EHR software development
for the clinician.
Off-the-shelf EHRs make clinicians work the way the vendor decided. EHR software development flips that: the record fits your workflow, your specialty, and your integrations. HighCraft builds custom EHR and EMR systems, FHIR-ready and HIPAA-aware.
Scoped estimate in 3 to 5 days. No obligation, NDA on request.
“Alex and his team built the core of our Healthcare SaaS. Their grasp of HIPAA and GDPR was crucial for our telemedicine features, and they added AI into the EMR so providers could make better data-driven calls. They handled the Twilio integration and held to WCAG 2.1 throughout. The team knows the Microsoft stack, C#, .NET, and Azure, and kept us aligned at every milestone. For a healthcare product that needs regulatory care and real engineering, HighCraft.io is the partner you want.”
Oleg Shumar
Owner, GetTrusted.io
Selected clients and shipped projects
Awesome Kyiv
Shelfit
We have shipped a real EMR, end to end
HighCraft is a senior team that pairs full-stack engineering with applied AI for healthcare, SaaS, and expert-led businesses. We have earned Top Rated and a 100 percent Job Success Score on Upwork, one five-star delivery at a time.
We built a HIPAA-aligned EMR and patient portal for a healthcare wellness platform, with intake, clinical workflows, AI lab analysis, and billing. You work with the engineers who designed those records and workflows, not a sales layer.
2 weeks
idea to working prototype
End to end
prototype to production
Senior
engineers, no handoffs
A custom EHR is not a database with a login. It is clinical workflow, interoperability, and compliance, all at once. We build to the FHIR specification standard so records move to labs, billing, and other systems, and we shipped one under real regulatory scrutiny.
What a custom EHR has to get right
The modules a clinician lives in all day, built to fit the specialty.
Charting that fits the visit
Notes, problem lists, medications, and history laid out the way your specialty documents, not a generic template. Structured where it has to code and bill, fast where a clinician is mid-visit. The charting screen is where an EHR is won or lost.
Orders, prescriptions, and results
Order entry and prescription workflows, with lab results routed back to the right chart. E-prescribing runs through a certified network we integrate, not something we reinvent. A result should land as a task, not an email someone forgets to check.
Interoperability that travels
Records that move over FHIR and HL7, plus document exchange when a referral or a CCD has to leave the building. An EMR that cannot share is a silo. We build the record that travels with the patient.
Scheduling and charge capture
Scheduling that matches how your front desk books, and charge capture that feeds billing or your revenue-cycle vendor. The clinical record and the money have to agree, or someone reconciles by hand every month.
When a configurable EHR is the cheaper answer
If a configurable product like Athenahealth or DrChrono already fits how you practice, that beats a custom build on cost, and we will say so on the first call. Custom EHR work earns its cost when the off-the-shelf chart fights your clinicians daily, or your care model is new enough that no vendor has built for it yet.
100%
Job Success on Upwork
5.0
Average client rating
Top Rated
Agency on Upwork
11 yrs
Engineering leadership
HIPAA
Aligned delivery
Awards and accreditations
Verified on Upwork and recognized by independent agency directories.
Built for the rules healthcare runs on. Practices documented, not implied.
Security & trustAI Prototype Sprint
Validate the workflow before you fund the platform.
A two-week sprint that turns a complex workflow into a working prototype, architecture direction, and a build estimate you can act on.
- Working prototype
- Workflow map
- Architecture recommendation
- AI opportunity and risk assessment
- Delivery roadmap
- Fixed or phased build estimate
Two weeks, one fixed scope. You own everything we build, whether or not you continue.
Week 1
Discover the workflow, build the spine
Week 2
AI where it pays back, then prototype + estimate
Four ways to engage, and a low-risk way to start
We fit the model to the project and the risk, not to our invoice. Most clients start with a two-week discovery sprint that turns the idea into a working prototype and a real estimate, then move into whichever model fits the build.
Time and materials
You pay for the hours you use, billed weekly or monthly. The right call when scope is still moving and you want to steer as you go.
Dedicated team
A senior team embedded with yours and billed monthly, scaling up or down as the roadmap changes. Built for ongoing work, not a one-off.
Fixed price
Agreed scope, agreed price, agreed date. Works when the requirements are already clear and you want certainty before you sign.
Fixed milestones
Phased delivery, paid one milestone at a time. A way to take on a larger build and de-risk it stage by stage.
Clients trust us with messy, real-world software
From regulated healthcare workflows to payment-heavy platforms and internal business systems, the common thread is delivery that survives production.
Alex and his team built the core of our Healthcare SaaS. Their grasp of HIPAA and GDPR was crucial for our telemedicine features, and they added AI into the EMR so providers could make better data-driven calls. They know the Microsoft stack and held to WCAG 2.1 throughout. For a healthcare product that needs regulatory care and real engineering, HighCraft.io is the partner you want.
Oleg Shumar
Owner, GetTrusted.io
They were absolutely phenomenal. The team put in a lot of work to break down what was required of the project and gave an excellent presentation on the process. I highly recommend them and will be working with them again in the future.
