Home / Blog / EHR Software Development — a Complex Guide to Build a Robust EHR Solution

EHR Software Development — a Complex Guide to Build a Robust EHR Solution

Views: 17

According to a report by HealthIT.gov, 78% of physicians and 96% of non-federal acute care providers have adopted a certified Electronic Health Record (EHR) system. That marks a significant leap from 2011 when adoption rates were only 28% for hospitals and 34% for physicians. Additionally, the EHR market size in the U.S. was valued at $23.74 billion in 2022 and is projected to reach $30.84 billion by 2030. These statistics underscore the growing importance of EHR software development.

The intricate world of EHR development

EHRs are fully digital records containing extensive health information, such as medical history, test results, and vital signs. Unlike Electronic Medical Records (EMRs), which are limited to a single practice, EHRs can be transferred between practices, offering a more comprehensive view of a patient’s health. They serve as centralized platforms that enhance provider coordination and improve patient care.

This comprehensive guide will walk you through the intricate world of EHR development, focusing on key features, the required tech stack, and much more.

“At SPsoft, when building software solutions, we start the ideation process with one particular aspect in mind – the end product must stand the test of time. Our team of experts is dedicated to pushing the envelope in healthcare technology. SPsoft works hard to ensure we deliver EHR systems that are secure, compliant, and improve patient care along with operational efficiency.” 

Mike Lazor
CEO, SPsoft

“Developing top-tier EHR software is more than a technical challenge at SPsoft. It’s a mission to improve healthcare delivery with its many dated data-related processes. Our team does its best to break down data silos and enable communication across healthcare platforms. We try to set the groundwork for a healthcare ecosystem where data-driven, patient-centric care is the standard.” 

Romaniya Mykyta
Head of Product Management, SPsoft

Why Engage in EHR Software Development in the First Place?

Today, the healthcare landscape is unrecognizable compared to even a decade ago. According to Deloitte, with the current pace of technological advances in healthcare, by 2030, we will have a more personalized care provision with many administrative processes automated. And the adoption of EHRs is a part of this process. 

Looking at the broader picture, one thing is clear – custom EHR systems offer many benefits that can revolutionize how healthcare providers operate and deliver patient care. Here, we will analyze the key advantages of building your EHR system.

Benefits of EHR


Building a custom EHR system allows you to align the software with your budgetary constraints and specific requirements. This adaptability is especially crucial given the ever-changing landscape of healthcare needs and technological advancements. Custom solutions offer a return on investment (ROI) by reducing non-clinical labor costs, such as transcription and physical chart storage.

Robust Data Security

You have complete control over the security protocols when you own your EHR system. Digital records are inherently more secure than paper-based systems. They can be encrypted, require multi-factor authentication, and are governed by stringent legislative measures. That ensures that sensitive patient information is accessible only to authorized personnel, reducing the risk of data breaches.

Scalability for Growth

As your healthcare facility expands, a custom EHR system can scale alongside it. The market for EHR solutions is diverse, with offerings ranging from out-of-the-box to highly customized systems. This diversity ensures there is always room for unique products tailored to different healthcare settings, making your EHR system a long-term investment.

Enhanced Operational Efficiency

A well-designed EHR system can effectively streamline daily workflows. It eliminates the need for cumbersome paper records, enabling healthcare providers to focus on patient care. Moreover, inter-departmental communication improves with instant access to test results, prescriptions, and other vital information.

Reduced Risk of Errors

EHR systems can analyze available data to alert healthcare providers about potential adverse reactions, incorrect dosages, or drug interactions. This feature minimizes the risk of medical malpractice and errors, leading to safer and more efficient patient care.

Improved Patient Engagement

EHR software can transform the doctor-patient relationship into a more collaborative experience. Patients can access their medical records, communicate electronically with their healthcare providers, and even track their treatment progress. This level of engagement empowers patients and enhances their healthcare experience.

Streamlined Data Exchange

The ability to effortlessly share information within and between healthcare facilities is invaluable. Whether for a second opinion or a specialist consultation, EHR systems ensure that patient data is securely and promptly accessible to all relevant healthcare providers.

EHR software development is a strategic move that can impact the quality of healthcare delivery. The benefits are manifold, from cost savings and robust data security to enhanced operational efficiency and patient engagement. As healthcare evolves, a custom EHR system will keep you ahead of the curve and elevate the standard of care you can provide.

Reach out to learn more about the essential features that set the gold standard in EHR development and their impact on data handling.

