# Onix Health

> Onix Health builds and rescues HIPAA-ready, FHIR-native healthcare software for US digital health startups, hospitals, and MedTech companies. 25+ years of delivery, 60+ healthcare integrations shipped.

Onix Health is the healthcare engineering practice of Onix Systems. We design, build, and rescue clinical software — EHR/EMR, telehealth, remote patient monitoring, healthcare AI, interoperability, and SaMD — under audit-grade governance (HIPAA, FHIR R4, HL7v2, IEC 62304, ISO 13485). Every engagement can start with a free 5-day technical audit.

## Services

- [EHR / EMR development](https://health.onix-systems.com/services/ehr-emr-development): Bespoke EHR modules and bidirectional integrations with Epic, Cerner, Athenahealth, eClinicalWorks, and NextGen.
- [Telemedicine & telehealth](https://health.onix-systems.com/services/telemedicine): HIPAA-compliant video, intake, scheduling, e-prescribing, and post-visit workflows.
- [Remote patient monitoring](https://health.onix-systems.com/services/remote-patient-monitoring): From wearable telemetry to in-home hubs to caregiver dashboards — RPM systems built for the reality of intermittent connectivity, alert fatigue, and CMS reimbursement codes.
- [Healthcare AI & ML](https://health.onix-systems.com/services/healthcare-ai): Clinical models trained, validated, and deployed under audit-grade governance.
- [Healthcare interoperability](https://health.onix-systems.com/services/healthcare-interoperability): The hard part of healthcare isn't usually the app.
- [Patient engagement & portals](https://health.onix-systems.com/services/patient-engagement): Booking, secure messaging, results, billing, education.
- [Clinical decision support](https://health.onix-systems.com/services/clinical-decision-support): Rule-based and ML-driven CDS, integrated into clinician workflow.
- [Custom CRM for Healthcare Insurance](https://health.onix-systems.com/services/custom-crm-healthcare-insurance): Salesforce and HubSpot weren't designed for agent-heavy mid-size healthcare insurers — and the math shows it.
- [SaMD & medical device software](https://health.onix-systems.com/services/samd-medical-device-software): IEC 62304-aligned development, ISO 13485 quality system, FDA submission documentation, firmware-to-cloud pipelines, and the companion mobile apps that ship alongside your device — all under one team, one contract.

## Case studies

- [Healthcare Provider Portal](https://health.onix-systems.com/case-studies/healthcare-provider-portal): United States · TPA · Provider Network
- [Digital Healthcare at Home](https://health.onix-systems.com/case-studies/healthcare-at-home): Australia · Aged Care · 2017–present
- [Custom CRM for Health Insurance](https://health.onix-systems.com/case-studies/custom-crm-insurance): California, USA · Health Insurance
- [Digital Military Wellness — Army Health System](https://health.onix-systems.com/case-studies/digital-military-wellness): USA & Ukraine · Defense Health
- [NowWhat — Cancer Patient Support Platform](https://health.onix-systems.com/case-studies/nowwhat): United Kingdom · Cancer support
- [Unified Healthcare Analytics Platform](https://health.onix-systems.com/case-studies/healthcare-analytics-platform): United States · Healthcare Analytics
- [House-Call Scheduler for Medical Doctors](https://health.onix-systems.com/case-studies/medical-doctors-scheduler): United States · Clinic · House-call service
- [SOLOMIYA — Mental Health App](https://health.onix-systems.com/case-studies/mental-health-app): Germany · Ukraine · Mental health network
- [VR Medical Training for a Dutch Hospital](https://health.onix-systems.com/case-studies/vr-medical-training): Netherlands · VR / medical training
- [Salesforce Physician Liaison Tracking](https://health.onix-systems.com/case-studies/salesforce-physician-liaison): United States · Healthcare organization
- [Salesforce Medical Support Automation](https://health.onix-systems.com/case-studies/salesforce-process-automation): United States · Medical support center