Kayode Leonard
Founder, Project Wolf
Really enjoyed working with HighCraft.io. They are true professionals that know how to get things done. They were hardworking and skillful, exactly what we were looking for.
Maxim Grossman
Executive, Enigmex Technologies
HighCraft team did a great job creating a brand new site for my company, and I am loving it. It is exactly what I wanted and the team were true professionals and very nice to work with.
Alina Virstiuk
Founder, AwesomeKyiv
Three ways we turn complex workflows into working software
Start with a prototype, add AI where it creates leverage, or build the full production platform.
- 01
Working prototypes
A working prototype built around the real edge cases, so you can validate scope before funding a full build. The cheapest way to find the edge case nobody mentioned.
- 02
AI-enabled features
AI inside the product you already run: intake, search, summarization, classification, recommendations, or workflow assistance, with evaluation and guardrails. Built so a real user opens it twice.
- 03
Production platforms
Custom platforms built for real users: integrations, permissions, billing, audit trails, and maintenance. HIPAA-aware where it has to be.
Free vendor-risk check
Before you build, check the risk first.
Answer a few plain-English questions and get a vendor-risk read on ownership, proof of work, data exposure, and handover gaps before you fund the build.
- Takes about 3 minutes
- Built for vendor decisions
The page shows the first risk instantly. Email sends the full report.
Part of the same healthcare build
If your project touches more than one of these, one team covers them.
EHR software by specialty: CardiologyDermatologyPediatricUrgent CarePodiatryOphthalmologyAllergyPain ManagementPlastic SurgerySubstance Abuse
Software that works, in production
Our clients get to focus on their business, instead of babysitting the stack that holds it together. Client cases below are anonymized where compliance demands; the rest ship under their own names.
How we build AI workflows that stay controllable
Agentic does not have to mean opaque. We put the controls where the risk is: permissions, approvals, and audit around every AI-assisted step.
Frontend
The product your users and staff actually work in.
API
Typed contracts and validation at the boundary.
Workflow engine
The deterministic spine: states, rules, and handoffs.
Agentic workflow layer
Inspects context, suggests next steps, and triggers tools, with human approval where it matters.
AI / LLM services
Models behind evaluation and fallback logic, not raw and unchecked output.
Integrations
EMR, Stripe, CRM, scheduling, and internal APIs.
Audit, monitoring, permissions
Every AI-assisted step logged, observable, and role-gated.
Controls, not black boxes
- Human approval for sensitive actions
- Tool calls scoped by permissions
- Audit logs for every AI-assisted step
- Evaluation and fallback logic, not raw model output
- Role-based access throughout
- Observability in production
- Integration with EMR, Stripe, CRM, scheduling, or internal APIs
Hiring an EHR software development team
What buyers ask before they start.
What is EHR software?
An electronic health record is the system that holds a patient clinical history: visits, diagnoses, medications, labs, and notes. EHR software lets clinicians chart, order, and review across encounters, and a good one fits the way a specialty actually works instead of forcing a generic template on it.
What is the difference between EHR and EMR?
An EMR is the digital chart inside one practice. An EHR is built to share that record across providers, labs, and systems, so it travels with the patient. In practice the terms get used interchangeably, and we build either way, with the interoperability turned on when you need it.
Should we build a custom EHR or use an existing one?
Use a configurable product when its templates fit your specialty and you can live inside its workflow. Build custom when the off-the-shelf chart fights your clinicians every day, or when your model is new enough that no vendor has it. We will tell you which case you are in before quoting.
How much does EHR software development cost?
Send the workflow and the integrations you need and we reply with a scoped estimate, usually within 3 to 5 business days. Cost tracks the number of clinical workflows, the integrations, and the compliance scope. We phase it so you ship the core first.
Is a custom EHR HIPAA compliant, and can it integrate with labs?
Yes on both. We build HIPAA-aware from the first commit, with access control, audit logging, and encryption, and we connect to labs, pharmacies, and billing over HL7 and FHIR. The record is only useful when the data around it flows correctly. Our operating practices are documented on our Security and trust page at /trust/.
When are you not the right fit?
If a configurable EHR already covers your specialty and you can work inside it, that is cheaper than a custom build, and we will say so. Custom EHR work earns its cost when the standard products stop at the edge of how you actually practice.
Tell us about your project
Send the shape of the problem, even if the requirements are still blurry. We reply with a scoped estimate, usually within 3 to 5 business days. No obligation, NDA on request.
- A senior engineer reads every brief, not a sales rep.
- If an off-the-shelf tool fits better, we will tell you.
- NDA on request before you share anything sensitive.
Prefer email? Write to business@highcraft.io
Rather talk it through? Book a 30-minute estimate review
“Alex and the HighCraft.io team built our healthcare MVP and got to the heart of what a startup on a tight budget actually needs. He suggested Azure Functions for the event-driven parts and lifecycle policies on Blob Storage, which brought our infrastructure costs down without cutting quality. He broke the tech down so I understood it, which gave me real confidence in the build.”
Oleg Shumar
Owner, GetTrusted.io