We build custom EHR and EMR software for US hospitals, clinics, and digital health startups. As an EHR and EMR software development company with deep roots in the US healthcare market, we ship products that are HIPAA-compliant, HL7 FHIR-interoperable, and built for real clinical workflows.
FEATURES & MODULES
These are the EHR/EMR modules we build most. Each one works on its own, so you can start with two or three and grow the system from there, instead of buying a platform you grow into for years.
INTEROPERABILITY & INTEGRATIONS
Records have to move between systems that were never designed to talk to each other. We build EHR and EMR integration on HL7 and FHIR from the first sprint, so your data crosses to labs, pharmacies, imaging, and an HIE without a fragile translation layer holding it together.
HL7 FHIR Interfaces
FHIR-native data exchange and HL7 FHIR integration that holds up across versions.
SMART on FHIR Apps
Apps that launch inside the EHR and read or write to the record under proper scopes.
Epic, Cerner & Healthie Integration
Connect to the systems your customers already use, the right way.
Lab, Pharmacy & Imaging (DICOM)
Orders, results, e-prescribing, and DICOM imaging tied back to the chart.
Health Information Exchange (HIE)
Participation in regional and national HIE networks.
Third-Party API Integrations
Billing, identity, payments, and whatever else your stack needs, through API integration, we own end-to-end.
EHR software handles the most sensitive data your business will ever touch. We design compliance into the architecture rather than bolting it on before an audit. That means encryption, access control, and audit logging are part of the data model, not a checklist someone fills in later.
PHI security, access controls, and breach-ready logging across the stack.
Breach notification readiness and the security rigor HITECH expects.
Built to current ONC certification criteria including HTI-1 requirements: USCDI v3, standardized FHIR endpoints, and DSI transparency.
Reporting and measures your providers are scored on.
Built to current FHIR specs, kept current as they change.
Coding handled correctly, so billing and reporting hold up.
The Challenge
Dalth needed one platform that could pull EHR data from several providers, answer urgent care requests in minutes, and serve six different user types, each with its own permissions and workflow.
The Solution
We mapped the information architecture across all six roles first, so data visibility and permissions never collided in the field. The web app was built in Vue 3 with the Composition API, Pinia, and TypeScript, picked because the interface had to surface live data from multiple EHR sources at once. Patients book and track appointments, upload documents, check medical data, and manage contacts from a single screen.
The Result
Stack
The Challenge
Physician teams were handing off shifts through verbal updates and sticky notes, and patient intake crawled across disconnected systems. Critical context got lost between teams.
The Solution
Built in Flutter for iOS and Android, so physicians used whatever device was already in their pocket. The app captures patient registration, flags at-risk patients for the whole team, and closes every shift with a structured handoff summary the incoming team sees at login. Drug administration and patient transfers live in the same interface, so nobody is switching apps mid-shift.
The Result
Stack
The Challenge
A US healthcare startup needed one platform to connect patients, clinics, and insurers with transparent payments between them, while its aging apps and back-office were straining under live users and a hard deadline.
The Solution
A cross-functional team rebuilt the mobile apps from the ground up in React Native, overhauled the back end for performance, and put a blockchain ledger under the money so payment flows between patients, providers, and insurers stay auditable. Administrators got a role-based back-office covering four user types. A patient can browse doctors, book a visit, and manage insurance in one session.
The Result
Stack
The Challenge
Care teams were coordinating over tools that were never built to hold PHI, and the platform needed infrastructure that could grow without breaking compliance.
The Solution
We built oving the platform to a cloud deployment on AWS and Kubernetes gave it room to scale while meeting strict HIPAA requirements for medical data. We built a customized GitLab CI/CD pipeline across development, staging, and production, so shipping a release stopped eating developer days.
The Result
Stack
The Challenge
Mighty Immersion (now ManageXR) already had VR pain-management headsets live and trusted across pediatric wards. What they lacked was software to run a fleet scaling from a handful of units to fifty-plus. Clinical adoption was never the problem. Operations were.
The Solution
Firebase became the backbone, which cut out custom API and server overhead and let the team ship a working product fast. The result is a browser-based portal built for clinical coordinators rather than engineers: monitor every headset, push VR content to a single device or a whole ward, and onboard new hardware in minutes.
The Result
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DEVELOPMENT PROCESS
A predictable path from idea to go-live. We move fast, but compliance scoping happens first, because retrofitting HIPAA into a finished system is the most expensive mistake in this field.
We map workflows, EMR software requirements, integration points, and your compliance scope. You get a build plan and an honest number.
Data model, FHIR strategy, security architecture, and the integration design that makes building an EHR system survivable later.
