EHR and EMR software development teams that make systems talk to each other.
Hire dedicated senior EHR and EMR engineers as part of your team. We staff interoperability and backend engineers in the Philippines who build, integrate, and modernize records systems with HL7 and FHIR, backed by the same teams behind SOTA Cloud and NavMD. This is a focused practice within our healthcare software development work.
- Inc. 5000 honoreefive years running
- 350+ senior engineerson staff, across every stack
- 200+ companies servedsince 2018
- 700+ engineer placementsinto US software teams
Not a dev shop building your EHR for you. Your records team, building with you.
Most EHR and EMR software development companies quote you a fixed-bid project, build it behind a vendor wall, and leave you with a records system nobody on your side understands. We embed dedicated senior engineers in your team. You own them, the integrations, and the roadmap.
The turnkey vendor model
The big custom-software shops
- Fixed-bid records build, scoped up front, priced in the hundreds of thousands
- Engineers walled off behind an account manager
- 30–40% overhead for layers you never meet
- Hand-off at the end, and nobody left who understands the integrations
The Full Scale staff-augmentation model
Dedicated engineers, embedded in your team
- $35/hr fully loaded, scale the team up or down as you go
- Engineers in your standups, Slack, repo, and roadmap
- No vendor wall and no PM tax, you manage them directly
- 93%+ retention means the engineers who learned your data model stay
Co-founded VinSolutions, the #1 CRM in the auto industry ($150M+ exit), and founded Stackify
Built by a founder who has shipped and sold real software
Full Scale was founded by Matt Watson, a four-time founder and CTO with 20+ years in software engineering. He co-founded VinSolutions, the #1 CRM platform in the auto industry, acquired for around $150 million, and founded Stackify, a developer-tools company he later sold. He also wrote Product Driven, the engineering-leadership method every Full Scale engineer is trained on.
Full Scale exists because Matt kept hitting the same wall as an operator: good products stall when you can't hire and keep good engineers. That is the problem we solve, and it is why we vet for the senior, product-minded engineers most staffing shops never find.
Engineers experienced across records systems and interoperability
We don't sell you a pre-built records system. We staff engineers who have built and integrated EHR and EMR software before and know where the interoperability and compliance landmines are.
Custom EHR / EMR development
Charting, clinical workflows, e-prescribing, and documentation built for how your clinicians actually work.
EHR integration & interoperability
HL7 v2, FHIR, and CCD/CDA integration so your systems exchange records cleanly instead of living in silos.
Modernization & migration
Migrating legacy records systems and moving data between platforms without losing history or breaking workflows.
e-Prescribing & charting
Documentation, order entry, and e-prescribing modules wired into the rest of the record.
EHR + practice management
Connecting the record to scheduling, billing, and practice-management systems so data flows one way.
Certification & compliance support
Engineering toward ONC certification, USCDI data requirements, and the audit trail regulators expect.
Engineers who have built under HIPAA and the interoperability rules
A records system is judged on whether it protects PHI and whether it exchanges data the way the rules require. Our engineers treat both as architecture decisions, not features bolted on before an audit.
EHR/EMR teams we've staffed
Regulated clinical software at FDA-cleared scale
A dedicated team helped build SOTA Cloud's FDA-cleared cloud dental imaging platform, used across 1,000+ dental locations on a C#/.NET, Angular, and Azure stack, including reading a proprietary clinical file format. The same engineering bar applies to records work.
Read the case study →Rescuing the build for a healthcare data platform
When NavMD's development team was dissolving, Full Scale engineers stepped in to keep the employee benefits and healthcare cost platform moving without losing the in-flight work.
Read the case study →The EHR/EMR specialists on our bench
Interoperability engineers
HL7, FHIR, CCD/CDA
Backend engineers
.NET, Java, Python, Node
Integration engineers
Mirth, Rhapsody, Redox
Frontend engineers
React, Angular, TypeScript
Data migration
Records migration & ETL
Security engineers
AppSec, HIPAA audit readiness
QA automation
Test coverage for clinical flows
Solutions architects
Records & data design
The EHR/EMR stack our engineers work in
Backend
Frontend
Interoperability
Integration engines
Data
Cloud & DevOps
Why most offshore EHR teams fail, and how to not be one of them
The mistake isn't going offshore for records work. It's hiring the cheapest developer you can find and hoping interoperability sorts itself out. I call that cheapshoring, and with an EHR it's how you end up with a system that can't pass certification or exchange a record.
Records software is unforgiving. You need engineers who understand that a malformed HL7 message breaks a clinic and an unlogged record access is a finding. That's a hiring bar, not a rate, which is why we accept under 3% of applicants and train every engineer on the Product Driven method.
From call to coding in as little as 7 days
- 1Tell us the records systems and integrations you need
- 2We match pre-vetted engineers from our bench
- 3You interview and pick your team
- 4They start in your standups, repo, and roadmap
EHR / EMR Software Development Services, answered
- Can you build a custom EHR or EMR, or integrate an existing one?
- Both. We staff engineers who build custom records systems and engineers who integrate, extend, and modernize the EHR or EMR you already run.
- Do your engineers know HL7 and FHIR?
- Yes. Interoperability is the core of this work. Our engineers build HL7 v2, FHIR, and CCD/CDA integrations and have worked with engines like Mirth, Rhapsody, and Redox.
- How is this different from your healthcare software development page?
- Same team, narrower focus. Our healthcare software development practice covers the full healthcare stack; this page is the EHR, EMR, and interoperability piece.
- Is this a fixed-bid project or a dedicated team?
- A dedicated team. We are a staff augmentation partner, so you get engineers embedded in your team at $35/hr.
- Who owns the code and the IP?
- You do, from day one. Our engineers work in your repositories under your process.
Staffing engineering teams across every industry
EHR/EMR engineering guides
Healthcare software development
The full healthcare engineering practice this sits inside.
Healthcare app development
Connecting patient and provider apps to the record.
Telemedicine app development
Virtual-care software that reads and writes the record.
Cheapshoring: the healthcare version
Why the cheapest developer is the most expensive.