Real EHR Connections. No Middleware Debt.
We build direct, real-time integrations with Epic, Oracle Health, Athenahealth, eClinicalWorks, NextGen, PointClickCare, and 20 or more EHRs using FHIR R4 and HL7 v2. No screen-scraping. No fragile middleware. Real API connections that move clinical data securely and stay stable when your EHR updates.
Why Most EHR Integrations Break
Screen-scraping breaks when the EHR updates. Middleware adds another failure point. Generic iPaaS tools do not understand clinical data models. Whether your customers run Epic, PointClickCare, NextGen, or a niche behavioral health EHR, you need integrations built on real APIs that understand FHIR resource types and stay stable in production.
What We Build
FHIR R4 API Integration
Full FHIR R4 integration with Patient, Encounter, Observation, Condition, MedicationRequest, and custom resource types. SMART on FHIR authentication included.
HL7 v2 Message Processing
ADT, ORM, ORU, MDM, and SIU message parsing and routing for legacy EHR environments.
Real-Time Data Sync
Bidirectional real-time data synchronization between your EHR and downstream systems. No polling, no batch delays.
Custom FHIR Servers
We build and host custom FHIR servers when your EHR vendor native FHIR support is limited or unavailable.
Secure Data Pipeline
End-to-end encrypted data pipelines with audit logging, access controls, and BAA coverage on every connection.
Integration Monitoring
24/7 monitoring of every data flow. Alerts on failures, automatic retry logic, and monthly integration health reports.
Our Integration Process
EHR Environment Assessment
We document your EHR version, API capabilities, data models, and any existing integrations. We identify the fastest path to a working connection.
Integration Architecture
We design the data flow, authentication model, error handling, and monitoring strategy. You receive a written spec before development starts.
Build and Test in Sandbox
We build against your EHR sandbox environment, validate every resource type, and run end-to-end data flow tests before touching production.
Production Deployment and Monitoring
We deploy to production with a cutover plan, monitor the first 30 days closely, and hand off with full documentation and runbooks.
Why It Matters
No Middleware Debt
Direct API connections mean no additional failure points, no licensing fees, no vendor lock-in.
Production Stable
Integrations built on real FHIR APIs survive EHR updates without breaking.
Faster Delivery
Our FHIR engineering experience means faster builds than starting from scratch.
EHRs and Standards We Integrate With
Who We Build For
Health Tech Startups
Get your product connected to the EHRs your customers use. We build the FHIR integration that unlocks your first enterprise customer.
Medical Practices
Connect your AI tools, billing systems, and patient engagement platforms directly to your EHR. No manual data entry required.
Telehealth Platforms
Multi-EHR connectivity for virtual-first care platforms operating across multiple states and EHR environments.
Analytics Vendors
Reliable, structured clinical data pipelines that feed your analytics platform with clean, normalized FHIR resources.