Custom EHR Software Integrations for Healthcare Businesses
Arkenea develops tailored EHR integration solutions that seamlessly connect your healthcare applications with any EHR system. From API development to complex data mapping, we build custom integrations that enhance patient care and streamline workflows while ensuring complete compliance with healthcare regulations.


Awarded Best Healthcare Software Development Company in 2024 and 2025
Some of Our Clients







Developing Custom EHR Integration Solutions Since 2011
Our expertise spans the development of custom EHR integration solutions for hospitals, outpatient clinics, physician practices, HealthTech startups, and medical device manufacturers. We specialize in creating seamless connectivity between healthcare systems, enabling secure data exchange and improved clinical workflows across diverse healthcare environments.
- 4.9 Clutch review rating with a 5.0 average referral rating for healthcare software projects.
- We help you develop fully interoperable EHR integration solutions leveraging FHIR and HL7 that connect seamlessly with third-party healthcare systems and applications.
- Our integration team expertly connects your healthcare software with major EHR systems including Oracle Cerner, EPIC, athenahealth, Allscripts, and NextGen, as well as integration platforms like 1upHealth and Redox Engine.
- We develop EHR integration solutions compliant with HIPAA, HITRUST, HL7, IEC 62304, DICOM, ICD-10, PIPEDA, EPHI, PCI-DSS, IHE, LOINC, MDR, GMP, and FDA 21 CFR Part 820 standards, where applicable.
- Case Study: We developed a multi-EHR integration platform for a regional healthcare network that reduced manual data processing by 60% and saved $200,000 annually in operational costs.
- Case Study: Our custom SMART on FHIR integration solution enabled a HealthTech startup to connect with 18+ major EHR systems, directly contributing to their successful $1.2M Series A funding.
- Case Study: We built a medical device EHR integration that achieved FDA clearance and automatically captures patient vitals across 12 different EHR platforms.
Our EHR Integration Capabilities
Custom API Development and Integration
We develop sophisticated custom APIs that connect healthcare applications with various EHR systems. Our integration solutions include RESTful API development, SOAP integration, HL7 FHIR implementation, and custom protocol development for proprietary systems. Every integration is built for reliability, scalability, and seamless data exchange.
request a quoteComplex Data Mapping and Transformation
Our team excels at mapping data between different EHR systems with varying data structures, terminologies, and formats. We handle clinical terminology mapping (ICD-10, CPT, SNOMED CT, LOINC), custom data transformation logic, and bidirectional data synchronization while ensuring data integrity throughout the process.
request a quoteHealthTech Startup EHR Connectivity
Many of our clients are healthcare entrepreneurs and HealthTech startups that need to integrate their innovative applications with major EHR systems. Our team specializes in developing SMART on FHIR applications, embedded integrations, and scalable API solutions that enable startups to access patient data and provide value within clinical workflows.
request a quoteLegacy EHR System Integration
We solve complex integration challenges for healthcare organizations using older EHR systems that lack modern APIs. Through HL7 v2.x messaging, database-level integration, file-based data exchange, and custom middleware development, we connect virtually any EHR system regardless of age or technical architecture.
request a quoteWhy Choose Arkenea for EHR Software Integrations
In the complex healthcare technology landscape, choosing the right integration partner can make the difference between seamless interoperability and costly integration failures.
What sets Arkenea apart is our deep understanding of healthcare data complexities, from navigating intricate clinical terminologies to ensuring regulatory compliance across multiple healthcare standards. Our team doesn't just connect systems; we architect integration solutions that healthcare professionals trust and rely on, reducing manual data entry while maintaining the highest levels of data accuracy and security.
Our clients expand their initial EHR integration projects with us because they've experienced our commitment to long-term success, often evolving single integrations into comprehensive interoperability platforms that connect their entire healthcare ecosystem. Our experience also spans developing custom EHR software for medical facilities.
Case Studies
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Case Study
Multi-EHR Integration Platform
Arkenea partnered with a regional healthcare network operating five facilities with three different EHR systems (Epic, Cerner, and Allscripts) to create unified patient data access and comprehensive reporting capabilities. The solution addressed critical interoperability challenges that were preventing effective care coordination and quality improvement initiatives across the network.
We developed a custom integration platform featuring standardized APIs for data extraction from all three EHR systems, HL7 FHIR-based data transformation and normalization, and a centralized data repository with real-time synchronization capabilities. The platform included custom dashboards for clinical quality metrics and population health analytics.
The implementation resulted in 40% reduction in time spent on quality reporting, 99.9% data accuracy across integrated systems, $200,000 annual savings in manual data processing costs, and significantly improved patient safety through unified medication reconciliation across all network facilities.
