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Build Your Own EHR — Designed for Your Clinic

We design and build custom EHR around existing workflows, so your team moves faster, avoids daily friction, and never has to adjust to the system again. Go live in just 10 weeks, with full ownership and zero recurring fees.

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HIPAA Compliance SOC 2 Type II ONC
View 25+ Testimonials
A&I Custom EHR — Scheduling Dashboard Preview
Why Your Current EHR Is Costing You

Why Your Current EHR Is Slowing Your Clinic Down

Before switching, most clinics struggle with the same problems:

47%

Specialists say their EHR still falls short on functionality.

67%

EHR costs often exceed the original estimate.

1 in 5

Physicians spend 8+ hours weekly on EHR tasks after hours.

30%

Hospitals can't perform core interoperability functions.

83%

Healthcare organizations struggle to hire qualified IT professionals.

74%

Health IT leaders say vendor roadmap dependence is a major barrier.

"Is this actually cheaper in the long term?"After the one-time build, your EHR costs $0/month — permanently. Most practices break even in 18–24 months and save $20K–$40K over 5 years.

"How long does this really take?"Your custom EHR goes live in ~10 weeks — from discovery to deployment. With a dedicated PM, weekly updates, and a fixed scope — no delays, no surprises.

"What happens if I need changes later?"You own 100% of the code, so you can work with us or any developer. No vendor dependency. No waiting on someone else's roadmap.

The Solution

Custom EHR Features That Fit How Your Clinic Works

Bring every part of your workflow into one connected system — so your team saves time, reduces errors, and works more efficiently.

Scheduling

Specialty-Driven Appointment and Practice Management Software Workflows.

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Real-Time Appointment Availability
Customer Stories

See What Happens When You Switch to a Customizable EHR

From reduced admin workload to faster workflows and stronger revenue — here's what clinics are achieving after switching to a customizable EHR.

Primary Care

Riverbend Family Practice

The Challenge
  • Disconnected patient records across multiple systems
  • High provider burnout from documentation
  • Inefficient billing and delayed reimbursements
The Result
  • Unified patient records across all providers
  • AI-assisted charting reduced documentation time
  • Streamlined billing with faster claim processing
+1,200Patients Onboarded
$15,000+Revenue Increased
30%Time Saved
★★★★★
"Before this, our team was constantly juggling between systems and spending hours on documentation after clinic hours. Now everything is in one place, and our providers are finishing notes during visits instead of staying late. We're seeing more patients without increasing workload — and that's been a huge shift for us."
Dr. Michael Carter

Dr. Michael Carter

Medical Director, Riverbend Family Practice

Will It Work For My Practice?

Custom EHRs Built for 15+ Specialties

From primary care to specialty clinics, we design EHR systems around your workflows, documentation, and compliance needs, so nothing feels forced or out of place.

Primary Care

Comprehensive Care Delivery Infrastructure

Primary Care Dashboard Interface
  • Chronic condition dashboards (CCM-ready)
  • Preventive screening & wellness reminders
  • ePrescribing with drug interaction alerts
  • Lab ordering with real-time results sync
  • Multi-condition SOAP documentation templates
30+ Primary Care EHR Projects
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Don't Find Your Specialty?

Let's talk about yours and build an EHR that suits your needs.

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Development Process

Build Your Own EHR — From Discovery to Deployment in 10 Weeks

With pre-built frameworks, workflow-first design, and FHIR-ready architecture, you go live faster — without compromising compliance, usability, or interoperability.

discovery
Discovery
(Duration: 1-2 Weeks)
design
Design
(Duration: 2-3 Weeks)
development
Development
(Duration: 8-10 Weeks)
deployment
Deployment
(Duration: 1-2 Weeks)
support
Support
(Duration: Ongoing)

Understanding requirements deeply

We gather clinical workflows, compliance needs, and integration goals to define your EHR roadmap.

  • Requirement gathering
  • Workflow mapping
  • Compliance alignment

Crafting user-focused experiences

We design intuitive interfaces, specialty-specific workflows, and system architecture tailored to your practice.

  • UI/UX design
  • Workflow wireframes
  • System architecture

Building core functionalities

Our engineers code, integrate APIs, and ensure interoperability while prioritizing security and scalability.

  • Feature coding
  • API integrations
  • Security compliance

Seamless go-live transition

We handle testing, data migration, and user onboarding to ensure a smooth EHR launch.

  • Testing & QA
  • Data migration
  • User training

Ensuring long-term reliability

We provide continuous monitoring, updates, and support to keep your EHR optimized and compliant.

