EMR & EHR software, engineered to connect.
We build, integrate and modernize the clinical record systems care teams run on — wired into your EHR over HL7 and FHIR, and compliant by design.
EMR, EHR — and where they overlap
An EMR is one organization's digital chart. An EHR is the patient's record, built to move between providers. Most teams need both — and the interoperability that connects them.
EMR
- One practice or department's chart
- Diagnoses, notes and treatment
- Care tracked within one organization
Shared
- Digital patient records
- Clinical documentation
- Secure & HIPAA-ready
EHR
- The record across every provider
- Built to be shared via HL7 & FHIR
- Travels with the patient
A healthcare engineering firm — not a generalist shop
Seventeen years in a single industry, the interfaces built and certified in-house, and a delivery model you can actually see.
Healthcare is the only industry we build for — not a side practice.
Epic, Oracle Health (Cerner), PointClickCare and athenahealth.
HL7 v2 and FHIR R4 interfaces, built and certified in-house.
No offshore hand-offs or subcontracted teams between you and the code.
Four ways we build clinical record systems
From an independent review to a full custom platform, we own the hard parts — interoperability, compliance and clinical UX — end to end.
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01EHR / EMR consulting
Independent assessment of your clinical platform, integration approach and compliance posture — with a clear, costed roadmap to where you need to be.
- Architecture & build-vs-buy review
- Interoperability gap analysis
- Compliance & security assessment
- Modernization roadmap
02Custom EHR / EMR development
Full-cycle clinical platform builds, from architecture and UX through engineering, certification support and go-live — owned end to end.
- Clinical workflow & UX design
- Scalable, HIPAA-ready architecture
- Charting, orders, e-prescribing & RCM
- Certification & go-live support
03EHR integration
Connecting your platform to the systems of record care teams already run, with interfaces we build, certify and maintain in-house.
- HL7 v2 & FHIR R4 interfaces
- Epic, Cerner, PointClickCare, athenahealth
- Labs, pharmacy, devices & clearinghouses
- Ongoing interface monitoring
04EHR implementation & support
Standing up your system in production — data migration, configuration, training enablement and the run-state support that keeps it live.
- Data migration & validation
- Environment configuration
- Training & rollout enablement
- SLA-backed production support
Capabilities across the clinical record
Patient management
Everything from first registration to the patient portal, in one front-office flow.
- Registration & scheduling
- Demographics & eligibility
- Portal & messaging
- Consent & documents
Clinical documentation
Structured charting, orders and decision support shaped around how clinicians actually work.
- Charting & encounter notes
- Order entry (CPOE)
- Care plans & flowsheets
- Decision support
e-Prescribing
Safe, compliant medication management — including controlled substances over EPCS.
- Medication management
- Interaction checks
- EPCS controlled substances
- Pharmacy routing
Revenue cycle
Charge capture through claims and denials, so care that's delivered actually gets paid.
- Coding & charge capture
- Claims & clearinghouse
- Eligibility & prior auth
- Denial management
Interoperability
The standards and connections that let the record move cleanly between systems.
- HL7 v2 & FHIR R4
- Lab (LIS) & imaging (PACS)
- HIE connectivity
- SMART on FHIR apps
Analytics & reporting
Operational, clinical and regulatory reporting from a single source of truth.
- Operational dashboards
- Quality & regulatory measures
- Population health
- Custom reports
Built for your kind of organization
The same engineering, tuned to how your organization actually delivers care — from multi-site therapy networks to enterprise health systems and early-stage digital health teams.
Post-acute & therapy networks
SNFs, rehab groups and therapy operators need documentation that matches how care is actually delivered across sites and disciplines. We build platforms tuned to MDS, therapy minutes, scheduling and multi-site rollups.
- Therapy & MDS documentation
- Multi-site scheduling
- PointClickCare integration
- Progress & compliance reporting
Health systems & IDNs
Large provider organizations need new software to slot into an Epic or Cerner core without disrupting clinicians. We design for that reality — interface-first, governed and safe to deploy at scale.
