EHR / EMR Development
Custom electronic health and medical record systems that digitize patient data, streamline clinical workflows, and give care teams a single source of truth built to your specialty, workflow, and compliance requirements.
Years of Experience
Experts in Our Team
Happy Customers Worldwide
Projects Delivered Successfully
4.9/5 ratings
5/5 ratings
Solvios is a healthcare software development company building custom EHR and EMR systems, telemedicine platforms, patient engagement applications, remote patient monitoring tools, medical billing software, and AI-integrated clinical decision support for hospitals, health systems, digital health startups, and healthcare operators. We work across the full healthcare technology stack web, mobile, cloud, and AI with HIPAA compliance, HL7 FHIR integration, and clinical workflow understanding built into every engagement from day one.
Custom electronic health and medical record systems that digitize patient data, streamline clinical workflows, and give care teams a single source of truth built to your specialty, workflow, and compliance requirements.
End-to-end telehealth platforms for video consultations, asynchronous messaging, remote prescribing, and patient scheduling built for the compliance posture and clinical workflow requirements that generic video tools ignore.
Patient portal applications, appointment management systems, health education tools, and care plan tracking designed to reduce no-shows, improve adherence, and keep patients connected to their care team between visits.
IoT-connected monitoring platforms that capture wearable and device data, surface clinical alerts for care teams, and enable proactive intervention before a condition escalates to an emergency visit.
Revenue cycle management and medical billing platforms that automate claims processing, reduce denials, verify insurance eligibility in real time, and give billing teams visibility into the entire revenue lifecycle.

Healthcare software projects fail at a higher rate than almost any other category not because the technology is inherently harder, but because most development teams underestimate the compliance requirements, misread the clinical workflow, and treat HIPAA as a checkbox rather than an architecture constraint. We have spent 13 years building in this category. Here is what we actually see when we start a healthcare software engagement.
Most development teams build the product first and try to make it HIPAA-compliant later. That never works cleanly. HIPAA compliance is an architecture decision that affects how PHI flows through the system, where it is stored, how it is encrypted, who can access it, and what the audit trail looks like. Retrofitting compliance into a system that was not designed for it is expensive, time-consuming, and often results in residual risk that survives into production.
HL7 FHIR, HL7 v2, and legacy EHR API integrations are the most common point of failure in healthcare software projects. Epic, Cerner, Athenahealth, and Allscripts all have their own integration quirks, version dependencies, and certification requirements. Development teams that have not done this before spend months discovering problems that experienced healthcare engineers catch in the first week of discovery.
Healthcare software built by people who have never spent time in a clinical environment reflects it. Workflows that make sense on a whiteboard don't survive contact with how physicians actually document, how nurses actually hand off, or how administrators actually schedule. The result is software that clinical staff route around not because it is technically broken but because it does not fit how care is actually delivered.
The average hospital runs 16 or more separate software systems. Patient data is fragmented across the EHR, billing platform, lab system, pharmacy system, scheduling tool, and patient portal none of which talk to each other reliably. Care decisions get made with incomplete information because the data exists but is not accessible at the point of care. Every integration project that should take six weeks takes six months because no one mapped the data model before the build started.
HIPAA, the 21st Century Cures Act, CMS interoperability rules, and state-level health data privacy regulations are not static. Healthcare software that was compliant at launch drifts out of compliance as regulations evolve and the software does not keep up. Most healthcare organizations do not discover the drift until an audit, a breach, or a patient complaint surfaces the gap. The compliance posture needs to be maintained continuously, not certified once.
Every healthcare software engagement starts with the clinical workflow, the compliance obligations, and the integration landscape not with a feature list. The software is built to fit how care is delivered in your organization, not around a generic healthcare product template.
Healthcare is not one buyer type. The software a hospital system needs looks different from what a specialty practice needs, which looks different from what a digital health startup is building. We have worked across all of them. Here is what we build for each.

We will map your compliance requirements, identify the EHR integration dependencies, and give you an honest architecture path before any code is written. Response within 24 hours.

These are not aspirational features they are the capabilities that healthcare software requires to function in a real clinical environment, pass a compliance audit, and maintain the trust of the patients and clinicians who depend on it.
PHI encryption at rest and in transit, minimum necessary access enforcement, role-based access controls, automatic session timeouts, and business associate agreement support built into the data architecture, not reviewed at the end of the project.
Bidirectional data exchange with major EHR systems via HL7 FHIR R4, HL7 v2, and vendor-specific APIs with the data mapping, normalization, version management, and error handling that keeps clinical integrations stable and current.
Immutable audit logs on every PHI access, modification, and transmission event structured for HIPAA audit response, breach investigation, and the evidence collection requirements of healthcare compliance reviews.
Structured and unstructured clinical documentation, specialty-specific note templates, voice-to-text integration, and AI-assisted documentation generation designed to reduce documentation burden without compromising documentation quality.
Multi-factor authentication, SMART on FHIR for patient and clinician app authorization, patient identity verification, and the access control architecture that satisfies both HIPAA minimum necessary requirements and clinical workflow needs.
HIPAA-compliant video sessions, waiting room management, session recording with consent management, and bandwidth-adaptive video quality built on infrastructure that meets the availability requirements of clinical care delivery.
CPT and ICD-10 coding validation, clearinghouse integration for electronic claims submission, real-time eligibility verification, denial tracking, and revenue cycle reporting connected to the clinical workflow so billing data flows from documentation rather than being re-entered manually.
Patient data portability via FHIR-compliant APIs, care summary generation for transitions of care, referral management with structured data transfer, and the interoperability infrastructure required by the 21st Century Cures Act information blocking rules.
AI in healthcare software is not about adding a symptom checker to a patient portal. It is about building systems where machine learning and clinical AI reduce the cognitive burden on clinicians, surface the patients who need intervention before the intervention becomes urgent, and automate the administrative work that consumes hours every day without adding clinical value. Every platform we build is architected with AI integration in mind from day one because retrofitting AI into a healthcare system that was not designed for it is harder in healthcare than in almost any other category.

