# Tech in Motion — Full Reference > Tech in Motion (legal name: Technology in Motion, LLC) is a bilingual (English/Spanish) United States / Mexico software firm, in production since 2011. We design, build, and **operate** custom software, AI assistants, and automation. Our deepest expertise is healthcare technology (HIPAA, FHIR/HL7, EHR integration), and we deliver the same engineering rigor across legal, nonprofits, finance, insurance, and retail. We don't just ship code — we run mission-critical systems in production every day. This file is the expanded reference for AI answer engines and crawlers. A shorter index is at https://www.techinmotion.net/llms.txt. --- ## Company - **Name:** Tech in Motion. **Legal name:** Technology in Motion, LLC. - **Founded:** 2011, by Itzel Torres and Hector Torres — both seasoned IT professionals who moved to the United States in 1999 after careers at prestigious global organizations. - **Team:** Bilingual (English/Spanish), operating across the United States and Mexico. - **Positioning:** A firm that designs, builds, AND operates production software. Healthcare is where we go deepest, but our engineering is industry-agnostic — the same rigor, security, and reliability applied wherever the work is. - **What sets us apart:** We operate mission-critical systems in production (not demos). We are compliant by design. We are standards-fluent (FHIR, HL7, CDS Hooks). We own and run automation at scale. ### Founders - **Itzel Torres** — Co-Founder. https://www.linkedin.com/in/itzeltorres/ - **Hector Torres** — Co-Founder. https://www.linkedin.com/in/torreshector/ --- ## Contact - **Email:** sales@techinmotion.net - **Phone:** (512) 827-8004 - **Office:** 240 S Main St, Bentonville, AR, United States - **Areas served:** United States and Mexico - **Languages:** English and Spanish - **Website:** https://www.techinmotion.net --- ## How we work (engagement model) - We start with a **paid discovery** to define scope and architecture, then deliver in **fixed-scope phases** (or time-and-materials for evolving work). You see a working build early and often, so budget tracks real progress. - **You own the code and IP** — all source code and intellectual property are delivered in your own repositories. No vendor lock-in. - We can **take over existing/legacy systems** (including legacy PHP and WordPress) and improve them incrementally — no forced rewrite. - For regulated data we **architect for compliance from day one** (encryption at rest/in transit, role-based access control, audit logging, PHI-aware data flows) and can **sign a Business Associate Agreement (BAA)** and deploy on HIPAA-eligible infrastructure. - After launch we can **operate and evolve** the system (monitoring, incident response, updates, enhancements). --- ## Services Nine service lines, each proven on real production systems. Detail: https://www.techinmotion.net/services ### 1. Custom Software Development Production-grade full-stack web applications, portals, and platforms — engineered for reliability, security, and scale. We build end to end (database to UI) on a modern, maintainable stack, with security and compliance designed in. - Deliverables: web apps/portals/dashboards; REST APIs and backend services; database design and data modeling; responsive, accessible front-end UI; automated testing and CI/CD; documentation and handover. - Tech: Next.js, React, Vue, Node.js, FastAPI, Django, PostgreSQL, MongoDB. - For: organizations that need software tailored to their workflow, not off-the-shelf. ### 2. Product Engineering & MVP Product strategy, rapid MVPs, and the path to grow them into production-grade products. Define the MVP, ship a low-budget pilot to prove value, then grow it into a production system — modernizing legacy along the way. - Deliverables: product discovery and scoping; MVP and rapid prototypes; technical roadmaps for build and fundraising; architecture and stack selection; legacy modernization (e.g., WordPress → Next.js); iterative delivery to production. - Tech: Next.js, React, TypeScript, Vercel, Stripe, Clerk. - For: founders, startups, and teams launching or modernizing a product. ### 3. AI & Data Engineering RAG assistants, agentic workflows, document intelligence, and the data pipelines behind them. We ship AI you can trust — grounded in your documents, with the evaluation that proves it works, and privacy/compliance designed in. - Deliverables: RAG assistants and chatbots grounded in your data; agentic, tool-using workflows; document intelligence (OCR, classification, extraction); vector search and embeddings; evaluation