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Patient Records That Work for Clinicians, Not Against Them.
We develop, customise, and integrate electronic health record systems, connecting EHRs with labs, pharmacies, devices, and patient apps through HL7 and FHIR so clinical data is complete, accurate, and available where care happens.
Trusted by teams building what's next
Electronic records should make clinical work faster, yet many organisations still live with slow interfaces, rigid templates and data trapped in separate systems. Lab results arrive as PDFs, medication lists differ between departments, and clinicians re-key the same history at every encounter. Each gap costs time at the point of care and introduces risk that training alone cannot remove, which is why the record is so often the first system an organisation sets out to modernise.
As an EHR software development company, we build specialty EHR and EMR systems, modules that extend an existing record, and the integration layer that connects it to labs, pharmacies, imaging and patient apps. We design around how a clinician actually documents an encounter: what they need to see first, what can be pre-filled, and which structured fields billing, reporting and decision support depend on further down the line.
Interoperability sits at the centre of every build. We exchange data using HL7 v2 messaging, FHIR R4 resources and SMART on FHIR apps, code clinical concepts with SNOMED CT, ICD-10 and LOINC, and connect to Epic, Oracle Health (Cerner), athenahealth, MEDITECH and eClinicalWorks through their published interfaces. Where a legacy system has no modern API, we build middleware with Mirth Connect or HAPI FHIR rather than relying on manual exports.
Records hold the most sensitive data an organisation owns, so access control, consent and audit trails are part of the data model from the first sprint, supporting HIPAA, GDPR, UAE PDPL, DHA and DoH rules, and India's DPDP Act and ABDM. For US products that need ONC certification, we align the architecture with the certification criteria early, so testing confirms the design rather than forcing a late rework.
Record structures, templates and workflows built for a specific specialty such as oncology, cardiology, dental or behavioural health, rather than a generic chart every department has to work around.
ADT, ORM, ORU and SIU feeds over MLLP alongside FHIR R4 APIs and SMART on FHIR launch, so new and legacy systems exchange data without manual re-keying.
Smart templates, pre-filled history and coded fields using SNOMED CT, ICD-10 and LOINC, so notes are quick to write and still useful for billing, reporting and decision support.
Mapped, validated and reconciled migration of demographics, problems, medications, allergies, results and documents, with trial runs and clinical sign-off before any legacy record is retired.
Role and context-based access, break-glass workflows, consent records and immutable audit logs that show who viewed or changed each record, when and why, ready for HIPAA and GDPR review.
Ambient note drafting, problem list suggestions and record summarisation with clinician review and sign-off, reducing documentation time without handing clinical judgement to a model.
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Products delivered
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Years of engineering
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Countries with live products
Each one designed with your teams, integrated with the systems you already run, and engineered to scale.
Specialty-specific record systems designed around your clinical workflows.
Standards-based interfaces connecting EHRs with labs, pharmacies, and apps.
Secure access to records, results, and messaging for each role.
Validated migration of patient records and history from legacy systems.
Templates, smart forms, and AI-assisted notes that reduce typing.
Role-based access, consent management, and complete audit trails.
Other healthcare areas with a dedicated page.
The product categories ehr & emr solutions organisations most often ask us to build, from focused mobile apps to multi-tenant platforms.
Purpose-built records for oncology, cardiology, orthopaedics, dental, ophthalmology and behavioural health, with the templates and workflows each specialty expects.
Charting, scheduling, e-prescribing and billing for outpatient clinics and multi-location practices.
Admission notes, nursing documentation, medication administration records and discharge summaries that extend or replace parts of an existing hospital system.
Patient access to records, results and documents through FHIR-based APIs, with proxy access for carers and guardians.
Hubs that route, match and reconcile records between hospitals, labs and payers using HL7 v2, FHIR and a master patient index.
Apps that launch inside Epic, Oracle Health and other EHRs with patient context, adding specialty tools without replacing the core record.
Longitudinal, coded patient data stores that feed analytics, registries, research and population health programmes.
Interface layers built on Mirth Connect or HAPI FHIR that translate, route and monitor clinical messages across systems.
Legacy data extraction, transformation and read-only archives that keep historical records accessible after a system is retired.
Grouped by who uses them. Every feature below is one we have shipped to production, not a wishlist.
Everything needed during an encounter, in as few clicks as possible.
Sharing the record safely beyond the clinic.
Control over access, interfaces and data quality.
The problems we most often help ehr & emr solutions organisations solve, and design every engagement around.
Labs, imaging, pharmacy and billing data often live outside the core record, so clinicians piece together a patient's history from several screens, faxes and scanned documents.
