Substance Abuse EHR software
built around how you practice.
Behavioral and substance-use treatment carries an extra privacy law, 42 CFR Part 2, on top of HIPAA. Treatment plans, group sessions, and consent get complicated fast. We build the substance abuse 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
Who you work with
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 since 2023, one five-star delivery at a time, before growing to a team of six.
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.
4 weeks
idea to working prototype
End to end
prototype to production
Senior
engineers, no handoffs
A substance abuse EHR is only worth building when off-the-shelf fails you on treatment plans and 42 CFR Part 2 consent. When it does, we build to the FHIR specification standard so lab drug-screen results and state reporting flow into the record, and we shipped a HIPAA-aligned EMR under real regulatory scrutiny.
100%
Job Success on Upwork
5.0
Average client rating
Top Rated
Agency on Upwork
11 yrs
Engineering leadership
HIPAA
Aligned delivery
Recognition
Awards and accreditations
Verified on Upwork and recognized by independent agency directories.
AI Prototype Sprint
Validate the workflow before you fund the platform.
A four-week sprint that turns a complex workflow into a clickable prototype, architecture direction, and a build estimate you can act on.
- Clickable prototype
- Workflow map
- Architecture recommendation
- AI opportunity and risk assessment
- Delivery roadmap
- Fixed or phased build estimate
Four weeks, one fixed scope. You own everything we build, whether or not you continue.
Week 1
Discover the real workflow
Week 2
Build the spine
Week 3
AI where it pays back
Week 4
Prototype + estimate
Engagement models
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 four-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.
What clients say
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.
They demonstrated their dedication to our project from the beginning, and I am pleased with the final result. For anyone looking to develop a software product that requires meticulous attention to detail and regulatory compliance, HighCraft.io is the partner you need.
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
What we do
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.
Working prototypes
A clickable 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.
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.
Production platforms
Custom .NET, Azure, React, and Angular platforms built for real users: integrations, permissions, billing, audit trails, and maintenance. HIPAA-aware where it has to be.
Related services
Part of the same healthcare build
If your project touches more than one of these, one team covers them.
Client work
Software that works, in production
Our clients get to focus on their business, instead of babysitting the stack that holds it together. The work below is anonymized: a healthcare wellness platform, no logo, just the architecture.
Blog
From the workshop
Field notes on AI product engineering, healthcare delivery, and shipping software that lasts.
How we build
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
FAQ
Building a substance abuse EHR
What buyers ask before they start.
Most engagements here start with an AI Prototype Sprint or a scoped production build.
Can a custom substance abuse EHR handle 42 CFR Part 2 and group therapy?
Yes. We build the stricter Part 2 consent and disclosure tracking on top of HIPAA, plus treatment plans, group session notes, and the reporting these programs owe. Generic behavioral modules usually stop short of Part 2.
Can a custom substance abuse EHR support medication-assisted treatment and outcome measures?
Yes. We build medication-assisted treatment workflows, induction and maintenance tracking, and the standardized outcome measures these programs report. Combined with Part 2 consent, it is the part generic behavioral modules stop short of.
How much does a custom substance abuse EHR cost?
Send your substance abuse 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 substance abuse EHR or buy one?
Buy when a substance abuse product fits how you practice and you can live inside its workflow. Build when the off-the-shelf options force treatment plans and 42 CFR Part 2 consent 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 substance abuse 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.
Start a project
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
“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