Healthcare · Use case
Software for Medical & Allied Health Practices
Patient portals, multilingual health information platforms, online booking, and integrations with Cliniko, Nookal, Medical Director and Best Practice — built to clinical reliability and Privacy Act standards.
The problem
What we usually see when a medical & allied health reaches out.
Healthcare software has a brutal floor: it has to be reliable, accessible, and compliant with the Privacy Act and the Australian Privacy Principles. Practice management systems (Medical Director, Best Practice, Cliniko, Nookal, Genie, Halaxy) handle clinical records and bookings well but rarely extend gracefully into patient-facing experiences. Patient portals, multilingual content, structured intake, integration with telehealth or booking platforms — the bespoke parts — usually require custom engineering because the off-the-shelf options weren't designed for the specifics.
The landscape
Where the gap lives.
The Australian health software landscape splits cleanly. GP and specialist practices typically run Medical Director or Best Practice — Australian-built clinical systems with deep MBS/PBS integration. Allied health (physio, OT, podiatry, psychology, dietetics) runs Cliniko, Nookal or Halaxy — cloud-native, lighter-weight, friendlier to integration. Specialist suites like Genie cover specific verticals. Each handles its core well; none extend gracefully into the bespoke layer above.
Where custom engineering pays back: patient portals with clinical reliability and accessibility (WCAG 2.1 AA at minimum, often AAA in specific areas), multilingual content for culturally and linguistically diverse communities, structured intake that handles complex clinical questionnaires with branching logic, and integration with telehealth platforms (Coviu, HealthDirect Video Call, Zoom Healthcare) where the practice's flow doesn't fit the platform's default. For multi-practice allied health collectives, multi-tenant infrastructure that respects each practice's autonomy while sharing core systems is genuinely bespoke work.
The regulatory floor is non-negotiable: Privacy Act 1988, the Australian Privacy Principles, the My Health Record Act where applicable, state-specific health records laws, and increasingly stringent data residency requirements. We treat these as architectural constraints from the schema upward, not bolt-ons at the end.
Our approach
How we think about it.
Privacy Act compliance, accessibility (WCAG 2.1 AA), and clinical reliability are non-negotiable starting points, not bolt-ons. We design for low-bandwidth devices and aging hardware because that's often what patients actually use. The clinical PMS stays the source of truth; we build the public-facing and operational layers that turn the practice into something patients can actually engage with.
Why bespoke
Where off-the-shelf falls short.
-
PMS patient portals (where they exist) are templated, vendor-branded, and rarely meet WCAG 2.1 AA — failing both branding and accessibility tests
-
Multilingual content for CALD communities requires translation workflows and accessibility across non-Latin scripts that off-the-shelf platforms don't support
-
Complex intake questionnaires with branching logic, photo upload, and clinical pre-screening don't fit standard PMS form builders
-
Telehealth flows tied to your existing video platform need bespoke patient-side experience, especially for vulnerable populations
-
Multi-practice allied health collectives need shared infrastructure with practice-level autonomy — no PMS handles this natively
-
Privacy Act and APP compliance with overseas-transfer agreements requires explicit engineering, not assumed defaults
What we typically build
Concrete examples.
-
Branded patient portal with appointment management, secure messaging, and document exchange
-
Multilingual health information platform supporting 10–40+ languages with editorial workflow
-
Online booking integrated with Cliniko / Nookal / Medical Director / Best Practice / Halaxy
-
Structured intake forms with branching logic that pre-populate the clinical record
-
Telehealth flow built around Coviu, HealthDirect Video Call, Zoom Healthcare or your existing platform
-
Practice website tuned for Core Web Vitals, WCAG 2.1 AA accessibility, and SEO
-
Custom platforms for allied health collectives sharing infrastructure across practices
-
Patient lifecycle automation: appointments and clinical events flowing from Cliniko or Nookal into GoHighLevel via n8n — for follow-up, retention campaigns, and pipeline management
-
Patient education content management with translation workflow and accessibility verification
-
Bulk billing and gap-fee handling tied to MBS/PBS where the PMS doesn't cover the practice's actual flow
Common integrations
Platforms we typically connect.
