EHR Software Development Services for SaaS HealthCare
Discover how Romexsoft delivers secure, compliant, and scalable EHR software development services for UK healthcare provider.
Our Customer
Home Health Provider
therapyBOSS is a one-of-a-kind SaaS solution for health agencies and therapy companies that provide Early Intervention, Physical Therapy, Speech Therapy, Skilled Nursing and assistance of Medical Social Workers. It saves time, cuts costs and streamlines operations in total compliance for treating patients at home.
therapyBOSS enables users to manage the full lifecycle of referrals including scheduling, electronic documentation, payroll, billing, tracking reassessments, communication across the entire care team and much more.
The product is constantly evolving, new features are being added and the development is going on all the time.
The Challenges
Building a Fully Functional Multi-platform Home Health Care
therapyBOSS was looking for a partner to implement the product that they envisioned. The company wanted to create a unique solution for treating patients at home that would absolutely separate them from the competition.
When Romexsoft started cooperation with therapyBOSS, it was a startup that had been initiated by one smart entrepreneur. The primary challenges were quick and proper design and development of the back-end and Android/iOS/Windows front-end applications.
Another big challenge was the setup of a maintainable, cost-effective, and operational infrastructure.
The app’s key objectives were to ease communication between all the participants involved in the Home Health Care process, to help clinicians to get rid of all extra paperwork and to have everything in one place so the data is easily shared and sorted.
The Solution
Full-Cycle EHR Software Development
Our Managed Team provides therapyBOSS with the full cycle of healthcare software development from architecture design to implementation and support. The team organizes workflows in line with the best practices and ensures application’s compliance with the industry standards.
Romexsoft built the high-performing managed team of tech experts that developed the one-of-a-kind medical software solution and enabled therapyBOSS to minimize risks, reduce time-to-market and increase time-to-profit. We helped the client to decrease the Total Cost of Ownership in comparison to establishing and managing an in-house team.
Different technologies have been used during our cooperation period. Current technical stack uses Java as primary language and consists of SpringBoot based microservices with relational database cluster MariaDB Galera, NoSQL database MongoDB, and messaging system based on Kafka cluster. What concerns front-end applications, we use React.js, native Android and iOS.
Together with therapyBOSS we formalized their baseline expectations and created the scope for meeting them. We arranged the SDLC setup and ensured the optimal tech stack, execution plan and role distribution, as well as fulfilment of the quality standards, constant performance and delivery of consistent results.
We conduct team management and monitoring of the workflow on a daily basis and make sure the developers work in an agile manner and that the project is in line with the client’s vision and expectations.
Our team implemented custom CRM & DMS web-based solutions to cover different sets of business processes and flows in home health and medical insurance areas.The solutions allow patients to access and organize their personal health data in just a few clicks.
With the help of the cost-effective Pilot Light Disaster Recovery Solution on AWS built by our team, we are able to restore the client’s complete system within 2 hours when the time comes. We also ensured that the Automation QA Process is applied.
Key features:
- online/offline mode
- complete functionality for offline mode
- automatic tracking of reassessments
- smart compliance alerts
- 100% compliant documentation
- clinical notes for physical therapy, occupational therapy, speech therapy, and medical social work
- OASIS documents including Start of Care, Resumption, Recertification, Discharge, and Transfer
- built-in functional assessment tests with most commonly used tests for PT, OT, and ST
- powerful and easy-to-use scheduling
- messaging within the app to anyone on the care team.
Effective architecture and well-executed development that have been performed by the Romexsoft’s team enable constant evolvement, addition of new features and maintenance of the app.
THE RESULTS
Multi-platform EHR Application
Our cost-efficient managed team enabled therapyBOSS to scale-up faster. We are constantly enhancing the app’s performance and agility and boosting its operational efficiency. We provide the client with the vision & roadmaps for further improvements as well as technical support of the solution. By using AWS services we are sure the DR environment is secure, and resilient.
Together with Romexsoft therapyBOSS managed to achieve: 99.9% server uptime of the therapyBOSS app, automatic failover, lightning-fast website responses, real back up to office locations, fast DR, possibility for therapists to register in less than 2 minutes, and possibility to enter patients’ referrals in less than 60 seconds.
The app is suitable for big organizations and based on the users’ feedback it saves clinicians 1.5-2 hours a week on their documentation.
Our managed team created the app that works fully without the Internet and can be accessed from any device. When a user reaches a Wi-Fi spot all data is transferred to the database automatically. As a result – less time is spent on ministering one patient and more patients can be served by Service Providers which increases the overall application’s income.
Romexsoft ensured that the SLA response time during business hours is below 5 minutes and during out of business hours – below 30 minutes, and that the app works seamlessly 24/7.
At the moment, therapyBOSS app is used by 1000+ Service Providers who manage 5000+ Contractors and is a market leader running ahead of its competitors.
Why Romexsoft
Proven AWS Expertise in EHR Software Development
Romexsoft is an AWS Public Sector Partner specializing in developing, modernizing, and supporting secure and compliant EHR applications on AWS. Clients experience measurable improvements in system reliability, operational efficiency, and delivery speed through our AWS-native architecture design and continuous DevOps support.
The following results demonstrate what is possible when partnering with Romexsoft:
- Up to 300% reduction in incident rate and SLA response time below 5 minutes achieved for supported healthcare systems.
- Automated regression and functional testing implemented to ensure reliability and eliminate human error.
- Reusable Appium test suites that accelerate delivery and detect performance issues early in development.
- Continuous alignment of infrastructure improvements and cloud strategy with client business objectives.
EHR Development FAQ
AWS provides a wide range of managed services for building secure and scalable EHR systems. Commonly used components include Amazon EC2 or AWS Fargate for compute, Amazon RDS and DynamoDB for reliable data storage, Amazon S3 for encrypted file storage, and AWS CloudWatch, KMS, and IAM for monitoring, encryption, and access control. Together, these services help ensure HIPAA compliance, high availability, and smooth scalability in EHR software development on AWS.
CI/CD and automation streamline EHR software delivery by eliminating manual steps and ensuring consistency across builds, tests, and deployments. Automated pipelines quickly detect code issues, enforce quality standards, and enable faster feature releases without service interruptions. This approach improves reliability, reduces human error, and maintains continuous compliance in EHR software development on AWS.
Common integration challenges in EHR software development include:
- Interoperability issues between systems using different standards or formats (e.g., HL7 or FHIR, CCD).
- Data mapping and transformation errors when synchronizing records across EMRs, billing, or scheduling systems.
- Authentication and authorization complexities when connecting third-party APIs or patient portals securely.
- Latency and data consistency problems during real-time information exchange.
- Compliance and audit trail alignment across integrated healthcare applications to maintain HIPAA requirements.
Observability and monitoring are key to maintaining high uptime for EHR applications by providing real-time visibility into system health, performance, and security. AWS services such as Amazon CloudWatch, AWS X-Ray, and AWS CloudTrail collect metrics, traces, and logs that help detect anomalies early and trigger automated alerts. Continuous monitoring enables proactive incident response, rapid root cause analysis, and efficient scaling, ensuring the EHR system remains compliant, reliable, and available 24/7.