QSS Technosoft builds, implements and integrates EHR and EMR systems for hospitals, practices and health-tech companies: custom EHR platforms, OpenEMR implementation, Kareo (Tebra) customization, patient portal software and HL7, FHIR and SMART on FHIR interoperability.
100+ healthcare projects | 16+ years in healthcare | HIPAA · HITECH · HL7 & FHIR R4
HIPAA • HITECHONC criteria · HL7 & FHIR R4Healthcare compliant
100+Healthcare projectsProven healthcare expertise
CMMILevel 3ISO 27001 · ISO 9001
16+ yearsIn healthcareUS-headquartered in Bloomington, MNTrusted Partners
An EHR is only as good as what it connects to. As an EHR software development company with 16+ years in healthcare IT, QSS builds the record and the interfaces around it:
lab, imaging, pharmacy and billing connectivity, and the patient-facing tools that turn a database into care.
CHALLENGES EHR PROJECTS FACE
Most EHR projects don’t fail on features. They fail on adoption, migration and the interfaces nobody scoped. Here is where we see healthcare organizations get stuck, and how our EHR/EMR services are built to get them unstuck.
Problem
How we solve itSpecialty-specific templates, smart forms, voice and ambient documentation, and one-screen patient summaries designed with your clinicians, not for them.
Minutes back per encounter and a system clinicians adopt.ProblemHow we solve itWe customize commercial platforms such as Kareo (Tebra), Allscripts and athenahealth through their APIs, or build a custom EHR where the specialty demands it.
An EHR shaped to the practice, not the other way round.ProblemHow we solve itOpenEMR implementation and customization give you a certified, open-source EHR with no per-provider fees, hardened, hosted and supported by us.
A modern EHR with predictable cost of ownership.ProblemHow we solve itHL7 v2 and FHIR R4 interfaces via Mirth Connect and Iguana, and connections to LIS, RIS/PACS, e-prescribing networks, clearinghouses and HIEs.
Results, orders and claims that flow without re-keying.ProblemHow we solve itStructured data migration from legacy EMRs or paper, validated field by field, with parallel running and rollback plans so go-live is not a gamble.
A clean record on day one and no data left behind.ProblemHow we solve itONC Cures Act criteria, USCDI data classes, FHIR patient-access APIs, HIPAA controls and audit trails built into the platform, not added afterwards.
An audit-ready, interoperable EHR that stays current.
Facing similar challenges?Let’s talk about your clinical workflow and show you whether to build, implement OpenEMR or extend what you have.Talk to Our US Team →OUR SERVICES
Three routes to the right EHR, one partner: build a custom EHR/EMR, implement and extend OpenEMR, or customize the commercial platform you already own.
Custom EHR/EMR software development
Purpose-built EHR and EMR systems for practices, hospitals and health-tech companies, with clinician-designed interfaces and interoperability from the first sprint. Built to ONC Health IT certification criteria so the platform can pursue certification when you are ready.
Clinical chartingProblem lists, medications, allergies, orders, results and specialty templates.
Coding and qualityICD-10, E/M and CPT coding support with CQM reporting.
Every deviceWeb, mobile and tablet clients for the ward, the clinic and home.
Multi-tenantWhite-label architecture for health-tech vendors and provider networks.
3Clients: web, mobile, tablet
3Coding sets: ICD-10, E/M, CPT
16+ yearsIn healthcareEHR implementation, migration and consulting
End-to-end implementation of commercial and open-source EHRs, from assessing your legacy system to data migration, configuration, training and go-live.
EHR selectionReadiness assessment against your workflows and budget.Data migrationFrom legacy EMRs or paper, validated and reconciled.Configuration and trainingWorkflow-aligned setup, roles and clinician training.Go-live supportParallel running and post-go-live optimization.5Platforms: Epic, Oracle Health, Meditech, Allscripts, athenahealth20+EHR/EMR integrations delivered0Data left behind in migrationOpenEMR implementation and customization
OpenEMR is ONC-certified and free to license, but the gap between installed and production-ready is where most projects stall. We close it with hardened infrastructure, specialty workflows, integrations, billing and managed support.
