EHR and EMR Software Development Company USA
Health Records Software Built Around Your Clinical Workflow
Custom EHR and EMR systems for hospitals, specialty practices, and health-tech vendors, interoperable, HIPAA-compliant, and built to fit workflows off-the-shelf platforms won't.
17 +
Years of Service
150 +
Happy Clients
510 +
Successful Projects
2400 +
Successful Sprints
EHR and EMR Software Development
Fortunesoft is an EHR and EMR software development company that builds custom, interoperable health records systems for hospitals, specialty practices, behavioral health providers, and health-tech vendors.
Off-the-shelf platforms like Epic and Cerner/Oracle Health are built for general clinical workflows, which is exactly why they fight specialty practices, niche care settings, and vendors that need to own their own data model. A custom-built EHR or EMR starts from the workflow instead of forcing the workflow to adapt: interoperability and billing/practice-management integration are designed in from day one rather than bolted on after launch.
The result is a system clinicians actually adopt, that satisfies the compliance requirements auditors check for, and that moves patient data wherever it needs to go, whether that's a lab, a specialist's office, or a payer.
Built for Your Workflow
Custom systems adapt to specialty and practice-specific workflows instead of forcing clinicians into a one-size-fits-all interface.
Interoperable From Day One (HL7 & FHIR)
Every build is designed to exchange data with other providers, labs, and pharmacies from the start, not retrofitted later.
Migration Without Losing Patient History
Moving off a legacy or off-the-shelf system happens without gaps, data loss, or disruption to active patient care.
EHR & EMR Software Development Services
Fortunesoft develops both categories of record systems and the patient- and provider-facing tools around them, matched to what an organization actually needs rather than a one-size-fits-all license.
Custom EHR Development
Full electronic health record systems designed for interoperability and continuity of care across providers, built around your organization's actual clinical and administrative workflows.
Custom EMR Development
Focused electronic medical record systems for single-practice use, covering clinical documentation, charting, and internal workflow without the overhead of a full EHR.
Specialty & Niche EHR/EMR Modules
Purpose-built modules for behavioral health, dental, oncology, and other specialty workflows that generic platforms handle poorly or not at all.
Patient Portal Development
Secure portals for appointment scheduling, secure messaging, records access, and billing that extend your EHR/EMR to the patient.
E-Prescribing (ePrescribing) Integration
Electronic prescribing built into the clinical workflow, including controlled substance prescribing (EPCS) support where required, so DEA-regulated medications follow the same verified path as any other order.
Clinical Decision Support (CDS) Tools
Alerts, order sets, and evidence-based prompts built into the clinical workflow to reduce errors and support point-of-care decisions.
Telehealth & Remote Care Integration
Virtual visit and remote monitoring capability built directly into the records system rather than bolted on as a separate tool.
AI Clinical Documentation & Ambient Scribe Integration
Connecting ambient AI documentation tools to your EHR/EMR via FHIR, reducing clinician documentation burden without disrupting existing workflows.
Need one of these systems or modules built to your exact workflow?
Let Intelligence Work With You, Not Just For You
Agentic AI Engineering
Autonomous, multi-agent systems built to make decisions, collaborate, and execute complex tasks.
Vertical AI Consulting
Combining agentic intelligence with deep domain knowledge in EHRs, clinical ops, regulatory tech, and financial systems for maximum contextual precision.
LLM Toolchains & Production Systems
Integrating curated LLMs, secure RAG pipelines, and reusable components to accelerate delivery - without compromising on compliance or performance.
Our Agentic AI doesn’t just process—it perceives, learns, and acts. Build intelligence that understands your domain - and drives real action.
Regulatory Compliance & Data Security
HIPAA-Compliant Architecture
Fortunesoft builds HIPAA-aligned access controls, storage, and transmission practices into the system throughout development, not added at the end.
ONC Health IT Certification Support
Guidance and development support for organizations that need ONC-certified technology for CMS Promoting Interoperability programs.
21st Century Cures Act & Information Blocking Compliance
Systems built to meet current information-blocking and patient data access requirements under the Cures Act.
Audit Trail & Access Control Implementation
Every system includes detailed, timestamped audit trails and role-based access control for each user type.
Data Encryption & Secure Storage
Fortunesoft encrypts patient records in transit and at rest, paired with secure infrastructure practices throughout.
SOC 2 & HITRUST-Ready Infrastructure
Fortunesoft builds infrastructure and development practices to support SOC 2 and HITRUST readiness for enterprise health systems that require it.
ISO 27001, ISO 13485 & ISO 9001 Alignment
Development practices align to recognized information-security, medical-device-adjacent, and quality-management standards.
Why Fortunesoft for Developing EHR/EMR Software?
Healthcare organizations choose Fortunesoft because we combine deep domain expertise with secure, compliance-driven engineering and a strong understanding of clinical and operational workflows.
17+ Years in Healthcare IT
Deep domain expertise across providers, payers, and care organisations.
Compliance-First Development Approach
HIPAA, HITECH, HL7, and FHIR are embedded throughout the development process.
Interoperability Excellence
Proven track record with Epic, Cerner, Allscripts, PCC, Athenahealth, and more. Our EHR integration services support standards-based connectivity across clinical systems and applications.
Structured & Transparent Execution
Weekly sprints, milestone-based delivery, and clear communication.
Clinician-Cantered Design
Intuitive UI/UX optimized for faster adoption and real-world usability.
Enterprise Scalability
Systems built for multi-facility networks and large practice groups.
Partner with experts who speak healthcare fluently.
EHR/EMR Integration, Migration & Modernization
Legacy EHR/EMR Modernization
Rebuilding or re-platforming aging systems that can no longer support current clinical volume, workflow complexity, or compliance requirements.
