EHR & EMR Software Development
Build systems around clinical workflows with an experienced EHR software development company specializing in custom EHR development and healthcare data migration.
Build an EHR that fits your workflows
Healthcare organizations need EHR technology that makes decisions without forcing systems to establish workflows into rigid structures. Our EHR software development and EMR development services help organizations create solutions around their requirements, with the flexibility to evolve and scale as those needs change.
As an EHR software development company, we design EHR systems with the capabilities needed to support connected care. Our EHR system development approach considers usability, integration, and data requirements from the outset. We help enterprise create a foundation for more efficient operations and better experiences for clinicians and patients.
Our EHR & EMR development services
EHR & EMR integration development
Connect EHRs and EMRs with operational, and patient-facing systems to streamline data exchange, reduce duplicate work, and keep critical workflows connected.
EHR API development & integration
Extend EHR capabilities with secure APIs that connect applications, devices, and services, creating smoother data flows and more connected digital experiences.
EHR data migration
Maximize your EHR investment with structured data migration that reduces disruption, protects valuable patient data, and gets users productive faster.
Custom EHR development
Improve ROI with custom EHR tailored to your workflows, reducing unnecessary customization costs while giving clinicians a more intuitive user experience.
Custom EMR development
Reduce operational friction and improve productivity with EMR software development around your organization's workflows, roles, and everyday user interactions.
EHR/EMR modernization & replatforming
Increase customer retention by modernizing user experiences with intuitive interfaces and smoother workflows that make every interaction simpler and more engaging.
Third-party healthcare system integration
Connect EHRs with telehealth, RPM, billing, CRM, pharmacy, and other platforms to unify workflows, reduce manual handoffs, and create a more seamless user experience.
Cloud-based EHR development
Scale EHR capabilities without unnecessary infrastructure costs, while giving clinicians secure, accessible interfaces that support better interaction across care settings.
EHR module development
Create a more intuitive user experience by simplifying the care journey with focused EHR modules that connects workflows and improve efficiency.
Why healthcare organizations choose us for EHR development
Healthcare-specific delivery teams
Our healthcare developers reduce delivery risk with clinical expertise and workflow knowledge, helping teams build EHRs that improve efficiency and adoption.
Complex multi-stream projects
From workflows and integrations to data and technology, we manage complex EHR projects and keep transformation initiatives on track.
Modern EHR platforms built for AI, data & cloud
We build modern EHR platforms that connect AI, data, and cloud capabilities to improve scalability, generate insights, and deliver long-term technology value.
Interoperability built in from the start
Our developers build interoperability into your EHR architecture from day one, enabling smoother data exchange, connected workflows, and scalable integrations.
End-to-end ownership from strategy
We align EHR strategy, development, and optimization with business goals. Our teams bring healthcare expertise to deliver measurable outcomes.
Healthcare expertise for regulated environments
With decades of experience across regulated healthcare environments, we help organizations build EHR solutions that support compliance and operational efficiency.
Compliance designed into the architecture
Our developers embed security and compliance into EHR architecture, helping protect PHI, strengthen access controls, and support safer clinical operations.
EHR vs EMR: What's the difference & why it matters
| EMR | EHR | |
|---|---|---|
| Primary purpose | Digital patient records within one organization | Patient records designed to be shared across care organizations |
| Data exchange | Primarily supports internal data sharing | Requires external data exchange and interoperability |
| Workflow focus | Built around the workflows of a single organization | Designed to support connected workflows across care settings |
| Build scope | Can focus primarily on internal clinical and operational requirements | Requires interoperability, data exchange, and terminology support from the start |
| Best suited for | Organizations managing patient records within a defined care environment | Organizations coordinating care across providers, facilities, and health networks |
Custom-built vs platform-based EHR
Choose a platform-based EHR for faster deployment and established capabilities, or invest in a custom EHR when flexibility, control, and long-term scalability are strategic priorities.
| Factor | Platform-based EHR | Custom EHR |
|---|---|---|
| Deployment | Faster deployment with established capabilities | Requires more time to build and implement |
| Flexibility | Customization is limited by the platform | Full control over workflows, features, and functionality |
| Customization | Deep customization can increase costs and complexity | Built around your organization's specific needs |
| Updates | Dependent on the platform's release cycle | Greater control over updates and enhancements |
| Scalability | Growth may be constrained by platform capabilities | Evolves with your organization and future needs |
| Long-term control | Ongoing licensing and platform constraints | Greater ownership and control over the technology roadmap |
EHR development by specialty
Cardiology EHR
Streamline cardiac workflows with EHR interfaces designed for documentation, diagnostics, and care coordination, reducing administrative burden and improving care delivery.
Dental EHR
Maximize practice efficiency with intuitive interfaces for scheduling, treatment planning, dental charting, and imaging, simplifying workflow for better patient experience.
Behavioral health & psychiatry EHR
Improve user interaction with workflows designed for behavioral health assessments, treatment plans, and progress notes. Support efficient documentation and coordinated care.
Pediatric EHR
Create more efficient pediatric workflows with interfaces designed for age-specific records, immunizations, and family engagement to deliver smoother care experience.
Nursing & long-term care EHR
Reduce administrative effort with streamlined interfaces for nursing documentation, care plans, medication tracking, and resident records. Improve efficiency across care teams.
Our EHR integration & interoperability expertise
As an EHR software development company, we help you connect your EHR ecosystem reliably across labs, pharmacies, imaging systems, health information exchanges, and third-party applications using leading healthcare interoperability standards.
HL7® FHIR® R4/R5
Supports API-based healthcare data exchange.
