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Most healthcare platforms don't need one integration. They need several, each with its own data model, cadence, and failure mode.
Bidirectional sync with Epic, Cerner Millennium, athenahealth, and eClinicalWorks through FHIR R4 resources for patients, encounters, and orders. Schema drift on either side gets caught before it breaks a downstream chart.
Real-time eligibility checks, claims submission, and prior authorization workflows built against Da Vinci PAS profiles. Reduces the manual reconciliation that eats a billing team’s week.
Order status and result delivery are mapped through LOINC and SNOMED CT so clinicians see structured data, not a PDF dropped into a queue.
Patient-facing apps pull records through SMART on FHIR, and the same layer is built to exchange through a QHIN when your organization joins TEFCA.
We'll map your current interfaces against FHIR R4 and flag what's carrying real risk.
Plan Your API Roadmap
Every new system means another custom connection instead of one shared standard, so the integration count grows faster than the integration capacity.
The person who built the mapping logic left two years ago. Nobody on the current team can safely touch it.
Nightly file transfers mean clinicians and billing teams are working from data that’s already a day old.
Every vendor’s “standard” HL7 v2 feed is implemented slightly differently, so one integration pattern rarely reuses cleanly on the next.
Every endpoint we build starts from FHIR R4 resource models and US Core profiles rather than a custom schema, so the same API layer that connects your EHR today is already positioned for HIPAA-ready application growth and TEFCA exchange tomorrow, not a rebuild once that mandate lands.
→ FHIR R4 and US Core resource profiles
→ TEFCA QHIN-ready FAST security
→ OAuth 2.0 and OpenID Connect access
→ USCDI v3 aligned data models
→ SMART on FHIR app registration
A healthcare API integration isn’t one deliverable. It’s a stack of components that has to work together under load, not just in a demo.
Middleware and API Gateway: A single gateway sits between your core systems and every external connection, so one vendor’s API change doesn’t ripple into five other integrations.
HL7-to-FHIR Mapping Engine: Legacy HL7 v2 feeds (ADT, ORU, ORM) get translated into FHIR resources at the boundary, so internal systems keep running while external partners see modern APIs.
Authentication and Access Control: Role-based access mapped to how your clinical and billing teams actually work, enforced through OAuth 2.0 rather than shared API keys.
Real-Time Monitoring and Alerting: Failed calls, timeout spikes, and schema mismatches get flagged before a partner notices missing data, not after.
Version-Safe Endpoint Management: Endpoints are versioned from day one, so a vendor’s FHIR update doesn’t silently break your production integration.
We map every existing interface, source system, and data flow, including the undocumented scripts nobody wants to touch. This surfaces which integrations are load-bearing and which are quietly failing already, before any architecture decisions get made.
The middleware layer, authentication model, and FHIR resource mapping get designed together, not sequentially. Compliance requirements, including HIPAA and TEFCA FAST security, shape the architecture from the start rather than getting layered on afterward.
We build the actual endpoints against FHIR R4 and US Core, wrapping legacy HL7 v2 feeds where needed. For revenue cycle management connections, this includes eligibility checks and claims submission mapped to Da Vinci PAS.
OAuth 2.0, role-based access, and audit logging get built into every endpoint before testing starts, so security review isn't a separate phase that delays launch.
Endpoints get tested under realistic traffic, not just happy-path scenarios. This is where a integration gets validated against the encounter volume it will actually see in production.
We deploy with real-time monitoring already in place, so a failed call or schema mismatch gets flagged immediately instead of being discovered when a partner complains.
Compliance is not a checkbox. Most vendors treat HIPAA alignment as something to verify after the API is built, which is exactly when a gap becomes expensive to fix. Our healthcare API integration services build access control, audit trails, and TEFCA FAST security into the architecture from the blueprint stage, the same way we’d design a healthcare system around data governance from day one.
• HIPAA and HITECH-Aligned Controls
• TEFCA FAST Security Protocols
• Audit Logging and Access Trails
• USCDI v3 Data Alignment
Most healthcare API integration projects range from $10,000 for a scoped point integration to $50,000+ for a full TEFCA-ready middleware architecture, depending on system count and compliance scope.
A single connection between two systems, scoped tightly for teams that need one problem solved.
A shared API gateway that supports multiple current and future integrations from one architecture.
Full architecture built for QHIN connectivity, multi-vendor EHR support, and payer-scale traffic.
Let's scope an integration architecture built for where your systems are headed, not just where they are today.
Security and audit logging get designed into the architecture phase, not patched in before a compliance review. It changes how the endpoints hold up under an actual audit.
Our engineers work across FHIR R4, HL7 v2, and the vendor-specific quirks of Epic, Cerner, and athenahealth, so mapping logic accounts for how each system actually behaves.
You get full source code and documentation at delivery, including the mapping logic. Nothing about your integration layer lives only in our heads.
L1/L2/L3 support options are available after go-live, ensuring ongoing stability, issue resolution, and continuous improvement aligned with your system’s needs.
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Read Article →Most projects run 4 to 12 weeks, depending on how many systems are involved and whether legacy HL7 v2 feeds need wrapping into FHIR first.
Both, depending on your systems. We often wrap legacy HL7 v2 feeds into FHIR endpoints rather than replacing working infrastructure outright.
You do. Full source code, mapping documentation, and endpoint specs transfer at delivery, with no vendor lock-in on the integration layer itself.
Yes. Each vendor implements FHIR and HL7 slightly differently, so we scope vendor-specific mapping work as part of the architecture phase.
Version-safe endpoint management is built in from the start, so a vendor update triggers a mapping adjustment, not a full rebuild.
Real-time monitoring flags failed calls and schema mismatches immediately. Post-launch support options range from basic monitoring to full L1/L2/L3 coverage.
It depends on scope. Point integrations don't include it by default, but our Middleware and TEFCA-Ready engagement models are built for QHIN connectivity.
Scoped point integrations start around $10,000, while our full healthcare API integration services for multi-system middleware and TEFCA-ready architectures run higher depending on system count and compliance scope.
