EHR Integration Services

EHR integration services that make clinical systems talk to each other — safely, verifiably and without manual re-entry.

Stack: HL7/FHIR · IEC 62304 · EHR/EMR · SaMD
overview

Healthcare data lives in EHRs, lab systems, imaging archives, billing platforms and spreadsheets. We connect them so clinical and operational teams stop copying data between screens.

We design interfaces with real safety thinking: idempotent messaging, reconciliation, terminology mapping, traceability and documentation that stands up to quality and regulatory review.

Integration failures in healthcare are rarely loud. A dropped result, a mismatched identifier or a silently retried order can reach a patient, so our interfaces are built to detect, surface and recover rather than to fail quietly.

Interface reliabilityIdempotent + retried
Manual re-entry removedWorkflow-level
DocumentationAudit-ready
Interface uptime target99.9%
Terminology mapping coverageSNOMED/LOINC
Regulatory artefacts deliveredIEC 62304-ready
case studies

Healthcare integration work

Projects in our case studies where new software had to work with existing clinical and research systems.

what's included
01

EHR/EMR integration

FHIR APIs, HL7 v2 interfaces, SMART on FHIR apps and vendor-specific adapters.

02

Interoperability layers

Integration engines, event pipelines, terminology mapping and master-data reconciliation.

03

Clinical workflow software

Order management, care coordination, referrals and internal clinical tooling.

04

SaMD & regulated builds

IEC 62304-aligned lifecycle, risk management and documentation support.

05

Compliant cloud infrastructure

Segmented environments, encryption, access review and monitoring.

06

Clinical data platforms

Warehouses, de-identification pipelines and reporting for quality and research teams.

where it's applied

Typical healthcare systems integration engagements

Results and orders flow

Lab, imaging and order interfaces that reconcile instead of drifting.

Patient identity resolution

Matching across systems with explicit review queues rather than silent merges.

Digital front door

Scheduling, registration and record access wired into the source systems.

Device and SaMD data

Regulated pipelines from devices and algorithms into the clinical record.

Quality and payer reporting

Extracts and dashboards built from trustworthy, mapped clinical data.

Legacy system bridging

File drops, DB views and interface engines connecting systems with no modern API.

why teams pick us
01

Safety-case thinking

Failure modes, reconciliation and alerting agreed before we write the interface.

02

Vendor reality, not brochureware

We've worked around closed systems with file drops and DB views when APIs don't exist.

03

Regulatory artefacts included

IEC 62304 lifecycle documentation your quality team can actually submit.

04

Operable by your team

Runbooks, dashboards and alerting handed over with the system.

05

Standards depth

HL7 v2, FHIR R4, DICOM and terminology mapping handled fluently, not learned on the job.

06

Traceable by design

Every message, transform and decision logged for quality and regulatory review.

buyer guide

How to plan an EHR integration project

EHR integration services succeed or fail on planning. These steps apply whichever integration partner you choose.

Inventory systems, data and owners

List every system involved — EHR, labs, imaging, billing, scheduling — the data that has to move between them, which direction and who owns each system. Most surprises in healthcare systems integration come from a system or owner nobody listed.

Choose HL7 v2, FHIR or both

HL7 v2 messages still carry most real-time hospital traffic such as admissions, orders and results. FHIR APIs suit modern apps that read and write records on demand. Many projects use both: HL7 integration for event feeds and FHIR for app access. Our HL7 vs FHIR guide explains the trade-offs in detail.

Get vendor access early

Epic, Cerner and other EHR vendors have their own sandbox, review and approval processes, and hospitals have their own IT and security reviews. These often take longer than the coding, so start them as soon as the scope is clear.

Design for failure and reconciliation

Interfaces will occasionally receive bad data, duplicate messages or nothing at all. Decide in advance how errors are detected, who is alerted and how records are reconciled, so a dropped result never fails silently.

  • How are patients matched across systems?
  • What happens to a message that fails validation?
  • Who reviews the error queue, and how often?

Test with realistic data and real users

Test against vendor sandboxes and de-identified, production-like data, then pilot with a small group of clinicians before going live everywhere. Healthcare interoperability solutions are only finished when the people using them trust the data.

tooling
Standards
HL7 v2FHIR R4SMART on FHIRDICOMSNOMED CTLOINC
Platforms
EpicCernerMirth ConnectRedoxathenahealth
Engineering
TypeScriptPythonKafkaPostgreSQLTerraform
Governance
IEC 62304ISO 14971HIPAAGDPRSOC 2 readiness
Integration engines
Mirth ConnectRhapsodyCloverleafNextGen Connect
Data & analytics
SnowflakedbtLookerde-identification pipelines
industries served
  • Hospital systems
  • Digital health
  • Medical devices
  • Labs & diagnostics
  • Payers
how we run it
  1. 01
    Systems inventory
    Every source, message type and owner mapped, with data quality assessed.
  2. 02
    Interface design
    Contracts, error handling, reconciliation and safety cases agreed up front.
  3. 03
    Build & validate
    Test harnesses against sandbox and de-identified production-like data.
  4. 04
    Cutover & operate
    Phased go-live, monitoring, alerting and runbooks for your team.
  5. 05
    Reconcile & audit
    Ongoing reconciliation checks and audit-trail review after go-live.
  6. 06
    Extend the network
    Additional systems, sites and data flows onboarded on the proven pattern.
questions we get asked

What are EHR integration services?

Connecting electronic health record systems with the other software a care organization uses — patient apps, labs, billing, scheduling, devices and analytics — so data moves automatically and safely instead of being re-typed.

What is HL7 integration?

Exchanging HL7 v2 messages, the long-established standard hospitals use for admissions, orders, results and other events, usually through an interface engine. We build, map and monitor these interfaces.

Do you offer FHIR integration services?

Yes. We build FHIR R4 integrations and SMART on FHIR apps that read and write EHR data through the vendor's published APIs, including Epic and Cerner.

What are healthcare interoperability solutions?

The integration engines, APIs, terminology mapping and patient-matching rules that let different healthcare systems understand each other's data. We design them with reconciliation and audit trails so errors are caught, not hidden.

We're on a closed legacy system — now what?

We've integrated plenty of them: vendor interface engines, HL7 feeds, database views or file drops, whichever is available and supportable.

Can you support a regulatory submission?

We can produce and maintain the software lifecycle artefacts your quality team needs under IEC 62304.

How do you avoid duplicate patient records?

Deterministic and probabilistic matching with explicit review queues rather than silent merges.

How long does an EHR integration take?

A single well-documented FHIR interface can take weeks; multi-system programs with vendor coordination usually run several months.

Do you work with Epic and Cerner?

Yes, through their published integration paths, plus interface engines such as Mirth and aggregators like Redox where appropriate.

Can you de-identify data for analytics or AI?

Yes. We build de-identification and minimisation pipelines with documented rules and review before any secondary use.

further reading

Integration guides and related services

related deployments

Healthcare Systems Integration in production

All case studies →

Connect your clinical systems properly.

Tell us which systems need to talk. We'll map the interfaces, risks and effort.

other capabilities