Secure environmentSetup and hardening on AWS, Azure or on-premise, with backup and disaster recovery.Specialty setupTemplates, forms, scheduling and patient portal configuration.Custom modulesFHIR R4 APIs and HL7 v2 channels.Billing and supportClearinghouse setup, migration, training and 24/7 managed support.8–12 weeksTypical implementation$0License fees24/7Managed supportKareo (Tebra), DrChrono and commercial EHR customization
Independent practices grow out of their platform’s defaults before they grow out of the platform. We extend Kareo (now Tebra), DrChrono, athenahealth and similar EHRs through their APIs.
API integrationLabs, payment platforms, telehealth and third-party tools.Workflow optimizationTemplates and scheduling with less friction.Revenue and reportingBilling optimization, reporting and data extraction.Platform migrationInto or out of Kareo (Tebra) with validated data transfer.4–12 weeksTypical customization3Platforms: Tebra, DrChrono, athenahealth2Migration routes: into, out ofPatient portal software, PHR and engagement
Patient-facing tools that meet Cures Act access requirements and keep patients engaged: patient portal software, personal health records, secure messaging and mobile apps connected to the record.
Patient portal softwareRecords, results, prescriptions, scheduling, payments and secure messaging.PHR appsPersonal health records consolidating data across providers.SMART on FHIRFHIR patient-access APIs and third-party app enablement.EngagementReminders, intake, consent and education workflows.6Portal functions in one login4Engagement workflows2Patient channels: web, mobileClinical decision support, population health and analytics
Turn the record into insight: real-time guidance at the point of care, population-level risk stratification and the reporting your quality programs require.
CDSSDrug-interaction, allergy, dosing and guideline alerts.Population healthDashboards, risk stratification and care-gap identification.Quality reportingCQM, MIPS and value-based care programs.AnalyticsPower BI, Tableau or embedded dashboards.4Alert types at the point of care3Programs: CQM, MIPS, value-based care2BI tools: Power BI, TableauAn EHR software development company is judged on the joins: the lab feed that arrives structured, the claim that leaves clean, the migration that loses nothing, the clinician who stops complaining. QSS builds on the interoperability and compliance backbone we have engineered for healthcare clients for 16+ years, and we are as comfortable implementing OpenEMR or extending Kareo (Tebra) as we are building from scratch.
Custom build, OpenEMR implementation or commercial platform customization. We help you choose on cost of ownership, specialty fit and timeline, then deliver whichever you pick.
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Dedicated HL7 v2, FHIR R4, SMART on FHIR, Mirth Connect and Iguana practices, HIE connectivity, Allscripts integration and 20+ EHR, EMR and HIS integrations delivered.
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HIPAA, HITECH, ONC Cures Act and information-blocking rules, USCDI, GDPR, PIPEDA and PHIPA, 42 CFR Part 2 for behavioral health. Audit trails, consent and access controls by default; BAA-backed hosting.
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Structured, validated, reconciled data migration with parallel running and rollback plans, out of paper, legacy EMRs and commercial platforms.
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A shipped Remote Patient Monitoring platform, a DICOM/PACS Viewer and an eSignature product mean connected-care, imaging and consent features start from tested modules.
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Ambient documentation, coding suggestions and clinical-risk prediction inside the EHR, always with a clinician in the loop and a full audit trail.
Learn more →The building blocks we draw on most often. Select the ones that matter and we’ll map them to your workflows in the discovery call.
Problem lists, notes, vitals, histories and specialty templates
Medication lists, reconciliation, allergy and interaction checks
NCPDP SCRIPT prescribing with EPCS for controlled substances
CPOE for labs and imaging with structured results into the chart
HL7 ORM/ORU and FHIR-based lab connectivity
Image links and viewers inside the record
Real-time alerts, guidelines and risk scores at the point of care
Coding assistance and validation for accurate claims
Appointments, check-in, eligibility and demographics
Charge capture, claims, clearinghouse and denial workflows
Records, results, messaging, scheduling and payments
App launch inside the EHR and Cures Act patient-access APIs
HIPAA-compliant clinician-to-clinician and patient messaging
Video visits inside the chart with charge capture
Scanning, fax digitization, e-signature and audit trail
State registry reporting and vaccine tracking
Structured plans, tasks, referrals and transitions of care
Risk stratification, care gaps and cohort dashboards
MIPS, HEDIS and program-specific measure reporting
Query, retrieve and publish via regional and national exchanges
Legacy EMR and paper-record migration with reconciliation
Access control, MFA, encryption and audit logging
One platform, many practices or brands
iOS and Android clients for clinicians
Clinical, operational and financial reporting
HOSPITALS & MEDICAL SYSTEMS
One record across every department
Streamline clinical workflows, enhance patient care and support interoperability with a centralized electronic health record system.
