EHR & EMR
development services.

Specialty EHRs, ambulatory and inpatient charting, ePrescribing, lab orders, and ONC certification-ready data models — built for clinical reality, not slides.

Brief us See work
What we build

We build specialty EHR and EMR platforms for clinical groups that have outgrown the major vendors — charting that matches workflow, prescribing that survives audit, integrations that don't fall over, and data models ready for ONC certification.

Problem · approach · outcome.

How we run this kind of work
01 · Problem

Off-the-shelf EHRs win on breadth and lose on workflow.

A specialty group running a workflow that doesn't match Epic's default loses 15–25 minutes per patient to clicks. Multiply by the patient roster and the case for a specialty EHR makes itself — but only if it can pass certification and integrate with the rest of the stack.

02 · Approach

Workflow first, certification by construction.

We start with the clinical workflow and the documentation requirements. Data model is built ONC-aligned from day one. Integration spine is FHIR R4 so the EHR plays well with everyone else in the system. ePrescribing through Surescripts, lab integrations through standard interfaces.

03 · Outcome

A specialty EHR clinicians actually use.

Charting time down 30–50% vs the platform it replaced; ONC certification on the published schedule; FHIR APIs that integrate with telehealth, RPM, and Salesforce Health Cloud without bespoke connectors.

What we ship.

6 modules · extensible
F-01

Specialty charting

Configurable templates, problem-list driven workflows, voice dictation, and AI-assisted note generation.

F-02

ePrescribing & EPCS

Surescripts integration including EPCS for controlled substances, formulary lookup, drug-interaction checks.

F-03

Lab integrations

Bi-directional lab orders and results — Quest, LabCorp, regional labs — over HL7 v2 and FHIR.

F-04

ONC certification

Data models, audit logging, security, and patient-engagement features built to ONC criteria from day one.

F-05

Patient portal

Patient-facing portal for results, messaging, scheduling, and payment — on iOS/Android/web.

F-06

FHIR R4 APIs

Public FHIR R4 APIs aligned with US Core for integration with the rest of the healthcare stack.

Tech stack.

Production-tested
Stack
ReactTypeScriptNode.js.NET 8PostgreSQL
Standards
FHIR R4HL7 v2CDANCPDP
Integrations
SurescriptsQuestLabCorpTwilio
Cloud (HIPAA)
AWS HIPAAAzureKubernetes

Outgrown the major
EHR on the market?

Healthcare practice · specialty EHR
Get a quote

EHR & EMR development FAQs.

Q-01Can you build a specialty EHR for our practice?
Yes — we have built specialty EHRs for cardiology, behavioural health, oncology, fertility, and multi-specialty groups. We start with a 6-week clinical-workflow discovery before any architecture is committed.
Q-02Do you support ONC certification?
Yes. Our EHR builds are ONC-certification-ready by design — data model, audit logging, patient engagement, and security all aligned with the published criteria.
Q-03Can your EHR integrate with Surescripts for ePrescribing?
Yes — including EPCS for controlled substances, with full Surescripts certification.
Q-04How long does a custom EHR take?
A specialty EHR with charting, ePrescribing, lab integration, and patient portal lands in 24–36 weeks for the first production release.
Q-05Can it integrate with Epic / Cerner?
Yes — via FHIR R4 and HL7 v2. See healthcare IT integration.

Related across the cluster.