Software Engineer (Backend)

You will be our first dedicated engineering hire. Your first mission is our EHR connector family: the architecture is proven, and your job is to multiply it across vendors, regions and integration technologies. Over time the role grows with the product - the management console, the processing pipeline, whatever we ship next. Architecture and product direction are led by the founding team; you build, and you build fast. This is a hands-on role with unusual scope for one person, made possible by the way we work (see below).

What you’ll do

• Build and ship connectors for new EHR platforms across integration types: SMART on FHIR and FHIR R4 REST, HL7 v2.x messaging, CDA/CCD document exchange, and proprietary vendor APIs.
• Extend our multi-EHR writer abstraction so that each new EMR is a thin adapter plus configuration, not a rewrite.
• Own integration quality end to end: encounter binding, idempotent writes, webhook reliability, error recovery, and graceful behaviour when the EHR misbehaves.
• Build against our licensing and entitlement plane, where every operation is checked at runtime.
• Take connectors through vendor sandboxes, partner-API reviews and certification programmes.
• Document each integration pattern so the next EMR ships faster than the last.

• 1-2+ years building real applications and working with APIs (Node.js/TypeScript preferred, but strong fundamentals in any stack count).
• Demonstrated AI-assisted development practice: you can show us something real you built by directing AI tooling, and explain how you verified it.
• Fluent in English
• Strong on OAuth2/OIDC, REST API design, and webhook / event-driven patterns.
• Rigour with health data: privacy-by-design instincts and GDPR awareness.
• Self-directed, comfortable owning a feature or connector end to end in a small, senior team.

Nice to have

• Exposure to healthcare integration standards - FHIR, HL7 v2, CDA or SMART on FHIR. We don’t expect this on day one; the standards are learnable and we’ll teach you.
• Interface-engine background (Mirth, Rhapsody).
• Azure: App Service, Entra ID, Event Grid, Key Vault.
• Exposure to EHR vendor certification programmes (Epic, Oracle Health, MEDITECH or similar).
• A second European language.

What we offer

• A ground-floor engineering role on a product entering one of the fastest-growing categories in health tech.
• Direct work against major-platform partner APIs, with your fingerprints on every connector we ship.
• Remote within Europe, flexible hours with core overlap on CET, with quarterly in-person team days at our office in the Netherlands (travel covered).
• €38,000-€55,000 gross, depending on experience and location. Employment via local entity or employer-of-record depending on country.
• Initial 12-month engagement with the clear intention to extend and convert to permanent as the product scales.
• A way of working most engineering teams will not reach for years.

ORdigiNAL builds a connector platform that brings ambient clinical AI into the electronic health record (EHR). A clinician launches it from the patient chart, holds a natural consultation, and a structured, coded clinical note is filed back into the record, reviewed by the clinician before anything is written, and licence-checked at every step through our central management console. We have a working end-to-end integration with a leading ambient clinical AI platform, and we are now scaling the connector family across EHR platforms worldwide.