Common uses:
EHRs, Apps, Digital health
HL7® v2.x
Facilitates clinical and administrative messaging.
Common uses:
Admissions, Labs, Orders, Results
HL7® C-CDA®
Structured clinical data for consistent exchange.
Common uses:
Clinical summaries, Referrals, HIE
SNOMED CT®
Standardizes clinical terminology across systems.
Common uses:
Diagnoses, Findings, Procedures
ICD-10-CM/PCS
Standardizes diagnosis and procedure coding.
Common uses:
Billing, Reporting, Documentation
EHR data migration services
EHR & EMR system integration
- Connect EHRs with clinical and business systems
- Sync patient and operational data
- Eliminate manual data handoffs
Healthcare interoperability
- Enable HL7, FHIR, and C-CDA data exchange
- Standardize data across healthcare systems
- Support cross-system data access
EHR integration modernization
- Replace point-to-point integrations with scalable APIs
- Upgrade legacy interfaces and workflows
- Strengthen integration reliability and performance
Data assessment & preparation
- Extract and profile data from legacy EHR systems
- Identify inconsistencies, and anomalies
- Map source data to the target EHR
- Match terminology and patient records
AI-assisted data quality analysis
- Analyze large legacy datasets faster
- Identify data-quality patterns and potential issues
- Use rules-based validation for migrated data
- Add human review to maintain record integrity
Patient record matching
- Validate patient data across sources
- Prevent duplicate or incomplete records
- Reduce the risk of misattributed patient information
- Maintain reliable patient record association
EHR migration & cutover
- Plan and execute parallel runs
- Manage phased data cutovers
- Establish rollback contingencies
- Reconcile data before and after migration
Post-migration validation
- Protect data integrity throughout migration
- Minimize operational disruption
- Support continuity of care
- Transition to a modern EHR environment
How we ensure compliance in EHR development
We build security into the EHR architecture from day one to protect PHI, control access, and maintain traceability across clinical workflows.
PHI protection
Protect PHI across clinical documentation, data access, storage, and transmission with security controls built into the EHR architecture.
Access & auditability
Align role-based access with clinical responsibilities and maintain audit logs for chart access and changes, supporting appropriate access and traceability.
Integration security
Secure PHI as it moves between EHRs, clinical applications, devices, and third-party systems through protected data exchange and controlled integrations.
Data governance
Apply consistent controls to how patient data is stored, accessed, exchanged, and managed across the EHR ecosystem.
Compliance-ready architecture
Design security controls to support customers' HIPAA compliance requirements and applicable HIPAA security rule requirements.
How we deliver EHR & EMR software
Clinical workflow discovery
Our planning involves clinicians and end users to understand real workflows, pain points, and documentation needs before development begins.
Data model design
We build structured data models around interoperability, scalability, and how information is created, accessed, exchanged, and maintained.
Phased module delivery
Our teams focus on delivering core capabilities in given timelines, allowing teams to validate functionality early and reduce implementation risk.
Clinician usability testing
We test workflows and interfaces with clinicians before go-live to identify usability gaps and refine the experience around real-world care delivery.
Post-launch adoption support
Our support teams stay engaged after launch for optimization, improvements, and adoption to help teams get lasting value from the new system.
From strategy to healthcare software delivery
Explore our healthcare software development process to see how we approach the broader delivery lifecycle.
Case studies
Case study - healthcare
Centralized EHR System
Bridging the gap between disparate patient health record systems with a user-friendly platform that provides clinicians a single source of truth for comprehensive patient data.
Case study - healthcare
Accelerating Care Delivery with Intelligent Automation
Driving patient engagement, data visibility, and operational efficiency with Salesforce-driven solutions.
Case study - artificial intelligence
Healthcare Support Platform with Agentic AI
10Pearls developed an agentic AI virtual assistant designed to enhance caregiver support through multilingual support, sentiment analysis, and a sophisticated knowledge management system.
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FAQs about EHR & EMR development
What is the difference between an EHR and an EMR?
An EMR manages digital patient records within one organization. On the other hand, an EHR supports secure information exchange across care settings. As an EHR software development company, 10Pearls develops both around your workflow and interoperability needs.
Should we build a custom EHR or use a commercial platform?
The right choice depends on your workflows, scalability needs, and long-term goals. 10Pearls helps organizations evaluate both approaches and build custom EHRs when greater flexibility and control are needed.
How do you migrate data from a legacy EHR system?
10Pearls uses AI-assisted data analysis to extract, map, validate, and reconcile data through parallel runs, preserving data integrity and minimizing disruption during migration.
How do you approach interoperability with our existing systems?
10Pearls designs interoperability into the EHR architecture using standards including HL7® v2.x, HL7® FHIR® R4 and R5, HL7® C-CDA®, SNOMED CT®, and ICD-10-CM/PCS terminology mapping.
How long does custom EHR development take?
The estimated time for planning development depends on scope, integrations, workflows, and complexity. 10Pearls creates a step-by-step plan based on what you need and develops features gradually over time.
Do you build specialty-specific EHR systems?
Yes. 10Pearls creates electronic health record (EHR) solutions designed for specific medical fields like heart care, dental, mental health, children’s health, nursing, and long-term care. They make sure the technology fits the way each specialty works.
How do you handle PHI during development and testing?
10Pearls applies security controls across PHI handling, access, storage, transmission, and audit logging, with role-based access and practices designed to support customers’ HIPAA compliance requirements.
Who owns the code and data model after launch?
Ownership depends on the engagement and contractual terms. 10Pearls can structure engagements to provide organizations with control of their custom-developed software and underlying data architecture.