EMR/EHR software development:
a comprehensive guide

EMR/EHR software development: a comprehensive guide

Why choose us

25+ years of software development experience in the healthcare industry

Expertise in integration with Epic, Cerner, Meditech and Allscripts platforms

Strict compliance with HIPAA, GDPR, OWASP, and other data security requirements

Familiarity with ONC-Authorized Testing and Certification Bodies (ONC-ATCB) and European Institute for Health Records (EuroRec) requirements

Reliance on DICOM standard, FHIR interoperability protocol, and other EHR/EMR-specific policies

Our services

Our EHR and EMR software developers help healthcare organizations choose the type of system, outline customization scope, implement the solution according to the company’s needs, and ensure EHR interoperability and security.

Our services

Our experts help healthcare providers choose between the EHR and EMR, decide on the functionality that meets their requirements, and assist with the healthcare system’s development, implementation, integration, or migration processes. We also conduct an audit of the current EHR or EMR solution and suggest upgrades to make it efficient, more productive, and compliant.

Our custom EHR software development allows providers to implement functionality and UX design relevant to their practice, integrate their system with selected modules and applications, and ensure the solution is scalable and user-friendly. Our development team works within your budget to deliver a custom EHR or EMR system that will benefit the organization the most.
We facilitate smooth and secure data flow between electronic health record systems and other software and devices already in use within the organization. Depending on your business requirements and IT infrastructure specifics, our team can help you determine the most fitting integration approach: API integrations, middleware, integration via RPA, unified access, and common data services (CDS).
Our team implements an out-of-the-box or custom EMR/EHR system by taking on all project planning activities, software customization, front-end and back-end development, change management, and installation activities. We adhere to the EHR implementation workflows that reduce the number and severity of common adoption challenges, make the process quicker and easier for healthcare professionals, and yield positive results for the healthcare organization faster. We collaborate closely with clinicians, providing ongoing support, maintenance, upgrades, and training services to ensure the effectiveness of your EHR system.

Looking for a reliable EMR/EHR software development company?

Turn to Itransition

Our success stories

Telemedicine-ready EHR


year of stability

Our team developed and tested a telemedicine-enabled EHR, integrated it with innovative voice recognition, smartpen, and clinical text analysis features, utilizing machine learning technology, and supplemented the software with a patient portal and a care provider portal. This solution helps to optimize filling out medical records, enhances doctor-patient remote communication, simplifies e-prescribing, and integrates flawlessly with medical services providers’ software while fully adhering to HIPAA compliance, ONC, CEHRT, and Section 508 regulations.

RPM & mHealth suite


faster case creation

Itransition released an iOS mobile app and a HIPAA-compliant web-based admin portal that securely stores PHI to enable remote patient monitoring and telehealth for sexual assault victims in rural and underserved areas in the US. The solution helps to optimize medical record filing, enhances doctor-patient remote communication, simplifies e-prescribing, and integrates flawlessly with medical services providers’ software while fully adhering to HIPAA compliance, ONC, CEHRT, and Section 508 regulations.

Our EHR developers equip EHR/EMR software with an intuitive user interface and core features that help medical organizations to deliver the best patient care while keeping documentation and procedures standardized and secure.

Patient management
  • Complete medical history and PHI storage
  • Vaccination tracker
  • Appointment scheduling and reminder capabilities
  • Point of access for patients
Clinical management
  • Customizable templates and e-forms for charting and record-keeping
  • Comprehensive dashboards with medical information
  • Task trackers and reminders
  • Practice management module
Analytics & reporting
  • Visual representation of identified symptomatic patterns
  • Possible health condition changes’ scenarios
  • Treatment effectiveness reporting
  • Analysis of other interdepartmental activities (e.g., number of referrals)
Financial management
  • Insurance information storage
  • Payer details specification
Care digitalization
  • Voice recognition
  • Chatbots and voice assistants
  • E-prescriptions
  • Integration with medical devices
  • Multi-factor authentication
  • Different levels of distributed access control
  • Data encryption
  • Secure data transfer channels and protocols

EHR systems for various healthcare specialties

At Itransition, we develop EHR systems according to the specifics of a particular healthcare organization. Our healthcare software developers create, tune, and integrate EHR solutions for:

EHR systems for various healthcare specialties

  • General and primary care medical practices
  • Cardiologists
  • Oncologists
  • Chiropractics
  • Geriatricians
  • Nutritionists
  • Obstetrics/Gynecologists (OBGYNs)
  • Pediatricians

Need expert EHR integration services?

