
Case study · 2025–present
medoco HEALTH: imaging and interoperability for dental and orthodontic practices
In production for three years at the pilot practice, now being installed in new clinics.
Digital healthcare
Healthcare interoperability consultant in Italy: DICOM, FHIR and PACS integrations for dental practices, outpatient clinics and healthcare software companies. Open standards, code handed over, no lock-in to a single vendor.
Common situations in practices and healthcare software companies, and how an integration changes them.
TodayClinical photos, X-rays and scans live in folders on a PC. Finding the right one is a job in itself.
AfterEvery image goes into the DICOM archive on its own, already linked to the right patient.
TodayThe practice management software, the PACS and the scanner each keep their own patient records. Staff retype the data, and every so often they pick the wrong patient.
AfterOne patient register, kept in sync across your systems via FHIR. Nobody retypes anything.
TodayYour long-standing vendor won't let its software talk to anything else, and switching means losing years of data.
AfterYour data in standard formats: it stays yours, and you can change vendor without losing it.
TodayYou have your own healthcare software and customers are asking for DICOM, FHIR or feeds into Italy's Electronic Health Record (FSE). Nobody in-house knows them.
AfterYour product speaks DICOM and FHIR, with conformance testing and documentation ready for audits.
I connect what you already have. I don't sell new practice management software: I make your management software, image archive, devices and third-party software exchange data in standard formats, automatically.
Standards I work with: DICOM, FHIR, HL7, PACS and the digital orthodontics profiles.
half a day
At your practice or on a call with your team: who touches what, and where time gets lost. You get two pages with the current workflow, the proposed one and the hours you can win back.
first demo within 14 days
Development and testing in a separate environment. The first demo uses real data within 14 days.
4–8 weeks in total
Installation, staff training (one hour, recorded) and documentation.
90 days included
I check that everything keeps working. After that, a monthly plan if you want one.
from €6,000
€8,000–€20,000typically
from €290per month
Fixed price agreed before we start. Half at kick-off, half once the workflow is running.
I keep working on it until it works, at no extra cost.
If, at the end of the project, images and data don't reach where they need to go on their own, I keep working on it at no extra cost until they do.
Conditions This applies as long as there is a named contact on your side and I have access to the systems: we put it in the contract.
Book a consultationFor almost two years I've worked nearly full time with medoco HEALTH on a medical imaging product for dental practices, in production for three: architecture, development, DevOps, hardware, the DICOM and FHIR standards.

Case study · 2025–present
In production for three years at the pilot practice, now being installed in new clinics.
No. I work with what you have, unless that's the problem: if so, I'll tell you straight away.
During development I work on test data. In production the data stays on your systems; I don't store anything.
I document the data flows and who has access; for the legal side I work with your DPO or privacy consultant.
A practice: 4–8 weeks. A module for a software company: 2–3 months.
Two projects a month. If you're on the waiting list, I'll tell you when I can start.
Book a 20-minute consultation: tell me how you handle images and data today, and I'll tell you what can be improved.