Development of EHR: 10 Must-Have Features to Adopt

A tailored EHR system is the solution that can make a huge difference in your healthcare setting. Considering that the integration of AI in EHRs is a matter of time, this technology will soon be redefined from top to bottom. 

Yet, what is true for every EHR system is that it needs a particular set of features to create value. While each healthcare facility may have unique needs, certain elements are universally essential for an effective EHR system. Let’s explore these must-have functionalities.

10 essential features of EHR systems

1. Document Management and Digital Charting

The cornerstone of any EHR development is the system’s ability to manage documents and charts digitally. This feature enhances patient care by offering a user-friendly tool for document management. The system should support various document formats, including specialized ones like DICOM for medical imaging. Customizable chart templates are also crucial for reducing paperwork and boosting clinician productivity.

2. Task Coordination

An advanced task management feature is indispensable for modern EHR systems. It should enable healthcare providers to assign tasks, track progress, and delegate responsibilities. Reminders and completion tracking are also essential components.

3. E-Prescribing

Digital prescription management is vital for streamlining medication processes. It allows physicians to remotely prescribe medications while automatically updating patient records, thus saving time and reducing errors.

4. Data Access Levels

A multi-tier access policy is mandatory for compliance with regulations like HIPAA. The system should offer different access levels based on the user’s role, ensuring that sensitive information is only accessible to authorized personnel.

5. Comprehensive Reporting

Integrated reporting tools offer healthcare professionals a quick overview of ongoing processes and performance metrics. These reports can also be made available to patients, visually representing their treatment progress.

6. Appointment Scheduling

An interactive calendar feature is essential for both doctors and patients. It allows for easy scheduling and rescheduling of appointments, offering flexibility and convenience to all parties involved.

7. Detailed Patient Profiles

A well-structured patient profile is a key tool for clinicians. It should include all pertinent information, such as demographics, medical history, and billing details, allowing for efficient daily operations.

8. Lab and Test Integration

Integration with labs and other external vendors is crucial for quick and accurate decision-making. Test results should be automatically updated in the system, and notifications should be sent to the physician and the patient.

9. Patient Portal

A patient portal enhances healthcare accessibility by allowing individuals to view their medical records, schedule appointments, and generate reports. This feature is legally mandated and adds value to the patient experience.

10. Invoicing and Financial Management

Automated invoicing and claims management are essential for handling the administrative aspects of healthcare. This feature should be capable of generating invoices, sending claims to insurance providers, and tracking financial performance.

By incorporating these essential features, you are investing in an EHR system that will stand out. Tailoring your EHR software development process to meet these universal needs ensures your solution is well-equipped. In turn, that provides exceptional patient care while staying ahead among other choices on the market.

Eager to elevate your healthcare operations? Dive into the world of EHR applications—your gateway to the future of healthcare management and interoperability.

Preferable Tech Stack for EHR Software Development

The architecture behind an EHR system is as critical as the features it offers. While there is no one-size-fits-all tech stack for EHR software development, certain technologies have gained prominence for their reliability, security, and versatility. 

Frontend Development

  • React. Known for its flexibility and performance, React is famous for creating dynamic user interfaces.
  • Angular. Another strong contender, Angular, offers two-way data binding and is particularly useful for single-page applications.

Backend Development

  • Node.js. Favored for its non-blocking, event-driven architecture, Node.js is excellent for building scalable network applications.
  • Python. Highly recommended for EHR systems, Python is lauded for its security features and compliance with HIPAA regulations.

Database Management

  • MySQL. A reliable and widely-used relational database system.
  • MongoDB. A NoSQL database that offers high performance and easy scalability.

Additional Technologies

  • Languages. Besides Python, other languages like Swift, C++, Java, and Ruby are commonly used.
  • Frameworks & Libraries. Django, Vue.js, and Bootstrap are other frameworks and libraries an experienced EHR developer often employs.
  • SDKs. iOS, Android, and Flutter SDKs are essential for mobile compatibility.
  • Web Servers. Apache and Nginx are popular choices for web servers.
  • Messaging. RabbitMQ and Apache Kafka are commonly used for message queuing.
  • Analytics. Google Analytics and Amazon EMR are helpful for data analytics.
  • Payment Gateways. PayPal, Stripe, and Skrill are popular payment processing options.
  • Utilities. Tools like Celery, Cloudflare, and Amazon S3 are often used for various utility functions.
  • Hosting. AWS, Azure, and GCP are leading choices for cloud hosting.

By carefully selecting the tech stack, you ensure EHR software development will be hassle-free. Besides, a well-selected tech stack provides your investment is not just cost-effective but also future-proof, capable of meeting current and emerging healthcare needs. 