Data Migration From Existing Platforms
Moving patient records and history off systems like Epic, Cerner/Oracle Health, Allscripts, or athenahealth without data loss or downtime.
HL7 & FHIR Interoperability Integration
Standards-based data exchange that lets your system share records with other providers, labs, and health systems reliably.
Health Information Exchange (HIE) & TEFCA Connectivity
Connecting your EHR/EMR to regional exchanges and the national TEFCA framework for continuity-of-care data sharing.
Lab, Pharmacy & Imaging (DICOM) Integration
Direct integration with lab, pharmacy, and DICOM-based imaging systems so results and orders flow into the clinical record automatically.
Practice Management & Revenue Cycle (RCM) Integration
Connecting or building scheduling, insurance verification, billing, and claims (ICD-10/CPT-based) alongside your clinical records.
Healthcare Settings & Specialties We Build For
Hospitals & Health Systems
Enterprise-scale EHR systems for multi-department, multi-site care coordination.
Ambulatory & Primary Care Practices
EMR/EHR systems sized and workflow-matched for outpatient practices.
Behavioral & Mental Health Practices
Records systems built for therapy notes, treatment plans, and privacy needs.
Dental & Specialty Clinics
Charting and workflow support tailored to non-primary-care specialties.
Long-Term & Post-Acute Care
Records systems built for extended-stay documentation and care coordination.
Telehealth & Virtual Care Providers
Records systems designed around remote visit and asynchronous care workflows.
Health Tech & HIT Vendors
White-label and embeddable EHR/EMR components for health technology products.
Multi-Specialty Group Practices
Systems built to support several specialties under one organizational record.
EHR/EMR Development
Highlights
Agile Development With Weekly Sprints
Cloud, On-Premise, or Hybrid Deployment
Dedicated Healthcare QA Testing Team
Cross-Platform Web and Mobile Apps
Scalable Multi-Tenant Architecture
API-First Integration Design
24/7 System Monitoring After Launch
Flexible Fixed-Bid or Team Extension Models
Rapid MVP Prototyping for New Builds
Dedicated Project Manager Per Engagement
Post-Launch Support and Maintenance Plans
Want to see how these fit your project?
EHR/EMR Software
Development Process
Workflow & Requirements Discovery
Your clinical and administrative workflows are mapped before any design work begins.
Compliance & Architecture Planning
HIPAA, certification, and interoperability requirements are defined upfront, not as an afterthought.
Agile Development Sprints
Iterative builds with regular checkpoints keep the system aligned with clinical reality throughout.
Clinician Testing & Usability Validation
Real clinicians test the system before launch, catching workflow friction that a spec document can't reveal.
Certification & Deployment
A phased rollout, with certification support where required, minimizes disruption to active care.
Post-Launch Support & Training
Ongoing monitoring, staff training, and system updates continue after go-live.
Deployment & Scaling
Smooth rollout with training, monitoring, and ongoing optimisation.
Ready to see what this process looks like for your organization?
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Testimonials
Hear from Those Who
Chose Us
Fortunesoft IT Innovations has been an outstanding business partner for our company. After a terrible experience using offshore developers, we took a chance on Fortunesoft IT Innovations and they have been excellent to work with. The team is relentless in following agile development processes. They took the time to learn our business and it shows in the quality of the work they do. Their team has a broad range of skillsets and were able to help us with every aspect of our start-up company.
Conner Humphrey
Co-Founder, SalesC2, US
Working with Fortunesoft on the development of our Iguana Fintech Solutions, Credit Lending Platform and Middleware Solution has been a truly positive experience. Fortunesoft team has shown a deep understanding of middleware architecture, excellent problem-solving skills, and strong expertise in API integration. Their collaborative approach and efficiency have contributed greatly to a smooth and productive development process.
Dr. Telma Ingles
CEO, Kwattel SA
Competence, Service and Support are excellent. Our design tool works great and now generates revenue. The team is with you from building the website to making sure it runs smoothly even after the project is complete. Looking forward to creating more online solutions for our customers with fortunesoft!
Jaysond Miclat
Business Development Director, CollegeWear Inc, California, US
I really appreciate the team’s efforts. It has been a pleasure to see this project become a reality. My hope is that the website will then stand as a testament to all of the effort invested in it by so many people. Thank you again for all of your support and assistance.
Katinka Csizmadi
Communications Assistant Manager, Live Language – Glasgow, Scotland.
When I have an idea that needs to be translated into a capability, I reach out to you Fortunesoft Team. Thanks for never letting us down. I’ll be glad to refer Fortunesoft team and speak of their skill set and commitment to the projects & timelines. I’ve engaged Fortunesoft team on multiple occasions over a period of 2+ years to build Commerce and payment capabilities on SaaS and OnPrem infrastructures.
Rajagopalan M
Head of Regional Solutions- Ecosystem Partnerships & Marketplaces DBS Bank, Singapore
A pleasure to work with. The project was actually delivered ahead of schedule. Regular scrum calls were clear and efficient. On budget and ahead of schedule. We will definitely work with them again.
Robert Brown
CEO, Options Away LLC – Chicago, US.
The group was thoughtful, smart, agile, and met all of our requirements.
Sean Colandrea
Co-Founder, ClinicalC2, US
Case Studies from Inc. 5000, FORTUNE 500, NASDAQ listed companies to stealth startups
Awards & Recognition
Celebrated for Innovation. Trusted for Excellence
Over the years, Fortunesoft has been recognized for its commitment to innovation, quality, and customer success in the FinTech and Healthcare technology space.
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