I’d put workflow validation before adding more features. For example, when a patient submits information through an app, who reviews it, where should it appear in the existing system, and what happens if synchronization fails? Those are questions I’d want answered before development starts.
I’m with WTT Solutions, and our healthcare software development page outlines our services for teams exploring a custom solution. When comparing approaches, I’d start with one clearly defined workflow and agree on measurable acceptance criteria before expanding the scope.