Remember that SPsoft is a company with experience with and expertise in all the technologies mentioned above. Working with providers who know how to handle even the most complex tech stack is always best.

Interested in a thorough understanding of EHR software systems? Uncover key information, valuable insights, and everything you need to know in this expertly curated article.

Key Steps in EHR Software Development

Developing an EHR system is a complex endeavor that demands meticulous planning, coordination, and execution. Unlike standard software development cycles, EHR systems require a more intricate approach. Below is a detailed roadmap to guide you through the process.

Steps in building an EHR system

Step 1. Assess Organizational Readiness

Before diving into development, evaluating your organization’s preparedness for implementing an EHR system is crucial. That involves asking critical questions like:

  • Is the staff open to adopting a new EHR system?
  • Do they possess the skills to operate it?
  • Are there any past experiences with EHR providers that need to be considered?
  • Is the IT infrastructure robust enough to support the new system?

Step 2. Identify Workflow Weaknesses

Before investing in EHR development, it is essential to understand the existing workflow and pinpoint areas that need improvement. Simulating patient journeys and clinician shifts can provide valuable insights into current inefficiencies. This analysis will help tailor the EHR system to address specific challenges.

Step 3. Develop a Strategic Roadmap

Creating a roadmap is vital for aligning team efforts and ensuring effective communication. This step involves setting objectives and assigning tasks to each team member. A well-crafted roadmap can also help plan the development in phases, starting with a Minimum Viable Product (MVP) and then adding advanced features.

Step 4. Vendor Selection

Choosing the right EHR development partner is a critical decision. Consider the following factors:

  • Compliance with regulations
  • Device compatibility
  • Certification status
  • Integration capabilities
  • Hosting preferences

Take the time to evaluate multiple vendors, compare their offerings, and make an informed choice.

Step 5. Adapt and Prepare

While EHR developers work on the EHR system, your role as a business owner involves preparing your organization for the transition. That includes:

  • Ensuring IT readiness
  • Upgrading security measures
  • Planning staff training
  • Establishing communication channels with the vendor

When taking this stage to the next level, you may prepare for the potential integration of Generative AI into your EHR solution. Soon enough, it will be the trend that healthcare organizations cannot only avoid. 

Step 6. Testing and Evaluation

Once the system is developed, it is time for rigorous testing. It is essential to manage expectations during this phase. A temporary dip in productivity is normal as staff get accustomed to the new system. Regularly collect and analyze feedback from both staff and patients to make necessary adjustments.

Step 7. Continuous Improvement and Support

The final stage involves ongoing refinement based on user feedback and performance metrics. Monitor key performance indicators like average appointment time and transaction volume to measure the system’s impact. Stay updated with industry trends and legislative changes to ensure your EHR system remains cutting-edge.

By following this comprehensive guide, you can enhance different aspects of healthcare delivery, from operational efficiency to patient engagement. Naturally, it depends on how well the EHR software development process was handled. 

What Aspects to Consider During EHR Software Development?

EHR software development is complex. It involves multiple layers of planning, execution, and ongoing management. Here are some key considerations to keep in mind:

Regulatory Compliance and Certifications

Compliance with various regulations such as HIPAA, GDPR, CCD, and HL7 is non-negotiable. Additionally, certifications like ONC-ATCB and EuroRec are essential. Failing to meet these standards can result in severe penalties and make the system vulnerable to security breaches.

Mobile Accessibility

While a web-based EHR is necessary, a mobile version enhances the user experience by providing healthcare providers and patients on-the-go access. That fosters greater patient engagement in their healthcare journey.

Data Migration Strategy

Switching to a new EHR system often involves transferring existing data. A phased approach to data migration ensures transition and minimizes disruptions.

Performance Monitoring

Ongoing success depends on regular performance tracking. Metrics to consider include:

  • Physician ease-of-use
  • Return on investment (ROI)
  • Quality of care based on patient feedback

Scalable Architecture

The architecture should be service-oriented to enhance interoperability. Breaking down the development process into modular components connected via APIs allows for easier scaling and maintenance.

Front-End and Back-End Development

The front end should be designed for intuitiveness and ease of use, employing languages like JavaScript, HTML5, or CSS3. The back-end, responsible for database management, can be developed using frameworks like Laravel and databases like MySQL.

Team Composition

A well-rounded team is crucial for successful EHR development. It involves:

  • Back-end and front-end web developers
  • Android and iOS developers
  • Quality assurance engineers
  • Project managers

Therefore, considering the mentioned aspects will keep you ahead in the rapidly changing healthcare landscape and enhance the quality of care you can offer.

