We had a gnarly multi-tenant payments stack and zero appetite for another ‘rewrite in six months.’ Aristos owned the architecture, hit the dates, and our uptime story finally matched our pitch deck.
James Okonkwo
Founder · Fintech startup
All services
Infrastructure partnership
HealthTech
Secure telemedicine, patient record systems, and HIPAA-minded pipelines—FHIR-aware integrations, PHI boundaries in code, and clinical ops telemetry.
The vision
Healthcare software is not a feature list—it is a trust contract. Telemedicine, records, and billing must fail closed: least privilege, immutable audit trails, and clarity under regulatory scrutiny.
The challenge
Teams bolt video chat onto legacy EHRs without consistent consent capture, break-glass procedures, or device attestation—then wonder why security reviews stall and launches slip.
How Aristos delivers
Aristos ships telemedicine and patient-record surfaces with explicit data classification, encrypted transit and rest defaults, and RLS-style isolation patterns whether you run on Postgres or managed FHIR stores. We document control narratives procurement teams can sign.
The Aristos standard
Engineering checklist we hold ourselves to—not a generic SLA slide.
- PHI boundaries modeled in code—not implied by network topology
- Session recording and note access tied to role, ward, and encounter context
- Break-glass access with post-hoc review queues and alerting
- Integration contracts for HL7/FHIR with replay-safe ingestion
Our toolkit
Elite tools we deploy by default for this practice area.
- Next.js / React Native · PostgreSQL + RLS · HAPI FHIR or cloud health APIs
- WebRTC (Daily, Twilio Video, or self-hosted) with TURN/STUN hardening
Engineering depth
- Device compliance hooks for managed tablets in ward deployments
- Offline-first dictation and vitals capture with deterministic sync merge
- Synthetic load tests on booking and triage spikes before flu season
Technical mockup
Clinical intake console
Placeholder mockup: queue depth, clinician presence, and PHI-safe chat threads with automatic session timeout banners.