harnesses and answer-quality validation; data pipelines and ingestion. - Tech: OpenAI, Anthropic Claude, pgvector, Supabase, Pinecone, ChromaDB, FastAPI, AI Gateway. - For: teams adding AI that must be accurate, private, and auditable. ### 4. Systems Integration & Interoperability EHR/FHIR/HL7 interoperability, API integration, and CRM/billing/scheduling connections. Standards-based interoperability so your tools work as one. - Deliverables: FHIR R4 and HL7v2 interfaces; CDS Hooks for in-EHR decision support; OpenEMR customization and extensions; EHR ↔ scheduling (Acuity) and billing (QuickBooks) sync; third-party API integrations (Stripe, Twilio, 8x8); data migration (e.g., Salesforce → BlueFolder). - Tech: FHIR R4, HL7v2, CDS Hooks, OpenEMR, Acuity, QuickBooks, Salesforce, REST APIs. - For: clinics, EHR vendors, and any organization with disconnected systems. ### 5. Workflow Automation n8n, Make, Twilio, and Stripe orchestration that runs operations without manual effort — appointment-confirmation calls, fax-to-case intake with OCR, payment flows, and system-to-system sync, around the clock. - Deliverables: n8n and Make scenario design and operation; Twilio voice (robocall confirmations) and SMS flows; fax-to-case and OCR document intake; Stripe payment and reconciliation flows; system-to-system sync (CRM, EHR, databases); error handling, monitoring, and alerting. - Tech: n8n, Make, Twilio, Stripe, Zapier, webhooks, REST APIs. - For: operations teams buried in manual, repetitive tasks. ### 6. Cloud & DevOps AWS and Vercel deployments, containers, CI/CD, and infrastructure that scales without surprises. - Deliverables: AWS and Vercel deployments; Docker and containerization; CI/CD pipelines (GitHub Actions); reverse proxy and TLS (nginx, Caddy); secrets management (Vault) and hardening; monitoring and observability. - Tech: AWS, Vercel, Docker, GitHub Actions, nginx, Caddy, HashiCorp Vault. - For: teams that need dependable, automated infrastructure. ### 7. Security & HIPAA Compliance HIPAA-aware architecture, risk assessment, compliance automation, and secure data handling — architected for HIPAA from day one. - Deliverables: HIPAA risk assessment and gap analysis; secure architecture (encryption, RBAC, audit logs); PHI-aware analytics (data filtering); compliance automation and policy management; AWS HIPAA reference deployments; Business Associate Agreement (BAA) support. - Tech: AWS, HIPAA, HITRUST, Vault, Clerk, Supabase. - For: anyone handling PHI or other regulated data. ### 8. Managed Services & Support Ongoing operation, monitoring, maintenance, and enhancements for production systems. We run mission-critical healthcare operations every day. - Deliverables: 24/7 monitoring and alerting; incident response and resolution; maintenance, updates, and security patches; feature enhancements and optimization; operation of automations and integrations; SLA-based support. - Tech: n8n, Make, Vercel, AWS, GitHub Actions, monitoring. - For: organizations running mission-critical software in production. ### 9. Tech Consulting & Team Augmentation Architecture and technical advisory, plus dedicated engineers to extend your team — senior, healthcare-savvy expertise as advisors or embedded contributors. - Deliverables: technical advisory and roadmaps; architecture and code review; dedicated developers / staff augmentation; fractional CTO and tech leadership; vendor and technology evaluation; team and process optimization. - Tech: architecture, code review, Agile, discovery, roadmapping. - For: CTOs and teams needing senior capacity or guidance. --- ## Products ### Vysio — device-to-EMR platform https://www.techinmotion.net/products/vysio The end-to-end software platform behind a wearable hemodynamic monitor. Every layer was engineered by Tech in Motion: - **Device & Bluetooth:** near-infrared spectroscopy wearable (VCSEL 850 nm + 660/740 nm LEDs) measuring hemoglobin (HbT), tissue oxygen saturation (StO₂), and speckle flow index (SFI) every 15 minutes; BLE 5.0 (ANNA-B412) streamed by a Python gateway with key auth and exponential-backoff retry. - **Nurse station (edge):** real-time Next.js 16 / React 19 dashboard, live multi-patient grid over Server-Sent Events, tiered clinical alerting (stable, advisory, warning, emergency), OAuth 2.0 EMR connection. - **Middleware & cloud:** nginx reverse proxy with TLS; HAPI FHIR R4 canonical store (PostgreSQL) with a custom Vysio CodeSystem and REST-hook Subscriptions; n8n orchestration; Mirth Connect translating FHIR to HL7v2 ORU^R01; HashiCorp Vault for secrets; Tailscale (WireGuard) + UFW on AWS EC2. - **EMR