What are the essential steps to build EHR software?

Typically, to build your own EHR system, you’ll go through these critical stages: Define your goals and clinical workflows. Map out compliance and data security requirements. Choose a tech stack and development approach. Design intuitive user interfaces. Develop core modules like patient charts, scheduling, and ePrescriptions. Integrate third-party systems (labs, pharmacies, billing). Test thoroughly for usability, performance, and security. Plan deployment, user training, and support.

What technologies are used in EHR development?

When you build EHR software or EMR systems, the tech stack usually includes: Frontend: React, Angular, or Vue for clinician-friendly interfaces Backend: Node.js, .NET, or Python with secure RESTful APIs Databases: PostgreSQL, MongoDB, or cloud-native options like AWS RDS Cloud Infrastructure: AWS, Azure, or GCP for HIPAA-compliant hosting Security: OAuth 2.0, TLS encryption, and audit logging Modern electronic health record software development is API-first, modular, and designed with scalability in mind.

What are the compliance requirements for EHR software?

Whether you’re learning how to create EHR software or how to build an EMR system, compliance must be a priority. You’ll need to align with: HIPAA (USA) GDPR (EU), if applicable ONC Certification (for Meaningful Use in the U.S.) HL7 and FHIR Standards SOC 2, ISO 27001, and other cybersecurity frameworks are often required, too. We recommend involving compliance experts early when you build your own EHR to avoid costly rework later.

How do I ensure EHR security during development?

Security must be embedded from day one. When you create EHR software, enforce best practices like: Role-based access control (RBAC) Data encryption in transit and at rest Secure authentication (MFA, OAuth 2.0) Regular vulnerability assessments and penetration testing Detailed audit logs Understanding how to build an EMR system securely is essential to earning patient trust and achieving regulatory compliance.

What team do I need to build EHR software?

To build your own EHR successfully, you’ll need: Healthcare Business Analyst – to translate clinical workflows UI/UX Designer – to ensure clinician-centric design Backend & Frontend Developers – for secure and scalable architecture QA Testers – to validate compliance and usability DevOps Engineer – for deployment and infrastructure Compliance Specialist – to oversee HIPAA and ONC alignment Building an electronic medical records system without the right team often leads to delays and user resistance.

What integrations should EHR software support?

When you build EHR software, ensure it integrates with: Labs (LIS systems) Pharmacies (e-prescription tools like Surescripts) Radiology systems (PACS) Billing & revenue cycle tools Practice management software Health Information Exchanges (HIEs) Seamless interoperability is key when you create EMR software that aims to reduce friction and improve care coordination.

How do I implement FHIR in my EHR system?

To implement FHIR while you build your own EMR, you need to: Design APIs that expose structured clinical data (FHIR resources). Follow FHIR implementation guides for patient, observation, and encounter data. Ensure authentication and security protocols are in place. FHIR is essential if you’re looking at how to build an EHR system that’s future-ready and interoperable with national data networks.

What are the common challenges in EHR development?

Some of the biggest challenges when you build EMR software include: Poorly defined clinical workflows Underestimating compliance requirements Lack of user adoption due to weak UX Integration failures with external systems Delays in data migration or ONC certification When planning how to build an EMR system, a clear roadmap, clinician involvement, and experienced EMR developers can help you avoid these pitfalls.

Build Your Own EHR Software - Get Free Consultation

125+ Clinics Built Their Own EHR

Why You Should Build Your Own Customizable EHR

Take full control of your data, workflows and features. Build your own EHR that fits your practice — not the other way around.

Practice-Specific Workflows

Design workflows that match your specialty, improving efficiency and delivering the core advantages of a fully customized EHR.

Faster Documentation

Streamline clinical documentation with customized templates and shortcuts designed to match your team’s exact workflow patterns.

Seamless Integrations

Connect your EHR with 30+ labs, billing, pharmacy, imaging and third-party apps through reliable, fully tailored system integrations.

Reliable & Scalable

Build your EHR software for the future with scalable and compliant software infrastructure.

25%

Faster Documentation

35%

Increased Efficiency

98%

Patient Retention Rate

60%

Fewer Billing Errors

40%

Saving on Development

Core Features Prioritized for Faster and Smarter EHR Development

A priority-driven EHR feature list to build your own EHR quickly, cost-efficiently, and precisely around your practice’s workflows.

Priority : 1

Core Functionality

Clinical Documentation

Streamline charting with intuitive templates, structured notes, and customizable workflows designed to reduce clicks and improve documentation accuracy.

E-Prescriptions

Enable faster, safer medication management with integrated e-prescribing, automated checks, and real-time pharmacy communication.

Interoperability & Data Exchange

Ensure seamless data flow with labs, pharmacies, payers, and other healthcare systems, using HL7, FHIR, CCD, and secure APIs for effortless exchange.

Priority : 2

Patient Engagement & Billing

Patient Portal

Improve engagement with secure patient access to appointments, records, messages, and lab results, fully customizable to your practice’s workflows.

Billing & Coding Integration

Automate claims, coding, and charge capture with integrated billing workflows that reduce errors and accelerate reimbursements.

