Custom EHR modules
Specialty-specific workflows your vendor won't build — oncology, behavioral health, cardiology, ophthalmology.
Service · EHR / EMR development
Custom EHRs and integrations, FHIR-native from day one.
Bespoke EHR modules and bidirectional integrations with Epic, Cerner, Athenahealth, eClinicalWorks, and NextGen. SMART on FHIR launches, HL7v2 routing, and audit trails that clear procurement.
01
EHR / EMR
5 tech · 3 complianceEHR / EMR
What we build
Six things, in one engagement.
Bidirectional FHIR R4
Read AND write — most teams stop at read. We handle write-back, conformance, and graceful failure.
HL7v2 message handlers
ADT, ORM, ORU, MDM, SIU — full lifecycle, with retry queues and DLQ for failed messages.
SMART on FHIR launches
EHR-embedded apps that pass clinical IT review. Launch URL configuration, scope handling, token refresh.
Audit logging + access control
Immutable audit trails, role-based access, break-glass workflows, exportable to your SIEM.
Legacy EHR migration
We've migrated off home-grown systems, MEDITECH, and obsolete vendors — without losing 10 years of patient history.
Recent work
One example, in numbers.
Tech we work with
EpicCernerAthenahealtheClinicalWorksNextGenHL7 FHIR R4HL7v2Mirth ConnectRedoxHealth GorillaAWS HIPAAPostgreSQL
Compliance scope
- HIPAA Security Rule
- HITECH
- SOC 2
- FHIR R4 conformance
- HL7v2 conformance
Our process
Predictable delivery — even when the scope isn't.
015 days
Audit & plan
We review your code, infrastructure, and compliance posture. You get a written report, architecture diagram, gap analysis, and a fixed-price roadmap.
022-week sprints
Rescue or build
Weekly demo. Live dashboard with sprint velocity, open issues, and burndown. Read access to our repo from day one.
03Continuous
QA & compliance
Automated and manual testing, security review, HIPAA-readiness check, optional third-party penetration test.
04Ongoing
Deploy & optimize
Production launch with monitoring, on-call rotation if you want it, continuing development at a steady cadence.
FAQ
Questions we get on the first call.
Do you build FHIR servers, or just integrate with them?
Both. We've stood up custom FHIR R4 servers backed by Postgres or DynamoDB for teams who need an EHR-of-record, and we've integrated against Epic, Cerner, and others when the EHR already exists.
Can you migrate off our legacy EHR without losing history?
Yes — full chart migrations with field-level mapping, validation, and dual-write periods for safety. We've migrated multi-decade patient histories without data loss.
How long does an Epic integration typically take?
First production-ready integration: 6-10 weeks including security review on the Epic side. Add 2-3 weeks for HL7v2 + FHIR hybrid flows.
Insights · Read more
Background reading for buyers.
InteroperabilityJul 23, 2019
FHIR for non-engineers: a 10-minute primer for product managers
If you're the PM on a healthcare project, you don't need to write FHIR code — but you do need to understand what your engineers mean when they say it.
Serhii Kholin · 10 min
InteroperabilityFeb 14, 2023
Surviving an Epic App Orchard review: a survival guide
The Epic review process is famously rigorous. We've been through it nine times. Here's the prep work that shortens the cycle from 4 months to 6 weeks.
Serhii Kholin · 9 min
ComplianceJun 19, 2021
What a HIPAA audit actually looks like — from the inside
Most teams build to a checklist and hope. We've sat across from the auditor — here's what they actually ask, and what surprises engineering teams.
Denis Sheremetov · 8 min
Start with the audit
5 days. Written report. No commitment.
Tell us what you're building or what's not working. We'll come back with a written audit and a fixed-price plan.