integration:** Epic (FHIR R4 Observation write-back, flowsheet rows, Best Practice Alerts + InBasket, RPM billing CPT 99453–99458 via SMART on FHIR), Oracle Health/Cerner (CareAware, HL7v2 via Bridges), and universal HL7v2 ORU^R01 for other EMRs. - Tech: BLE 5.0, Python, Bleak, Next.js 16, React 19, HAPI FHIR R4, Mirth Connect, n8n, HL7v2, SMART on FHIR, HashiCorp Vault, nginx, PostgreSQL, Docker, AWS EC2, Tailscale. ### HIPAA Wizard — AI HIPAA compliance platform https://www.techinmotion.net/products/hipaa-wizard | Live: https://www.hipaawizard.ai/ An AI-powered HIPAA compliance platform: guided assessments, automated risk scoring, policy management with a template library, and a retrieval-augmented (RAG) assistant grounded in your compliance documents. Document ingestion handles PDFs with image/diagram processing and copyright detection. Turns HIPAA from a manual, document-heavy chore into guided, automated, audit-ready workflows. - Tech: Next.js 15, React 19, FastAPI, Supabase Vectors, OpenAI GPT-4, Stripe, Clerk. ### OpenEMR Solutions — custom EHR on OpenEMR https://www.techinmotion.net/products/openemr-solutions A custom EHR built on OpenEMR, extended for your practice: custom modules, a modern Next.js patient portal, encounter-status notifications, real-time 8x8 messaging, HIPAA-aware analytics, referral management, and live OpenEMR ↔ Acuity scheduling sync and OpenEMR → QuickBooks billing. Delivered most extensively for Tandem, a genetic-counseling practice. - Tech: OpenEMR, PHP, Next.js, React, 8x8, Acuity, QuickBooks, n8n, GitHub Actions. --- ## Selected work (case studies) ### NPPN — National Phlebotomy Provider Network (operations platform) https://www.techinmotion.net/cases/nppn A multi-year engagement in which Tech in Motion builds and operates the technology a national mobile-phlebotomy network runs on, in production. Scope: patient and B2B/DTC service-request portals; medical claims and ERA (electronic remittance) processing with Stripe payments; Twilio appointment-confirmation calls; fax-to-case intake with OCR; dispatch routing; a HIPAA Q&A assistant; and a full Salesforce → BlueFolder CRM migration. The automation layer spans **3 production n8n instances (150+ workflows) and 130+ Make scenarios**, connecting previously-siloed field, CRM, and EHR systems on HIPAA-compliant cloud infrastructure. - Tech: Next.js, Vue, FastAPI, n8n, Make, Twilio, Stripe, Salesforce, BlueFolder, MongoDB. ### HIPAA Wizard (AI compliance product) https://www.techinmotion.net/cases/hipaa-wizard A Tech in Motion product (see Products). Guided assessments, risk scoring, policy management, and a RAG assistant grounded in compliance documents; ingestion handles PDFs with image/diagram processing and copyright detection. - Tech: Next.js 15, React 19, FastAPI, Supabase Vectors, OpenAI GPT-4, Stripe, Clerk. ### Tandem Genetics — modern EHR + patient portal https://www.techinmotion.net/cases/tandem-genetics EHR customization and a modern patient portal for a genetic-counseling practice. Customized OpenEMR with encounter-status notifications, real-time 8x8 messaging, HIPAA-aware analytics, and referral management; built a Next.js patient portal for case tracking, service requests, and payments; live OpenEMR ↔ Acuity scheduling sync and OpenEMR → QuickBooks billing in production; automated multi-environment deployments via GitHub Actions. - Tech: OpenEMR, Next.js 15, React 19, IBM Carbon, Clerk, 8x8, Acuity, QuickBooks, n8n. --- ## Industries we serve - **Healthcare** (https://www.techinmotion.net/) — operations platforms, EHR/interoperability (FHIR, HL7, CDS Hooks, OpenEMR), healthcare AI/RAG, HIPAA and compliance, automation. Our deepest domain. - **Law firms / legal** (https://www.techinmotion.net/legal) — legal technology and AI: document intelligence, secure workflows, and assistants grounded in firm documents. - **Coaching & membership programs** (https://www.techinmotion.net/coaching) — member/mentor portals, assessments, mentor matching, KPI dashboards, payments/subscriptions, automation. - **Retail & e-commerce** (https://www.techinmotion.net/retail) — storefronts and headless commerce, inventory/catalog, integrations, marketing and loyalty automation, AI product/support, legacy modernization. - **Financial services** (https://www.techinmotion.net/finance) — document intelligence, RAG assistants, secure workflow automation, compliance-aware architecture, risk and reporting tooling. - **Insurance** (https://www.techinmotion.net/insurance) — claims and policy document automation, intake automation, fraud-aware review, secure