  • Continuous updates
  • 24/7 support
  • Performance monitoring
Integrations

Stop Switching Systems Constantly — Connect Everything In Your Custom EHR

From labs to billing to communication tools — your EHR connects everything, so your team isn't stuck managing multiple systems or manual workarounds.

Surescripts

Integrate Surescripts for secure e-prescribing and real-time patient medication history within custom EHRs.

ScriptSure

Enhance efficiency by integrating ScriptSure for accurate, seamless prescription management inside your EHR system.

Quest Diagnostics

Integrate Quest to streamline lab test ordering, result retrieval, and improve care coordination across EHRs.

Labcorp

Integrating Labcorp enables smooth test scheduling, result tracking, and improved workflows within your EHR.

Fullscript

Add Fullscript integration to prescribe supplements and nutraceuticals directly within patient EHR records.

MD Toolbox

Integrate MD Toolbox for real-time clinical decision support, drug info, and streamlined provider workflows.

ACL Laboratories

Integrate ACL Labs to streamline test orders, result access, and provider communication within EHRs.

Dr. First

Integrate DrFirst for e-prescribing, medication safety, and stronger care coordination across healthcare teams.

Clinical Labs of Hawaii (CLH)

Add CLH integration to simplify test ordering, secure results, and enhance patient data access.

Rupa Health

Integrate Rupa Health with your custom EHR and Get Your Free prescriptions and lab results directly in your system.

Connect Your Entire Clinic — Without Disruption

We integrate your EHR with the systems you already use, so everything runs smoothly without added complexity or workflow changes.

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Compliance & Standards

Built to Meet HIPAA, ONC & FHIR R4 Standards — Without Slowing Your Team Down

From HIPAA to ONC to SOC 2, your EHR meets every required standard — without adding extra steps, complexity, or operational overhead.

HIPAA Compliance

Architect a HIPAA-compliant EHR system with strict privacy controls, encryption standards, audit logging, and role-based access management.

ONC Certification

Ensure your EHR software aligns with ONC certification standards for usability, safety, interoperability, and federal EHR compliance requirements.

FHIR/HL7

Implement FHIR and HL7 interoperability standards to meet modern EHR compliance requirements for secure, real-time data exchange.

21st Century Cures Act

Design your EHR system to comply with information blocking regulations and patient access mandates under the Cures Act.

Medical Coding Standards

Support CPT, ICD-10, and HCPCS coding frameworks to ensure billing compliance and regulatory accuracy.

SOC 2 Type II Certification

Build secure infrastructure aligned with SOC 2 controls for availability, confidentiality, and operational integrity.

ISO 27001

Adopt globally recognized information security management standards for healthcare data protection.

FDA 510(k) Clearance

For clinical-grade applications, design systems aligned with FDA regulatory pathways where applicable.

Speed Advantage

Launch Your Custom EHR Faster — Without Starting From Scratch

Instead of building everything from the ground up, we use a modular platform and customize it for your clinic — reducing time, cost, and complexity.

