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Patientlink

A patient portal and EHR-lite for small clinics with HIPAA-grade audit trails

Patientlink is a patient portal plus an EHR-lite for clinics whose practice is too small for Epic and too clinical for SimplePractice. It runs on the Internal Tools Stack so HIPAA, audit logging, and SSO/SAML are first-class — and gives clinics a problem-list, medication-list, allergy-list, encounter-charting workflow with a patient-facing portal that the clinic actually controls.

Key features

  • Patient demographics, problem list, medications, allergies, immunizations
  • Encounter charting with SOAP templates per specialty
  • Lab and imaging order requests with PDF or fax delivery to partner labs
  • Patient portal with appointments, messages, lab results, document downloads
  • Forms library (intake, consent, new-patient questionnaire) with branding
  • Audit log of every PHI access (read, write, export) with subpoena export
  • Configurable role-based access (front desk, clinical, billing) with SCIM
  • HL7 / FHIR export for migration to or from a competing EHR

Architecture

Architecture variant: standard
Frontend
Next.js 14 (App Router) for patient + clinical staff webtRPC clientTailwind + headless primitives
Backend
Postgres 16 on a BAA-eligible host (AWS RDS or Aptible)Drizzle ORM with audit-trigger loggingInngest workers for fax + lab callbacks
Data + infra
AWS or Aptible (BAA-eligible)AWS RDS Postgres with customer-managed KMSAWS S3 with object lock (PHI archive)
Integrations
WorkOS (SSO/SAML/SCIM for clinical staff)Phaxio or Sfax (clinical fax delivery)Stripe (patient pay)Lab integrations (LabCorp, Quest Direct API on higher tiers)

Built on the Internal Tools Stack.

What you get

Patientlink lands as a multi-tenant SaaS under the clinic’s brand on a HIPAA-eligible host. BAA paperwork is part of the License kickoff. Migration from an existing EHR runs on a parallel-data load through HL7 / FHIR or a vendor-specific export, validated session-by-session before cutover.

Sample customer story (placeholder — illustrative only)

A 6-provider concierge-medicine practice licensed Patientlink after outgrowing SimplePractice and being quoted six figures by their region’s Athena rep. Six months post-migration the practice reports a clean SOC 2 Type II report, a patient portal that the practice’s patient cohort (median age 62) actually uses, and clinical-staff time on charting reduced by an estimated 25% versus their prior tool.

What’s NOT included

  • In-hospital workflow. Patientlink is for outpatient clinics. Inpatient floor management, OR scheduling, etc. are out of scope.
  • Telehealth video. Pair with Telehale.
  • Full revenue-cycle management / claims submission. We export clean charge data; partner with a billing service or wire to Candid Health.
  • Imaging PACS / DICOM viewer. Out of scope; integrate with the customer’s existing PACS.

Whitelabel surfaces

SurfaceThemeableCustom domain
Patient portalyesyes
Clinical staff webyesyes
Emailyesyes (sender domain)
PDF clinical notesyesyes

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