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Oystehr & Ottehr: Our Comprehensive Healthcare Technology Solutions

January 27, 2025

At MassLight, we've developed two complementary platforms that are transforming how organizations approach EHR and health tech development. Our solutions, Oystehr and Ottehr, serve distinct purposes within our healthcare technology ecosystem, each designed to address specific challenges in modern healthcare delivery.

This blog will dive into the key features of both products, their differences, and how they can be leveraged together to create innovative healthcare solutions.

Oystehr: Our Advanced Cloud Infrastructure for Healthcare Development

We built Oystehr as an API-first health tech cloud service that provides the foundational infrastructure for building sophisticated healthcare applications. Our comprehensive platform enables healthcare organizations to develop custom solutions while significantly reducing traditional development complexity.

Our clients implementing Oystehr alongside Ottehr can benefit from up to 95% reduction in development effort for custom EHR solutions, marking a significant advancement in healthcare technology deployment efficiency.

FlexTogether, a virtual pulmonary rehab clinic, used Oystehr’s FHIR-compliant APIs to cut claims processing time by over 80%, transforming a manual, weeks-long billing process into an automated workflow completed within minutes. This efficiency improved DSO metrics and allowed more focus on patient care.

"Oystehr is a highly efficient, developer-first, and cost-effective solution for medical record storage and claims management." - Benji Rostoker, COO of FlexTogether

Key Features

  • Compliance and Standards: Oystehr ensures compliance with FHIR, USCDI, ONC, X12, and HIPAA standards, simplifying the complexities of health-tech regulation. With constantly evolving mandates and diverse payer, state, and exchange requirements, Oystehr handles the heavy lifting, so your application stays compliant in a dynamic environment.
  • FHIR R4/R5 APIs: Oystehr provides a comprehensive read/write FHIR API and hosted storage for R4 and R5, making FHIR the native data model—not an afterthought. With seamless integration into other services like insurance validation, claims submission, and telehealth, our FHIR APIs deliver powerful interoperability and workflow efficiency.
  • Clinical Services: From telehealth video calls to SMS and chat messaging, eRx, insurance validation, and claims submission, Oystehr supports a wide range of clinical services. Here’s our full list of services and solutions.
  • Advanced Security Framework: We've implemented robust security measures to ensure data protection. Credential and secret management, access policies, MFA, passwordless SMS, app provisioning, SAML, and OAuth2.
  • Zambdas: Host custom endpoints with Zambdas, providing direct access to Oystehr events and data for tailored solutions.
  • Console and SDK: Access sophisticated tools to streamline code development and management across multiple environments, empowering your team to build with confidence.
Oystehr Console Zambdas

Who Should Use Oystehr?

Organizations looking for complete control over their EHR design and functionality, especially those with unique workflows or niche specialties, will benefit from Oystehr. It’s ideal for health-tech startups, software developers, and enterprises seeking to build highly customized solutions without the constraints of traditional EHRs.

Ottehr: Our Open-Source FHIR-Native EHR Platform

We developed Ottehr to complement Oystehr's backend capabilities by providing an open-source front-end EHR platform. As our implementation of a FHIR-native EHR, Ottehr enables precise customization of clinical and administrative workflows.

Key Features

  • Comprehensive EHR Solutions: We've included support for essential healthcare functions including telemedicine, in-person consultations, electronic prescriptions, and practice management. Explore the full list of products and our roadmap here.
  • Native FHIR Implementation: We've ensured full integration with Oystehr's backend infrastructure for optimal interoperability and data consistency.
  • Open-Source Flexibility: We've made Ottehr completely open source, giving organizations complete control over their implementation, with the ability to fork, modify, and white-label the platform according to specific operational requirements.
  • Consistent New Releases: Ottehr is regularly enhanced with new features, improvements, and updates, ensuring the platform evolves alongside the dynamic needs of healthcare organizations.
Ottehr Open-Source Telemedicine Solution

Who Should Use Ottehr?

Ottehr is ideal for organizations that want a starting point for their EHR’s user interface but still need the flexibility to modify and expand on the existing framework. It’s perfect for teams that want to focus customization without having to build everything from scratch.

When to Use Both

For organizations seeking a comprehensive solution, combining Oystehr and Ottehr can be a game-changer. Oystehr provides the backend infrastructure, while Ottehr delivers customizable user interfaces. Together, they offer a complete toolkit for building and deploying modern, tailored healthcare applications.

For example, a startup might use Oystehr to set up a secure and scalable backend for managing patient data, while leveraging Ottehr to rapidly deploy a user-friendly interface. This combination reduces development time, lowers costs, and ensures the final product meets specific needs.

Our Strategic Implementation

Through Oystehr and Ottehr, we've created a comprehensive approach to healthcare technology development. Our platforms enable healthcare organizations to:

  1. Accelerate development of custom healthcare solutions
  2. Maintain compliance with healthcare data standards
  3. Implement flexible, scalable systems that adapt to organizational needs
  4. Reduce technical debt through modern, maintainable architecture

We've designed this integrated approach to provide healthcare organizations with the tools necessary to build provider-centric solutions efficiently and cost-effectively, establishing a foundation for continued innovation in healthcare technology delivery. By separating the backend and frontend, they empower organizations to build solutions that are not only highly functional but also deeply customized. Whether used independently or together, these platforms provide the tools needed to innovate in a fast-changing industry.

Ready to start building with Oystehr? Schedule a demo today.

To learn more about Ottehr, schedule a call or visit the Github repository to fork for free today.

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Our new behavioral health intake application, built on Oystehr, allowed us to build a solution that is customized for our use including scheduling, insurance validation, and direct integration with our eClinicalWorks EHR.

Mordechai Raskas
Mordechai Raskas

Chief Medical Information Officer at PM Pediatric Care