Priority : 3

Security & Compliances

Role-Based Access & Security Control

Protect sensitive data with granular user permissions, audit logs, and HIPAA-aligned access controls tailored to your operational structure.

Core features of EHR software for healthcare practice management

125+ Clinics Build Their Own EHR with Thinkitive

Practice-Specific, Customizable EHR Success Stories

Hear from clients who built custom EHR systems tailored to their practice, administrative, and clinical workflows.

"Our intake process used to overwhelm both staff and patients, with forms everywhere, long wait times, and missing information. Thinkitive digitized everything, allowing new patients to be onboarded in minutes. It’s made a huge difference in patient comfort and first impressions."

Ali El-Kerdi

Chief Operating Officer, Sozen Health

Previous EHR: Practice Fusion

Paper-heavy intake Long patient wait times Frequent errors and missing data

$3,500

Monthly Savings

12+

Staff Hours Saved/Week

95%

Faster Patient Onboarding

40%

Patient Satisfaction

"We were buried under paperwork and manual data entry. Thinkitive automated our documentation and reporting, cutting hours of admin work each week. Our team can finally focus on patients instead of chasing forms."

Vanessa Hamalian

CEO & Co-Founder, Liberation EHR

Previous EHR: MediSoft

No patient self-service option Intake forms weren’t mobile-friendly No data-sync across departments

2,300

Monthly Savings

10+ Hours

Saved/Week

75%

Faster Documentation

30%

Patient Satisfaction

"Security was always a worry, especially with sensitive mental health notes. Thinkitive’s built-in compliance features give us peace of mind. Everything is encrypted, tracked, and audit-ready, so we can focus on care instead of worrying about breaches."

Joe Barton

Contractor, Event EHR

Previous EHR: CareTrack EMR

Outdated encryption methods No role-based access Security patches were irregular

1800

Monthly Savings

100%

HIPAA-Compliant

24/7

Real-Time Monitoring

Data Breaches

Calculate Your ROI for Building Your Own EHR Software

See how much time and money you can save with your own EHR. This EHR cost calculator is powered by real data from 500+ implementations.

4.8/5

Demo Rating

95%

Choose us after demo

4.8/5

Demo availability

Choose the Right Tech Stack for Your EHR Development

A strong tech stack for EHR forms the bedrock of your reliable, compliant and high-performing custom EHR system.

Frontend :

Recommended

React

Component-based UI
Virtual DOM

Flexible architecture
Rich ecosystem

State management
Mobile-ready

Angular

Modular structure
Two-way binding

Dependency injection
Built-in CLI

Routing support
Google-backed

Backend :

Python

Clean syntax
Rapid development

Backend APIs
FHIR support

Prototyping ease
Strong community

Recommended

Node.Js

Event-driven
Real-time support

API-first backend
Microservices-ready

NPM ecosystem
Lightweight runtime

Database :

MongoDB

Schema-less data
JSON storage

Horizontal scaling
Fast performance

Flexible models
Node-friendly

Recommended

PostgreSQL

ACID-compliant
Relational storage

JSON support
Fast querying

Audit logging
SQL extensions

Cloud :

Recommended

AWS

HIPAA-ready
Auto-scaling

Encrypted storage
Global infrastructure

Cloud-native tools
Monitoring built-in

Azure

Enterprise compliance
Azure AD integration

Scalable architecture
Microsoft-friendly

DevOps tools
AI services

Service & Auth:

SAML

Federated identity
Single sign-on

Role-based access
Hospital integration

Strong auth
Secure sessions

Recommended

OAuth 2.0

Token-based auth
Access delegation

API security
Granular permissions

Mobile-compatible
Multi-tenant support

Frontend :

Recommended

React

Component-based UI
Virtual DOM
Flexible architecture

Rich ecosystem
State management
Mobile-ready

Angular

Modular structure
Two-way binding
Dependency injection

Built-in CLI
Routing support
Google-backed

Backend :

Python

Clean syntax
Rapid development
Backend APIs

FHIR support
Prototyping ease
Strong community

Recommended

Node.Js

Event-driven
Real-time support
API-first backend

Microservices-ready
NPM ecosystem
Lightweight runtime

Database :

MongoDB

Schema-less data
JSON storage
Horizontal scaling

Fast performance
Flexible models
Node-friendly

Recommended

PostgreSQL

ACID-compliant
Relational storage
JSON support

Fast querying
Audit logging
SQL extensions

Cloud :

Recommended

AWS

HIPAA-ready
Auto-scaling
Encrypted storage

Global infrastructure
Cloud-native tools
Monitoring built-in

Azure

Enterprise compliance
Azure AD integration
Scalable architecture

Microsoft-friendly
DevOps tools
AI services

Service & Auth :

SAML

Federated identity
Single sign-on
Role-based access

Hospital integration
Strong auth
Secure sessions

Recommended

OAuth 2.0

Token-based auth
Access delegation
API security

Granular permissions
Mobile-compatible
Multi-tenant support

Build Your Own EHR System with Seamless Connectivity

Enable your EHR to seamlessly exchange data with other healthcare systems, delivering a connected and holistic care experience.

ePrescription & Labs

Billing & Payment

Communication

ePrescription & Labs Integration

Build your own EHR with the necessary integrations you need ... to send lab orders or prescriptions directly from your Electronic Health Records (EHR) systems. Improve your clinical efficiency and reduce the overall cost of care for both patients and providers.

