Solutions

The craft behind the products, applied to yours.

We build our own software, which means we build yours with scar tissue — we know what breaks at scale, what users quietly abandon, and where intelligence actually pays for itself. Six ways we put that to work.

We aren't a staffing shop. We take on work where the problem is worth solving well — and we say so when it isn't.

How to read this pageEvery engagement starts the same way: understanding a business well enough to know where technology should help, and where it should step aside. What follows is the shape that understanding usually takes — but the categories matter less than the fit. If your problem sits between two of them, that's normal.

What we do

Six ways we build intelligent systems.

Deep in a few disciplines rather than shallow across all of them — the same principle that governs which products we build.

01

Custom Software

Bespoke systems

Most businesses don't need another tool — they need the one that matches how they actually work. We design and build systems around your real process, not a vendor's idea of it, and we keep them simple enough that your team can live inside them every day.

  • Discovery & process mapping
  • Product and interface design
  • Web & mobile applications
  • Data modeling and migration
  • Cloud architecture
  • Ongoing support

A fit whenYou've outgrown spreadsheets and workarounds, or you're paying for three tools that still don't fit.

02

Vertical SaaS

Industry platforms

This is what we do for ourselves. FlowHQ and MindHQ are proof that owning an industry end-to-end — data, workflow, interface, billing — beats bolting features onto something generic. When you're building a platform for a single world, we know the terrain.

  • Multi-tenant architecture
  • Billing & subscriptions
  • Roles and permissions
  • Onboarding & migration paths
  • Reporting and analytics
  • Integration surface

A fit whenYou know an industry deeply and want to build the software it has been waiting for.

See our products
03

Workflow Automation

Business process

Every organization carries invisible labor: the re-keying, the chasing, the handoffs that only happen because someone remembered. We find that work, map it honestly, and hand the mechanical parts to machines — leaving the judgment calls where they belong.

  • Process discovery & mapping
  • Reminders and follow-ups
  • Document & fax intake
  • System-to-system sync
  • Approvals and routing
  • Exception handling

A fit whenYour team spends hours a week on work that a well-designed system would simply do.

04

Healthcare Interoperability

FHIR & HL7

Clinical data is only useful where it lands. We build the integrations that let records, labs, referrals, and documents move between systems reliably — with the privacy and audit posture healthcare demands, and none of the hand-waving.

  • FHIR R4 resources & APIs
  • HL7 v2 interfaces
  • EMR & EHR integration
  • Lab, referral & eligibility feeds
  • Document and fax pipelines
  • HIPAA-conscious architecture

A fit whenYour clinical systems don't talk, and the gap is being filled by fax machines and staff time.

Healthcare at Metesis
05

API Development

Interfaces & integration

An API is a promise other people build on. We design ones that are clear on the first read — sensible resources, honest errors, real documentation, versioning that doesn't break the people who trusted you — whether it's public, partner-facing, or internal.

  • REST & GraphQL design
  • Authentication & authorization
  • Webhooks and events
  • Versioning strategy
  • Developer documentation
  • Rate limiting & observability

A fit whenYou need systems to talk — to partners, to your own services, or to the product you're about to ship.

06

AI Consulting & Strategy

Applied intelligence

The hard part of AI isn't the model — it's knowing where intelligence earns its place and where it quietly makes things worse. We'll tell you both. Then we build the parts that hold up: grounded in your data, measurable, and safe to put in front of the people who depend on it.

  • Opportunity assessment
  • Agent & assistant design
  • Retrieval on your own data
  • Evaluation and guardrails
  • Human-in-the-loop workflows
  • Roadmap and enablement

A fit whenYou're being told to "do something with AI" and want a clear-eyed plan instead of a demo.

Explore the AI platform

How we work

Understand first. Build second.

Every engagement moves through the same four movements, whether it's a six-week automation or a platform we'll run for years.

01

Diagnose

We learn the work before we touch the software — the actual process, the workarounds, the parts nobody documents.

02

Design

A clear plan and an interface worth using, agreed before the build starts. No surprises priced in later.

03

Build

Shipped in working increments you can see and use, so direction can change while changing it is still cheap.

04

Endure

Documentation, handover, and support. Systems built for the long term, whether we operate them or you do.

Built on
OpenAIAnthropicPythonFHIRHL7REST & GraphQLAWSAzureGoogle Cloud

Tell us what you're trying to do.

Not what you think you need built — what you're trying to make possible. We'll tell you where intelligence fits, and honestly if it doesn't yet.