Question 1

What should I look for in an EHR integration services company or consulting partner?

Accepted Answer

Look for proven enterprise experience across major EHR systems (Epic, Oracle Health, athenahealth), deep HL7 and FHIR expertise, healthcare-specific compliance certifications (HIPAA BAA, HITRUST, ISO 27001), and a senior engineering team that has shipped at your scale. Ask any prospective EHR integration company for named case studies and technical references — not just a logo wall.

Question 2

How much does an EHR integration project cost?

Accepted Answer

A focused EHR integration project typically costs: From $30,000 to $80,000 for a simple EHR integration running 2 to 4 months From $100,000 to $300,000 for a multi-platform integration spanning 4 to 8 months $300,000 + for a complex multi-phase enterprise EHR integration running 5 to 12 months Project cost depends on several factors: How many systems connect to the EHR, since each one adds its own interface, testing, and support. Whether data flows one way or bi-directionally in real time. Whether the EHR vendor publishes FHIR R4 APIs or the work needs custom API development. Whether an older HL7 v2 interface engine stays in the path or gets replaced. How much historical data has to migrate and be reconciled. The HIPAA controls in scope: audit logging, encryption, and role-based access. How much monitoring and upgrade support is needed after go-live. Projects stitched together from multiple tools without a shared integration layer tend to cost more later, mostly in rework caused by poor data mapping.

Question 3

How long does an EHR integration project take?

Accepted Answer

Most enterprise EHR integration projects take 5–12 months from kickoff to production. The variance is large because four factors compound — and the one that delays most projects has nothing to do with engineering.The four phases, with realistic time ranges: Discovery and conformance audit: 1–3 weeks. Reviewing your existing data architecture, the EHR systems involved, the interoperability standards (HL7 v2, FHIR R4, USCDI v3 or v5), and the compliance framework that applies to your project. Architecture and design: 2–4 weeks. Defining the integration pattern, API contracts, error-handling, and the test strategy. Faster if the project follows a pattern we've shipped before; longer if it's novel. Implementation, testing, and integration QA: 2–6 months. The actual build. Length depends on bi-directional vs. read-only, number of EHR systems, and whether real clinical data is in scope (which triggers de-identification or BAA-protected test environments). Parallel-run and go-live: 2–6 weeks. Running the new integration alongside the existing system, validating data fidelity, and cutting over without disrupting clinical workflows. The biggest source of timeline slip is usually sandbox access — not engineering.Getting credentialed into an Epic, athenahealth, or Oracle Health sandbox with the right OAuth scopes routinely takes 4–8 weeks and is outside the EHR integration services company's direct control. For Epic specifically, App Orchard / Vendor Services onboarding can run 4–12 weeks depending on your use case and whether you already have a customer sponsor. We start the sandbox-access process on day one of the engagement, in parallel with discovery, specifically to absorb this delay.

Question 4

Do you offer EHR integration consulting in addition to development?

Accepted Answer

Yes. Our EHR integration consultants provide architecture reviews, interoperability strategy, vendor selection guidance, and TEFCA / QHIN readiness assessments, compliance scoping across HIPAA, FDA SaMD, 42 CFR Part 2, CLIA, and state regulatory frameworks, or engineering takeover assessments for stalled or struggling integration projects. Our integration developers and engineering teams then deliver the build. You can engage us as a consulting partner, an EHR development company , or both.

Question 5

Which EHR systems do you integrate with?

Accepted Answer

Kanda Software integrates with major EHR platforms plus proprietary and custom systems: Epic: Epic Showroom (App Orchard), MyChart, and Bridges. Oracle Health (formerly Cerner): Code Console, CernerCare API, Millennium, HealtheIntent. Athenahealth: athenaOne, athena's FHIR API and proprietary REST endpoints. Allscripts (now Veradigm). NextGen: NextGen Enterprise, NextGen Connect (formerly Mirth Connect). MEDITECH. eClinicalWorks: eCW Cloud and ambulatory integrations. Custom and proprietary EHR systems. The same team handles EMR integration for ambulatory practices running NextGen or eClinicalWorks, and our EHR integration solutions support bi-directional exchange on every platform listed. A significant portion of our integration work is on EHRs built by our clients — including FDA-cleared clinical software, oncology decision support platforms, clinical trial management systems, and life-sciences-specific patient data platforms. The standards we work with across all of these: HL7 v2 (ADT, ORU, SIU, ORM, DFT message types), HL7 v3, CDA, FHIR R4 (current widely-implemented standard), FHIR R5 (emerging), SMART on FHIR for app integration, US Core Implementation Guide profiling, USCDI v3 and v5, and DICOM where imaging is in scope.

