{"head":{"title":"EHR Integration Cost Calculator (FHIR, HL7) | OceanLab","description":"Estimate what an EHR integration costs: FHIR R4 reads and writes, SMART on FHIR launch, HL7 v2 feeds, patient matching and testing. Editable hours.","canonical":"https://oceanlab.in/tools/ehr-integration-cost"},"tool":{"slug":"ehr-integration-cost","path":"/tools/ehr-integration-cost","name":"EHR integration cost","h1":"EHR integration cost calculator","lede":"Pick the integration work (FHIR, SMART on FHIR, HL7 v2, patient matching) and get a cost and timeline range.","category":"industry","categoryTitle":"Health, fintech and business software","method":["The estimate starts from an integration preset: FHIR R4 reads, SMART on FHIR launch, patient matching, code mapping, vendor sandbox testing and PHI audit logging. Each feature has a low and a high hour estimate for development, multiplied by the platform and design level, plus a contingency.","Design, QA and project management are added as shares of development hours, and each role's hours are multiplied by its hourly rate.","Weeks come from total hours divided by team size and productive hours per person per week.","The hour ranges are OceanLab planning assumptions, not market benchmarks. Edit any of them in the assumptions panel.","US certified health IT must offer a standardized FHIR R4 API under ONC criterion 170.315(g)(10), which is why FHIR R4 is the default. Add an HL7 v2 feed if the hospital sends real-time events that way."],"sources":[{"label":"HL7 FHIR R4 (4.0.1) specification","url":"https://hl7.org/fhir/R4/","checkedAt":"2026-10-25"},{"label":"ONC certification criterion 170.315(g)(10): standardized API (FHIR R4)","url":"https://www.healthit.gov/test-method/standardized-api-patient-and-population-services","checkedAt":"2026-10-25"}],"faq":[{"question":"FHIR or HL7 v2?","answer":"FHIR R4 is the standard API that US certified EHRs must offer under ONC's (g)(10) criterion. If the hospital sends real-time events such as admissions or results as HL7 v2 messages, add the HL7 v2 feed as well."},{"question":"What usually takes longest?","answer":"Access, not code: getting into the EHR vendor's sandbox, passing its app review and testing against the hospital's real data. The vendor testing line covers that time."},{"question":"Which hourly rates does it use?","answer":"Default rates are OceanLab's own: $50 an hour for engineering, $45 for design, $40 for project management and $30 for QA. Change any of them to the rates you have been quoted."},{"question":"Is anything I enter sent anywhere?","answer":"No. The tool runs in your browser and there is no sign-up. Nothing leaves the page unless you choose to email your result to OceanLab."}],"updatedAt":"2026-10-25"},"related":[{"href":"/tools/patient-portal-cost","label":"Patient portal cost","detail":"Choose the portal features and platforms and get a cost and timeline range, with what cutting each feature would save."},{"href":"/tools/hipaa-risk-assessment","label":"HIPAA risk assessment","detail":"Work through a HIPAA security risk analysis in 17 steps, from scoping ePHI to the fix plan, and export your progress."},{"href":"/tools/telehealth-app-cost","label":"Telehealth app cost","detail":"Pick the telehealth features and platforms and get a cost and timeline range, with what each feature adds."}],"studies":[{"meta":{"slug":"headgate","industry":"healthdata","projectType":"Claims & EHR integration API","country":"us","tags":["healthcare","enterprise"],"compliances":["CMS-9115-F","CMS-0057-F","HIPAA Privacy and Security Rules","HIPAA X12 transactions","HL7 FHIR R4 and US Core","SMART App Launch","FHIR Bulk Data","Da Vinci CRD, DTR and PAS","CARIN Blue Button"],"cover":{"src":"/case-studies/headgate/01-home.png","width":1440,"height":1000}},"text":{"en":{"title":"Headgate - FHIR Interoperability API Platform for Claims, Clinical Data and Prior Authorization","description":"Designed and built a clickable console for the FHIR APIs a US regional health plan must run under federal interoperability rules: API health across Patient Access, Provider Directory, Formulary, Provider Access, Payer-to-Payer and Prior Authorization, a security review queue for third-party apps, and one clock for every prior authorization request, however it arrived.","category":"Health Data / Interoperability","client":"Juniper Basin Health Plan"}}},{"meta":{"slug":"sutura","industry":"healthdata","projectType":"Patient data hub","country":"us","tags":["healthcare","enterprise"],"compliances":["HIPAA Privacy Rule","HIPAA Security Rule","42 CFR Part 2","21st Century Cures Act (information blocking)","HL7 v2","HL7 FHIR R4 and US Core","SMART on FHIR","HL7 DS4P security labels","TEFCA","CMS Conditions of Participation"],"cover":{"src":"/case-studies/sutura/01-home.png","width":1440,"height":1000}},"text":{"en":{"title":"Sutura - HIPAA-Compliant Patient Data Hub over HL7 and FHIR","description":"Designed and built a clickable patient data hub for a US health system running Epic, Oracle Health, athenahealth and eClinicalWorks: a live monitor for every HL7 v2, FHIR and HIE feed, one matched enterprise patient with a provenance-tagged record, and a duplicates queue where a person decides every uncertain match.","category":"Health Data / Patient Data Hub","client":"Northfork Valley Health"}}},{"meta":{"slug":"loupe","industry":"clinics","projectType":"Specialty EHR","country":"us","tags":["healthcare","enterprise","ai"],"compliances":["HIPAA","21st Century Cures Act","ONC certification (FHIR R4, US Core)","DEA EPCS","FTC Eyeglass Rule","FTC Contact Lens Rule","ICD-10-CM and CPT","CMS MIPS","DICOM"],"cover":{"src":"/case-studies/loupe/01-home.png","width":1440,"height":1000}},"text":{"en":{"title":"Loupe - Ophthalmology EHR with Per-Eye Charting and Laterality-Aware Coding","description":"Designed and built a clickable ophthalmology EHR for a US eye care group with seven clinics: a clinician's day at a glance, a live patient flow board with dilation timers, patient search with break-the-glass access, a chart summary with right-eye and left-eye findings side by side, and a structured exam workspace per eye.","category":"Healthcare / Specialty EHR","client":"Cedar Hollow Eye Associates"}}},{"meta":{"slug":"qistas","industry":"insurance","projectType":"Health claims adjudication","country":"sa","tags":["insurtech","healthcare","enterprise"],"compliances":["Cooperative Health Insurance Law","CHI Unified Health Insurance Policy","NPHIES (HL7 FHIR)","ICD-10-AM and SBS coding","SCFHS clinician registration","PDPL"],"cover":{"src":"/case-studies/qistas/01-home.png","width":1440,"height":1000}},"text":{"en":{"title":"Qistas - Health Claims Adjudication with an Explanation on Every Line","description":"Designed and built a clickable claims adjudication platform for a Saudi cooperative health insurer: claims arrive through NPHIES, from member reimbursements or on paper, a rules engine decides each line with a trace and a provider explanation in Arabic and English, and only uncertain lines reach a medical reviewer.","category":"Insurance / Health Claims Adjudication","client":"Hadaba Cooperative Insurance"}}},{"meta":{"slug":"waypost","industry":"telehealth","projectType":"Remote patient monitoring","country":"us","tags":["healthcare","iot","enterprise"],"compliances":["HIPAA","Medicare RPM billing (CPT 99453-99458)","FDA medical device rules","ACC/AHA BP guideline","HEDIS CBP","WCAG 2.1 AA","HHS Section 504"],"cover":{"src":"/case-studies/waypost/01-home.png","width":1440,"height":1000}},"text":{"en":{"title":"Waypost - Remote Patient Monitoring Platform with Risk-Sorted Alerts","description":"Designed and built a clickable remote patient monitoring platform for a US cardiology and primary care group: home blood pressure, weight and SpO2 readings from cellular devices, a risk-sorted alert queue for nurses, triage with the practice's protocol on screen, and live progress toward each patient's Medicare RPM billing requirements.","category":"Healthcare / Remote Patient Monitoring","client":"Brightwater Ridge Medical Group"}}}],"more":[{"href":"/case-studies/industry/healthdata","label":"Health data & interoperability case studies","detail":"Every OceanLab product build in Health data & interoperability."},{"href":"/case-studies/industry/clinics","label":"Hospitals & clinics case studies","detail":"Every OceanLab product build in Hospitals & clinics."},{"href":"/case-studies","label":"All case studies","detail":"Every OceanLab product build."},{"href":"/ai-automation","label":"AI automation","detail":"AI built into real business workflows, with people in charge."}],"today":"2026-10-25"}