Rigid templates, duplicate entry and excessive clicks slow clinicians down, push charting into evenings and encourage copy-forward notes that reduce the quality of the record.
Moving records between systems must preserve accuracy, history and coding. One mapping error in medications or allergies can follow a patient into every future encounter.
Some EHR platforms limit API access or charge per interface, which makes it hard to add specialty tools, patient apps or analytics without long vendor queues.
US products face ONC certification criteria and information-blocking rules, while other markets expect national frameworks such as ABDM, so compliance has to shape the architecture early.
Real products designed and engineered by Creuto end to end, with the operational depth healthcare and ehr & emr solutions projects demand.
A full-stack beauty marketplace consumer mobile app, vendor dashboard, and super admin panel designed and delivered by Creuto from scratch.
200+
Vendors Onboarded
40%
Drop-offs Reduced
16 wk
Time to Market
A full-stack workflow management platform — admin panel, task boards, collaboration engine, and reporting suite — designed and delivered by Creuto from the ground up.
1
Source of Truth for All Work
100%
Task Audit Trail
4
Task Lifecycle States
A cloud-native, IoT-powered smart city platform — web command dashboard, citizen mobile app, field staff app, and full IoT integration designed and delivered by Creuto from the ground up.
10
Integrated Modules
25–30%
Reduction in Vehicle Trips
4
Platforms Delivered
The ehr & emr solutions standards we build against and the controls behind them. Your compliance team keeps ownership; we make the software easy to certify.
The platforms, standards and third-party services a product in this sector usually has to talk to. If yours is not listed, it is almost certainly something we have connected before.
The reasons clients in this sector give when they recommend us, not the ones we would pick ourselves.
Either we build it exceptional, or we don't.
The standard every ehr & emr solutions product leaves our studio with.
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Products delivered
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Years of engineering
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Client satisfaction
HL7 v2 feeds, FHIR R4 APIs and SMART on FHIR apps are things we build regularly, including against legacy systems with limited interfaces.
We measure clicks and charting time before and after, and design templates so the record supports the encounter rather than slowing it.
Every migration ships with mapping specifications, reconciliation reports and sign-off records, so clinical and compliance teams can trust the result.
We tell you when extending your current EHR or adding a SMART on FHIR app is a better route than a custom build, and design accordingly.
Vendor upgrades, new message types and regulatory changes are handled through monitoring and support, so integrations keep working after launch.
What organisations in this sector gain when the software is built around their workflows rather than the other way around.
Specialty templates, pre-filled history and AI-assisted drafting give clinicians time back on every encounter.
Labs, imaging, medications and outside records arrive in one chart, reducing duplicated tests and missed information.
Interfaces replace manual re-keying of results, orders and demographics, removing a common source of clinical and billing mistakes.
Structured, coded documentation supports accurate charge capture and fewer rejected claims.
Standards-based APIs let you add patient apps, analytics and specialty modules without waiting on a single vendor.
Coded, longitudinal records feed quality reporting, population health and AI models without months of data cleaning.
Transparent, sprint-based and built around decisions you can see. You know what ships, when, and why at every step.
Start Your ProjectWe observe documentation and ordering workflows by specialty, inventory every system that reads or writes the record, and agree the clinical and operational outcomes the project must improve.
Data model, terminology strategy, interface catalogue, hosting region, consent model and any certification target are documented before design, so compliance shapes the system from the start.
Templates and charting flows are prototyped, tested with practising clinicians and timed against the current process until documentation is faster than what it replaces.
Two-week sprints with working software reviewed by clinical leads. Interfaces are built against vendor sandboxes and test HL7 feeds from the early sprints, not at the end.
Interface conformance testing, trial migrations with reconciliation reports, load testing and a penetration test are completed before any clinician depends on the new record.
Clinic-by-clinic or department-by-department cut-over with training, at-the-elbow support and monitoring, followed by a roadmap driven by usage data and clinician feedback.
Chosen per project for longevity, hiring depth and fit with your existing systems, never by fashion.
AI IN EHR & EMR SOLUTIONS
We add AI to EHR products where it shortens documentation and surfaces what matters in a long record, with clinician review, links back to source data and an audit trail on every output.
Explore our AI engineeringThe shifts we design for so a product launched this year is still the right product in three.
US certification rules and national programmes elsewhere increasingly require standardised FHIR APIs for patient and third-party access to records.
AI that listens to the encounter and drafts the note for clinician review is moving into routine use as organisations tackle documentation burden.
Health systems extend their core EHR with specialty apps that launch in context, rather than replacing the record to gain one feature.
India's ABDM and UAE exchanges such as Malaffi and NABIDH link records across providers through shared identifiers and consent frameworks.
