, nine-minute median wait across every launch market.
- Telehealth + WebRTC
- NHS Digital
- Prescribing flow
Population Health2.4M lives covered
TRE-grade analytics for an Integrated Care Board
Pseudonymised lakehouse spanning 2.4M lives, OneLondon-aligned and lineage-tracked, with IG sign-off in days rather than months.
- Databricks lakehouse
- OneLondon TRE
- Pseudonymisation
Health Tech Scaleup4 EHRs live
FHIR integration platform for a CDS vendor
SMART-on-FHIR app live across four EHRs (Epic, Cerner, Meditech and TPP) in nine months, on typed and CI-gated profiles.
- SMART-on-FHIR
- Four EHRs live
- CDS Hooks
Platform expertise
Every EHR, one audit-ready surface
Production integrations against every major EHR: clinician workflows, patient data and analytics wired into a single audit-ready surface.
Connected. Unified. Audit-ready.
- Epic
- Cerner / Oracle Health
- Meditech Expanse
- TPP SystmOne · EMIS
FHIR R4 as the contract
Typed FHIR profiles, conformance-tested in CI. Changes flow through PRs and reviewed migrations, no midnight pages on EHR upgrades.
Clinical safety baked in
DCB0129 hazard log opens at architecture; DCB0160 evidence emits per release, both signed off first review.
Audit log clinicians can defend
Per-encounter trail: user, action, payload diff and safety classification, exportable to IG on demand.
Our engagement workflow
Seven stages from first call to ongoing support
Every engagement walks the same path, sized to your problem, but with the same verification gates baked in.
Phase 01Discovery
Two-week paid sprint. Architect-led. Output: regulator map, costed roadmap, signed scope.
Phase 02Planning
Pod composition, sequenced milestones, change-control governance, and risk register.
Phase 03Design
Reference architecture, threat model, design system, and acceptance criteria locked.
Phase 04Development
Weekly demos, trunk-based, CI/CD from day one. Code reviewed against spec at every gate.
Phase 05Testing
Unit, integration, e2e, security, performance, and accessibility, automated and gated.
Phase 06Deployment
Blue-green or canary, observability live before launch, rollback rehearsed.
Phase 07Support
Managed services or hypercare hand-off. Defined SLOs, named on-call, monthly reviews.
Success stories
Programmes we have shipped
73%
Healthcare
Agentic procurement triage for an NHS trust
Routed and matched 73% of purchase requests end to end, escalating only genuine exceptions.
PythonLangGraphAzureSQL Server
Country · UK
900
Healthcare
Datacenter exit for an NHS hospital group
Migrated 900 clinical workloads off two datacentres to the cloud with zero downtime on patient-facing systems.
AzureTerraformAzure MigrateAnsible
Country · UK
38%
Healthcare
Claims and billing analytics for a hospital group
Unified claims and billing data, cutting rejected-claim rework 38% for a hospital group.
SnowflakedbtFHIRPower BI
Country · UK
61
Healthcare
Penetration test for a hospital estate
Surfaced 61 exploitable paths across a hospital estate, prioritised by patient-safety impact.
ProwlerScoutSuiteCobalt StrikeNessus
Country · UK
Encryption verified
Healthcare
Penetration and data-protection testing for a credential vault
Penetration-tested the credential vault and its sync, verifying encryption and access controls end to end so stored secrets stayed protected.
Burp SuiteCryptographySASTDAST
Country · US
Audit-ready design
Healthcare
Health-data integrity and consent architecture advisory
Delivered an audit-ready blockchain architecture for tamper-evident patient records and consent, cleared against HIPAA and GDPR before build.
Solution architectureSecurity advisoryConsent / DIDCompliance
Country · SG
9 weeks
Pharma
AI governance and model-risk framework for a pharma company
Stood up a board-ready AI governance and model-risk framework for a pharma company in 9 weeks, cleared at first internal audit.
GovernanceModel riskGxPEU AI Act
Country · CH
40%
Pharma
Legacy modernisation for a pharma manufacturer
Strangled a validated legacy system into microservices, cutting change lead time 40% for a pharma manufacturer.
JavaSpringKafkaOpenShiftOracle
Country · CH
54%
Telemedicine
Symptom-check and triage app for a telemedicine provider
Photo-and-symptom-first triage app cut consultation prep time 54% for a telemedicine provider.
React NativeTypeScriptAzure
Country · UK
8x
Pharma
GxP-compliant CI/CD for a pharma manufacturer
Delivered validated, GxP-compliant CI/CD, cutting release lead time 8x with full audit evidence.
