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Custom software for clinic & health.

Clinics and health practices must reconcile appointment booking, medical records, HDS compliance and CPAM interfacing. The health software ecosystem is fragmented and expensive, with few modular options for independent structures.

01What we solve

Three recurring problems.
The same in most firms.

Before talking software, we talk pain points. If you don't recognize any of these three, we are probably not the right partner for you.

  • 01

    Doctolib / Maiia are expensive and bridge poorly

    Market online calendars charge per user, don't integrate with your business software, and don't allow personalizing patient pathways (preparations, consents, specific reminders).

    €100-200 / practitioner / month on market solutions

  • 02

    EHR doesn't follow mobile usage

    Hospital EHRs are rich but inaccessible from mobile. Caregivers take paper notes and enter at end-of-round. Errors, omissions, double entry.

    30% of caregiver time = administrative entry

  • 03

    HDS compliance: expensive or approximate

    Generic cloud solutions aren't HDS. HDS solutions are on overpriced proprietary stacks. No middle ground for independent structures.

    HDS = +40-80% hosting cost

02Complex or critical software

The systems that
cannot fail.

When your processes require a replayable audit trail, sagas with compensation, or compliance by construction, we ship an event-driven architecture (DDD + CQRS + Event Sourcing), not a CRUD layered with audit logs.

  • Multi-actor Unified Patient Record

    Multi-actor Unified Patient Record

    Full inter-service cycle Doctor prescription → Pharmacy dispensing → CNAM reimbursement, with clean rollback if CNAM rejects reimbursement. Each step signed, history consultable on HAS or ARS audit.

    CNAMSesam-VitaleMon Espace Santé
  • EU AI Act health, auditable diagnostic AI

    EU AI Act health, auditable diagnostic AI

    For any AI use in diagnostic assistance (high-risk system, articles 8-15): every AI suggestion is kept with its reasoning, model used, confidence score and inputs. Consultable 5 years later for defense before ANSM or a court.

    EU AI ActANSMHAS
  • HDS compliance and access history

    HDS compliance and access history

    Every patient-record access is traced: who, when, from where, why. Exact reconstruction of consultations 10 years later, evidence admissible to CNIL, ANSSI or a commissioner. Health Data Hosting compliance by construction.

    HDS OutscaleHDS OVHANSSI
  • INS National Health Identifier and identity vigilance

    INS National Health Identifier and identity vigilance

    Automatic INS verification at patient arrival, cross-check with INSi service and Mon Espace Santé, traceability of identity-vigilance errors (homonyms, duplicates, divergent attributes). Compliant with the 24 December 2019 order and the digital Ségur de la Santé.

    INSiMon Espace SantéDMPMSSanté
03Mobile and web applications

The day-to-day apps,
screen by screen.

For everything else (CRM, portals, scheduling, billing), we ship a custom application, on your design system and with your existing integrations.

  • Online appointment booking

    Online appointment booking

    Multi-practitioner calendar, consultation reasons, personalized patient pathway (preparations, forms, pre-appointment consents). Sync with your business software.

    OutlookDoctolibMaiia
  • Unified patient record

    Unified patient record

    360° view of the patient: history, ongoing treatments, reports, upcoming appointments. Mobile bedside entry, voice dictation, report templates.

    Health business software
  • CPAM and mutual-insurance services

    CPAM and mutual-insurance services

    Integrated third-party payer, Sesam-Vitale teletransmission, rejection management. For psychiatrists, physiotherapists, paramedics: compliant and secure billing.

    Sesam-VitaleSCORAMC
  • Patient portal

    Patient portal

    Report download, online payment of co-payment, secure messaging with practitioner, pre-appointment medical forms. Native health GDPR.

    StripeGoCardless
04Regulations & integrations

What we handle natively,
no add-ons.

Business compliance and key integrations are not options, they are prerequisites built in from the start.

  • HDS, Health Data Hosting

    ASIP / HAS certification, approved host

  • Health GDPR

    Sensitive data, reinforced consent, anonymization

  • Sesam-Vitale

    Vitale card, CPAM teletransmission

  • Public health code

    Medical secrecy, medical record, 20-30 year retention

  • HAS / ARS

    Establishment certification, quality indicators

  • Mon Espace Santé

    National shared medical record

05Frequently asked questions

Answers to the questions we get in meetings.

Do you replace Doctolib / Maiia?
Yes if you wish. Online booking is integrated in the patient portal, no per-practitioner subscription, full personalization of patient pathway.
Is the hosting really HDS?
Yes. Hosting at Outscale or OVH HDS, ASIP-certified. The HDS contract is tripartite and traceable, compliant with French health regulation.
Which health business software is supported?
Hellodoc, AxiSanté, Crossway, MediStory for outpatient medicine. Orbis, Hopital Manager for hospital. If your business software exposes an API or export, we connect.
How much does it cost for a 5-practitioner practice?
Swoft pricing is on scope, not per practitioner. For a multi-disciplinary practice (booking + record + teletransmission), typically €30-50k initial then €5-8k/year. To compare with €500-1000/month on per-user solutions.
Is the patient portal integrated with Mon Espace Santé?
Yes. The DMP is automatically synced, reports pushed to Mon Espace Santé with patient consent.
06Related industries

On the boundary?

Mixed firms (accounting + audit, accounting + advisory, accounting + legal) draw from several industries. Here are those that share the most challenges.

07Articles & veille

L'actualité Clinic & Health, décryptée.

Réglementations, virages business, sous-domaines en mutation : ce que notre pôle veille publie sur le secteur Clinic & Health.

  • Ségur digital wave 2: clinical DUI hits the moment of truth
    Personnel soignant en clinique privée consultant un dossier patient numérique

    Ségur digital wave 2: clinical DUI hits the moment of truth

    The DUI wave 2 call for projects runs until 31 December 2026. For private clinics, the stake isn't funding, it's real penetration of Mon Espace Santé.

Tous les articles Clinic & Health →
Glossaire connexe

Le cadre réglementaire qui structure Clinic & Health.

Les réglementations qui pèsent sur les choix logiciels (appliquées, partielles, ou imminentes), décryptées par notre pôle veille.

  • Network and Information Security 2, Directive (UE) 2022/2555
    In force

    NIS2

    Network and Information Security 2, Directive (UE) 2022/2555

    Directive cybersécurité européenne applicable depuis octobre 2024. Élargit le périmètre aux SaaS, datacenters, transporteurs, alimentaire.

    • B2B SaaS
    • Banking
    • Clinic & Health
    • +3
  • Programme Ségur du numérique en santé et Mon Espace Santé
    Partially in force

    Mon Espace Santé / Ségur

    Programme Ségur du numérique en santé et Mon Espace Santé

    Programme français de transformation numérique en santé. Vague 2 du référencement DUI ouverte jusqu'au 31 décembre 2026.

    • Pharmacy
    • Clinic & Health
Tout le glossaire réglementaire →

A clinic or multi-disciplinary practice?
30 minutes, no sales pitch.

30 minutes to scope the perimeter, identify business-software and CPAM links, and price the suitable HDS solution.

Talk about a healthcare project