Two-week sprints, working software you can see, and an EHR developer team that ships against the workflow, not a spec doc nobody reads.
Functional QA, penetration testing, and compliance checks before anything touches real PHI.
Configuration, data migration, staff readiness, and a go-live, our EHR implementation services team runs with you, not at you.
Monitoring, EMR software support, FHIR updates, and the enhancements that keep the system fitting the clinic as it changes.
We map workflows, EMR software requirements, integration points, and your compliance scope. You get a build plan and an honest number.
Data model, FHIR strategy, security architecture, and the integration design that makes building an EHR system survivable later.
Two-week sprints, working software you can see, and an EHR developer team that ships against the workflow, not a spec doc nobody reads.
Functional QA, penetration testing, and compliance checks before anything touches real PHI.
Configuration, data migration, staff readiness, and a go-live, our EHR implementation services team runs with you, not at you.
Monitoring, EMR software support, FHIR updates, and the enhancements that keep the system fitting the clinic as it changes.
Technologies
Hours
US business hours overlap with on-call escalation.
TESTIMONIALS
LITSLINK is recognized across leading industry platforms for delivering high-quality software solutions. See what clients and the design community say about our work.
The real question is not “which is better.” It is “which trade-off fits your situation.” Off-the-shelf EHR platforms like Epic and Cerner trade speed for control. Custom EHR development trades time for ownership. Here is how they compare on the factors that actually drive the decision.
AI IN EHR/EMR
We build AI in as a working capability with a real audit trail. None of the four below overlap with the clinical decision support already in your feature set, and our AI development team owns each one from model to production.
Run through this before you build or upgrade. It is the same checklist we walk in discovery, and it surfaces the gaps that cost money later: compliance, interoperability, security, usability, certification, and the data migration everyone underestimates.
COST & TIMELINES
EHR development cost comes down to four things: how many modules, how many integrations, how strict the compliance scope, and how the team is structured. Below is a practical breakdown by tier so you can size the project before you ever talk to us.
A focused build: one or two core modules, one integration, HIPAA basics.
$50,000 – $150,000
3-5 months
Best for: validating a digital health idea or shipping a single high-value workflow.
Get estimateMulti-module system, several integrations, full compliance scope, clinician-tested UX.
$150,000 – $500,000
8-14 months
Best for: clinics, groups, and digital health companies replacing a system that no longer fits.
Get estimateHealth-system scale: deep interoperability, HIE, advanced analytics, ONC certification path.
$500,000 – $2M +
14-18+ months
Best for: hospitals and platform vendors building for scale and certification.
Get estimateFAQ
We start with discovery: workflows, EMR software requirements, integrations, and compliance scope. From there, an EMR developer team designs the data model and FHIR strategy, builds in two-week sprints, tests against security and compliance before any real PHI is involved, and runs the go-live with you. The short version of how to create EMR software is that the order matters: compliance and workflow first, features second.
Building an EHR system from scratch follows the same path but goes deeper on architecture. Knowing how to create an electronic medical record system means getting the data model, interoperability, and audit foundations right before you add modules, so the system can grow without a rebuild. We usually start with an MVP that proves the core workflow, then layer in scheduling, billing, labs, and the rest.
It is when it is built that way. We design HIPAA and HITECH requirements into the architecture: encryption, role-based access, audit logging, and PHI handling are part of the build, not a final-week scramble.
Yes. Our EMR integration services cover Epic, Cerner, and Healthie, plus labs, pharmacies, imaging, and HIE networks, using HL7 FHIR and SMART on FHIR. EHR EMR integration services are one of the most common reasons clients come to us.
Yes. Our EHR/EMR software modernization services include data mapping, cleansing, and migration with integrity checks, plus a cutover plan that keeps you running through the switch.
We do. EMR software support covers monitoring, security patching, FHIR spec updates, and enhancements, with US business-hours coverage and on-call escalation.
An MVP runs 3–5 months. A full platform takes 8–14 months. We confirm the exact timeline after discovery.
If your workflow is standard and you need to be live now, off-the-shelf may fit. If workflow fit, data ownership, or differentiation matter, custom wins over the life of the system. Ask us for the free build-vs-buy assessment.
Tell us what you are building and what is in the way. You get a 30-minute call with someone who has shipped healthcare software, a straight read on scope and risk, and a real estimate.
Next steps
A LITSLINK specialist reviews your request and reaches out to discuss the details.
If needed, we can sign an NDA before moving forward.
We send a project proposal — estimates, timeline, and team CVs included.
After launch, we stay on for any updates your product needs.
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