Surescripts

SureScripts provides nationwide eRx integration, real-time medication history, ... and pharmacy connectivity. Integrating it into your custom EHR enhances interoperability, reduces prescribing errors, and accelerates medication workflows using secure, standards-based data exchange like HL7/FHIR.

Billing & Payment

Build your own EHR system and integrate with these billing ... payment, and point-of-sale integrations for safe, secure, and seamless healthcare transactions. Integrate with these systems to get a comprehensive real-life healthcare ecosystem.

Waystar

Waystar offers automated claims, eligibility checks, and payment processing. Integrating it into your EHR reduces denials, accelerates reimbursements, improves billing accuracy, and gives practices a unified workflow for cleaner claims and faster revenue cycles.

Communication

Build EHR software that aligns with your practice's specific ...workflows and facilitates real-time communication with patients via multiple mediums. Give your virtual care practice a comprehensive real-time healthcare ecosystem.

Sfax

Sfax enables secure, HIPAA-compliant faxing for clinical documents. Integrating Sfax into your EHR streamlines document exchange, reduces manual faxing, and ensures safer transmission of referrals, lab reports, and care summaries.

Meet All Required Healthcare Compliance Standards Through Custom EHR Development

Build your EHR on a solid foundation of HIPAA, ONC, and all necessary security standards for a secure, reliable system

HIPAA Compliance

ONC Certification

FHIR/HLT

Cures Act

Coding Standard

SOC 2 Type II

ISO 27001

FDA 510(k)

HIPAA Compliance

Protect patient health information by adhering to strict privacy and security safeguards

Fines & Penalties

Tier 1: Unaware of violation — $141 to $71,162 per violatio
Tier 2: Reasonable cause (not willful) — $1,424 to $71,162 per violation
Tier 3: Willful neglect, corrected — $14,232 to $71,162 per violation
Tier 4: Willful neglect, not corrected — $71,162 to $2,134,831 per violation
Annual Maximum: $1.5M (Per Violation Type)

Why It’s Required

Expands and strengthens HIPAA enforcement
Requires breach notification to patients and HHS
Promotes secure EHR adoption and meaningful use
Enables State Attorneys General to file HIPAA lawsuits
Boosts patient confidence in digital health systems

Process

Conduct EHR system audits for compliance gaps
Encrypt all stored and transmitted ePHI
Establish breach detection and reporting procedures
Train staff on HITECH-specific privacy/security updates
Maintain detailed documentation for audit readiness

Our HIPAA Compliance Partners

ONC Certification

Ensures that your EHR meets federal standards for safety, usability, and interoperability

Non-Compliance Risks

Using uncertified EHR systems - Ineligible for CMS. incentives (MIPS, Medicaid PI).
Certification non-compliance - Subject to CMS payment adjustments or scoring penalties
Vendor decertification - Removal from CHPL and reduced provider trust
Repeat violations or program exclusion - Long-term loss of eligibility and reputational harm

Why It’s Required

Required for participation in federal incentive programs (like Promoting Interoperability)
Demonstrates compliance with national standards for security and interoperability
Enhances trust among providers, payers, and patients
Enables seamless data exchange between providers and health systems
Protects your reputation by aligning with a federally approved certification

Process

Choose an EHR system certified under the ONC Health IT Certification Program
Ensure compliance with 2015 Edition Cures Update criteria (including FHIR APIs)
Verify support for clinical quality measures and interoperability standards
Implement Real World Testing and attestations as required
Partner with a vendor experienced in certified EMR development and maintenance

Our Partners

FHIR/HL7

The modern backbone of real-time, interoperable healthcare data exchange

Non-Adherence Risks

Poor compatibility with apps and systems
Integration breakdowns and data silos
Non-compliance with CMS/ONC rules
Regulatory attention and data blocking risks
No readiness for AI, remote care, or digital growth

Why It Is Required?

Required under CMS and ONC Interoperability mandates
Enables seamless data exchange between systems, payers, and patient-facing apps
Future-proofs your EHR system for upcoming regulations and digital health innovation
Enhances patient access to data via standardized APIs
Supports integration with 3rd-party tools, remote monitoring, and care coordination apps

Implementation Process

Adopt FHIR-based APIs as per the ONC 2015 Cures Update criteria
Map clinical and administrative data to FHIR resource models
Ensure secure authentication (e.g., SMART on FHIR, OAuth 2.0)
Test interoperability with external systems, apps, and payers
Monitor compliance with CMS and ONC guidelines around data exchange and access

Our FHIR-HL7 Compliance Partners

21st Century Cures Act

Empowers patients with data access and drives interoperability across systems

Fines & Penalties

Up to $1M per violation for EHR developers, HIEs, and HINs engaged in information blocking
Loss of CMS incentives for non-compliant providers
Zero score in the MIPS Promoting Interoperability category
Reduced Medicare payments to hospitals and CAHs
Exclusion from ACO participation for at least one year

Why It Matters?

