FHIR & HL7 Integration Services for US Health Systems

HL7 v2 is the event backbone inside most US hospitals — admissions, orders and results flow as pipe-delimited messages through an interface engine. FHIR R4 is the REST API standard for apps, patient access and cross-organisation exchange.

A realistic integration strategy consumes v2 feeds where they exist, uses FHIR APIs for app-level reads and writes, and normalises both into one internal model so product teams never touch raw interface formats.

Each major EHR exposes FHIR APIs through a developer programme with its own registration, scopes and production approval steps. We handle app registration, SMART launch, OAuth scopes, sandbox testing and the go-live checklist with each customer site.

Where write-back is not available through FHIR, we combine vendor-specific APIs, HL7 v2 inbound interfaces or integration-engine routes, documented so your team can support them.

The 21st Century Cures Act prohibits information blocking and made standardised FHIR APIs the expectation for certified health IT. CMS interoperability rules require many payers to expose patient-access, provider-access and prior-authorization APIs, with phased deadlines running through 2026–2027.

Building on FHIR US Core now keeps you aligned with these requirements and with TEFCA-based national exchange as it matures.