Begin your exploration of EHR interoperability and discover how it is transforming healthcare. Take the first step toward a future of seamless, secure, and advanced health data exchange.

Things to Account for During Post-Development

Navigating the complexities of healthcare technology continues after the development of an EHR system. Several key areas require ongoing attention to maximize the system’s utility and meet provider and patient needs. Here is a closer look at what healthcare providers should focus on after the EHR system has been developed.

Ongoing System Updates

Now more than ever, keeping your EHR system up-to-date is crucial. Regular software updates enhance system performance and ensure compliance with new healthcare regulations.

Comprehensive User Training

The effectiveness of an EHR system largely depends on how comfortably healthcare providers can use it. Thus, comprehensive training programs should be in place to familiarize staff with the system’s functionalities. That will aid in a smoother transition and higher adoption rates.

Establishing a Feedback Mechanism

A continuous feedback loop with end-users can provide invaluable insights into the system’s performance and usability. Regular surveys and feedback sessions help identify areas for improvement, ensuring that the system evolves to meet the users’ needs.

Seamless Data Transition

When switching to a new EHR system, it is vital to have a well-planned data migration strategy. That involves transferring existing patient records and other essential information into the new system in a phased manner to ensure data integrity and continuity.

Mobile Accessibility

In today’s digital age, having a mobile-friendly EHR system is no longer optional. It enhances the user experience by providing the flexibility to access patient records and other functionalities on the go, thus improving patient engagement and care.

Monitoring System Performance

Regularly tracking the performance of your EHR system can provide actionable insights. Metrics such as ease of use, ROI, and patient care quality based on feedback should be monitored to gauge the system’s effectiveness.

Integration with Other Health Platforms

If your healthcare facility uses platforms like Apple Health Records, ensure that your EHR system can seamlessly integrate. That enhances data exchange and provides a more comprehensive view of patient health.

By paying attention to these post-development factors, healthcare providers can ensure that their end product is efficient, user-friendly, and compliant with industry standards.

3 Key Integrations EHR Software Should Have

Key Integrations EHR Software Should Have

Integrating EHRs with other essential systems like lab, pharmacy, and billing is crucial to maximize utility and efficiency. Here are some key EHR integrations you just cannot omit:

1. Lab Systems Integration

The importance of lab systems in the healthcare sector cannot be overstated, as they serve as the core of diagnostics. Their integration with EHRs is crucial for the immediate availability of test results to healthcare providers. 

With features such as real-time lab results, automated critical alerts, and a consolidated diagnostic history, these systems enhance the efficiency and accuracy of medical care. For instance, Orchard Harvest LIS is a lab system that exemplifies this integration by facilitating data exchange with EHRs.

2. Pharmacy Systems Integration

Integrating healthcare systems is critical for medication management, substantially reducing the likelihood of errors and ensuring that medication histories are consistently updated. Key features such as auto prescription refills, drug interaction alerts, and medication tracking are instrumental in achieving this. 

Surescripts is a prime example of this integration, offering a network that connects EHRs with pharmacies. That enables electronic prescriptions and facilitates the easy retrieval of medication history, enhancing healthcare delivery’s efficiency and safety.

3. Billing Systems Integration

Integrated billing is crucial in streamlining healthcare finances, as it automates the invoicing process based on the medical services recorded in the EHRs. This efficiency is further enhanced by features such as automated billing, real-time insurance verification, and revenue cycle management. 

In this context, Kareo is an exemplary model, offering an EHR system with integrated billing and practice management features. As a result, it simplifies the financial aspects of healthcare administration.

Additional Integrations

  1. Telehealth Systems. With the rise of telemedicine, integrating telehealth systems is increasingly crucial. Teladoc can integrate with EHRs to provide a unified patient care experience, in-person or virtual.
  2. Messaging Standards. Standardized messaging like HL7 and FHIR facilitates effective communication across healthcare applications. Redox provides EHR integration services using FHIR and HL7 standards.

By understanding these integrations’ importance, features, and challenges, healthcare providers can make informed decisions contributing to more efficient healthcare delivery.

EHR Software Development Cost

Developing an EHR system is an investment that requires careful financial planning. The Cost of EHR development can vary widely, influenced by features, complexity, and the development approach. Here, we explore the different cost structures associated with EHR software development to help you make an informed decision.

Off-the-Shelf EHR Solutions

The cost range for these budget-friendly options typically falls between $15,000 to $70,000. While they offer the advantage of being more affordable, they also come with certain limitations that buyers should know. These include reduced functionality, potential compliance issues, and infrequent updates, which could impact the overall effectiveness and reliability of the system.