HealthTech Startup EHR Integration
Arkenea developed a comprehensive EHR integration solution for a healthcare AI startup that needed to embed their clinical decision support tool within 15+ different EHR systems. The challenge involved creating seamless integration that would provide real-time recommendations directly within physician workflows without disrupting existing clinical processes.
Our solution included a modular integration architecture supporting multiple EHR APIs, SMART on FHIR application framework for seamless EHR embedding, custom data mapping for different clinical terminologies, and a real-time alert system with configurable notification preferences tailored to each healthcare organization’s protocols.
The results exceeded expectations with successful integration across 18 major EHR systems, 95% physician adoption rate within integrated health systems, direct contribution to securing $1.2M in Series A funding based on proven integration capabilities, and 25% improvement in clinical decision-making efficiency.
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Case Study
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Case Study
Medical Device EHR Integration
Arkenea created a comprehensive EHR integration solution for a medical device manufacturer whose remote patient monitoring devices needed to automatically capture and document patient vitals across various EHR systems. The integration had to meet strict medical device regulations while ensuring seamless data flow from devices to patient records.
We developed a device-to-cloud data pipeline with real-time processing capabilities, HL7 FHIR-compliant observation resources for vital signs documentation, custom EHR integration modules for Epic, Cerner, and athenahealth, and an automated alert system for abnormal readings that integrated with clinical workflows.
The implementation achieved 60% reduction in manual data entry for clinical staff, 99.5% data transmission accuracy across all integrated systems, successful integration with 12 major EHR platforms, and contributed to obtaining FDA clearance for the complete integrated solution.
Custom Solutions for EHR Software Integration
HL7 FHIR Integration Development
Arkenea specializes in developing comprehensive HL7 FHIR integration solutions that enable standardized healthcare data exchange between systems. Our FHIR implementations include custom resource development, API endpoint creation, and seamless integration with existing healthcare workflows to ensure interoperability and regulatory compliance.
Our FHIR development approach includes SMART on FHIR application development, custom FHIR server implementation, patient and provider data synchronization, clinical data mapping and transformation, and comprehensive testing with EHR vendor sandbox environments.
Legacy EHR System Connectivity
Arkenea develops robust integration solutions for healthcare organizations using older EHR systems that may lack modern API capabilities. We create custom middleware, implement HL7 v2.x messaging protocols, and develop secure data exchange mechanisms that connect legacy systems with modern healthcare applications.
Our legacy integration solutions include database-level integration where APIs are unavailable, custom HL7 v2.x message processing and routing, file-based data exchange with automated processing, and secure VPN and encrypted data transmission protocols for sensitive healthcare information.
Medical Device EHR Integration
Arkenea empowers medical device manufacturers and healthcare organizations to seamlessly integrate their devices with EHR systems for automated data capture and enhanced patient monitoring. Our solutions handle real-time device data processing, clinical data mapping, and regulatory compliance for medical device software.
We develop custom device APIs for EHR connectivity, real-time vital signs and measurement data capture, automated clinical documentation and charting, FDA-compliant medical device software integration, and comprehensive alarm and notification systems integrated with clinical workflows.
Multi-EHR Environment Integration
Arkenea designs and develops integration platforms that connect healthcare organizations operating multiple EHR systems, creating unified data access and streamlined workflows. Our multi-EHR solutions enable comprehensive patient data aggregation, standardized reporting, and seamless care coordination across different systems.
We build centralized integration hubs for multiple EHR systems, standardized data transformation and normalization processes, unified patient identification and matching algorithms, comprehensive clinical data warehousing solutions, and custom dashboards for multi-system data visualization.
HealthTech Application EHR Connectivity
Arkenea partners with HealthTech companies to develop EHR integration solutions that enable their applications to access patient data and provide value within clinical workflows. Whether launching a new digital health tool or enhancing an existing platform, we provide complete EHR connectivity development from concept to commercialization.
We specialize in SMART on FHIR application architectures, patient-facing application EHR integration, clinical decision support system connectivity, population health management platform integration, and scalable multi-tenant EHR connectivity for SaaS healthcare applications.
Custom API Development for Healthcare
Arkenea delivers custom API development services that enable secure and standardized healthcare data exchange between different systems and applications. Our healthcare APIs are designed for high performance, regulatory compliance, and seamless integration with existing clinical workflows and technology infrastructure.
Our custom API development includes RESTful and GraphQL healthcare API design, OAuth 2.0 and SMART authentication implementation, comprehensive API documentation and developer resources, rate limiting and security monitoring systems, and automated API testing and validation frameworks.
Advanced Technology Stack for Robust EHR Integration Development
Development Technologies and Frameworks
Our integration framework expertise includes Apache Camel for enterprise integration patterns, custom middleware development for complex data routing, Docker and Kubernetes for scalable healthcare deployments, and comprehensive API gateway solutions for managing multiple EHR connections.