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Central Record
Clinical Workflows
Full InteroperabilityPRIVATE CLINICS & PRACTICES
An EMR that fits the practice
Custom EMR software for solo or group practices to manage patient records, appointments and treatment plans more efficiently.
Learn More →Patient RecordsEasy SchedulingTreatment PlansMENTAL & BEHAVIORAL HEALTH
Confidential care, carefully documented
Confidential patient interaction, progress tracking and medication management with secure, specialty-focused EMR systems.
Learn More →Confidential RecordsProgress Tracking42 CFRPEDIATRICS
Records built for growing patients
Immunization tracking, growth charts and child-specific clinical decision support with pediatric-ready EHR solutions.
Learn More →Immunization TrackingGrowth ChartsPediatric AlertsCARDIOLOGY & INTERNAL MEDICINE
Templates for chronic and cardiac care
Data-driven insights and templates tailored for cardiovascular care, chronic condition management and diagnostic accuracy.
Learn More →Cardiac TemplatesChronic CareDiagnostic AccuracyTELEMEDICINE & VIRTUAL CARE
The record wherever care happens
Remote patient monitoring, real-time patient communication, patient portal software and cloud-based access to records in virtual care.
Learn More →Remote MonitoringPatient PortalsCloud AccessLONG-TERM & POST-ACUTE CARE
Continuity across every facility
Better continuity of care, medication alerts and data migration across facilities with integrated EHR software.
Learn More →Care ContinuityMedication AlertsMulti-facility RecordsBuyers We Build For
Startups
Tebra
Community
Specialty
Homecare
Payers
ResearchReal results. Real impact. Empowering better care through technology.
A digital medication administration record (eMAR) system that streamlines patient documentation and captures every clinical action by healthcare professionals, improving accuracy and care coordination and digitizing prescribing and dispensing workflows.
Tech Used
Kotlin · Firebase · Node.js · PostgreSQL · REST API
Results
A next-generation nurse call mobile app that lets caregivers receive and respond instantly to emergency alerts from patients, improving real-time communication and response times.
Tech Used
Flutter · Firebase · Node.js · MongoDB · Bluetooth Low Energy (BLE)
Results
A home-care solution where doctors prescribe treatment plans and medication while caregivers deliver therapies to elderly or differently-abled patients at home, improving coordination and continuity of care.
Tech Used
React Native · Express.js · MySQL · Node.js · REST APIs
Results
We add AI inside the record where it removes documentation burden and surfaces risk earlier, and keep a clinician in control of every decision.
Clinical Data
Encounters, notes,
results, history
AI Engine
Draft, code,
predict
Clinician Review
Human oversight
+ audit trail
Action
Complete notes,
cleaner claims
Ambient documentationDraft the encounter note for review and sign-off
Coding & charge captureSuggest ICD-10, CPT and E/M codes before the claim leaves
Risk & care-gap predictionFlag deterioration, readmission risk and overdue care
Clinician & patient assistantsChart search for clinicians; intake and scheduling for patientsAn EHR carries the most sensitive data a person has. Any EHR software development company will claim HIPAA compliance; we design every system to the full set of rules that apply, from ONC certification criteria to information blocking, and can show you how, control by control.
Custom and OpenEMR-based systems built to the ONC Health IT certification criteria, including USCDI data classes and standardized FHIR APIs, so certification can be pursued when required.
FHIR R4 patient-access APIs, SMART on FHIR app launch, C-CDA export and third-party app enablement, so you meet Cures Act access rules without custom work later.
AES-256 at rest and TLS 1.2+ in transit for records, messages, documents and interfaces.