Healthcare Platform
Patient Management
Onboarding
  • Self onboarding
  • Intake forms
  • Assessments
  • Preferences
  • Consents forms
Patient Interface
  • Patient web portal
  • Patient mobile app
  • Patient CheckIn Kiosk
Patient Review & Feedback
  • Patient survey
  • Rating for Provider
Payment Gateways
  • Payment Gateway
  • Invoice
  • Payment Receipt
  • Statement
Patient Charting
Patient Clinicals
  • Facesheet
  • Timeline
  • Vitals
  • Diagnosis
  • Allergies
  • Medication
  • Vaccinations
  • Symptoms
  • Medical History
  • Family History
  • Social History
  • Documentation
Order Management
  • E-prescription
  • Lab order & results
  • Radiology orders
Visit Details
  • Encounter summary
  • Previous charts
  • Previous reports
  • Clinical Data
Patient Engagement
Video & Audio Call
  • PC, Mac, Browser
  • No software to install
  • Encrypted connection
  • Phone Call
  • Web voice call
In-Call Chat
  • Screen sharing
  • Image capturing
  • Call recording
  • In call assessment
  • Session chat & file sharing
  • Patient joining alert
Patient
  • Patient educations & webinars
  • Clinical directory
  • Announcements
  • Preferred languages
  • 24×7 patient support
  • Virtual Assistant
Media Channel
  • Text message
  • Email / Fax
  • Chat
  • Instant video call
  • Bulk SMS & email
File Sharing
  • Image & video sharing
  • Contact sharing
  • Visit note sharing
Scheduling
  • Self scheduling
  • Calendar widget
  • Reminders
Notifications
  • Alerts
  • Auto SMS / email reminder
Practice Management
Practice Setup
  • Provider group
  • Multiple Locations
  • Specialists
  • Practice hours
Master Management
  • CSV, XLS import
  • Data Migration & Import
Reports & Analytics
  • Clinical
  • Financials
  • Systems
  • Patients
  • Configure reports
Inventory Management
  • Inventory Tracking
  • Multi-location Support
  • Stock Optimization
User Setup
  • Role-based Access
  • User Authorisations
  • Flexible roles & permissions
Data Catalogues
  • Patients
  • Providers
  • ICD-10, CPT codes
  • Drugs catalogue
  • Labs & radiology order set
  • Service master
Form Builder
  • Intake form
  • Clinical notes
  • Consent form
Settings
  • Notification Setting
  • Print Configurations
Provider Management
Scheduling
  • Recurring scheduling
  • Waitlist
  • Individual / group / personal
  • Multiple practitioner availability
  • Coloured appointment types
Provider Setting
  • Availability setting
  • Fee schedule
  • Report configuration
  • Custom intake
  • Custom SOAP notes
  • Notification setting
Referral
  • Outbound & Inbound referral
  • Attach Visit Notes
  • Response
  • Closed Loop
Encounters
  • Check in
  • Intake
  • Audio Transcription
  • Load Previous Note
  • Exam
  • Sign visit
  • Follow up
Visit Notes
  • Visit encounters
  • In-person encounters
  • Patient chart review
  • Chats
  • Assessment
Customized Template
  • Intake forms
  • Encounter forms
  • Assessments
  • Questionnaire
  • Care Plans
  • SOAP notes
  • Micro
RCM & Financials
Super Bill
  • Generate Superbill
  • Medical coding
  • Charge entry
  • Superbill with Codes
Payment
  • Statements
  • Credit card processing
  • Payment Posting
  • Apply Payment
  • Account receivables
  • Account statement
  • Refund Unapplied Amount
  • Overdue account alerts
  • Automatic Receipt
Services & Plans
  • Membership Management
  • Package Management
Insurance
  • Batch Eligibility
  • Benefit Verification
  • Pre authorization
Claims
  • Fee Schedule
  • Electronic claim
  • Paper claim
  • Auto track claim status
  • Code Scrubbing
  • Electronic Remittance Advice (ERA)
  • Explanation of Benefits (EOB)
  • Denial Management
Invoices
  • Configure invoices & receipts
  • Automatic generate Invoice
  • Send Past Invoices
Compliant and Secure IT Infrastructure
API's and Integrations
E-Prescription
Surescripts ScriptSure MD Toolbox DrFirst
Lab & Radiology
Quest Diagnostics LabCorp Rupa Health
Payment & Claim
Stripe Stax Square Waystar Office Ally TriZetto
AI Module & Communication
Zoom Twilio Freed AI AWS HealthScribe
Marketing & CRM
High Level Marketing Mailchimp SendGrid Sfax

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Instead of forcing your team to adapt to rigid software, a custom EHR is built around how your clinic already works. That means fewer clicks, smoother workflows, and a system that actually supports your providers — leading to faster documentation and a better patient experience.
You don't have to wait years to see results. Most clinics go live in as little as 10 weeks, so you can start improving workflows, reducing admin burden, and seeing ROI much faster than traditional implementations.
You don't have to worry about compliance gaps. Your EHR is built to meet HIPAA, ONC, FHIR/HL7, and other required standards — so your clinic stays secure, audit-ready, and aligned with evolving healthcare regulations.
Yes — and without the usual headaches. We securely migrate your patient data with minimal disruption, so your team can continue working smoothly while transitioning to a better system.
You're not left on your own after launch. We continue to support, update, and improve your system — so it keeps evolving as your clinic grows and your needs change.
Yes — everything works together seamlessly. Your EHR connects with labs, billing systems, pharmacies, and other tools, so your team doesn't have to switch between systems or deal with manual workarounds.
You get the best of both worlds — speed and flexibility. We use a proven healthcare platform to accelerate development, then fully customize it to your clinic — so you avoid long timelines without compromising on fit.
Yes — and they're designed to reduce real workload. From AI-assisted charting to smart insights, these features help your team save time, reduce manual work, and focus more on patient care.
Your EHR grows with you. Whether you're adding providers, locations, or services, the system scales without slowing you down — so you don't have to switch platforms again in the future.
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