Question 6

Do you handle HL7 v2 to FHIR migrations?

Accepted Answer

Yes. Bridging legacy HL7 v2 environments with modern FHIR-enabled applications is one of our most common engagement types . We build the translation layer under USCDI v3 and v5, validate data fidelity, and deploy without disrupting clinical workflows.

Question 7

Are you HIPAA and SOC 2 compliant?

Accepted Answer

Yes. We sign HIPAA Business Associate Agreements with each client and are ISO 27001:2022 certified, SOC 2 Type II compliant, and operate under HITRUST-aligned controls. We work in FDA-regulated environments (21 CFR Part 11), CLIA laboratory contexts, and under 42 CFR Part 2 substance-use-disorder restrictions.

Question 8

Do you work with mid-market or only large enterprises?

Accepted Answer

Both — but project fit matters more than company size. We work with organizations from Series A healthtech startups to multi-billion-dollar pharmaceutical enterprises. Where we are unambiguously the right fit: Hospital systems and academic medical centers running multi-EHR programs Pharmaceutical and biotech enterprises integrating clinical, lab, and patient platforms Mid-to-large healthtech platforms (Series B+, or $10M+ ARR) integrating with customer EHRs at scale Specialty diagnostics and laboratory networks under CLIA scope Medical device and SaMD companies integrating clinical software under FDA scope CROs and clinical trial sponsors integrating EDC, eSource, and EHR systems Payers and health plans building provider-facing integration platforms Most engagements run $100K–$300K for focused projects and $500K+ for multi-phase programs. Where mid-market and smaller companies work well with us: Series A+ healthtech building a category-defining product, specialty practice networks consolidating EHR data across locations, regional health systems running EHR migration projects, and pre-IPO life sciences companies preparing for FDA inspection or due diligence. The common thread: the project is technically demanding or compliance-critical enough that senior healthcare engineering pays for itself versus a cheaper alternative. Where we are honestly not the right fit: Single-physician practices and small clinics — commodity vendors serve this market well Projects under ~$50K total scope — the floor for regulated healthcare engagement overhead Pure body-shop staff augmentation — we engage as a delivery partner, not an hourly bench Healthcare projects with no integration component — our broader healthcare software development practice fits better

Question 9

Can you take over an integration project another vendor started?

Accepted Answer

Yes. Engineering takeover is one of our specialties. We have rescued and rebuilt in-flight EHR integration projects across multiple clients, including projects where documentation was incomplete and the prior team had departed.

Question 10

Are you HIPAA compliant?

Accepted Answer

We sign HIPAA Business Associate Agreements with each client. We are ISO 27001 certified, work to HITRUST-aligned controls, and have completed engagements under FDA SaMD scope, CLIA laboratory partner requirements, and 42 CFR Part 2 substance-use-disorder data restrictions. "HIPAA compliant" is a status that attaches to a system in operation, not to a vendor in isolation — we configure each integration to meet the customer's HIPAA Security Rule controls and document the safeguards in writing.

Question 11

Can you integrate with Epic?

Accepted Answer

Yes. We are an Epic Vendor Services Partner with experience across Epic Showroom (App Orchard), Bridges (HL7 v2), Care Everywhere, Epic on FHIR R4, MyChart, and Epic Toolbox.

Question 12

Can you integrate with Oracle Health (formerly Cerner)?

Accepted Answer

Yes. We integrate across Code (Cerner Open Developer Experience), Millennium, HealtheIntent, and ProFile.

Question 13

Do you work with athenahealth?

Accepted Answer

Yes. athenaOne FHIR APIs, More Disruption Please marketplace integrations, and athenaCommunicator.

Question 14

What about Allscripts, NextGen, Meditech, and eClinicalWorks?

