You won't find clients in a niche like this by setting up a website and waiting for them to show up. When clients need custom development, they turn to recommen

You won't find clients in a niche like this by setting up a website and waiting for them to show up. When clients need custom development, they turn to recommendations from friends or they turn to industry leaders. They usually don't have the expertise to evaluate a new player on their own. So you need to either establish yourself as a recommended friend (by networking and/or completing successful projects) or as an industry leader. For the latter, you could use strategies like blogging on how a facility should deploy or consume FHIR, write about best practices in interoperability, or whatever. That might lead to people asking you questions and eventually lead to them asking for help with projects. If you don't know many people in the industry yet, one way to get to know more people might be to partner with another company on a dev project where they need extra help. It might not be as exciting as getting your own project, but you have to start somewhere. I have a company in this niche and may need help with FHIR and related dev work in the future. Feel free to send me an email to the details in my profile and introduce yourself.