Mandated by ONC and CMS for patient access to records
Drives transparency and patient-centered care
Requires seamless API access to health information
Enables compliance with FHIR and SMART on FHIR standards
Essential for future CMS reimbursement and program eligibility

Implementation Steps

Enable API-based access to EHR data as per the Cures Act Final Rule
Prevent information blocking through clear data-sharing policies
Adopt certified EHR technology that meets the ONC 2015 Cures Updatet
Train staff on permissible exceptions and patient data rights
Monitor compliance, patient access logs, and information requests

Medical Coding Standards

Standardizes clinical language to ensure accurate billing, reporting, and care

Non-Compliance Consequences

Claim denials or delays due to incorrect CPT/ICD codes
Revenue loss - reimbursement underpayments and recoupments
Audit exposure from CMS or payers triggered by miscoding
False Claims Act liability for upcoding, unbundling, or misrepresenting services
Exclusion from Medicare/Medicaid for persistent violations of NCCI or coding rules

Advantages

Ensures accurate medical billing and prevents claim denials
Supports timely reimbursements from insurers and CMS
Reduces risk of fraud investigations and legal exposure
Maintains payer trust and long-term contract eligibility
Enables compliance with national coding updates (e.g., CMS, AMA).

Process

Implement automated coding validation tools
Stay aligned with CMS and AMA coding updates
Regular internal audits and coding reviews
Train staff on evolving coding standards and edits (e.g., NCCI)
Integrate intelligent prompts into EHR for real-time support

Our Medical Coding Standards Adherence Partners

SOC 2 Type II Certification

Validates your system’s operational security, availability, and data integrity controls

SOC 2 Non-Certification Risks

Loss of business contracts due to security concerns
Reputational damage from failed audits or data breaches
Potential legal exposure in breach-related lawsuit
Operational disruptions due to system downtime
Reduced partner and payer confidence in your platform

Why It Matters?

Demonstrates commitment to data security & integrity
Builds trust with healthcare providers and partners
Ensures safe handling of PHI and ePHI in cloud environments
Strengthens resilience against breaches & system failures
Aligns with HIPAA and industry-recognized security standards

Process We Follow

Conduct annual third-party audits covering security, availability, processing integrity, confidentiality, and privacy.
Enforce access controls, encryption, and data backups.
Implement incident response plans and log monitoring.
Conduct regular staff training on security protocols.
Maintain detailed audit trails and evidence for compliance.

Our SOC 2 Type II Compliance Partners

ISO 27001

Demonstrates a globally recognized commitment to managing healthcare data risks

Non-Certification Risks

Contract losses due to a lack of recognized security standards
Increased breach risk from unstructured security practices
Reputational damage from non-conformity during client/vendor reviews
Regulatory scrutiny in case of security incidents
Loss of competitive edge in global or enterprise healthcare markets

Why Is It Required?

Provides a systematic approach to information security.
Strengthens risk management and threat mitigation.
Builds trust with healthcare clients and partners.
Ensures confidentiality, integrity, and availability of PHI.
Aligns with global data protection standards and HIPAA.

Certification Process

Develop and maintain an Information Security Management System (ISMS).
Perform regular risk assessments and internal audits.
Define and enforce access control and data encryption policies.
Conduct continuous monitoring and incident response simulations.
Maintain third-party ISO 27001 certification via accredited bodies.

Our ISO 27001 Certification Partners

FDA 510(k) Clearance

Proves your software is safe and effective for clinical use under FDA regulations

Risks of FDA 510 (k) Non-Clearance

Prohibited from legally marketing or distributing the product.
Risk of FDA enforcement actions, including seizure or injunction.
Civil or criminal penalties in case of unapproved software use.
Loss of provider confidence in uncertified clinical features.
Significant delays in product launches or go-to-market timelines.

Why Is It Required?

Required for Software as a Medical Device (SaMD) classification.
Enables legal market entry for clinical decision support tools.
Demonstrates safety, efficacy, and substantial equivalence.
Builds trust with providers and patients using regulated features.
Reduces legal and regulatory exposure in case of adverse outcomes.

Clearance Process

Determine if the software qualifies as a regulated medical device.
Conduct risk classification and predicate device comparison.
Prepare technical documentation and usability validation.
Submit a 510(k) premarket notification to the FDA.
Support post-market surveillance and updates after clearance.

Our FDA 510 (k) Compliance Partners

From Discovery to Deployment, Build Your Own EHR in 12-16 Weeks

Build your own EHR with expert EHR developers who follow a structured, end-to-end process tailored to your clinical and administrative workflows.

1. Discovery

1-2 weeks

2. UX Mapping

2-3 weeks

3. Agile Development

8-12 weeks

4. Integration

2-3 weeks

5. Compliance Testing

1-2 weeks

6. Go Live + Support

2-3 weeks

1. Discovery

1-2 Weeks

Start by understanding your practice’s unique workflows and requirements.