- Epic / Cerner integration
- Enterprise SSO & governance
- Clinician-safe workflows
- Phased, low-risk rollout
Digital health startups
Series A–C teams need to ship a credible clinical product fast, without standing up an internal healthcare-engineering team first. We embed an engineering pod that owns delivery and the compliance behind it.
- MVP to production builds
- FHIR-native data model
- HIPAA & SOC 2 readiness
- Investor-grade architecture
Choosing your EHR type & deployment model
Two decisions shape every build. We help you make them with the trade-offs on the table — then engineer to the choice.
Faster to stand up, elastic and lower upfront cost.
- HIPAA-eligible AWS / Azure
- Elastic scale on demand
- Lower capital outlay
Maximum control over where protected data resides.
- Full data residency
- Existing data-center fit
- Air-gapped options
Built to your exact model — and you own the IP.
- Exact workflow fit
- You own the IP
- No per-seat licensing
Configure and extend an established platform instead of building from zero.
- Fastest to production
- Lower build risk
- Proven core to extend
One platform, wired into everything care needs
The systems a clinical record has to talk to — connected over HL7 and FHIR, built and maintained in-house.
- Laboratory & LIS
Orders out and discrete, reportable results back over HL7 v2.
- Pharmacy & e-Rx
e-Prescribing and EPCS for controlled substances, routed to the pharmacy.
- Imaging & PACS
DICOM studies and radiology reports surfaced inside the chart.
- Medical devices
Vitals and monitoring data captured straight into the record.
- Telehealth
Virtual visits and their documentation in the same clinical workflow.
- Patient portals
SMART on FHIR access to records, results and secure messaging.
- Billing & clearinghouse
Charges, claims and eligibility pushed to your revenue-cycle stack.
- Health information exchange
The community record, shared across providers via FHIR and HIE networks.
A delivery pipeline, not a black box
Workflows, constraints, compliance scope and success metrics.
Data model, integration map and a HIPAA-ready system design.
Iterative delivery with clinical UX and QA in every sprint.
HL7 / FHIR interfaces to EHRs, labs, pharmacy and devices.
Security testing, clinical validation and compliance evidence.
Migration, configuration, training and a controlled rollout.
SLA-backed run-state, monitoring and continuous improvement.
Built to healthcare-grade standards
We meet your systems where they are — and build new where you need it. Either way, the same security and interoperability standards hold.
Zero Trust IAM
Identity-first, least-privilege access with MFA and a full audit trail on every PHI touch.
FHIR-enabled interoperability
HL7 v2 and FHIR R4 as a first-class data layer, so records move cleanly between systems.
End-to-end encryption
PHI encrypted in transit and at rest, with managed keys and BAA-ready infrastructure.
HIPAA & SOC 2 by design
Compliance engineered in from day one — not bolted on the week before an audit.
Integrate with your stack
We meet your existing EHRs and systems where they are — no rip-and-replace required.
Build from the ground up
Net-new clinical platforms, engineered to your workflow, when off-the-shelf can't fit.
EMR/EHR development FAQ
How long does EMR/EHR development take?
A focused integration or module can ship in weeks; a full custom platform typically runs several months across discovery, build, integration and validation. We scope a costed timeline during discovery rather than quoting blind.
How much does an EHR system cost?
Cost is driven by scope — number of workflows, integrations and certification needs. We give a fixed, phased estimate after a short discovery so you can see the trade-offs before committing.
Which EHR platforms do you integrate with?
Most commonly Epic, Oracle Health (Cerner), PointClickCare and athenahealth, over HL7 v2 and FHIR R4 — plus labs, pharmacy, devices and clearinghouses. We build and maintain the interfaces in-house.
Do you handle HIPAA and SOC 2 compliance?
Yes. PHI handling, audit trails and BAA-ready infrastructure are designed in from day one, and we support SOC 2 readiness — gap assessment through evidence — as part of delivery.
Can you modernize our existing legacy EHR?
Yes. We run structured modernization — assessment, incremental migration and integration — so you move off an aging system without a risky big-bang cutover.
Looking for a reliable EMR/EHR development partner?
Tell us where your clinical platform is today. We'll come back with a clear, costed path to where it needs to be.
Talk to our team