GitLab CITerraformKubernetesAnsible
Country · CH
99.98%
Telemedicine
24/7 SRE for a telemedicine platform
Ran a telemedicine platform to a 99.98% SLO with a follow-the-sun on-call.
KubernetesPrometheusPagerDutyTerraform
Country · UK
37%
Biotech
Managed FinOps for a biotech scale-up
Cut monthly cloud spend 37% for a genomics biotech without slowing a single pipeline.
AWSKubecostTerraformAWS Batch
Country · UK
100%
Pharma
Data governance and catalogue for a pharma manufacturer
Catalogued and lineage-traced 100% of GxP-regulated data domains for a pharma manufacturer.
CollibradbtSnowflakeOpenLineage
Country · CH
24%
Telemedicine
Patient 360 for a telemedicine provider
Unified a fragmented patient view, lifting care-team efficiency 24% at a telemedicine provider.
SnowflakedbtPower BIFHIR
Country · UK
12 weeks
Pharma
GxP and Annex 11 compliance for a pharma manufacturer
Reached validated Annex 11 compliance for a pharma manufacturer in 12 weeks.
GovernanceGAMP 5Annex 11Vanta
Country · CH
first pass
Telemedicine
ISO 27001 and DTAC for a telemedicine platform
Achieved ISO 27001 and NHS DTAC assurance at first assessment for a telemedicine platform.
ISO 27001NHS DTACVantaGovernance
Country · UK
9
Biotech
Threat modelling a biotech lab-data platform
Identified nine design-level risks in a biotech's lab-data platform before build.
STRIDEAttack treesThreat modelling
Country · UK
Who we are
About usBritonOne Technology is a full-cycle engineering company that builds and operates production software for regulated estates. Since 2017, we have shipped programmes that clear audit on the first pass across banking, insurance, wealth, healthcare, and biotech. Our teams pair deep domain knowledge with disciplined engineering, treating compliance, security, and resilience as first-class deliverables. From architecture through to live operations, we stay accountable for the systems we build, measuring success by uptime, audit outcomes, and defensible business results.
60+Senior engineers across UK and EU
Why choose us
Engineer experience, average9+ yrs
Specialist replacement window48h
Code and IP ownership, day one100%
Surprise invoicesZero
Why teams choose BritonOne Technology
Four reasons enterprise buyers come back
We don't compete on lowest day-rate. We compete on shipped outcomes inside environments that have to clear audit.
Senior-only delivery
Every engineer on every engagement is at least senior, typically eight to fifteen years deep in their craft. No bench rotations, no junior pyramid hidden behind a glossy proposal, no bait-and-switch after contract signature. The architect who scoped your engagement is the same person committing code by week three.
Audit-ready by default
FCA, PRA, EBA, BaFin, FINMA, HIPAA, SOC 2 Type II: every framework we work under is treated as a design constraint from day one, not a final-stage gate. Evidence trails, model-risk packs, change-control artefacts, and pen-test reports ship alongside the code, ready for second-line review without a remediation sprint.
Anti-drift delivery discipline
Small pods of three to seven engineers, each with a named delivery lead who owns scope, schedule, and outcomes from kickoff to hand-off, never a faceless team you have to chase for an answer. Weekly demos run against the signed scope, frequent verification gates catch regressions early, and quarterly outcome reviews measure real progress against the original business case rather than a moving target. Together those rituals catch scope drift before it has any chance to compound, so programmes that should take six months don't quietly stretch into eighteen, budgets stay anchored to what was agreed, and every milestone ships with a written, testable definition of done that both sides sign off before we move on.
Long-tail support beyond hand-off
We don't disappear the moment the engagement closes. Managed services, hypercare windows, named on-call rotations, or quarterly health checks: pick the depth that matches your operational risk profile. About seventy percent of clients return for a second programme, usually because the team that shipped the first one is still on the other end of the page.
Healthcare client reviews
Words from the healthcare teams we have shipped with.
Anonymous under MNDA. Each quote is from a senior healthcare buyer who owned the engagement end to end.
First-Pass Clinical Safety
“First production AI feature we have launched that cleared DCB0129 on the first attempt. The hazard log and the eval evidence landed alongside the model, not three months after.”
Chief Clinical Information OfficerMulti-site NHS acute trust
Healthcare procurement questions
Things healthcare buyers ask before signing the first SOW
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Before you sign
Direct answers to what procurement, security, and delivery leads weigh before signing: compliance, integration, and the accountability we put in writing.
Are you DSPT-compliant and can you support our annual submission?
Yes. We engineer to DSPT mandatory evidence from day one (Cyber Essentials Plus, ISO 27001, access controls, audit trails, and data-flow mapping) and we hand over the evidence pack alongside each release. Most clients use the artefacts we ship as the body of their annual submission.