Healthcare-Specific Integration Tools
We leverage specialized healthcare integration technologies including HL7 FHIR libraries and custom extensions for advanced interoperability, DICOM integration capabilities for medical imaging workflows, clinical decision support system APIs and integration frameworks, and comprehensive healthcare data lake architectures for large-scale data processing.
Security and Compliance Integration Technologies
Our compliance implementation includes HIPAA Privacy and Security Rules automation, HITRUST CSF framework integration and monitoring, comprehensive access controls and role-based permissions, automated compliance reporting and documentation systems, and continuous security monitoring and threat detection capabilities.
Proven Development Process
At Arkenea, we follow a structured approach to EHR integration development that ensures successful outcomes, regulatory compliance, and seamless deployment within existing clinical workflows.
1. Discovery and Technical Assessment
We begin every EHR integration project with comprehensive analysis of your existing systems, integration requirements, and technical constraints. This stage includes detailed EHR system architecture evaluation, data flow requirements and volume projections, security and compliance requirements assessment, stakeholder workflow analysis, and comprehensive risk assessment and mitigation planning.
2. Integration Architecture Design
Our technical team develops detailed integration architectures based on discovery findings. This includes comprehensive API design and data mapping documentation, security architecture and compliance implementation plans, performance optimization and scalability planning, testing strategy and quality assurance protocols, and detailed project timelines with milestone deliverables.
3. Custom Development and Implementation
Our development follows agile methodologies with regular stakeholder communication and iterative testing. We implement two-week sprint cycles with continuous stakeholder feedback, automated testing and continuous integration processes, regular security and compliance validation, comprehensive performance optimization and load testing, and detailed documentation throughout the development process.
4. Testing and Quality Assurance
We conduct comprehensive testing to ensure reliable integration performance. This includes unit testing for all integration components, integration testing with EHR sandbox environments, end-to-end workflow testing with clinical stakeholders, security penetration testing and vulnerability assessment, and compliance validation and comprehensive audit trail verification.
5. Deployment and Go-Live Support
Our deployment process ensures smooth transition to production with minimal disruption to clinical operations. We implement phased rollout strategies with pilot user groups, real-time monitoring and performance validation, immediate issue resolution and comprehensive support, user training and adoption facilitation, and detailed documentation handover and knowledge transfer.
6. Ongoing Maintenance and Optimization
Healthcare technology evolves continuously, and we provide ongoing support including regular performance monitoring and optimization, security updates and compliance maintenance, EHR system update compatibility testing, user feedback integration and system refinement, and long-term strategic planning for integration expansion.
EHR Software Integrations: Frequently Asked Questions
How long does custom EHR software integrations typically take?
Most custom EHR integration solutions are completed within 12 to 16 weeks from project initiation to go-live deployment. The timeline depends on integration complexity, number of EHR systems involved, specific customization requirements, and existing system architecture. Our proven development methodology ensures predictable timelines with regular milestone deliverables and continuous stakeholder communication throughout the process.
What happens when EHR vendors update their APIs or systems?
We build integration solutions with version management and update compatibility built into the architecture. Our development approach includes automated testing and monitoring systems that detect API changes, and we provide ongoing maintenance services to ensure continued compatibility with EHR system updates. Additionally, our relationships with major EHR vendors provide early access to API change notifications and beta testing opportunities.
How do you ensure HIPAA compliance and comprehensive data security?
HIPAA compliance and data security are fundamental to all our integration development projects. Our security implementation includes encryption at rest and in transit, comprehensive audit logging and monitoring, sophisticated access controls and authentication systems, and regular security assessments and vulnerability testing. We also implement additional compliance standards such as HITRUST CSF when required by client organizations.
Can you integrate with legacy EHR systems without modern APIs?
Yes, we have extensive experience integrating with legacy EHR systems through various methods including HL7 v2.x messaging protocols, database-level integration approaches, file-based data exchange systems, and custom middleware development. Our team can work with virtually any EHR system regardless of age or technical architecture, creating reliable and secure integration solutions.
What ongoing support do you provide after integration deployment?
We provide comprehensive post-deployment support including 30 days of intensive monitoring and optimization, ongoing maintenance contracts with flexible terms, 24/7 technical support options for critical systems, regular system health assessments and performance optimization, and comprehensive training and documentation to ensure your team can effectively manage the integration solution.
How do you handle complex data mapping between different EHR systems?
Data mapping is one of our core expertise areas. We use standardized healthcare terminologies (ICD-10, CPT, SNOMED CT, LOINC) and develop custom mapping logic for organization-specific data elements. Our approach includes comprehensive data validation and quality assurance processes, ongoing monitoring to ensure accurate data transformation, and regular updates to accommodate changes in clinical terminologies and data structures.