US rules penalise unreasonable restrictions on access to electronic health information, pushing vendors and providers toward open, documented interfaces.
FHIR services from AWS, Azure and Google Cloud make longitudinal records and analytics easier to run within data-residency rules.
There is no honest single number. Scope, integrations and compliance drive the budget, so we price against a written scope after discovery. The factors below are what move it.
A new specialty EHR is a larger build than SMART on FHIR apps or an integration layer around an existing record.
Each EHR, lab, pharmacy, imaging or exchange connection adds analysis, sandbox access, mapping and conformance testing.
Volume, data quality and the number of legacy systems determine the mapping, trial runs and reconciliation effort.
ONC certification or national frameworks such as ABDM add specific functional requirements, documentation and test effort.
The number of specialties, templates and coded data sets drives clinical design and validation work.
Ambient documentation and decision support need evaluation, governance and clinician review loops beyond standard features.
| Engagement | Typical scope | Timeline |
|---|---|---|
| Validation MVP | One specialty workflow or SMART on FHIR app, one EHR integration, core security and audit. | 10 to 14 weeks |
| Production platform | Specialty EHR or integration hub with clinician and patient access, multiple interfaces, admin console and migration. | 4 to 7 months |
| Enterprise or multi-site | Multi-specialty or multi-facility record platform, information exchange, large-scale migration, analytics and AI. | 8 to 14 months, phased |
Revenue models we have built billing, reporting and growth loops for. Most products combine two or three.
Monthly or annual pricing per clinician or per location, tiered by modules and specialty content.
Annual licences with implementation, migration and support fees for hospitals and health systems.
Charges per connected system or message volume for integration hubs and exchange platforms.
SMART on FHIR apps sold through EHR vendor app marketplaces to organisations already on that platform.
Coding assistance, claims and billing modules priced as optional extensions to the core record.
The engineering disciplines every project in this sector draws on. Each has its own page with process, stack and FAQs.
Founders and product leaders on what it is like to build with Creuto.
“They built a technically robust platform and ensured it was intuitive and accessible for investors of all levels.”
Thanks to Creuto's work, the client saw steady app growth in transactions and SIPs, full regulatory compliance, and positive user feedback. The team had excellent project management, delivered timely milestones, and communicated proactively. Creuto's understanding of the client's industry stood out.
Colton Wade
CEO, Breuto
More client voices
/01 of 06
Straight answers about ehr & emr solutions software projects. If yours is not here, ask us directly.
Ask our ehr & emr solutions teamIt depends on whether you are building a new specialty EHR, extending an existing one or adding an integration layer, plus the number of interfaces, the volume and quality of data to migrate, and any certification target such as ONC. After a short discovery we provide a fixed-scope proposal with a clear breakdown rather than a single headline figure.
A validation MVP covering one specialty workflow or a SMART on FHIR app with one integration typically takes 10 to 14 weeks. A production specialty EHR or integration hub usually takes four to seven months. Multi-specialty or multi-facility platforms with large migrations are delivered in phases over eight to fourteen months.
We build EHR software with the technical safeguards HIPAA requires and sign Business Associate Agreements where our role requires it. For ONC certification we align the design with the applicable certification criteria and prepare for testing with an authorised testing laboratory. Certification itself is granted to your organisation through the official programme, and we support you through it.
Yes, where the vendor provides interface or API access. We use HL7 v2, FHIR R4 and SMART on FHIR with Epic, Oracle Health (Cerner), athenahealth, MEDITECH and eClinicalWorks, usually through their developer programmes, and we build middleware with Mirth Connect or HAPI FHIR for systems with limited APIs.
EHR app development usually means a clinician or patient-facing application, such as a mobile charting tool, a patient portal or a SMART on FHIR app. EHR software development covers the whole record system: data model, terminology, interfaces, access control, audit, migration and reporting. We deliver either, and connect apps to the record through standard APIs.
It depends on your specialty, scale and how well current products fit your workflows. Many organisations get more value from extending an existing EHR with SMART on FHIR apps or an integration layer. A custom build makes sense when no product fits the specialty or the record is core to your own product. We assess both options and recommend the most practical path.
We map every source field to the target model, run trial migrations on controlled copies, reconcile record counts and clinical content such as medications and allergies, and keep audit records of each step. Legacy systems stay available in read-only mode until clinical and compliance leads sign off on the result.
We work with HL7 v2 messaging, HL7 FHIR R4 and US Core profiles, SMART on FHIR, C-CDA documents, DICOM for imaging links, and SNOMED CT, ICD-10 and LOINC for coding. We also use IHE profiles and national frameworks such as ABDM in India where a project requires them.
Tell us what you are building. We will help you scope it, design it, and ship it, with a senior team accountable end to end.