Stakeholder interviews and collaborative workshops
Audit of current systems and infrastructure
End-to-end workflow mapping and documentation
Success criteria definition based on clinical priorities

Key Deliverables

Feature Requirement Document
Stakeholder Analysis Report
Current State Assessment
Gap Analysis Report

Resource Allocation

2 Business Associates
5 Full-Stack Developers
2 UX Designers
1 QA Engineer

2. UX Mapping

2-3 Weeks

Collaborate to transform insights into intuitive, role-based, and user-friendly EHR workflows and interfaces.

Wireframing key user journeys (charting, scheduling, documentation)
Prototyping clinical and admin modules
Designing specialty-specific dashboards and navigation
Conducting feedback loops with end users

Key Deliverables

Workflow-Based Wireframes
Clickable Prototype
UI Style Guide & Component Library
User Feedback Summary

Resource Allocation

2 UX Designers
1 UI Designer
2 Business Associates
1 Technical Architect

3. Agile Development

8-12 Weeks

Build custom, secure, and precise EHR modules based on your requirements.

Backend and frontend module development
Role-based access control and user management
Specialty-specific templates (e.g., SOAP, PHQ-9, HPI)
Automated coding, alerts, and decision logic
Sprint-based testing and QA cycles

Key Deliverables

Fully Developed Frontend & Backend Modules
Clinical Templates & Configurations
Access Control Setup
Unit & Integration Test Reports

Resource Allocation

5 Full-Stack Developers
2 QA Engineers
1 DevOps Engineer
1 Project Manager

4. Integration

2-3 Weeks

Integrate your EHR with labs, pharmacies, and billing platforms.

Integration with labs (e.g., LabCorp, Quest)
eRx and pharmacy integration via SureScripts
Clearinghouse or RCM platform connectivity
HL7/FHIR interface development
Integration testing with real data

Key Deliverables

Integrated API Endpoints
Lab & Pharmacy Connectivity Setup
Interface Engine Configuration
Integration Test Reports

Resource Allocation

2 Integration Specialists
2 Backend Developers
1 QA Engineer
1 Project Manager

5. Compliance Testing

1-2 Weeks

Ensuring your EHR meets all regulatory and data protection standards, including HIPAA.

HIPAA security and privacy compliance review
Role-based access and audit trail validation
ONC-Certification alignment (if required)
Risk assessments and documentation
Encryption and secure data handling protocols

Key Deliverables

Compliance Checklist & Audit Report
Risk Assessment Summary
Data Protection Policy Documentation
Role-Based Access Validation Report

Resource Allocation

1 Compliance Officer
1 Security Specialist
1 QA Engineer
1 Technical Lead

6. Go Live + Support

2-3 Weeks

Continuous support for a seamless EHR rollout, from provider training to data migration.

Final UAT (User Acceptance Testing)
Staff training and onboarding
Legacy data migration
Production deployment and monitoring
Post-go-live bug fixes and enhancements

Key Deliverables

Production-Ready EHR System
Training Materials & Sessions
Go-Live Checklist & Rollout Plan
SLA-Based Support Plan

Resource Allocation

2 Support Engineers
1 Project Manager
1 QA Lead
1 Training Specialist

Case Study - Building a Practice-Specific Customizable EHR

Real examples of how we’ve built secure, compliant, and scalable custom EHR systems for practices with unique workflow needs.

Psychiatric Healthcare: Streamlined Approach to Care vector image

The client seeking services has amassed more than 15 years of expertise in the field of psychiatry

Development 14 Weeks

ROI Achieved 5 Months

Streamlined Operations
Enhanced Compliance & Security
Boosted Efficiency & Productivity

Psychiatric Care: Smart EHR for Faster Psychiatric Assessments vector image

The client is a renowned psychiatric healthcare institution based in the United States

Development 14 Weeks

ROI Achieved 5 Months

Simplified Workflows
Evidence-Based Assessments
Smarter Treatment Decisions

Streamlining Psychiatric Billing Processes with Customized EMR vector image

Our client, a well-known psychiatric healthcare clinic operating across the US

Development 14 Weeks

ROI Achieved 5 Months

Automated Billing Submission
Improved Billing Cycle
Enhaced Billing Accuracy

Seamless RCM: Clearinghouse-EMR Integration for Orthopedics vector image

Comprehensive treatment planning with automated follow-up scheduling and outcome tracking

Development 14 Weeks

ROI Achieved 5 Months

Lesser Claim Denials
Improved Billing Accuracy
Streamline Claim Processing

Transforming Orthopedic Care with EMR-Integrated Imaging vector image

Comprehensive treatment planning with automated follow-up scheduling and outcome tracking

Development 14 Weeks

ROI Achieved 5 Months

Lower Imaging Costs
Secure Image Management
Better Research & Patient Education

Orthopedic EMR & Outcome Tracking: Improving Patient Results vector image

Comprehensive treatment planning with automated follow-up scheduling and outcome tracking

Development 14 Weeks

ROI Achieved 5 Months

Smarter Care Planning
Seamless Provider Adoption
Stronger Patient-Provider Connection

From Primary Care to Cardiology — Build Your Own EHR Designed for Your Specialty

Align your custom EHR with your specialty workflows, documentation style, and clinical requirements through EHR software development.

Our Specialities

Primary Health

Build a Primary Care EHR that fits your workflows, documentation style, and patient flow.

