Orthopedic EHR software
built around how you practice.
Orthopedics is imaging, procedures, and post-op tracking. Generic EHRs bury X-rays and operative notes where a surgeon cannot find them mid-clinic. We build the orthopedic EHR around how you actually work, or say when off-the-shelf is the smarter buy.
Scoped estimate in 3 to 5 days. No obligation, NDA on request.
“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
Selected clients and shipped projects
Awesome Kyiv
Shelfit
We build EHRs around how you practice
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, not a sales layer.
2 weeks
idea to working prototype
End to end
prototype to production
Senior
engineers, no handoffs
An orthopedic EHR is only worth building when off-the-shelf fails you on imaging, procedures, and post-op tracking. When it does, we build to the FHIR specification standard so PACS and imaging systems, surgical scheduling, and DME ordering flow into the record, and we shipped a HIPAA-aligned EMR under real regulatory scrutiny.
What an orthopedic EHR has to get right
The imaging, the operative note, and the post-op trail a general chart buries where a surgeon cannot reach them mid-clinic.
Imaging in the chart
X-ray and MRI views pulled from PACS over DICOM and shown beside the note, instead of leaving the surgeon to open a second system mid-visit. That is usually why an orthopedic group outgrows a general EHR.
Operative notes and scheduling
Structured operative notes, surgical scheduling, and durable-equipment ordering with the documentation payers demand, tied together so a claim is not denied for missing paperwork.
Post-op and outcomes tracking
Post-operative follow-up and patient-reported outcome measures over time, plus reporting to a joint replacement registry such as the AJRR, so the record carries the recovery, not just the surgery.
Built to bill cleanly
Procedure and implant documentation structured for orthopedic coding and bundled-payment reporting, so the clinical record and the claim tell the same story.
Build or buy: the honest answer
There are strong orthopedic products. Modernizing Medicine EMA Orthopedics and Exscribe, now part of the same company, cover a great deal, and Epic serves hospital-based groups. If one fits how you practice, buying beats building, and we will say so. Custom earns its cost at the edges: a PACS or device integration the off-the-shelf option will not open up, a registry or bundled-payment workflow none of them model, or a clinic flow that does not fit their template. We tell you which case you are in before quoting a build.
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. They were very attentive and kept open lines of communication throughout. The quality of the code was outstanding. Great knowledge of agile development and testable code. 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.
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
Building a orthopedic EHR
What buyers ask before they start.
Can a custom orthopedic EHR bring imaging and PACS into the chart?
Yes. We pull X-ray and MRI views from PACS into the record beside the note, instead of leaving the surgeon to open a second system mid-visit. That is usually why an orthopedic group outgrows a general EHR.
Can a custom orthopedic EHR handle surgical scheduling and DME?
Yes. We build operative scheduling, structured procedure notes, and durable-equipment ordering with the documentation payers demand, tied to the imaging and post-op record so a claim is not denied for missing paperwork.
How much does a custom orthopedic EHR cost?
Send your orthopedic 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 device and lab integrations, and the compliance scope. We phase it so the core ships first.
Should we build a custom orthopedic EHR or buy one?
Buy when a orthopedic product fits how you practice and you can live inside its workflow. Build when the off-the-shelf options force imaging, procedures, and post-op tracking into a generic chart. We will tell you honestly which case you are in before quoting a build.
When are you not the right fit?
If a configurable orthopedic EHR already covers your practice, that is cheaper than a custom build, and we will say so. Custom 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
“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