We can help

Choosing your EHR type & deployment model

Determining the type of solution and its deployment model that fits your organization’s needs, resources, and budget beforehand will make the electronic patient records software selection process easier.

Cloud vs On-premise

Cloud-based EHR software is quicker to implement, comes at a lower upfront cost, and can be accessed outside of the facility. On the other hand, on-premise solutions do not require 24/7 internet connection, offer reliable patient information protection, and lower annual fees.

Custom EHR vs Off-the shelf vs Open-source

A plug-and-play commercial EHR is efficient for healthcare organizations that require a quick setup, don’t need a lot of customization, and can afford to pay an annual fee to use it. Open-source EHR software fits tech-savvy providers seeking a cheaper and more transparent solution. Custom EMR and EHR systems are the third option, which often requires higher initial investment but combines the best traits of off-the-shelf and open-source EHRs: the intuitive and eye-pleasing interface, high flexibility, and data usage transparency.

NoNoYesYesYesYesNoYesNoNoYesNoYesDoes your organizationalready use an EHR/EMR software?Will general out-of-the box solution's functionality be enough?Does it cover all your requirements?Can you afford paying a subscription fee to use an out-of-the box EHR?NoCan you afford building a custom EHR?Do you require extensive customizations?Would you like to upgrade it with additional modules?We can help you choose a plug-and-play commercial EHROur experts can help you build a customized and affordable open-source EHROur experts can build a uniquely tailored custom solution to fit your practiceOur integration team can help you get more value from your EHR with add-ons and fine-tuning

We integrate EHR/EMR with other internal and external digital solutions in your hospital to create a unified medical ecosystem, streamline routine operations, enhance the system’s usability, and facilitate health information exchange. Our proficiency in both backend and frontend development of various kinds of medical software places us among the top EHR/EMR integration companies.

Our approach to EHR software implementation

Our experts are well-versed in full-cycle EHR/EMR software development and patient data integration. They can deploy EMR/EHR software in on-premise, private, public, or hybrid cloud environments, ensuring system scalability and secure personal data management in any scenario.



Defining EMR/EHR requirements and technology stack



Mapping out the project and setting estimates

Creating a tailored EMR/EHR solution

Integrating hospital software or third-party tools

Performing all-round quality assurance



Integrating EMR/EHR system into the hospital ecosystem and performing data migration



Monitoring the system’s performance, solving operational issues, and updating software when necessary.

Our healthcare software tech stack

We continuously expand a collection of tools and technologies to cover our clients’ unique requests and create cost-effective healthcare solutions.

Programming languages & frameworks
Programming languages & frameworks
  • Backend:
  • ASP.NET Core
  • C#
  • Node.js
  • Ruby
  • Java
  • PHP
  • Frontend:
  • React
  • Angular
  • Docker
Cloud platforms
Cloud platforms
  • Azure
  • AWS (Amazon Web Services)
  • SQL Server
  • Postgres
  • MongoDB
  • Amazon DynamoDB
  • Azure Cosmos DB
  • Redis
  • SSIS (Microsoft SQL Server Integration Services)

EMR/EHR system FAQ

How long does electronic health records app development take?

The timeline for EHR/EMR development depends mainly on the functional complexity, the number of third-party integrations, and the volume of patient data that would have to be stored and processed. The entire healthcare software development process can take from 6 months to 3 years. To gauge the particular project’s length more accurately, it's best to discuss your unique case with a vendor.

How much does an EHR system cost?

The average cost of EHR implementation varies depending on the cost of the system itself (either out-of-the-box or custom development), and the price of the implementation provider’s services. Custom-made systems can cost between $50k and $500k, depending on the number of added features and integrations. Implementing an out-of-the-box solution will be cheaper upfront. However, healthcare providers should be cautious about hidden costs or potential price changes.

What are the most popular EHR platforms?

The most popular EHR/EMR platforms are Epic, Cerner, Allscripts, Practice Fusion, NextGen, Athenahealth, CareCloud, DrChrono, and Greenway.

What should we integrate with our EHR software to get the most comprehensive view of the patient?

EHR can become a point where all patient’s medical history is conveniently consolidated and easy to view and analyze for better clinical decision-making. So integrating the EHR system with healthcare CRMs, practice management software, lab systems, medical image storing and processing software, and other software solutions that collect and store patient data is a good idea: this way, all lab results, vitals readings, nurses' notes will be input into the system swiftly and accurately.
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EHR interoperability:
benefits, barriers and best practices


EHR interoperability: benefits, barriers and best practices

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Telemedicine-ready EHR

Case study

Telemedicine-ready EHR

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