EHR/EMR Integration
A Step-by-Step Guide
In healthcare IT since 2005, ScienceSoft knows the ins and outs of integrating EHR/EMR systems and various types of medical software.
The Essence of EHR or EMR Integration
The integration of an electronic health/medical record system with healthcare software improves patient data consistency, medical staff efficiency, patient safety, and care continuity. With 34-year experience in IT and 18 years in the healthcare domain, ScienceSoft knows how to minimize the risks and reduce costs of EHR/EMR system integration.
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Time: 1–6 months. Team: a project manager, a business analyst, a regulatory compliance expert, an integration architect, a developer, a DevOps engineer, a QA engineer, a security engineer. Cost: from $30,000 to integrate a healthcare solution with one EHR system to $150,000 to enable EHR integration capabilities of a software product. |
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Who Needs EHR/EMR Integration
Healthcare providers
who want to integrate one or several healthcare solutions (e.g., a patient portal, CRM, HIE) with a custom or an off-the-shelf EHR/EMR system.
Software product companies or startups
who want to add EHR/EMR integration capabilities to their healthcare software product to gain a competitive advantage.
EHR/EMR Integration Steps
Each EHR/EMR integration project is unique and may require a specific set of steps depending on the requirements. For you to get the general picture of the project process, we have outlined four common steps that can be adjusted to fit specific needs.
Step 1. EHR/EMR integration planning
Note: When you outsource any part of the EHR/EMR integration project, you should have a Business Associate Agreement (BAA) with your EHR integration partner. ScienceSoft is ready to sign a BAA to ensure our legal obligation to follow HIPAA compliance guidelines on data security, encryption methods, documentation of security practices, etc.
Step 2. EHR/EMR integration design
Duration: 3–4 weeks (can run in parallel with the step 1).
ScienceSoft’s tip: For healthcare providers that use multiple IT solutions, we recommend creating an integration strategy for all medical solutions to reduce additional expenses in the future.
Step 3. EHR/EMR integration and testing
Duration: 1–5 months to implement an integration solution.
- Developing the EHR/EMR integration solution.
- (for healthcare orgs) Re-engineering and/or re-architecting the required components of the IT system.
- (for healthcare orgs) Integration testing of the EHR/EMR system and the connected applications.
- (for software product companies) Integration testing of the software product and the required off-the-shelf EHR/EMR systems.
- Security testing.
Step 4. EHR/EMR integration support and evolution
Duration: continuous.
- For healthcare organizations, it’s essential to monitor the performance and security of EHR/EMR integration, as well as data transfer quality. The integration solution may also require adjustments to handle the growing number of users.
- For software product companies, API integration should be maintained and updated with time to ensure smooth transfer of data. In the future, medical software product may require new integration capabilities to connect to other types of applications (CRM, practice management systems, etc.). In this case, it may be viable to opt for integration solution evolution.
ScienceSoft’s tip: Support and evolution of an EHR/EMR integration can be provided as a part of comprehensive medical IT support.
- In the IT industry since 1989 and in the healthcare domain since 2005.
- Integration and database architects with 7–20 years of experience.
- Working experience with healthcare standards (e.g., HL7, FHIR, DICOM, ICD-10, CPT, XDS/XDS-I).
- Expertise in HIPAA, HITECH, MACRA regulations, CEHRT and FDA requirements, SAFER guidelines.
- Practical experience with a range of integration approaches (e.g., API-based, message-based integration) and architecture designs (microservices-based, service-oriented architectures).
- ISO 13485:2016 certification that guarantees medical software development compliance with requirements of FDA and The Council of the European Union.
- Established Lean, Agile, and DevOps culture to streamline the EHR integration project delivery.
- Strategic partnerships with Microsoft, Amazon, and ServiceNow.
Our Customers Say
EHR and EMR Integration: Success Stories by ScienceSoft
Implementation of an EHR-Integrated Healthcare CRM
Customer: A healthcare and clinical research center in the Gulf region.
Solution: The sleek integration of the CRM system with the Customer’s EHR and PMS ensured that new patient, appointment, and staff entries would automatically appear in CRM.
Telehealth Chiron Mobile App Development and EHR Integration
Customer: Chiron Health is a US telemedicine platform.
Solution: ScienceSoft’s medical app development team created a HIPAA-compliant telehealth Android application that seamlessly integrates with a set of EHR/EMR systems (e.g., athenahealth, CareCloud), RIS and LIS.
Development and EHR Integration of a Hospital iOS Mobile App
Customer: A US healthcare provider serving patients across multiple states.
Solution: An iOS mobile app that allows healthcare professionals to log work time, capture images, and scan documents as well as view data from a custom EHR system on the go.
Telehealth Software Design, Development, and EHR Integration
Customer: A US business running several medical practices that provide primary care services.
Solution: Telehealth and practice management software with smooth access to patient information and convenient billing enabled by EHR integration (using data transfer standards like HL7, FHIR).
Project manager
- Plans the EHR/EMR integration project, assigns tasks and responsibilities.
- Monitors and optimizes the project process relying on KPI.
- Updates the stakeholders on the EHR/EMR integration project progress.
Business analyst
- Elicits, prioritizes, and documents the EHR/EMR integration requirements.
