Skip to main content Scroll Top

EHR & EMR Software Development Company: Electronic Health Records Software

Updated September 2026 · Written and maintained by the Progression Agency strategy team

Progression Agency builds electronic health records and electronic medical records software: custom EHR modules, specialty EMR systems, patient portals and integrations with existing record systems through HL7 FHIR, designed around HIPAA safeguards and clinical workflow.

On this page · 11 sections
  1. What is EHR and EMR software development?
  2. EHR and EMR development services
  3. Key features and components
  4. Common integrations
  5. Compliance and certification
  6. Our EHR and EMR software development process
  7. How much does EHR software development cost?
  8. Technology we typically use
  9. Mistakes to avoid
  10. Why choose Progression Agency for EHR and EMR software development?
  11. Related services

The short answerAn electronic health records software company builds or extends the systems that store patient charts, orders, results and notes. Most practices should not replace a certified EHR; they should extend it with custom modules, portals and integrations. A custom EHR module or integration commonly costs $40,000-$150,000 as a planning figure; a specialty EMR product $250,000-$1,000,000+.

Cost ranges are US planning figures, not quotes.

EHR and EMR software development searches
Practices, health systems and health-tech startups search for EHR software development when their record system does not fit a specialty workflow or cannot connect to the tools around it.

What is EHR and EMR software development?

EHR software development is designing and building software that stores and exchanges patient health information: charting, orders, results, scheduling, billing links and patient access. EMR usually refers to a single practice’s records; EHR to records shared across organizations.

Certified EHR products already exist for most settings, so the highest-value work is usually a custom module, a specialty EMR for a niche the big vendors ignore, or the integration layer between systems. See healthcare software development for the wider category.

Chart — Charting modules. Specialty templates..
Portal — Patient portals. Records, results, messaging..
FHIR — EHR integrations. HL7 FHIR, HL7 v2..
Order — Orders and results. Labs, imaging..
Bill — Billing links. Claims and eligibility..
Tele — Telehealth. Video inside the record..

EHR and EMR development services

Projects we are most often asked to build.

Custom EHR modules and extensions

Specialty templates, order sets, care plans and reporting built on or beside your certified EHR.

Specialty EMR development

Purpose-built record systems for niches such as behavioral health, physical therapy, dental or aesthetics, where general EHRs fit badly.

EHR integration services

HL7 FHIR and HL7 v2 interfaces that connect scheduling, telehealth, devices, billing and analytics to the record.

Patient portals and apps

Secure access to records, results, appointments, intake and messaging; see patient portal development.

Clinical dashboards and reporting

Quality measures, panel management and operational reporting from record data.

Data migration

Moving records between systems with validation, audit trails and clinician sign-off.

Secure access to records, results, appointments, intake and messaging; see patient portal development.

Key features and components

What separates a useful build from a costly one.

EHR and EMR software development: key components
FeatureWhy it matters
HIPAA safeguardsProtected health information handled lawfully
Role-based accessLeast privilege for staff
Audit loggingEvery access and change recorded
HL7 FHIR APIsInteroperability with other systems
Clinician-tested workflowAdoption, not workarounds
Encryption at rest and in transitData protection
Backup and recoveryContinuity of care
DocumentationCompliance and handover

Common integrations

Where the value usually comes from.

Common integrations
SystemWhat we connect
Certified EHRsEpic, Oracle Health, athenahealth, eClinicalWorks (via APIs)
StandardsHL7 FHIR R4, HL7 v2, CDA
IdentitySSO providers, SMART on FHIR
BillingClearinghouses, eligibility APIs
TelehealthVideo and scheduling platforms
DevicesLabs, imaging, remote monitoring

Compliance and certification

Record systems carry legal obligations that shape the architecture.

  • HIPAA Security Rule safeguards designed in; business associate agreements where required, per HHS guidance.
  • Interoperability through HL7 FHIR, which the ONC’s Health IT Certification Program requires of certified EHRs.
  • Information-blocking rules under the 21st Century Cures Act are respected in portal and API design.
  • Full EHR certification is a separate, lengthy process; we say plainly when a product needs it and when a module or integration does not.
How we deliver EHR and EMR software development
A pilot with one clinic surfaces workflow problems before a system-wide rollout.

Our EHR and EMR software development process

We map the clinical and administrative workflow, define the data model and integrations, prototype screens with clinicians, build in sprints with audit logging and security testing, pilot with one site and roll out with training and support.

How much does EHR software development cost?

As planning figures, an EHR integration or custom module commonly costs $40,000-$150,000, a patient portal $50,000-$150,000, and a specialty EMR product $250,000-$1,000,000+ before any certification work. Published prices for commercial EHR systems vary widely by vendor and practice size.