Ambient documentation tools that listen to the patient-clinician encounter, extract clinically relevant information, and generate structured notes in the format required for the specialty and EHR system. Clinicians review and sign rather than write. Documentation burden drops. Time with patients increases. This is the highest-value AI application in clinical settings and the one with the most direct impact on clinician burnout.
Highlights:

Ambient documentation tools that listen to the patient-clinician encounter, extract clinically relevant information, and generate structured notes in the format required for the specialty and EHR system. Clinicians review and sign rather than write. Documentation burden drops. Time with patients increases. This is the highest-value AI application in clinical settings and the one with the most direct impact on clinician burnout.
Highlights:
Most healthcare software projects fail in the discovery phase not because the technology is wrong but because the compliance requirements were underestimated, the clinical workflow was misread, or the EHR integration complexity was not surfaced until the build was already underway. Our healthcare software development services follow a structured, compliance-first delivery methodology designed to surface those problems at the start, when they are cheap to fix.
Here's exactly how it works.
We map your clinical workflows, compliance obligations, EHR integration requirements, PHI data flows, and user roles to clinicians, patients, administrators, and billing staff. Output is a detailed project scope that includes a HIPAA compliance architecture, integration plan, and risk register before development begins.
HIPAA-compliant technical architecture finalized with the clinical workflow, PHI storage requirements, and integration dependencies accounted for. UI/UX wireframes and mockups designed for the actual clinical users reviewed with clinical staff where possible before development starts, because healthcare UI feedback at design stage is far cheaper than feedback at UAT.
Two-week sprints with working software delivered at the end of each cycle. HIPAA compliance controls, EHR integration, and authentication architecture are addressed in the first two sprints not deferred to the end where there is no time to get them right.
Dedicated QA on every module alongside HIPAA compliance validation, EHR integration testing, clinical workflow testing with real or realistic patient data, and security penetration testing before go-live. In healthcare software, data integrity testing is not optional; a medication allergy that does not transfer correctly in an EHR integration is a patient safety issue.
Staged rollout to production with clinical staff training, BAA execution, final compliance documentation, data migration from legacy systems, and post-launch monitoring. Healthcare go-lives require more coordination than standard software deployments; clinical operations cannot stop while the cutover happens.
Post-launch monitoring, compliance maintenance as regulations evolve, EHR integration updates as vendor APIs change, and feature development. Most healthcare clients maintain a support retainer regulatory change alone requires ongoing development attention.
Healthcare software projects range from targeted point solutions to multi-year enterprise platform builds. The right engagement model depends on your scope, your compliance timeline, your clinical workflow complexity, and how well-defined the requirements are before the engagement starts.
You are building a multi-quarter healthcare platform, an EHR, a telemedicine system, an RPM platform scaling a digital health product into new clinical settings, or augmenting your in-house team with healthcare software expertise without the cost and lead time of full-time hires.
Hand-picked engineers with healthcare software experience, a QA specialist, and a technical lead working exclusively on your platform. Sprint planning and clinical demos run on your calendar. HIPAA compliance architecture, EHR integration, and AI clinical modules are all handled in-house.
Monthly retainer. No surprise invoices, no scope-creep billing. Team composition flexes as your healthcare roadmap evolves.
3-10 engineers
6-month minimum
Scales with 30-day notice
Building healthcare software requires a different kind of development team, one that understands compliance architecture, knows the difference between FHIR R4 and HL7 v2, has spent time understanding how clinical documentation actually works, and does not treat HIPAA as a checkbox. Here is what makes the difference in practice.
HIPAA Compliance Is Architecture, Not a Checklist
We treat compliance as an architectural constraint from day one not a feature to be added before launch. PHI data flows, minimum necessary access, encryption architecture, audit logging, and BAA management are all addressed in the first sprint. Healthcare organizations that have worked with generalist development shops that treated compliance as an afterthought know exactly what that approach costs.
EHR Integration Experience Across Major Systems
HL7 FHIR R4, HL7 v2, Epic, Cerner, Athenahealth, and Allscripts have done real EHR integrations. We know where the API documentation does not match the actual behavior, where the certification requirements add weeks to a timeline, and where the data normalization work lives that never shows up in the initial scope. That experience saves time and money on every healthcare engagement we run.
Clinical Workflow Understanding
Healthcare software that clinical staff route around is the most common failure mode in this category. We invest in understanding clinical workflows before we design because the difference between software that gets adopted and software that gets ignored is almost always in the workflow assumptions, not the technology choices.
AI-Integrated from Day One
Every healthcare platform we build is architected for AI capability from the first sprint because the clinical AI features that health systems want most (ambient documentation, predictive risk stratification, clinical decision support) depend on a data architecture designed to support them. Adding AI to a healthcare system that was not designed for it requires a rebuild of the data layer. We avoid that problem by designing for it from the start.
No Handoff Gaps
Clinical software development, HIPAA compliance architecture, EHR integration, QA, cloud infrastructure, and post-launch support are all in-house at Solvios. One team, one point of accountability. What you brief at the start is what the team builds no translation loss between a compliance specialist and a development team that works for a different company.
US-Based Communication, Global Engineering Capacity
Project management and client communication run on US business hours. The engineering team runs at a scale and cost structure that makes complex healthcare software projects commercially viable without the quality tradeoffs of pure offshore models. Healthcare clients in particular value the communication quality compliance decisions need to be made quickly, not queued in an asynchronous handoff.

