Compliance-first delivery
Get more from OpenEMR — without vendor lock-in
OpenEMR is a widely used open-source electronic health record and practice-management system. Because it is open source you own the software and your data outright, with no per-provider licence fees. The trade-off is that nobody configures it for you: practices often end up with a default install that does not match their workflow, forms clinicians work around, missing lab interfaces, an upgrade path nobody has tested and hosting that would not survive a HIPAA review.
Our OpenEMR services cover the full lifecycle. We install and configure OpenEMR for your specialty, set up roles and permissions, and build custom forms, templates and modules cleanly against OpenEMR’s architecture so upgrades stay smooth. Lab orders and results, ADT feeds and document exchange are integrated through HL7 v2 and FHIR, usually with Mirth Connect as the engine; connections to regional exchanges use our HIE integration work. Legacy data is migrated with mapping, validation and reconciliation, and the system is hosted on hardened cloud infrastructure using the approach in our HIPAA on AWS guide.
You end up with an EHR configured around how your clinicians work, integrated with your lab and partners, hosted securely with backups and monitoring, and supported under a clear SLA. If you also need a HIPAA program around it, our HIPAA, GDPR and SOC 2 team can help you build one.
- Installation, configuration and tested version upgrades
- Custom forms, modules and specialty workflows
- HL7 / FHIR, lab and HIE interface integration
- Data migration with validation and reconciliation
- HIPAA-aligned hosting, backups and SLA-backed support
What's Included
Everything you need, delivered by a senior, security-first team.
Implementation
Clean installs, configuration and version upgrades tuned to your practice workflow.
Custom Modules & Forms
Bespoke forms, modules and layout customisation to match how your clinicians actually work.
Interfaces & Integration
HL7 v2, FHIR and lab interfaces — including Mirth Connect channels to and from OpenEMR.
Data Migration
Safe migration from legacy EHR/PM systems with validation and reconciliation.
Secure Hosting
HIPAA-aligned cloud hosting with backups, TLS, monitoring and disaster recovery.
Ongoing Support
Maintenance, patching, security hardening and helpdesk under a clear SLA.
Complete OpenEMR services under one team
OpenEMR is a free, open-source electronic health record and practice-management system with ONC certification, used by practices around the world. It covers scheduling, clinical documentation, e-prescribing, a patient portal, billing and reporting — with no per-provider licence fees. The catch is that free software still needs expert implementation, customisation, hosting and support to fit real clinical workflows. We provide that end to end, so you are not stitching together several vendors.
OpenEMR services we deliver
- Implementation and deployment — installation, environment setup, user roles, workflow configuration and go-live coordination.
- Customisation — custom forms, templates, SOAP notes, specialty workflows, layouts and UI refinements.
- Module development — new modules built against OpenEMR’s module system so upgrades stay smooth.
- Integration and interoperability — HL7 v2, FHIR R4, C-CDA, lab orders and results, e-prescribing, imaging and clearinghouse connections, often via Mirth Connect.
- Data migration — assessment, mapping, migration, validation and reconciliation from legacy EHR/PM systems.
- Secure hosting — HIPAA-aligned AWS, Azure or GCP hosting with encrypted backups, monitoring and disaster recovery.
- Training and support — role-based training, upgrade coordination and an SLA-backed helpdesk.
OpenEMR vs proprietary EHRs
| Factor | OpenEMR (with Radiatus) | Proprietary EHR |
|---|---|---|
| Licence cost | No per-provider fees | Recurring per-provider licensing |
| Source code and data ownership | Full ownership and control | Vendor-controlled, export limits |
| Customisation | Unrestricted — you own the code | Limited to vendor roadmap |
| Interoperability (HL7/FHIR) | Built in and extensible | Often gated behind add-ons |
| Hosting choice | Self-host or managed cloud | Usually vendor cloud only |
| Who supports it | Your chosen partner and the community | The vendor |
Specialty-ready configurations
We configure OpenEMR for the way your specialty documents — family practice, internal medicine, mental health, paediatrics, OB/GYN, cardiology, orthopaedics, dermatology, physical therapy, urgent care and multi-specialty clinics — with the templates, order sets and billing rules each needs.
How an OpenEMR project runs
- Discovery — we document your workflows, specialties, users, billing process and the systems OpenEMR must connect to.
- Environment and configuration — secure hosting, roles and permissions, facilities, fee schedules, templates and forms.
- Migration and integration — data migrated in test loads first, reconciled, then a final load at cut-over; lab, e-prescribing and billing interfaces tested end to end.
- Training and go-live — role-based training for front desk, clinicians and billing staff, with on-call support during the first weeks.
- Ongoing support — upgrades, security patches, backups and improvements under a support agreement.
Common OpenEMR pitfalls
- Editing core files directly, which makes every upgrade painful — we use modules and custom forms instead.
- Running on shared hosting without encryption, backups or audit logging.
- Skipping data validation after migration.
- Falling several versions behind and missing security fixes.
Secure hosting and compliance
We host OpenEMR in hardened cloud environments following the patterns in Building HIPAA-Aligned Workloads on AWS, and can support your wider HIPAA compliance programme. For connecting OpenEMR to labs, payers or exchanges, see HL7, FHIR and EDI integration and HIE integration.
Our OpenEMR Implementation Roadmap
1. Assess
Workflow analysis, readiness review and a clear scope for your specialty and practice size.
2. Configure
Install, configure roles and permissions, and customise forms, templates and workflows.
3. Integrate & Migrate
Build HL7/FHIR & lab interfaces and migrate legacy data with validation and reconciliation.
4. Train & Go-Live
Role-based training, go-live support, then ongoing hosting, patching and helpdesk under SLA.
Frequently Asked Questions
Yes. We build custom forms, modules and layouts, adapt clinical and billing workflows and extend OpenEMR for your practice, while keeping you on a maintainable upstream version so future upgrades stay clean.
The software is free and open source with no per-provider licence fees. Costs come from implementation, customisation, data migration, integration, hosting and support, which we quote clearly up front.
Yes. We build HL7 v2 and FHIR interfaces for OpenEMR, including lab orders and results, ADT feeds and document exchange, often using Mirth Connect as the integration engine.
Yes. We migrate demographics, encounters, documents and billing data from legacy systems with field mapping, validation and reconciliation reports.
OpenEMR includes features that support HIPAA compliance, such as access controls and audit logging. Compliance also depends on hosting, configuration and policies, so we deploy it in a hardened, HIPAA-aligned environment and document the controls.
Yes. Managed hosting includes backups, monitoring, patching and disaster recovery, and support retainers come with defined response-time SLAs.
Ready to get started with OpenEMR Services?
Book a free consultation — we'll map a secure, practical path forward.