Primary Healthcare EMR Development Projects Successfully Delivered

SaaS EHR Problems

Rigid templates that slow routine visits
Too many irrelevant specialty modules
Poor chronic care management support
Limited medication and allergy workflows
Overly complex preventive care charting

Custom EHR Solutions

Custom templates for faster routine visits
Only features your practice actually needs
Built-in chronic care workflows
Personalized medication and allergy management
Streamlined preventive care and screenings

Ready to Build Your Own Primary Care EHR System?

Get the complete Primary Care EHR workflow, templates, and features designed specifically for your practice.

Urgent Care

Create an Urgent Care EHR that supports fast triage, walk-ins, and rapid clinical workflows.

Urgent Care EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Slow triage templates delay patient flow
Rigid visit types for walk-ins
Poor support for point-of-care tests
Limited occupational health documentation
Inefficient injury and procedure charting

Custom EHR Solutions

Fast, customizable triage templates
Flexible workflows for walk-ins
Integrated point-of-care test workflows
Custom occupational health documentation
Streamlined injury and procedure charting

Ready to Build Your Own Urgent Care EHR System?

Access Urgent Care workflows built for high-volume, fast-paced clinical environments.

Psychology

Build a Psychology EHR that supports assessments, progress notes, and therapy-specific workflows.

Mental Health EMR Development Projects Successfully Delivered

SaaS EHR Problems

Generic templates not suited for therapy
Limited behavioral health assessment tools
Missing progress note customization options
No integrated treatment plan workflows
Poor support for multi-session tracking

Custom EHR Solutions

Therapy-specific templates for any modality
Custom behavioral health assessment forms
Personalized progress notes and session layouts
Built-in treatment planning workflows
Automated follow-up and multi-session tracking

Ready to Build Your Own Mental Health EHR System?

Get Psychology-specific EHR workflows, templates, and assessments designed around your practice.

Wound Care

Build a Wound Care EHR that supports assessments, imaging, and specialized treatment workflows.

10+

Wound Care EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

No detailed wound assessment templates
Poor wound imaging documentation tools
Limited tracking for healing progress
Missing custom treatment protocol workflows
Inadequate support for chronic wound cases

Custom EHR Solutions

Detailed customizable wound assessments
Integrated wound imaging and annotation
Automated healing progress tracking
Custom treatment protocol workflows
Support for chronic and complex wounds

Ready to Build Your Own Wound Care EHR System?

Get Wound Care–specific EHR templates, imaging workflows, and treatment tools designed for your specialty.

Physical Therapy

Build a Physical Therapy EHR that supports evaluations, treatment plans, and progress tracking.

15+

Physical Therapy EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Limited therapy evaluation templates
Poor exercise plan documentation tools
No built-in progress tracking workflows
Restrictive treatment plan customization
Weak support for outcome measurement tools

Custom EHR Solutions

Customizable PT evaluation templates
Integrated exercise and regimen documentation
Automated patient progress tracking
Personalized treatment plan workflows
Built-in outcome measurement tools

Ready to Build Your Own Physical Therapy EHR System?

Get Physical Therapy–specific EHR workflows, evaluations, and treatment planning tools built for your practice.

Ophthalmology

Create an Ophthalmology EHR that supports exams, imaging, diagnostics, and procedure workflows

12+

Ophthalmology EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Limited eye exam documentation tools
No integrated ophthalmic imaging workflows
Poor support for diagnostic device data
Rigid templates for vision assessments
Inefficient procedure and surgery charting

Custom EHR Solutions

Custom eye exam documentation templates
Integrated ophthalmic imaging workflows
Device data import and mapping
Flexible templates for vision assessments
Streamlined procedure and surgery charting

Ready to Build Your Own Ophthalmology EHR System?

Access Ophthalmology-specific EHR templates, imaging workflows, and exam documentation built for your practice.

Orthopedics

Build an Orthopedics EHR that supports imaging, procedures, MSK exams, and injury documentation.

18+

Orthopedics EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Limited MSK exam documentation options
Poor imaging and PACS integrations
No customizable injury templates
Inefficient procedure and surgery charting
Weak support for pre/post-operative workflows

Custom EHR Solutions

Custom MSK exam documentation templates
Integrated imaging and PACS workflows
Personalized injury-specific templates
Streamlined procedure and surgery workflows
Built-in pre/post-operative processes

Ready to Build Your Own Orthopedics EHR System?

Get Orthopedics-specific EHR workflows, templates, and imaging integrations tailored to your practice.

Internal Medicine

Build an Internal Medicine EHR that supports chronic care, diagnostics, and multi-condition management.

20+

Internal Medicine EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Poor chronic disease management tools
Limited multi-condition documentation flexibility
No integrated diagnostic data workflows
Overloaded templates with irrelevant fields
Inefficient medication and history tracking

Custom EHR Solutions

Built-in chronic care workflows
Flexible multi-condition documentation
Integrated diagnostics and lab data
Clean templates without unnecessary fields
Streamlined medication and history tracking

Ready to Build Your Own Internal Medicine EHR System?

Access Internal Medicine–specific workflows, templates, and chronic care tools built for your practice.