Multi-factor authentication, role-based permissions, break-glass access and session controls.
Immutable logs of every view, edit, export and interface transaction, exportable for OCR audits and internal review.
HIPAA-eligible environments on AWS, Azure or Google Cloud with BAAs in place, or on-premise where you require it; backups and tested disaster recovery.
Digital consent capture, data minimization and regional privacy rules (GDPR, PIPEDA, PHIPA, 42 CFR Part 2) applied by configuration.
Third-party vulnerability assessments and penetration tests tracked to closure; security requirements verified before every release.
Best when you have a defined scope and go-live date. Fixed price, fixed timeline, milestone-based delivery.
Best when the EHR is an ongoing product. Named healthcare engineers, integration specialists and QA who work as an extension of your team.
Best when you want to own the capability long term. We build and run the team and platform, then transfer both to you on an agreed timeline.
We choose the stack for your requirements, not the other way round.
Front-end & mobileReact.js · Angular · Vue.js · Flutter · React Native · Swift · Kotlin
Back-endNode.js · .NET · Python · Java · Express.js · PHP (OpenEMR)
DataPostgreSQL · MySQL/MariaDB · MongoDB · SQL Server · Firebase · Elasticsearch
Cloud & DevOpsAWS · Microsoft Azure · Google Cloud · Docker · Kubernetes · Jenkins · GitHub Actions
Security & identityOAuth 2.0 · OpenID Connect · SMART on FHIR · JWT · SSL/TLS
Healthcare standardsHL7 v2 · FHIR R4 · C-CDA · USCDI · DICOM · NCPDP SCRIPT · X12 · SNOMED CT · LOINC · ICD-10
EHR platforms we integrateOpenEMR · Kareo (Tebra) · Epic · Oracle Health (Cerner) · Meditech · Allscripts (Veradigm) · athenahealth · DrChrono · eClinicalWorks · Mirth Connect · Iguana
Clinical & business servicesSurescripts · First Databank / Medi-Span · Availity · Twilio · Zoom SDK · Stripe · Power BI · TableauThe route you choose changes the numbers more than anything else. These are typical ranges based on our delivery history and current market rates.
Hardened hosting, specialty setup, portal, billing, migration and managed support
8–12 weeks per organization
$18,000–$70,000
Typical investment
Ongoing: Hosting and support only; no license fees
API integrations, workflow optimization, reporting and migration on Kareo (Tebra) and similar platforms
4–12 weeks per scope
$9,000–$40,000
Typical investment
Ongoing: Vendor license fees continue
Full clinical, administrative and patient-facing modules with certification readiness
3–6 months (basic) · 6–12+ months (advanced)
$35,000–$90,000 (basic) · $180,000–$450,000+ (advanced)
Typical investment
Ongoing: Hosting, support and your own roadmap
Investment is scoped to your route, modules and integrations. You leave the discovery call with a range specific to your project.
Talk to a healthcare solutions architect at an EHR software development company that will tell you whether to build, implement OpenEMR or extend what you have, and leave with an integration map, a migration risk assessment and a cost range.
ExpertGuidance
TailoredRecommendations
Clear Cost& TimelineAnswers about our EHR/EMR software development services, OpenEMR implementation, Kareo (Tebra), integrations, compliance, timelines and costs.
Electronic Health Records (EHR) and Electronic Medical Records (EMR) are digital platforms healthcare providers use to manage patient data. An EMR is a digital version of a patient’s chart within one medical practice, containing medical history, diagnoses and treatments. An EHR offers a more comprehensive solution that enables data exchange across multiple healthcare organizations. Both improve patient care, support clinical decision-making and are vital for HIPAA-compliant and cloud-based healthcare systems.
An EHR system gives real-time access to health records, clinical data, medical history, allergies and drug interactions. This complete view reduces medical errors, supports better decisions and enables coordinated care across multiple medical professionals.
Absolutely. Our EHR solutions support various medical specialties through customizable templates, modular workflows and specialty-specific reporting tools, for smooth adoption across different healthcare systems.