Honest answers to the questions every hospital CIO, digital health founder, practice administrator, and healthcare CTO asks before choosing a healthcare software development company. If something is not covered here, our solution architects will walk you through it on a discovery call, no sales pitch, no fluff.
Cost depends on scope and complexity. A patient portal with core modules secure messaging, appointment scheduling, lab result delivery, and care plan access typically starts in the $30,000–$60,000 range. A telemedicine platform with EHR integration, scheduling, video infrastructure, and HIPAA-compliant architecture ranges from $80,000 to $200,000+. A custom EHR system for a specialty practice sits in a similar range. A full RPM platform with device integration, clinical alerting, and EHR connectivity is typically $100,000–$250,000. Solvios provides fixed-price proposals after a compliance and clinical scoping session.
A standard patient portal with core features takes 3–5 months from discovery to launch. A telemedicine platform with EHR integration takes 5–8 months. A custom EHR for a specialty practice typically takes 6–10 months. An RPM platform with device integration and clinical alerting takes 4–7 months. The biggest variable is EHR integration complexity which is why we spend 2–4 weeks on compliance and clinical discovery before any development begins.
HIPAA compliance is an architectural decision, not a feature. We address it from the first sprint: PHI data flows are mapped and minimized during discovery, encryption at rest and in transit is specified in the architecture, role-based access controls are designed before the first line of code is written, audit logging is built into the data layer, and business associate agreements are executed before any PHI touches our systems. We do not treat HIPAA as a checklist to complete before launch; we treat it as a constraint that shapes every architectural decision from day one.
Yes. EHR integration via HL7 FHIR R4, HL7 v2, SMART on FHIR, and vendor-specific APIs is one of our core technical competencies for healthcare software development. We have integrated with Epic, Cerner, Athenahealth, and Allscripts. We handle the API access request process, the data mapping and normalization, the version management as EHR vendors update their APIs, and the ongoing maintenance that keeps integrations stable. This is where most generalist development teams run into serious problems EHR integration requires specific experience that we have built over multiple healthcare engagements.
AI-integrated healthcare software development means building platforms where machine learning and clinical AI are part of the core architecture not add-ons. In healthcare this includes ambient clinical documentation that generates structured notes from the patient encounter, predictive risk stratification that identifies high-risk patients before adverse events occur, clinical decision support surfaced at the point of documentation, NLP pipelines that extract structured data from clinical text, and intelligent prior authorization tools that reduce administrative burden. These capabilities require a data architecture designed to support them from the start which is why we address AI integration strategy during the discovery phase.
Yes. We have built telemedicine and telehealth platforms covering synchronous video consultations, asynchronous messaging, remote prescribing workflows, and the clinical and administrative infrastructure that surrounds them scheduling, consent, intake, billing integration, and EHR documentation. Telehealth platform development is more complex than adding video to a patient portal: the clinical workflow integration, the multi-state compliance architecture, and the EHR documentation requirements are all non-trivial and they all affect the technical architecture.
Security in healthcare software is a continuous discipline, not a pre-launch review. PHI is encrypted at rest using AES-256 and in transit using TLS 1.3. Access is controlled through role-based permissions with minimum necessary enforcement. Privileged access requires multi-factor authentication. All PHI access events are logged in an immutable audit trail. We conduct penetration testing before go-live on every healthcare platform. Infrastructure runs in HIPAA-eligible cloud environments on AWS or Azure with appropriate security controls enabled. Security posture is reviewed quarterly after launch.
Three models: Dedicated Healthcare Development Team for long-term, complex platform builds and digital health products; Time and Material for iterative development where the clinical scope and EHR integration complexity are still being defined; and Fixed Cost for well-scoped healthcare software projects where the compliance requirements, clinical workflows, and integration dependencies are clearly understood before the engagement starts. We recommend the right model honestly based on where you are in the discovery process not based on which model is most profitable for us.
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