Chiropractice

Build a Chiropractic EHR that supports adjustments, SOAP notes, and musculoskeletal assessments.

10+

Custom Chiropractic EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Rigid SOAP note templates
Limited adjustment documentation tools
No integrated MSK assessment workflows
Poor support for treatment plans
Inefficient progress tracking features

Custom EHR Solutions

Customizable SOAP note templates
Detailed adjustment documentation options
Integrated MSK assessment workflows
Flexible treatment plan creation
Automated patient progress tracking

Ready to Build Your Own Chiropractic EHR System?

Get Chiropractic-specific EHR templates, SOAP notes, and treatment workflows tailored to your practice.

Dermatology

Create a Dermatology EHR that supports imaging, lesion tracking, and procedure workflows.

12+

Custom Dermatology EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Limited skin lesion documentation tools
No integrated derm image workflows
Poor support for cosmetic procedures
Rigid templates for follow-up visits
Inefficient biopsy and pathology charting

Custom EHR Solutions

Detailed skin lesion documentation
Integrated dermatology imaging workflows
Custom cosmetic procedure templates
Flexible follow-up visit templates
Streamlined biopsy and pathology workflows

Ready to Build Your Own Dermatology EHR System?

Access Dermatology-specific EHR templates, imaging workflows, and lesion tracking tools built for your specialty.

Pediatrics

Build a Pediatrics EHR that supports growth tracking, immunizations, and age-specific care workflows.

15+

Custom Pediatric EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Missing age-specific documentation templates
Limited growth chart tracking features
Poor immunization record management
No pediatric-focused screening tools
Inefficient parent/guardian communication workflows

Custom EHR Solutions

Custom age-specific documentation templates
Integrated growth chart tracking
Automated immunization management
Built-in pediatric screening tools
Streamlined parent/guardian communication

Ready to Build Your Own Pediatric EHR System?

Get Pediatrics-specific EHR templates, growth tracking tools, and immunization workflows designed for your specialty.

Gastroenterology

Create a Gastroenterology EHR that supports endoscopy documentation, GI workflows, and diagnostic reporting.

10+

Custom Gastroenterology EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Limited endoscopy documentation tools
Poor integration with GI diagnostics
No customizable procedure templates
Inefficient reporting for chronic GI cases
Rigid workflows for follow-up visits

Custom EHR Solutions

Detailed endoscopy documentation templates
Integrated GI diagnostic data workflows
Customizable procedure documentation
Streamlined chronic GI case reporting
Flexible follow-up visit templates

Ready to Build Your Own Gastroenterology EHR System?

Access Gastroenterology-specific EHR tools, workflows, and diagnostic reporting built around your specialty.

Oncology

Build an Oncology EHR that supports complex treatments, staging, diagnostics, and longitudinal care.

Custom Oncology EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Poor cancer staging documentation tools
Limited chemotherapy regimen workflows
No integrated oncology diagnostics
Rigid templates for multi-visit care
Weak tracking for tumor progression

Custom EHR Solutions

Detailed cancer staging documentation
Custom chemotherapy regimen workflows
Integrated oncology diagnostic data
Flexible multi-visit care templates
Automated tumor progression tracking

Ready to Build Your Own Oncology EHR System?

Get Oncology-specific EHR templates, staging tools, and treatment workflows built for your practice.

Cardiology

Build a Cardiology EHR that supports diagnostics, imaging, chronic care, and cardiac-specific workflows.

12+

Custom Cardic EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Limited cardiac diagnostic documentation
No integrated ECG/ECHO workflows
Rigid templates for chronic cardiac care
Poor support for device data imports
Inefficient hypertension and lipid tracking

Custom EHR Solutions

Detailed cardiac diagnostic templates
Integrated ECG/ECHO documentation workflows
Flexible chronic cardiac care templates
Device data mapping and imports
Automated hypertension and lipid tracking

Ready to Build Your Own Cardic EHR System?

Access Cardiology-specific EHR tools, diagnostic workflows, and chronic care templates tailored to your specialty.

Neurology

Create a Neurology EHR that supports exams, imaging, diagnostics, and long-term condition management.

Custom Neurology EHR Software Development Projects Successfully Delivered

SaaS EHR Problems

Limited neurological exam documentation tools
Poor seizure and symptom tracking
No integrated neuroimaging workflows
Rigid chronic condition templates
Inefficient EMG/EEG data management

Custom EHR Solutions

Detailed neurological exam templates
Automated seizure and symptom tracking
Integrated neuroimaging documentation workflows
Flexible chronic condition templates
Streamlined EMG/EEG data workflows

Ready to Build Your Own Neurology-Specific EHR System?

Get Neurology-specific EHR templates, exam tools, and diagnostic workflows built for your specialty.

Why Thinkitive is the #1 Choice to Build Your Own EHR

10+ years exclusively in healthcare technology with 500+ successful custom EHR development projects.

Tailored to Your Needs

Thinkitive’s first step to developing ... customizable EHR software is to understand your unique needs and requirements. Based on that, our development team develops a customized software solution to meet your requirements and solve your problems.

