Healthcare Software Development Company in Dublin, built to ship.

Patient identity is the hardest problem in the building

Two records for one person is the defining healthcare data failure, and it happens through a misspelt name, a changed surname, a transposed date of birth. Once duplicated, a clinician sees half a history and does not know it. Master patient index and matching rules belong in the first architecture conversation, not in a later data-quality project.

Interoperability is the requirement behind the requirement

HL7 v2 is still everywhere and FHIR is what everything new expects, so most real systems speak both and translate between them. The translation layer is where the effort goes, because the two models disagree about how much structure a clinical fact has.

Audit is not logging

Who viewed which record, when, and under what justification. Access logging in healthcare is a legal artefact that gets read by an investigator, so it has to be immutable, queryable and complete, which is a different design from application logs that rotate away after thirty days.

Every field is a clinical safety decision

A dropdown that permits an implausible dose, a date picker that accepts a future birth date, a free-text field where a coded value was needed. Validation here is not input hygiene, it is the difference between a caught error and a delivered one.

Working overlap

3.5 hours a day

Five and a half hours behind Surat in winter. The shared window is our afternoon, their morning.

The law that applies

the GDPR, supervised by the Irish Data Protection Commission

Because so many US technology companies hold their EU establishment in Ireland, the DPC is the lead supervisory authority for a disproportionate share of Europe. Clients here are used to a level of data governance scrutiny that is unusual for a market this size, and they will expect a supplier to match it.

Procurement

Contract terms often inherited from a US parent. Expect their paper rather than ours.

Language

English, though Irish has constitutional standing and appears on public sector interfaces. For commercial work it does not arise, which is worth confirming early rather than discovering during UAT.

Where the data can live

AWS eu-west-1 is here and it is one of the oldest and largest regions in the world, which means Irish clients often already have infrastructure in place and the question is integration rather than selection. Azure North Europe sits here too.