## Insights

- [Build vs buy: when a custom EHR beats Epic or Cerner (and when it doesn't)](https://health.onix-systems.com/insights/build-vs-buy-ehr-decision-framework): Strategy · Most healthcare organizations don't need a custom EHR — they need a few custom workflows on top of one.
- [Redox vs Health Gorilla vs 1upHealth: choosing a healthcare integration platform](https://health.onix-systems.com/insights/redox-vs-health-gorilla-vs-1uphealth): Interoperability · Three platforms, three very different bets — point-to-point integration, a national clinical network, and FHIR-native patient access.
- [FHIR vs HL7v2: which standard for which integration](https://health.onix-systems.com/insights/fhir-vs-hl7v2-when-to-use-which): Interoperability · FHIR is the future; HL7v2 runs the present.
- [Multi-state telehealth: the licensing routing problem (and what to build)](https://health.onix-systems.com/insights/multi-state-telehealth-licensing): Engineering · Every telehealth platform that grows past one state hits the same wall — every state has different licensing rules, scope-of-practice limits, and e-prescribing requirements.
- [Remote patient monitoring without burning out caregivers](https://health.onix-systems.com/insights/rpm-alert-fatigue-design): Engineering · Alert fatigue kills RPM programs faster than any technical issue.
- [CDS Hooks: shipping clinical decision support clinicians actually use](https://health.onix-systems.com/insights/cds-hooks-clinician-adoption): Engineering · CDS Hooks is the standard for delivering decision support inside the EHR — but standards don't drive adoption.
- [Custom CRM vs Salesforce vs HubSpot for Healthcare Insurance: An Honest TCO Comparison](https://health.onix-systems.com/insights/custom-crm-vs-salesforce-vs-hubspot-tco): Strategy · Every healthcare insurance CFO asks the same question — did we consider Salesforce?
- [Why Mid-Size Healthcare Insurance Companies Overpay for Salesforce by 2–3×](https://health.onix-systems.com/insights/why-healthcare-insurance-overpays-salesforce): Strategy · Every healthcare insurance CFO has had this conversation: the Salesforce invoice lands, it's up 8% over last year, and the renewal includes an Enterprise Tier upgrade you weren't warned about.
- [How We Cut CRM Costs ~30% in Year Two — A Healthcare Insurer Case Study](https://health.onix-systems.com/insights/how-we-cut-crm-costs-30-percent-case): Strategy · The proof point behind the pillar TCO comparison.
- [What a HIPAA audit actually looks like — from the inside](https://health.onix-systems.com/insights/what-a-hipaa-audit-actually-looks-like): Compliance · Most teams build to a checklist and hope.
- [FHIR for non-engineers: a 10-minute primer for product managers](https://health.onix-systems.com/insights/fhir-for-non-engineers): Interoperability · If you're the PM on a healthcare project, you don't need to write FHIR code — but you do need to understand what your engineers mean when they say it.
- [When to rescue and when to rebuild: a decision framework](https://health.onix-systems.com/insights/rescue-vs-rebuild-decision-framework): Strategy · Half of our healthcare engagements start as rescues.
- [Building a clinical validation harness for ML in healthcare](https://health.onix-systems.com/insights/ai-clinical-validation-harness): AI · Models that work on benchmarks don't always work in your hospital.
- [IEC 62304 in practice: what it actually requires (and what people get wrong)](https://health.onix-systems.com/insights/iec-62304-in-practice): MedTech · 62304 doesn't tell you to write tests.
- [Surviving an Epic App Orchard review: a survival guide](https://health.onix-systems.com/insights/epic-integration-survival-guide): Interoperability · The Epic review process is famously rigorous.
- [Ambient voice documentation: pipelines that don't leak PHI](https://health.onix-systems.com/insights/ambient-voice-documentation-pipelines): Engineering · Voice-to-note is one of the highest-leverage AI uses in clinical practice.
- [Why nobody uses your patient portal (and what to measure to fix it)](https://health.onix-systems.com/insights/patient-portal-adoption-metrics): Engineering · Portal adoption baselines in healthcare run 30-40%.
- [FDA's 2023 cybersecurity premarket guidance: what changed for SaMD teams](https://health.onix-systems.com/insights/cybersecurity-premarket-fda-2023): MedTech · The new guidance pushed cybersecurity from optional to mandatory in the submission package.

## Key pages

- [Services overview](https://health.onix-systems.com/services): All healthcare engineering services.
- [Case studies](https://health.onix-systems.com/case-studies): Selected healthcare delivery work.
- [Insights](https://health.onix-systems.com/insights): Articles on healthcare engineering, compliance, and interoperability.
- [About](https://health.onix-systems.com/about): Who Onix Health is and how we work.
- [Compliance & security](https://health.onix-systems.com/compliance-and-security): HIPAA, SOC 2, and our security posture.
- [Project triage](https://health.onix-systems.com/project-triage): Free 5-day technical audit for stalled or at-risk builds.
- [For digital health startups](https://health.onix-systems.com/for/digital-health-startups): How we help early-stage digital health teams ship.
- [For hospitals & clinics](https://health.onix-systems.com/for/hospitals-and-clinics): Engineering for provider organizations.
- [For MedTech & devices](https://health.onix-systems.com/for/medtech-and-devices): SaMD and connected-device software delivery.

## Optional

- [Privacy Policy](https://health.onix-systems.com/privacy)
- [Terms & Conditions](https://health.onix-systems.com/terms)