Accepted Answer

Yes to all four. Each EMR has its own integration mechanism (TouchWorks/Sunrise APIs for Allscripts/Veradigm; NextGen Developer; Meditech's HL7 v2 and emerging FHIR endpoints; eClinicalWorks APIs and healow).

Question 15

How do you handle the 21st Century Cures Act and information blocking?

Accepted Answer

We design integrations to take advantage of the Cures Act's certified-API requirements rather than work around them. Where a vendor or provider is restricting access under one of the Cures Act's permitted exceptions (preventing harm, privacy, security, infeasibility, licensing, content/manner, or fees), we help our clients evaluate whether the exception is legitimate or whether the OIG enforcement framework should be invoked. Information blocking has moved from theoretical to actively enforced; we treat it as a live regulatory backdrop on every project.

Question 16

Do you participate in TEFCA?

Accepted Answer

We work with healthcare organizations that participate in TEFCA through Qualified Health Information Networks (QHINs). We are not ourselves a QHIN — by design, that's a different category of organization. We help our clients prepare for QHIN onboarding and design their internal systems to take advantage of TEFCA-mediated exchange.

Question 17

Do you do SMART on FHIR development?

Accepted Answer

Yes. EHR-launchable apps under SMART on FHIR specification, scoped against US Core or custom IGs, with appropriate OAuth 2.0 launch contexts. Used in clinical decision support, specialty workflow apps, and patient-facing applications launched from the chart.

Question 18

Can you handle FDA-regulated software (SaMD)?

Accepted Answer

Yes. We have engagements under FDA Software as a Medical Device scope, working to IEC 62304 software lifecycle processes, ISO 14971 risk management, and the FDA's Clinical Decision Support guidance. We are not a regulatory consulting firm — we partner with your regulatory team — but we know how to build software that won't disqualify your 510(k) submission.

Question 19

What about clinical trial software integrations?

Accepted Answer

Yes. EDC (Medidata Rave, Veeva Vault CDMS, Oracle InForm), CTMS, IRT/RTSM, eConsent, and EHR-to-EDC integrations for pragmatic trials.

Question 20

How do you handle data migration when moving to a new EHR?

Accepted Answer

Phased migration, with discrete-data mapping where source data is structured and a structured-PDF or imaged-document fallback where it isn't. Mapping to SNOMED CT, LOINC, RxNorm, and ICD-10/CPT. Manual reconciliation passes on high-risk classes (allergies, medications, problem lists). Parallel-run period during cutover.

Question 21

What happens after go-live? Do you offer ongoing support?

Accepted Answer

Yes. EHR vendors push interface changes regularly. Epic quarterly upgrades, athenahealth API versioning, Oracle Health release cycles that break unmaintained integrations. We offer L1, L2, L3 support services, monitoring (message-level, with alerting on conformance failures and queue depth) and quarterly reviews covering vendor release notes, regulatory updates, and integration health. Some clients keep us on retainer, some take the integration in-house after handoff. We will train and document for either path.

EHR Integration Services

Kanda Software is an enterprise EHR integration company and consulting partner. Experts in HL7, FHIR, and USCDI.

Client Spotlight

Trusted by 450+ Clients Worldwide

Kanda Software is Your EHR Integration Partner, from Architecture to API

In-depth Expertise in Interoperability Technology and Standards, Compliance and Security

What You Get When You Partner with Us

We turn Ideas into Products. Challenges into Wins. Product Owners into Heroes.

Benefits of EHR Integration for your Organization

Clients We Serve

EHR Integration Use Cases by System Type

EHR to billing and RCM systems

EHR to laboratory and LIMS

EHR to patient portal and telehealth

EHR to CRM

EHR to clinical trial software

EHR to pharmacy and e-prescribing

EHR to medical imaging and PACS

EHR to health information exchanges

EHR Integration Cost and Timeline: What to Expect

Single EHR connection

Multi-system integration

Multi-phase EHR integration project

Factors that affect the cost of the EHR integration project are:

How We Deliver an EHR Integration Project

Interoperability in Healthcare

Healthcare Software Development Services

Advanced LIMS Solutions

EHR Integration Questions, Answered.