Fyutrex
All Case Studies
HealthTech

HIPAA-compliant telehealth in 12 weeks

Built a fully compliant telehealth platform with video consultations, e-prescriptions, and EHR integrations from scratch.

12 weeks · HIPAA compliant · 5,000 patients
12 weeks
3 engineers + 1 designer + PM
Client: Forma Health

HIPAA

Fully Compliant

12 weeks

Delivery Time

5,000

Patients Onboarded

99.95%

Video Uptime

The Challenge

What they were up against

Forma Health needed a HIPAA-compliant telehealth platform in 12 weeks to hit a state contract deadline. The platform needed video consultations, e-prescriptions, EHR integration, and the ability to handle 5,000 patients with end-to-end encryption — all from scratch.

Our Solution

How we solved it

We used Twilio Video for HIPAA-compliant video, integrated with FHIR-compliant EHR APIs, and built a secure prescription workflow with digital signatures. All PHI was encrypted at rest and in transit. We shipped a patient-facing React app, a clinician portal, and an admin dashboard — all deployed on AWS with automated HIPAA audit trails.

Project Timeline

How we delivered it

Every project follows a structured, phased approach. Here's how we took this from kickoff to production.

Compliance Planning

2 weeks

HIPAA requirements mapping, architecture review, vendor selection

Compliance roadmap set

Core Platform

5 weeks

Video calling, auth, patient & clinician portals

Video platform live

Integrations

3 weeks

EHR/FHIR APIs, e-prescriptions, payment processing

EHR sync automated

Audit & Launch

2 weeks

Security audit, HIPAA compliance verification, production deploy

HIPAA audit passed

Transformation

Before & after working with us

The measurable shift — from where Forma Health started to where they ended up.

Telehealth Capability
NoneFull video platform
EHR Integration
Manual entryAutomated FHIR sync
Patient Access
In-person only24/7 remote access
Prescription Process
Paper-basedDigital e-prescriptions

Technologies Used

Built with a modern stack

We chose each technology for a reason — optimising for performance, developer experience, and long-term maintainability.

RE
React
NO
Node.js
TW
Twilio Video
FH
FHIR API
AW
AWS HealthLake
PO
PostgreSQL
ST
Stripe

Deliverables

What we shipped

A breakdown of the key features and systems we designed, built, and deployed for Forma Health.

01
HIPAA-compliant video consultation system
02
Digital e-prescription workflow with signatures
03
FHIR-compliant EHR integration
04
Patient-facing React web application
05
Clinician portal with scheduling system
06
Admin dashboard with HIPAA audit trails

Business Impact

Measurable outcomes

The numbers that matter — real business results our client achieved after launch.

5,000 onboarded

Patient Reach

State contract secured

Contract Won

99.95% uptime

Video Reliability

We had an impossible deadline and Fyutrex didn't just meet it — they delivered a platform that exceeded every compliance requirement. Our patients love it.
DAO

Dr. Amara Osei

Chief Medical Officer, Forma Health

Insights

Key learnings from this project

Hard-won insights our team took away — the kind of knowledge that only comes from building in production.

HIPAA compliance isn't just encryption — it's a full operational model including BAAs, audit trails, and incident response plans.

Twilio Video's HIPAA-eligible tier saved 4+ weeks vs. building a custom WebRTC solution.

Building three portals (patient, clinician, admin) from a shared component library reduced total effort by ~35%.

Starting compliance planning in week 1 — not at the end — prevented last-minute architectural changes.

FAQ

Common questions answered

Can't find what you're looking for? Get in touch and we'll answer any question directly.

How did you ensure HIPAA compliance?
Every architectural decision was reviewed against HIPAA's Security Rule. We used end-to-end encryption, BAAs with all sub-processors, automated audit trails, and conducted a third-party security assessment.
Can the platform handle more than 5,000 patients?
Yes. The AWS HealthLake infrastructure auto-scales, and the Twilio Video integration supports concurrent sessions limited only by your Twilio plan.
How does the e-prescription system work?
Clinicians create prescriptions in the portal, sign them digitally, and the system transmits to pharmacies via Surescripts integration. Full audit trail for every prescription.

Ready to be our next success story?

Tell us about your project and we'll get back to you within 24 hours.