EHR and EMR software development cost ranges (planning figures)
ScopeTypical rangeTimeline
EHR integration (FHIR/HL7)$40,000-$120,0002-4 months
Custom EHR module$60,000-$150,0003-5 months
Patient portal$50,000-$150,0003-5 months
Specialty EMR product$250,000-$1,000,000+9-18 months

Technology we typically use

Mainstream, maintainable choices.

Technology we typically use
LayerChoice
StandardsHL7 FHIR R4, HL7 v2
BackendNode.js or .NET, PostgreSQL
IdentitySMART on FHIR, OAuth 2.0
CloudHIPAA-eligible AWS or Azure services
AuditImmutable access logs
Front endReact, native mobile

Mistakes to avoid

Common causes of overruns and low adoption.

  • Replacing a certified EHR when a module would do.
  • Designing screens without clinicians.
  • Skipping audit logging until the end.
  • Ignoring information-blocking rules in portal design.
  • Underestimating data migration.
  • No pilot before rollout.
FHIR-first — EHR. Interoperable..
HIPAA — EHR. Safeguarded..
Clinician-tested — EHR. Adopted..
Audited — EHR. Traceable..
Piloted — EHR. De-risked..
Documented — EHR. Certifiable..

Why choose Progression Agency for EHR and EMR software development?

Engineering, design and go-to-market in one team.

  • Healthcare software experience across portals, telehealth and record integrations.
  • FHIR-first architecture so what we build connects to what you already run.
  • Honest advice on build vs extend vs certify.
  • You own the code, data and accounts.
  • Headquartered in New York City, working nationwide.

See healthcare software development, healthcare app development, telemedicine app development and medical marketing.

Ready to scope it?

Tell us the users, workflow and systems involved. We will propose a first release and planning estimate.

Get a proposal

Getting found in search

AI, AEO and what is changing

Paid media and lead generation

Websites and design

Choosing and working with an agency

Software and app development

Social, content and brand

By industry and by situation

Frequently asked questions

What does an electronic health records software company do?
It builds or extends the systems that store and exchange patient records: modules, portals, integrations and, for niches, complete EMR products.
How much does EHR software development cost?
As planning figures, $40,000-$150,000 for a module or integration and $250,000-$1,000,000+ for a specialty EMR product.
What is the cost of EHR systems for a practice?
Commercial EHR pricing varies by vendor, practice size and modules; custom work is priced by scope, and we give a written planning estimate.
What is the difference between EHR and EMR?
EMR usually means one practice’s digital records; EHR means records designed to be shared across organizations.
Should we build our own EHR?
Usually not; extend a certified EHR with modules and integrations unless you serve a niche the vendors ignore.
Do you provide EHR integration services?
Yes, through HL7 FHIR and HL7 v2 interfaces to scheduling, telehealth, billing, devices and analytics.
Is your EHR software HIPAA compliant?
We design to HIPAA Security Rule safeguards, sign BAAs where required and document controls for your compliance review.
Do you build patient portals?
Yes, with records, results, appointments, intake and messaging.
Can you integrate with Epic or athenahealth?
Yes, through their FHIR and vendor APIs, subject to the vendor’s access programs.
What is HL7 FHIR?
The current standard for exchanging healthcare data through web APIs.
Do you handle ONC certification?
We build to certification-ready standards and advise when certification is required; certification itself is a separate program.
Can you migrate records from an old system?
Yes, with validation, audit trails and clinician sign-off.
Do you build EMR software for behavioral health or therapy practices?
Yes; specialty EMRs are where custom work adds the most value.
How long does an EHR integration take?
Commonly 2-4 months.
Do you build telehealth into the record?
Yes; see telemedicine app development.
Who owns the software?
You do, including code, data and infrastructure.
Do you provide support after launch?
Yes, including security updates, interface changes and monitoring.
What is information blocking?
Practices that unreasonably restrict access to electronic health information, restricted under the 21st Century Cures Act.
Can you build reporting on EHR data?
Yes: quality measures, panel management and operational dashboards.
Where is Progression Agency located?
New York City, serving healthcare organizations across the United States.
Do you do electronic medical records software development?
Yes: specialty EMR products, custom modules on existing records and FHIR integrations.
How do I choose an EHR software development company?
Look for HL7 FHIR experience, HIPAA safeguards designed in, clinician-tested workflow and honest advice on build versus extend.

Need software built?We design, build and support custom software, web apps and SaaS platforms, with a written scope first.

Get a software proposal

Get a free marketing proposal

Tell us what you are trying to grow and we will come back with a plan, not a pitch deck. Same-day reply on weekdays.

Our website uses cookies from third party services to improve your browsing experience. Read more about this and how you can control cookies by clicking "Privacy Preferences".
Privacy Preferences
When you visit our website, it may store information through your browser from specific services, usually in form of cookies. Here you can change your privacy preferences. Please note that blocking some types of cookies may impact your experience on our website and the services we offer.
Privacy Policy
You have read and agreed to our privacy policy
Required
Contact Us
0