Software & Architecture
End-to-end application development, system design, and architecture reviews — backend, frontend, and everything in between.
We build software for digital health, fitness technology, and conversational AI, and run ISO 9001, ISO 27001, ISO 13485, and HIPAA compliance programs.
Six practices, one team. We take engagements that touch at least two of these — that's where the leverage is.
End-to-end application development, system design, and architecture reviews — backend, frontend, and everything in between.
FHIR-compliant platforms, teleconsultation, field health apps, and clinical data pipelines for low-resource environments.
QMS build-out, CAPA and change control, and FDA inspection readiness — ISO 9001, ISO 27001, ISO 13485, 21 CFR 820, HIPAA, HITRUST.
Big data migration, structured pipelines, analytics infrastructure, and BI reporting for data-heavy platforms.
WhatsApp Business chatbots, OmniChannel messaging integrations, and generative-AI features built into real products.
Docker-based deployments on AWS and Azure, infrastructure as code with CDK and Terraform, and CI/CD across every environment.
Our team has shipped systems across 7 countries — from government health facilities in Afghanistan, to remote field deployments in Pakistan, to fitness and medical-software platforms serving users globally.
Our team designed the FHIR-compliant architecture and led API development for a teleconsultation platform delivering 7,000+ consultations a year across 84 digital health sites.
Maternal and child health app deployed across Pakistan and Afghanistan. Our analysis and v2 re-architecture contributed to better vaccination rates and a request for province-wide rollout.
Own the NestJS/GraphQL backend and React frontend for a performance-testing platform — scoring algorithms, normative ranges, and AI-generated test summaries.
Designed the chatbot architecture behind a COVID-19 guidance service across 5 countries, and built WhatsApp Business bots and SMS features for OmniChannel platforms.
Maintain the quality system for a US-based AI medical software company — automated CAPA and change control in Jira, document control, internal audits, and team-wide training.
Masyaf was a castle in the Orontes Valley of Syria — headquarters of a small Nizari community that maintained independence for over a century against Crusaders, Zengids, and Ayyubids. Saladin besieged it in 1176 and withdrew. They survived not through size, but through strategic positioning, knowledge, and precision. That is the standard we hold ourselves to.
1176 · HELD
Boutique by design. You work directly with the senior engineer and the quality specialist who have shipped and certified systems across 7 countries. No account managers, no handoffs. The people who scope your project are the people who build it.
FHIR platforms for conflict-adjacent regions, fitness systems with a million-plus tests, 120+ clinical guidelines, peer-reviewed research — not because we were the biggest team, but because we understood the problem better than anyone in the room.
Masyaf held for 130 years. We build software that holds up in the field and in the audit — low connectivity, government systems, real load, real regulators. If it doesn’t survive contact with reality, it isn’t done.
Tell us what you're building. We reply within one working day.