integrations. --- ## Insights (blog) Practical articles drawn from systems we run in production. Index: https://www.techinmotion.net/blog - [FHIR vs HL7v2: which to use, and when](https://www.techinmotion.net/blog/fhir-vs-hl7v2) — what each interoperability standard is for, where they overlap, and how to bridge them (FHIR canonical store → FHIR Subscription → Mirth → HL7v2 ORU^R01). - [Shipping HIPAA-compliant AI](https://www.techinmotion.net/blog/hipaa-compliant-ai) — RAG grounding, BAA + zero-data-retention model routing, permission-scoped retrieval, audit logging, evaluation, and human review. - [From wearable to EMR: a reading's journey](https://www.techinmotion.net/blog/wearable-to-emr) — the four layers (device/BLE → gateway → middleware → EMR) and the canonical-FHIR-first architecture that keeps device data from getting lost. - [What automating clinic operations actually looks like](https://www.techinmotion.net/blog/automating-clinic-operations) — intake/OCR, confirmation calls, claims/ERA, payments, dispatch, and system sync built for the unhappy path (idempotency, error queues, monitoring) and operated in production. --- ## Technology & capabilities - **Front end:** Next.js, React, Vue, TypeScript, IBM Carbon, Tailwind CSS. - **Back end:** Node.js, FastAPI, Django, PHP, REST APIs. - **Data:** PostgreSQL, MongoDB, Supabase, pgvector, Pinecone, ChromaDB. - **AI:** OpenAI, Anthropic Claude, RAG, agentic workflows, OCR/document intelligence, evaluation harnesses, AI Gateway. - **Healthcare interoperability:** FHIR R4, HL7v2, CDS Hooks, SMART on FHIR, OpenEMR, HAPI FHIR, Mirth Connect. - **Automation & integration:** n8n, Make, Twilio, Stripe, Zapier, 8x8, Acuity, QuickBooks, Salesforce, BlueFolder, webhooks. - **Cloud & DevOps:** AWS, Vercel, Docker, GitHub Actions, nginx, Caddy, HashiCorp Vault, Tailscale. - **Auth & security:** Clerk, Azure AD, encryption, RBAC, audit logging, HIPAA-eligible infrastructure, BAA. - **Devices/IoT:** BLE 5.0 device integration. --- ## Frequently asked questions The complete, categorized FAQ is at https://www.techinmotion.net/faq ### General **What does Tech in Motion do?** We design, build, and operate custom software, AI assistants, and automation — full-stack web platforms, EHR and systems integration, retrieval-augmented (RAG) AI, and workflow automation. We don't just ship code; we run mission-critical systems in production, every day. **Which industries do you serve?** Healthcare is where we go deepest, but our engineering is industry-agnostic. We also serve law firms, nonprofits, financial services, insurance, and retail & e-commerce — the same rigor, security, and reliability applied wherever the work is. **Where are you located and what languages do you work in?** Our office is at 240 S Main St, Bentonville, AR. We're a bilingual (English/Spanish) team serving clients across the United States and Mexico. You can reach us at sales@techinmotion.net or (512) 827-8004. **How long have you been in business?** Since 2011. Tech in Motion was founded by Itzel and Hector Torres, both seasoned IT professionals, and we've been building and operating production systems for healthcare and other industries ever since. ### Working with us **How do you scope and price a project?** We start with a paid discovery to define scope and architecture, then deliver in fixed-scope phases (or time-and-materials for evolving work). You see a working build early and often, so the budget tracks real progress instead of a big up-front bet. **Who owns the code and intellectual property?** You do. All source code and intellectual property are delivered in your own repositories. There's no lock-in to us as a vendor — you can take the work anywhere. **Can you take over or modernize an existing or legacy system?** Yes. We regularly inherit, stabilize, and extend existing systems — including legacy PHP and WordPress — without a full rewrite. We start with a short audit, document what's there, and improve it incrementally. **Do you provide ongoing support after launch?** Yes. Software needs care after launch. We operate and evolve production systems — monitoring, incident response, updates, security patches, and continuous improvements — with SLA-based support. We run mission-critical operations around the clock. **Can you augment our existing team?** Yes. We provide senior, healthcare-savvy engineers as advisors or embedded contributors who integrate with your process — plus architecture and code review, technical roadmaps, and fractional CTO/tech leadership. **How do we get started?