Production grade systems for healthcare workflows
From seamless Epic & Cerner integrations to payer platforms and AI products, we deliver HIPAA-compliant, FHIR-native, production-grade engineering that ensures your systems scale, hold up under operational complexity, and work in production.
“Over eight years of working together, Itirra's work has been second to none. Many firms can "do the work", but it's rare to find people who are intuitive about the issues you face when they are not on the ground with you. Itirra provides that critical type of support. They take the time to get to know the issues and have a knack for bringing thought leadership to situations that don't have clear-cut solutions. Their ability to infer intent and attack an issue with insight has been instrumental in solving a myriad of challenges.”
“This project was developed with precision and thoughtfulness that made a huge impact on the security and efficiency of my business. We are not only saving time and money, but we are also providing better customer service to our clients. The amount of functionality and improvement in reliability it has brought to ADURO has had such a huge impact compared to where we were a year ago!”
"Itirra was with us from day one, and I am sure that Vitagramma would not exist today without their enormous contribution. I don't just mean the development part, but the help I received in all other aspects of my startup - from customer service support setup to website usability and client relationships. Whatever your needs might be in software development - it would be a mistake not to give Itirra 30 minutes of your time to discuss your project. A year ago, I spent those 30 minutes and had never regretted it."
Who We Work With
We work with healthcare and health-tech companies building complex, regulated, data-intensive systems; where integrations, reliability, and compliance are business-critical
Typical Profile of Our Clients
B2B healthcare products or platforms used by providers, payers, labs, device companies, or healthcare operators
Operate in environments where HIPAA, audit requirements, and contractual data obligations are part of daily operations
Depend on continuous data exchange between EHRs, lab systems, payer platforms, devices, and internal products to keep their business running
Treat integrations, data pipelines, and interoperability as core product infrastructure
Need systems that must survive audits, customer due diligence, and long-term production use
Cannot afford outages, data inconsistencies, or fragile architectures that break under real operational load
RCM & Revenue Cycle Management Companies
We help RCM companies:
Build and integrate payer and provider connectivity
Design scalable authorization, appeals, and workflow platforms
Integrate with EHR and payer ecosystems via FHIR and HL7
Reduce operational cost and manual work through automation and orchestration
SaaS & Healthcare Technology Companies
We help SaaS companies:
Build production-grade, HIPAA-compliant platforms
Evolve from MVPs into long-term, scalable production systems
Design integration-first, architecture-driven platforms
Handle complex interoperability, data exchange, and compliance requirements
Healthcare Device & Medical Technology Companies
We help medical technology companies:
Build and scale data platforms around their devices
Design secure, compliant data pipelines and APIs
Integrate device data into clinical, payer, lab, and analytics systems
Support enterprise deployments, audits, and regulatory requirements
Medical Laboratories & Lab Data Platforms
We help labs and lab-data-driven companies:
Build and modernize laboratory data platforms
Integrate LIS and lab systems with EHRs, payer platforms, and analytics systems
Design high-volume, auditable, and reliable data pipelines
Support mission-critical reporting, clinical, and operational workflows
Clinical & Decision Support Companies
We help decision support companies:
Build reliable, auditable, and explainable data pipelines
Integrate with EHR, laboratory, and payer data sources
Design systems that operate reliably in real clinical and operational environments
Pharmaceutical Support & Services Companies
We help pharmaceutical support organizations:
Integrate with payer, provider, pharmacy, and laboratory ecosystems
Build secure, compliant data platforms for patient programs
Orchestrate complex, multi-party workflows
Support audit, compliance, and enterprise-grade reporting requirements
Services
Business Automation & System Integration
Managing a business is not an easy task as sometimes multiple systems are needed to keep track of your operations. We understand that having multiple separate tools and no or little connection between them, together with security concerns and data duplication, can become an obstacle to an effective growth.
Analytics & Data-Driven Solutions
With the amount of data growing continuously, it is becoming increasingly hard to compete in almost any industry. Unfortunately, we are witnessing the fact that BI and Data-Driven approaches are struggling to catch up due to data dispersity, quality, and ease of extraction. This brings frustration to executives and discouragement for the adoption of high tech solutions.
Healthcare & Wellness Solutions
Technology in healthcare has always been complicated due to strict regulations and security restrictions. While working in mostly unautomated industry, we see HIPAA and GDPR compliance being a long-standing concern for both startups and well-established providers. It slows innovation and adoption processes in such a vital sector.
Custom Cloud & Mobile Solutions
There are thousands of ready-made solutions. However, every company is unique and sometimes requires a custom-built solution. Custom software grants valuable IP and gives an opportunity to stand out from the competition. Empowered by modern technologies and standard SDLC approaches, we can produce a sustainable product that not only can achieve its goals but also be supported by any developer.
Case Studies
PENallergy✔: The SMART on FHIR App That De-Labels Penicillin Allergies at the Point of Care
HEALTHCARE | FHIR APP
James Allen, MD, PhD, FIDSA saw a problem hiding in plain sight inside every hospital chart. Over 95% of patients labeled penicillin-allergic are not actually allergic. 80% lose their allergy within 10 years. Nobody was fixing this — because no tool existed to do it at the point of care. He decided to fight this status quo. Dr. Allen took it upon himself to build the solution — and reached out to Itirra to develop PENallergy ✔ as a SMART on FHIR application for Epic and Cerner EHR systems.
AIDA - Reducing Patient LOS by Connecting Providers
HEALTHCARE | CLOUD WEB APP
Founded in 2016, AIDA is a HIPAA-Compliant Cloud SAAS product for Hospitals that aim to reduce LOS (length of stay) and optimize the discharge process. AIDA helps to achieve this by connecting healthcare providers with long term care facilities and guiding the patient transition process. Hospital staff saves time on facilitating complex discharge procedures while patients get placed into the best available facilities at no extra cost.
Vitagramma - Personal Cabinet and Re-marketing Engine for Labs
HEALTHCARE | SAAS CLOUD WEB APP
Vitagramma has been fueling remarketing efforts and patient communication for Synevo, one of the leading medical test lab chains in Europe. With over 6 million registered patients and over 250 million electronic blood test results (Q2 2019) stored in its GDPR data warehouse, Vitagramma's powerful segmentation and communication engines successfully work to increase patient LTV and retention rates.
Blog
January 2026. A service your physicians have ordered for years — imaging, a procedure, a specialty drug — now needs prior authorization from a system you’ve never seen. Run by a vendor you didn’t choose. Making decisions on a timeline your staff wasn’t built for. That’s the WISeR pilot. And if your hospital is in […]
Five things your EHR’s AI assistant is quietly reading right now — and what HIPAA actually says about each. In this article01The Ambient Scribe Is Recording the Whole Room→ 02The FHIR Agent Pulls More Than It Was Asked For→ 03Scheduling Data Carries More PHI Than It Looks Like→ 04Billing Codes — and the Free […]