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

Adherence to 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, FDA guides, 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 and suitable integrations or customizations, implement the solution according to the company’s needs and ensure EHR interoperability and security.

Our services

Our experts help healthcare providers choose between EHR and EMR software solutions, pick out the essential functionality to meet their requirements, and assist with the system’s implementation, integration, migration, or development processes. We also conduct an audit of the current EHR platform and suggest upgrades to make it more modern, 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 will prove that custom EHR and EMR systems don’t have to cost a fortune to bring expected benefits to healthcare providers.
We facilitate smooth and secure data flow between electronic health record systems and other software and devices. Depending on your business requirements and IT infrastructure specifics, our integration consulting 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 adheres to the EHR implementation workflows that reduce the number and severity of common adoption challenges, make the process quicker and easier for the personnel, and yield positive results for the healthcare organization faster. We collaborate closely with clinicians, providing ongoing support, maintenance, upgrade, and training services to ensure the successful implementation of the EHR system in your healthcare IT ecosystem.

Looking for a reliable EHR software development company?

Turn to Itransition

EHR software development success stories

Telemedicine-ready EHR


year of stability

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

RPM and mHealth suite


faster case creation

Itransition released a mobile app and a fully HIPAA-compliant web-based admin portal integrated with the EHR to enable remote patient monitoring and telehealth for sexual assault victims in rural and underserved areas in the US. The solution allows primary care medical professionals from rural areas to receive 24/7 expert assistance on proper evidence collection while ensuring a safe patient environment and fast case creation and management.

Key features of EMR/EHR software

Our EHR developers equip EHR/EMR software with 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 scheduler and reminder
  • 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 and reporting
  • Symptomatic pattern identification
  • Health condition forecasting
  • Treatment effectiveness assessment
  • Department productivity evaluation
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 back-end and front-end developers create, tune, and integrate EHR software for:

EHR systems for various healthcare specialties

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

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Choosing your EHR type and deployment model

Determining the type of solution and its deployment model that fits your organization’s needs, resources, and budget beforehand will make shopping for EHR software easier.

Cloud vs On-premise

Many providers swear by cloud-based EHR software, which is quicker to implement, comes at a lower upfront cost, and can be accessed outside of the facility. Others, meanwhile, prefer on-premise solutions because they 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. On the other hand, open-source EHR software fits tech-savvy providers seeking a cheaper and more transparent solution. Customly developed systems are the third option, which is more expensive, but combines the best traits of off-the-shelf and open-source EHRs.

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 perform EHR/EMR integration 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 eliminate any data exchange obstacles. Our expertise with 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 technologies necessary for full-cycle EHR/EMR software development and patient data integration. They can deploy EMR/EHR software in private, public, or hybrid cloud environments, ensuring system scalability and secure personal data management in any scenario.



Defining EMR/EHR requirements and tech 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 implementing upgrades.

Our healthcare software tech stack

We use a collection of modern tools and technologies that we continuously expand to cover our clients’ unique requests and create effective healthcare solutions.

Programming languages and frameworks
  • Backend:
  • ASP.NET Core
  • C#
  • Node.js
  • Ruby
  • Java
  • PHP
  • Frontend:
  • React
  • Angular
  • Docker
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?

How much does an EHR system cost?

What are the most popular EHR platforms?