Yes. Our EHR and EMR software is designed for interoperability. It integrates with labs, pharmacies, radiology services, billing systems, patient portals and third-party APIs using HL7 and FHIR, and supports SMART on FHIR so approved third-party apps can launch inside the record.
Our patient portal software lets patients view their medical records, lab results, prescriptions and appointment history, book visits, pay bills and message their care team. It improves engagement, supports two-way communication with providers and helps meet Cures Act patient-access rules.
Yes. We provide post-launch support, including system monitoring, feature upgrades, bug fixes and regular updates to keep the EHR compliant, secure and aligned with evolving healthcare technology standards.
Custom EHR software development lets providers tailor workflows, patient interaction and data management to their practice. Unlike off-the-shelf solutions, a customized system fits clinical workflows, supports specialty modules and templates, integrates with labs, pharmacies and imaging, includes reporting and analytics, scales with the organization and keeps patient health information HIPAA-compliant.
Yes. We develop HIPAA-compliant EHR and EMR systems with data encryption, access control, audit logs and secure data exchange protocols to protect patient data and meet industry regulations.
Cloud-based EHR systems offer flexibility, scalability and remote access to patient records. They make data migration and real-time synchronization across providers easier and reduce infrastructure costs.
Yes. We offer end-to-end data migration from existing EMR systems or paper records to modern EHR platforms, with data integrity, minimal downtime and full regulatory compliance throughout.
Our EHR systems streamline billing, reduce claim denials, automate coding and integrate with insurance providers, improving cash flow and reducing administrative costs.
It depends on complexity, features, integrations and compliance requirements. A basic custom EHR typically takes 3–6 months; advanced solutions with multiple modules, third-party integrations and specialty support take 6–12 months or more. OpenEMR implementation and commercial EHR customization are usually faster; see the cost and timeline section above.
Four things. Evidence of interoperability work, not just app work: which EHRs they have connected, and whether HL7 and FHIR are daily tools. Migration experience, because most EHR failures happen at data transfer. A compliance approach they can describe control by control, including ONC certification criteria and information-blocking rules, not just "HIPAA-compliant". And a willingness to recommend against a custom build when OpenEMR or your existing platform would serve you better. An EHR software development company that can answer all four is a partner; one that can answer only the first is a vendor.
Yes, for the right organization. OpenEMR is ONC-certified, actively maintained and free to license, which makes it attractive for FQHCs, community health, international programs, specialty clinics and health-tech vendors building white-label products. The catch is that installing OpenEMR and running it in production are very different things: hosting, hardening, specialty configuration, integrations, billing setup, migration and support all have to be engineered. That is what our OpenEMR implementation service provides. Where a commercial platform’s managed service and SLAs matter more than license cost, we will say so.
Yes. Kareo now operates as Tebra, and we work with its practice-management and clinical APIs to connect labs, payment platforms, telehealth and third-party tools, optimize templates and scheduling workflows, extract data for reporting, and migrate practices into or out of the platform. Most independent practices on Kareo (Tebra) don’t need a new EHR; they need the one they have to fit the way they work.
We build custom and OpenEMR-based EHRs to the ONC Health IT certification criteria, including USCDI data classes and standardized FHIR APIs, so the product can be submitted for certification through an ONC-Authorized Certification Body when you are ready.
We integrate through each platform’s supported interfaces: FHIR R4 APIs, HL7 v2 feeds via Mirth Connect or Iguana, and vendor APIs where required, for platforms including OpenEMR, Kareo (Tebra), Epic, Oracle Health (Cerner), Meditech, Allscripts (Veradigm), athenahealth, DrChrono and eClinicalWorks.
Yes. We build SMART on FHIR apps that launch inside the EHR with the user’s context already loaded, and we enable the same standard in custom and OpenEMR-based systems so approved third-party apps can connect securely through OAuth 2.0. It is also how a platform meets the standardized API requirements in the ONC certification criteria.
A typical single-organization implementation runs about 12 weeks in four phases: weeks 1–2 to assess and plan; weeks 3–6 to configure and customize the environment, templates, scheduling, billing and portal; weeks 7–10 to integrate, migrate and test; and weeks 11–12 to train, run in parallel and go live, followed by managed service. Durations flex with your data, integrations and number of sites.