- Helps define the most suitable EHR or EMR integration approach based on the customer’s needs.
Integration architect
- Chooses the integration approach, designs EMR or EHR integration.
- Designs the modifications of integrated apps (if necessary).
Regulatory compliance expert
- Defines the applicable healthcare regulations.
- Ensures that the EHR integration project complies with all relevant regulations and standards.
Developer
- Writes custom EHR/EMR software integration code (APIs, ESB, etc.).
- Sets up triggers, resulting actions, shared data.
DevOps engineer
- Helps automate the development and release processes using CI/CD pipeline.
- Monitors the integration solution’s performance, availability, etc.
QA engineer
- Designs and implements a testing strategy and plan for the EHR/EMR software integration.
- Creates test cases and conducts manual and automated testing.
- Provides test summary reports.
Security engineer
- Conducts vulnerability assessment and penetration testing of the integrated solution and its infrastructure.
Technologies We Can Employ for Your EHR/EMR Integration Project
The tech stack that we choose for a specific project depends on the platforms, frameworks, databases, etc. that were used to create the software that needs to be integrated. Below, we list the technologies we successfully employ in our EHR and EMR integration projects.
Clouds
Databases / data storages
SQL
Our Microsoft SQL Server-based projects include a BI solution for 200 healthcare centers, the world’s largest PLM software, and an automated underwriting system for the global commercial insurance carrier.
We’ve implemented MySQL for Viber, an instant messenger with 1B+ users, and an award-winning remote patient monitoring software.
Azure SQL Database is great for handling large volumes of data and varying database traffic: it easily scales up and down without any downtime or disruption to the applications. It also offers automatic backups and point-in-time recoveries to protect databases from accidental corruption or deletion.
ScienceSoft's team has implemented Oracle for software products used by GSK and AstraZeneca. We’ve also delivered Oracle-based SCM platform for Auchan, a retail chain with 1,700 stores.
ScienceSoft has used PostgreSQL in an IoT fleet management solution that supports 2,000+ customers with 26,500+ IoT devices. We’ve also helped a fintech startup promptly launch a top-flight BNPL product based on PostgreSQL.
NoSQL
Our Apache Cassandra consultants helped a leading Internet of Vehicles company enhance their big data solution that analyzes IoT data from 600,000 vehicles.
ScienceSoft has helped one of the top market research companies migrate its big data solution for advertising channel analysis to Apache Hive. Together with other improvements, this led tо 100x faster data processing.
We use HBase if your database should scale to billions of rows and millions of columns while maintaining constant write and read performance.
With ScienceSoft’s managed IT support for Apache NiFi, an American biotechnology corporation got 10x faster big data processing, and its software stability increased from 50% to 99%.
ScienceSoft used MongoDB-based warehouse for an IoT solution that processed 30K+ events/per second from 1M devices. We’ve also delivered MongoDB-based operations management software for a pharma manufacturer.
Cloud databases, warehouses and storage
AWS
We use Amazon Redshift to build cost-effective data warehouses that easily handle complex queries and large amounts of data.
We use Amazon DynamoDB as a NoSQL database service for solutions that require low latency, high scalability and always available data.
Azure
We leverage Azure Cosmos DB to implement a multi-model, globally distributed, elastic NoSQL database on the cloud. Our team used Cosmos DB in a connected car solution for one of the world’s technology leaders.
Azure SQL Database is great for handling large volumes of data and varying database traffic: it easily scales up and down without any downtime or disruption to the applications. It also offers automatic backups and point-in-time recoveries to protect databases from accidental corruption or deletion.
Google Cloud Platform
We use Google Cloud Datastore to set up a highly scalable and cost-effective solution for storing and managing NoSQL data structures. This database can be easily integrated with other Google Cloud services (BigQuery, Kubernetes, and many more).
Real-time data processing
DevOps
Containerization
Automation
CI/CD tools
Monitoring
EHR and EMR Integration Cost
For each EHR/EMR integration project, ScienceSoft considers a unique set of factors that may influence the investment size. Below, we list the most common of them.
Common investment size factors
- The chosen sourcing model.
- The applicable regulations and certifications (the additional security requirements may increase the project cost).
- The complexity of an information exchange data model.
Specific investment size factors for healthcare orgs
- The chosen EHR integration approach.
- The number of applications to be integrated with an EHR/EMR and the number of integration points.
- The required modifications of the integrated healthcare applications.
- Licensing for middleware (e.g., third-party ESB).
- Infrastructure for the integration implementation.
- Maintenance and support costs after the EHR integration implementation (depending on the required business hours, performance, etc.).
Specific investment size factors for software product companies
- The number of off-the shelf EHR/EMR systems to enable integration capabilities with.
- API maintenance and updates costs (if required).
Here are sample costs for EHR/EMR integration:
From $30,000
for integration of a healthcare solution with an EHR system (relevant for healthcare providers).
From $150,000
to enable EHR/EMR integration capabilities of a software product.
About ScienceSoft
Headquartered in McKinney, Texas, ScienceSoft is an IT consulting and software development vendor certified according to ISO 9001, ISO 27001, and ISO 13485 standards. With 18 years of experience in healthcare IT, we design EHR/EMR integrations, develop APIs for EHR/EMR products, and deliver integrated medical software ecosystems for healthcare organizations.