Local EHR Development Companies

The cost of hiring a local software development company can significantly vary based on geographical location. For example, development costs in Western countries such as the U.S., Canada, or the European Union are generally higher than in Eastern Europe or Asia. This regional disparity in pricing is an essential factor to consider when budgeting software development services.


Outsourcing has gained popularity as a cost-effective and quality-driven option for EHR software development. The rates for these services can vary significantly based on the location of the remote team and the complexity of the EHR system you are looking to develop. 

Eastern Europe is frequently cited as a cost-effective region for outsourcing, known for delivering quality work at competitive rates. On average, the hourly rate for outsourcing EHR development starts at around $50 per hour, making it an essential consideration in budget planning.

Detailed Cost Breakdown

Here is a sample cost estimation for developing a basic EHR system:

  • Business Analysis: 60 hours at $50/hr = $3,000
  • Design: 45 hours at $50/hr = $2,250
  • Backend Development: 142 hours at $50/hr = $7,100
  • Frontend Development: 155 hours at $50/hr = $7,750
  • HIPAA Compliance: 100 hours at $50/hr = $5,000
  • Quality Assurance: 140 hours at $50/hr = $7,000
  • Project Management: 95 hours at $50/hr = $4,750

Total Hours: 800

Total Cost: $40,000

You might need an additional 400 hours for a more advanced version, bringing the total cost to approximately $60,000.

Whether you opt for an off-the-shelf solution, hire a local development company, or outsource the project, each approach has financial implications. You can select the most cost-effective route for your healthcare facility by carefully considering these factors.

SPsoft Experience as an EHR Software Development Company

SPsoft specializes in EHR software development, building solutions suited to the specific demands of healthtech organizations. We aim to automate internal operations, improve customer experiences, and strengthen data management by leveraging tech innovation and commercial insights. 

When working on EHR development, we include the following aspects:

  • Top-Grade Security. Recognizing the critical importance of data privacy in healthcare, SPsoft adds stringent security elements to our health IT solutions. We develop software that secures patient data while adhering to all regulatory and industry standards.
  • Outstanding Software Development and Verification. Our skilled teams are well-known for constantly producing well-crafted and well-tested software. That ensures that our solutions can handle the demands of the healthcare industry, providing a stable platform for securely exchanging medical information.
  • Maintenance and Support. SPsoft’s dedication to customers continues after the delivery of software. We provide essential continuing support and maintenance, ensuring the software’s performance is regularly evaluated, and any potential faults are resolved as soon as possible. That includes peak software performance and dependability.
  • Tailored Solutions. SPsoft provides bespoke solutions adapted to each client’s demands, recognizing that each healthcare business has distinct requirements. This low-cost strategy guarantees clients a solution that suits their needs without sacrificing quality.

Thus, SPsoft is a trusted partner in providing safe and effective EHR solutions. We help facilitate the smooth exchange of health data and contribute to better healthcare service delivery.

Final Remarks

EHR software development constantly evolves, propelled by technological innovations and a growing demand for efficient, secure, and comprehensive healthcare solutions. By harnessing a deep understanding of healthcare requirements and utilizing cutting-edge tech, providers of custom EHR solutions cannot only meet regulatory standards. Also, they offer various features aimed at boosting operational efficiency, enhancing patient care, and safeguarding data. 

Whether you are a fledgling startup or a seasoned healthcare provider, tapping into specialized expertise in EHR development can position you at the industry’s forefront.

Ready to revolutionize your healthcare practice? Contact us now to get your custom-built, state-of-the-art EHR software designed from scratch.


What are the stages of EHR development?

– The stages of EHR development include:
– Assessing organizational readiness
– Identifying workflow weaknesses
– Developing a strategic roadmap
– Selecting a vendor
– Adapting and preparing the organization, testing and evaluation
– Continuous improvement and support

How much does EHR development cost?

The cost of EHR development can vary widely, influenced by features, complexity, and the development approach. Estimates for a basic EHR system start at around $40,000, but for more advanced versions, the cost can go up to approximately $60,000 or more.

Related articles

The Role of EMR Solutions: Medical Software Platforms that Change Care

The Role of EMR Solutions: Medical Software ...

Read More
Navigating the Future of Healthcare: Mastering EHR API Integration from Start to Finish

Navigating the Future of Healthcare: Mastering EHR ...

Read More
Decoding EHR Implementation in Healthcare: Navigating Costs and Technological Challenges

Decoding EHR Implementation in Healthcare: ...

Read More

Contact us

Talk to us and get your project moving!