Ready-to-Use Components

With our ready-to-use technology ...components like video conferencing, appointment scheduling, and SOAP notes, fasten your custom EHR Software development process.

Third-Party Integration

Integrate your EHR software system with ... multiple third-party systems like Telemedicine, RPM Devices, Labs, Radiology, etc., to build a complete virtual healthcare ecosystem.

Affordable Telemedicine Solutions

With our ready-to-use base EHR ...software framework, we present you with an affordable custom EHR software solution that is specially curated for your healthcare practice.

In-Depth Domain Expertise

We have in-depth knowledge ...of HIPAA-compliant telemedicine software application development that provides flexible, scalable, and robust solutions.

Timely Delivery

We have curated an EHR ...system development process that covers all the aspects of your healthcare practice’s unique needs and requirements with transparency for on-time delivery.

Frequently Asked Questions

Still have Questions ?

You can also reach out to us at

hello@thinkitive.com

+1 (405) 638-3126

FAQ’s

Typically, to build your own EHR system, you’ll go through these critical stages:

Define your goals and clinical workflows.
Map out compliance and data security requirements.
Choose a tech stack and development approach.
Design intuitive user interfaces.
Develop core modules like patient charts, scheduling, and ePrescriptions.
Integrate third-party systems (labs, pharmacies, billing).
Test thoroughly for usability, performance, and security.
Plan deployment, user training, and support.

When you build EHR software or EMR systems, the tech stack usually includes:

Frontend: React, Angular, or Vue for clinician-friendly interfaces
Backend: Node.js, .NET, or Python with secure RESTful APIs
Databases: PostgreSQL, MongoDB, or cloud-native options like AWS RDS
Cloud Infrastructure: AWS, Azure, or GCP for HIPAA-compliant hosting
Security: OAuth 2.0, TLS encryption, and audit logging

Modern electronic health record software development is API-first, modular, and designed with scalability in mind.

Whether you’re learning how to create EHR software or how to build an EMR system, compliance must be a priority. You’ll need to align with:

HIPAA (USA)
GDPR (EU), if applicable
ONC Certification (for Meaningful Use in the U.S.)
HL7 and FHIR Standards
SOC 2, ISO 27001, and other cybersecurity frameworks are often required, too.

We recommend involving compliance experts early when you build your own EHR to avoid costly rework later.

It depends on your goals and resources. If you have a seasoned healthcare IT team, in-house development might work. But for most organizations, outsourcing to a specialized partner in EHR software development ensures faster delivery, compliance assurance, and reduced risk. When you build your own EMR, experienced vendors bring proven processes, which is hard to replicate internally.

Security must be embedded from day one. When you create EHR software, enforce best practices like:

Role-based access control (RBAC)
Data encryption in transit and at rest
Secure authentication (MFA, OAuth 2.0)
Regular vulnerability assessments and penetration testing
Detailed audit logs

Understanding how to build an EMR system securely is essential to earning patient trust and achieving regulatory compliance.

To build your own EHR successfully, you’ll need:

Healthcare Business Analyst – to translate clinical workflows
UI/UX Designer – to ensure clinician-centric design
Backend & Frontend Developers – for secure and scalable architectur
QA Testers – to validate compliance and usability
DevOps Engineer – for deployment and infrastructure
Compliance Specialist – to oversee HIPAA and ONC alignment

Building an electronic medical records system without the right team often leads to delays and user resistance.

Building custom EHR software from the ground up can range between $100,000 and $500,000+, depending on feature complexity, integrations, and compliance scope. When you build your own EHR system, it’s crucial to budget not just for development, but also for long-term maintenance, support, and certification.

When you build EHR software, ensure it integrates with:

Labs (LIS systems)
Pharmacies (e-prescription tools like Surescripts)
Radiology systems (PACS)
Billing & revenue cycle tools
Practice management software
Health Information Exchanges (HIEs)

Seamless interoperability is key when you create EMR software that aims to reduce friction and improve care coordination.

To implement FHIR while you build your own EMR, you need to:

Design APIs that expose structured clinical data (FHIR resources).
Follow FHIR implementation guides for patient, observation, and encounter data.
Ensure authentication and security protocols are in place.

FHIR is essential if you’re looking at how to build an EHR system that’s future-ready and interoperable with national data networks.

Start by auditing your current data formats and volumes. When you build your own EHR software, define clear mapping rules, handle legacy inconsistencies, and run test migrations before going live. Ensure that protected health information (PHI) is securely transferred and verified. A solid migration plan is as important as knowing how to create EMR software that works well from day one.

Some of the biggest challenges when you build EMR software include:

Poorly defined clinical workflows
Underestimating compliance requirements
Lack of user adoption due to weak UX
Integration failures with external systems
Delays in data migration or ONC certification

When planning how to build an EMR system, a clear roadmap, clinician involvement, and experienced EMR developers can help you avoid these pitfalls.

ONC certification for a new EHR system typically takes 3 to 6 months, depending on your readiness. If you’re exploring how to build EHR software for commercial or clinical use in the U.S., plan for rigorous validation, documentation, and updates based on testing feedback. Certification is a vital step if your custom EHR is intended for Meaningful Use or CMS programs.