Base44 + Healthcare App

Built a healthcare app with Base44?
We'll make it production-ready.

Healthcare apps handle protected health information (PHI) — patient records, diagnoses, medications, and medical histories. This data is among the most heavily regulated in any industry, and a breach can result in six-figure fines and criminal liability. AI tools can build patient portals and appointment systems quickly, but they have zero awareness of HIPAA requirements, data handling rules, or healthcare-specific security standards.

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Healthcare App challenges in Base44 apps

Building a healthcare app with Base44 is a great start — but these challenges need attention before launch.

HIPAA-compliant data handling

Protected health information must be encrypted at rest, encrypted in transit, access-logged, and stored only in HIPAA-compliant infrastructure. AI tools store data in standard databases with no encryption, no access logging, and on hosting providers that may not offer HIPAA-compliant tiers.

Access controls and minimum necessary rule

Healthcare regulations require that users only access the minimum data necessary for their role. A nurse sees different data than a billing clerk. AI-generated auth gives everyone the same access level, which violates the minimum necessary principle.

Audit logging for compliance

Every access to patient data must be logged — who viewed it, when, from where, and what they accessed. These logs must be tamper-proof and retained for six years. AI tools don't generate any audit logging, let alone compliant audit trails.

Telemedicine reliability

Video consultations, real-time messaging, and appointment scheduling must work reliably — a dropped video call during a medical consultation is not just frustrating, it's a patient safety issue. AI tools generate basic WebRTC setup without fallback mechanisms or connection quality monitoring.

Patient data portability

Patients have the right to access and export their health records. Your app needs secure data export, standard health data formats (FHIR, HL7), and the ability for patients to transfer their data. AI tools don't implement any data portability features.

Consent management

Patients must explicitly consent to data collection, sharing, and treatment. This consent must be recorded, revocable, and granular (consent to share with one provider doesn't mean consent to share with all). AI tools don't build consent management systems.

What we check in your Base44 healthcare app

Data encryption — PHI encrypted at rest and in transit
Access controls — role-based access with minimum necessary enforcement
Audit logging — tamper-proof logs of all PHI access
Infrastructure — HIPAA-eligible hosting and database configuration
Authentication — MFA, session timeout, device management
Consent management — recorded, granular, revocable patient consent
Data portability — patient data export in standard formats
Backup and recovery — encrypted backups, tested restore procedures
Error handling — failures never expose PHI in error messages or logs
Third-party integrations — BAAs in place for all data processors

Common Base44 issues we fix

Beyond healthcare app-specific issues, these are Base44 patterns we commonly fix.

highDeployment

Platform lock-in makes it expensive to migrate to self-hosted infrastructure

Base44 applications run on Base44's infrastructure with proprietary abstractions. If you need to migrate to AWS, Vercel, or a custom backend, you must substantially rewrite the application since the generated code is tightly coupled to Base44's runtime.

highSecurity

Auto-generated backend API lacks input validation and allows malformed data into the database

Base44's generated REST API endpoints often accept and persist any data that matches the field type without business-rule validation — missing required fields, out-of-range values, or invalid relationships are stored without error.

mediumCode Quality

Limited customization of business logic after the initial app generation

Once Base44 generates the application structure, adding custom business logic that deviates from the generated patterns — complex workflows, conditional processing, third-party integrations — requires working around the platform rather than with it.

mediumBugs

Database schema changes after initial generation are difficult and risk data loss

Modifying the generated database schema after data has been collected — adding columns, changing relationships, renaming tables — is fragile in Base44 and may require manual data migration that the platform does not assist with.

Start with a self-serve audit

Get a professional review of your Base44 healthcare app at a fixed price.

External Security Scan

Black-box review of your public-facing app. No code access needed.

$19
  • OWASP Top 10 vulnerability check
  • SSL/TLS configuration analysis
  • Security header assessment
  • Expert review within 24h
Get Started

Code Audit

In-depth review of your source code for security, quality, and best practices.

$19
  • Security vulnerability analysis
  • Code quality review
  • Dependency audit
  • Architecture review
  • Expert + AI code analysis
Get Started
Best Value

Complete Bundle

Both scans in one package with cross-referenced findings.

$29$38
  • Everything in both products
  • Cross-referenced findings
  • Unified action plan
Get Started

100% credited toward any paid service. Start with an audit, then let us fix what we find.

Frequently asked questions

Can I build a healthcare app with Base44?

Base44 is a great starting point for a healthcare app. It handles the initial scaffolding well, but healthcare apps have specific requirements — hipaa-compliant data handling and access controls and minimum necessary rule — that need professional attention before launch.

What issues does Base44 leave in healthcare apps?

Common issues include: platform lock-in makes it expensive to migrate to self-hosted infrastructure, auto-generated backend api lacks input validation and allows malformed data into the database, limited customization of business logic after the initial app generation. For a healthcare app specifically, these issues are compounded by the need for hipaa-compliant data handling.

How do I make my Base44 healthcare app production-ready?

Start with our code audit ($19) to get a clear picture of what needs fixing. For most Base44-built healthcare apps, the critical path is: security review, then fixing core flow reliability, then deployment. We provide a fixed quote after the audit.

How much does it cost to fix a Base44-built healthcare app?

Our code audit is $19 and gives you a complete report of issues. Fixes start at $199 with our Fix & Ship plan. For larger healthcare app projects, we provide a custom fixed quote after the audit — no hourly billing.

Get your Base44 healthcare app production-ready

Tell us about your project. We'll respond within 24 hours with a clear plan and fixed quote.

Tell Us About Your App