The platforms most medical & allied health engagements involve. Vendor-specific tools (where medical & allied health have specialist software) plus the general-purpose integrations they sit alongside.
Cliniko
Cloud-based PMS for allied health — strong API, broadly adopted in physio/OT/psychology
Integration page →
Nookal
Allied health PMS popular with multi-practitioner clinics, good API access
Integration page →
Medical Director
GP and specialist clinical software — deep MBS/PBS integration
Integration page →
Best Practice
Major Australian clinical software, common in GP practices
Integration page →
Halaxy
Cloud allied health PMS with built-in client-facing booking
Integration page →
Genie
Specialist clinical suite for specific medical verticals
Coviu
Australian-built telehealth platform — common in GP and allied health
HealthDirect Video Call
Government-run video consultation platform for primary care
Zoom Healthcare
HIPAA/Privacy Act-compliant video for telehealth
Stripe
Card payments for gap fees and private billing
Integration page →
Twilio
SMS appointment reminders and two-factor for portals
Integration page →
Microsoft 365
Office stack for clinical correspondence and document collaboration
Integration page →
Calendly
Lightweight booking when full PMS booking integration isn't needed
Integration page →
Mailchimp
Patient newsletter and education content distribution
Integration page →
Sanity
Headless CMS for multilingual health content with editorial workflow
Integration page →
Don't see what you use? See the full integrations catalogue or tell us what you run — if it has an API, we connect to it.
Services involved
What this draws on.
Custom Web Apps
Custom-built web applications when off-the-shelf SaaS forces you to compromise.
Typical projects $20K–$120K
API Integrations
Wire your business systems together so data flows automatically — no more copy-paste.
Typical projects $8K–$45K
Web Development
Performance-first websites and ecommerce — across modern frameworks, WordPress, and WooCommerce.
Typical projects $10K–$60K
Indicative pricing
Most medical / allied health engagements fall between $25K and $120K. The compliance and accessibility floor pushes the lower bound up; the upper end is for substantial multilingual or multi-practice platforms.
Real pricing is set after a scoping call. We give honest ranges up front rather than hiding behind "contact us" — the actual quote may land lower or higher depending on what discovery surfaces.
FAQs
The questions we usually get.
Are you compliant with the Privacy Act and APPs?
Yes — privacy and the Australian Privacy Principles are foundational, not afterthoughts. We engineer for explicit data-handling agreements, encryption in transit and at rest, audit logging, and the data-residency requirements that apply to health information specifically.
Do you replace Medical Director, Best Practice, Cliniko or Nookal?
No — the clinical PMS stays. We build the patient-facing and operational layers that the PMS doesn't cover well: portals, multilingual content, custom workflows, integrations.
Can you support multilingual content for CALD communities?
Yes — we have a long track record building multilingual health platforms (40+ languages on one current platform). Translation workflows, version control on translated assets, and accessibility across scripts are part of how we engineer these.
How do you handle telehealth?
We typically integrate with your existing video platform (Coviu, Zoom Healthcare, Doxy) rather than building from scratch. The custom layer is the patient-facing flow — booking, waiting room, post-consultation handover.
How accessible does the platform have to be?
WCAG 2.1 AA at minimum. For platforms serving public health communications or government-funded services, AAA in specific areas. Accessibility is verified through automated and manual testing — not assumed.
Written and delivered by
Andrew Roper — Founder & Technical Director
22+ years of practice across SaaS, ecommerce, healthcare information systems, manufacturing platforms, and government-adjacent compliance software. Every engagement is led personally — not handed off.
Let’s build something
The right system,
built once, properly.
If your business is ready to scale beyond what off-the-shelf tools can support — we should talk.