EHR Integration Guide: HL7, FHIR and SMART on FHIR Costs
EHR integration guide covering HL7, FHIR, SMART on FHIR, Epic and Cerner costs and how to choose the right approach.
Last updated October 8, 2026
Build patient access to appointments, records and care-team communication around your existing clinical systems.
Practice led by Dmytro Nasyrov
Founder and CTO
23+ years in custom software development. Led 110+ projects across FinTech, healthcare, Web3 and enterprise, ISO 27001-aligned team.
Patient portal development gives patients a defined way to book care, view authorized information and communicate with their care team. Pharos builds the web experience and its application workflows around the systems your organization already uses.
In CareConnect, we developed appointment tools, access to medical records, virtual visits and secure messaging. The published case describes an API-first layer above existing clinical systems and user research with patients and front-desk staff. That delivery model supports a portal scope without requiring a complete EHR replacement.
An available clinical-vendor portal is a useful starting point. Custom work needs a specific patient or staff workflow that the existing product cannot support.
| Factor | Configure an existing portal | Build a custom portal |
|---|---|---|
| Workflow fit | The vendor experience supports the required patient journey. | Your care model needs its own steps, roles or service coordination. |
| System connection | Use the vendor-supported record and scheduling access. | Validate interfaces for every clinical system the experience connects. |
| Release control | Work within configuration options and vendor release behavior. | Own the application releases and the corresponding support workload. |
| Pilot boundary | Test configuration and adoption with a selected patient group. | Also validate custom failure states and staff handoffs. |
Illustrative checklist, not a CareConnect artifact. Walk through booking, rescheduling and cancellation with approved test accounts. Validate both the patient view and the clinical-system state.
Select an appointment that becomes unavailable before the patient confirms it. The portal should show the agreed recovery path and distinguish a request from a confirmed booking. Check the system responsible for slot ownership.
Move a confirmed visit to another time. Verify the previous booking state, the new confirmation and the staff view. Decide which notifications follow the change and how their delivery failures become visible.
Check patient access, staff access and any separately scoped caregiver role. Attempt to view a record outside each account permission. Confirm that account recovery does not bypass the authorization boundary.
Interrupt record retrieval or appointment exchange. Review the message shown to the patient and the issue visible to support staff. When the connection recovers, reconcile pending operations without silently confirming an unaccepted request.
Published record
Technical articles, comparison guides and methodology deep-dives we write from our own delivery experience.
Trusted by Coinbase, Consensys, Core Scientific, MicroStrategy, Gate.io and 10+ more Web3 and enterprise platforms
16+ partnersOur 16 technology partners include:
Founder and CTO Pharos Production
I design and build reliable software solutions - from lightweight apps to high-load distributed systems and blockchain platforms.
PhD in Artificial Intelligence, MSc in Computer Science (with honors), MSc in Electronics & Precision Mechanics.
13 years in architecture of great software solutions tailored to customer needs for startups and enterprises
23 years of practical enterprise customized software production experience
Lecturer at the National Kyiv Polytechnic University
Doctor of Philosophy in Artificial Intelligence
Master's degree in Computer Science, completed with excellence
Master's degree in Electronics and precision mechanics engineering
Pharos Production scopes engagements in two tiers, Patient journey and portal discovery and Portal implementation and pilot, with budgets tailored to scope and complexity.
Map one patient journey, the staff handoff, clinical dependencies and pilot acceptance before selecting modules. Best for: Healthcare teams validating the first portal release or a redesign.
Build the agreed interface and workflows, connect approved systems and support a defined pilot and handover. Best for: Teams with a confirmed care process and access to the clinical integration boundary.
Prices vary based on project scope, complexity, timeline and requirements. Contact us for a personalized estimate.
Need extra hands on your software project? Our developers can jump in at any stage - from architecture to auditing - and integrate seamlessly with your team to fill any technical gaps.
Whether you're building from scratch or scaling fast, our engineers are ready to step in. You stay in control, and we handle the code.
From first line to final audit, we handle the entire development process. We will deliver secure, production-ready software, while you can focus on your business.
Our engineers work with 187+ technologies across blockchain, backend, frontend, mobile and DevOps - chosen for production reliability and performance.
Our engineers work with 187+ technologies across 10 categories: Frameworks, AI, Blockchains, DevOps, Clouds, Databases, Brokers, Tests, Programming, UI/UX.
Recognized on Clutch, GoodFirms and The Manifest for software engineering excellence
65+ industry awards
Our company starts and assembles an entire project specialists with the perfect blend of skills and experience to start the work.
We'll design, build and launch your MVP, ensuring it meets the core requirements of your software solution.
We'll create a complete software solution that is custom-made to meet your exact specifications.
Our company will be right there with you, keeping your software solution running smoothly, fixing issues and rolling out updates.
EHR integration guide covering HL7, FHIR, SMART on FHIR, Epic and Cerner costs and how to choose the right approach.
HIPAA compliant software development cost in 2026 covering budget tiers, the compliance premium, EHR integration and maintenance.
Type to filter questions and answers. Use Topic to narrow the list.
Showing all 4
No matches
Try a different keyword, change the topic or clear filters
Delegated access is a separate workflow to define with your organization. Specify which records and actions a delegate may access, how authority is established and what changes when that authority ends.
It should not reuse unrestricted patient credentials.
A responsive web portal can support the agreed journey without a separate app release. A native app becomes a scope decision when device features, distribution requirements or the patient usage model justify it.
We assess that need before adding another platform to maintain.
Messaging needs a staffed operational model: who receives each request, how patients understand response expectations and where urgent concerns are directed. The portal can expose those rules, but it does not create the care-team capacity to answer messages.
Use a pilot with representative patients and staff to observe completion of the selected journeys and support handoffs. Include accessibility requirements and language needs in the acceptance plan.
Compare the observed results with the organization's starting process rather than assuming adoption.
Choose the first patient journey and the staff process that supports it. We can then map modules, clinical dependencies and a pilot that makes the experience testable.
Discuss your patient portal
Describe your patient journey, clinical systems and intended portal modules. Include the staff owner and integration access you have available.
Contact us today to discuss your project. We're ready to review your request promptly and guide you on the best next steps for collaboration
Same dayWe're committed to keeping your information confidential, so we'll sign a Non-Disclosure Agreement
1 dayAfter we chat about your goals and needs, we'll craft a comprehensive proposal detailing the project scope, team, timeline and budget
3-5 daysLet's connect on Google Meet to go through the proposal and confirm all the details together!
1-2 daysAs soon as the contract is signed, our dedicated team will jump into action on your project!
Same dayHeadquarters in Las Vegas, Nevada. Engineering office in Kyiv, Ukraine.
We also work with clients through dedicated local teams in Las Vegas, New York and San Francisco.
Thanks for the request!
We typically reply within 24 hours