** Tell us about what you're building or the workflow that's slowing you down — email sales@techinmotion.net, call (512) 827-8004, or use the contact form. We'll follow up to scope a discovery and show you what's possible. ### Healthcare & compliance **Do you build HIPAA-compliant software?** Yes. We architect for HIPAA from day one — encryption at rest and in transit, role-based access control, audit logging, and PHI-aware data flows — and we automate risk assessment and policy management so you stay audit-ready. We can deploy on HIPAA-eligible infrastructure (e.g., AWS HIPAA reference deployments). **Will you sign a Business Associate Agreement (BAA)?** Yes. When we handle PHI on your behalf we sign a BAA, and we make sure the downstream services in your stack are covered by BAAs too. **Do you do EHR / FHIR / HL7 integration?** Yes — FHIR R4 and HL7v2 interfaces, CDS Hooks for in-EHR decision support, SMART on FHIR, OpenEMR customization, and EHR ↔ scheduling/billing sync. If a system exposes FHIR, HL7, or an API, we can almost certainly integrate it, including custom connectors for anything with an interface. **Which EHRs do you work with?** We work directly with OpenEMR (deep customization and custom modules) and integrate with major systems via standards and HL7v2 — including Epic (FHIR write-back, flowsheets, SMART on FHIR) and Oracle Health/Cerner — plus universal HL7v2 for other EMRs. ### AI **Can you build AI that's accurate and doesn't hallucinate?** We build retrieval-augmented (RAG) assistants grounded in your own documents, so answers are traceable to a source rather than invented. We add evaluation harnesses that validate answer quality, and a human-review step for high-stakes output. **Is our data kept private when using AI?** Yes. We design AI with privacy and compliance built in — access controls, encryption, and zero-data-retention model routing where required — so sensitive data stays under your control. **What can AI assistants do for our organization?** Common uses: assistants grounded in your policies/documents that answer in plain language, document intelligence (OCR, classification, extraction at scale), and agentic, tool-using workflows that automate multi-step tasks — all grounded in your data and compliance requirements. ### Technology & integration **What technology stacks do you use?** Primarily Next.js/React and Vue on the front end; Node.js, FastAPI, Django, and PHP on the back end; PostgreSQL or MongoDB for data. For AI we use OpenAI, Anthropic Claude, and vector stores like pgvector/Pinecone/ChromaDB. We pick the right tool for your needs and team rather than forcing one stack. **Can you integrate with our existing tools (CRM, billing, scheduling)?** Yes. We connect CRMs, accounting, scheduling, payments, and communications — including Stripe, Twilio, 8x8, Acuity, QuickBooks, and Salesforce — and we've delivered data migrations such as Salesforce → BlueFolder. The goal is that data flows instead of being re-entered. **Do you automate manual workflows?** Yes — that's a core service. We build and operate orchestration on n8n, Make, and Twilio: appointment-confirmation calls, fax-to-case intake with OCR, payment flows, and system-to-system sync. For one client we run 150+ live n8n workflows and 130+ Make scenarios in production. **Where do you host and deploy?** On AWS and Vercel, with Docker containers, CI/CD via GitHub Actions, reverse proxy/TLS (nginx, Caddy), and secrets management (HashiCorp Vault). We can architect on HIPAA-eligible infrastructure when PHI is involved. ### Products **What is Vysio?** Vysio is our device-to-EMR platform behind a wearable hemodynamic monitor — a BLE gateway, a HAPI FHIR R4 canonical store with a custom code system, FHIR Subscriptions, Mirth HL7v2 ORU^R01 translation, and integration with Epic, Oracle Health (Cerner), and any HL7v2 EMR. **What is HIPAA Wizard?** HIPAA Wizard is our AI-powered HIPAA compliance platform: guided assessments, automated risk scoring, policy management, and a RAG assistant grounded in your compliance documents. It turns HIPAA from a manual, document-heavy chore into guided, audit-ready workflows. --- ## Key facts (citable) - In production since **2011**. - **Bilingual** (English/Spanish) team across the **United States and Mexico**. - Operates a national healthcare operations platform with **150+ live automation workflows** (3 production n8n instances) and **130+ Make scenarios**. - Standards-fluent: **FHIR R4, HL7v2, CDS Hooks, SMART on FHIR, OpenEMR**. - We **operate** systems in production, not just build them. - Contact: sales@techinmotion.net · (512) 827-8004 · 240 S Main St, Bentonville, AR.