Standards-based exchange (FHIR R4), legacy HL7 bridges, and consent-aware APIs—so care teams see the right data at the right time without another fragile point-to-point integration.
Make every system speak FHIR—without freezing your roadmap on one vendor’s toolkit
We stand up FHIR servers, map legacy feeds, and enforce patient consent and break-glass policies in the APIs your portals and apps already consume. The focus is operational reliability: predictable latency, audit trails, and operational playbooks when interfaces drift. Whether you are a health system modernizing the EMR edge or a SaaS vendor certifying integrations, we align IHE profiles, US Core where applicable, and your internal canonical model.
01 // THE MANDATE
Standards-based exchange (FHIR R4), legacy HL7 bridges, and consent-aware APIs—so care teams see the right data at the right time without another fragile point-to-point integration.
We stand up FHIR servers, map legacy feeds, and enforce patient consent and break-glass policies in the APIs your portals and apps already consume. The focus is operational reliability: predictable latency, audit trails, and operational playbooks when interfaces drift.
Whether you are a health system modernizing the EMR edge or a SaaS vendor certifying integrations, we align IHE profiles, US Core where applicable, and your internal canonical model.
02 // ENGINEERING
Development process
Structured phases—from discovery to launch—with clear ownership and handoff points.
Assessment & use cases (weeks 1–4)
Canonical model & mappings (weeks 3–10)
Interfaces & security (weeks 8–16)
Operational readiness (weeks 14–20)
Steady state
03 // CAPABILITIES
Core Capability Matrix
The building blocks of your solution
Capability 1
FHIR R4 resource store with versioning and provenance on critical resources.
Capability 2
HL7 v2 → FHIR pipelines with ACK/NACK handling, message replay, and dead-letter queues.
Capability 3
SMART on FHIR readiness for EHR launches and mobile patient apps.
Capability 4
Consent resources and policy enforcement at query time—not a bolt-on afterthought.
MPI strategy
probabilistic matching with human merge workflows and golden record rules.
Terminology
ICD/SNOMED/LOINC bindings with mapping tables and deprecation tracking.
Audit
who accessed which patient slice, with retention aligned to HIPAA and state rules.
Capability 8
Synthetic data environments for vendors without touching PHI.
04 // DELIVERY LIFECYCLE
The strategic roadmap
Milestones and checkpoints—each phase has a clear outcome before the next begins.
Weeks 1–4: Discovery, data governance alignment, and pilot scope locked.
Weeks 5–10: Core FHIR store, first two source interfaces, internal sandbox for app teams.
Weeks 9–16: Consent enforcement, audit dashboards, SMART flows, and UAT with clinical stakeholders.
Weeks 15–22: Production cutover waves by facility or app; hypercare window; documentation handover.
Ongoing: Vendor certification support, annual security reviews, and spec upgrades (e.g. USCDI changes).
05 // PRODUCT SCOPING
Choosing your path
Two engagement models—start lean and iterate, or commit to a full platform build from day one.
MVP
Speed & essentialism
Full product
Enterprise maturity
06 // PARTNERSHIP
Why work together
A single accountable partner across strategy, build, and go-live—not a revolving door of vendors.
End-to-end ownership: discovery, architecture, implementation, and launch—with clear communication and production-grade engineering.
- Discovery & alignment
- Systems that scale
- Implementation depth
- Clear comms
07 // CLARITY
Frequently asked
We recommend starting from hardened open-core or commercial FHIR stores when they match your SLA and customization needs; we extend with transforms, consent, and your operational tooling rather than reinventing base protocol behavior.
08 // MORE SOLUTIONS
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