Healthcare IT Services

From HL7 interfaces to FHIR APIs, EHR integration to HIPAA compliance — healthcare IT services that connect, build, and secure clinical systems.

Healthcare IT services

Connect, build, and secure clinical systems

Five practice areas spanning the full healthcare IT lifecycle. Pick a tab to see the engagements, standards, and platforms we work with.

Custom healthcare software

Software built with clinical guardrails

Healthcare software isn't ordinary software with HIPAA stapled on. It lives inside someone else's EHR, serves clinicians mid-visit, and handles data that has direct patient-safety consequences. We build apps under IEC 62304, AI workflows that pass clinical review, analytics pipelines, and cloud infrastructure — all with compliance baked in from sprint one.

  • SaMD development under IEC 62304 + ISO 14971 risk management
  • HIPAA-compliant mobile + web apps (patient portals, telehealth, CDS)
  • Healthcare AI integration: ambient scribes, CDS Hooks, medical NLP
  • Clinical analytics (OMOP CDM, FHIRPath) + HIPAA cloud on AWS / Azure
See all Development services
Clinical requirements refining through technical standards into a crystalline lattice of verified software modules Messy requirements → verified software REQUIREMENTS REFINEMENT DELIVERED edge case legacy flow HIPAA gap null dosage EHR quirk FHIR R4 IEC 62304 ISO 14971 HIPAA verified modules 9 / 9 · traceable · audit-ready Every clinical edge case · tested, traced, trusted
Interfaces & interoperability

The protocols that move clinical data

HL7 v2 messages, FHIR R4 resources, DICOM objects, device streams, HIE exchange — integration is the wire-level craft that gets orders, results, images, and vitals from one system to another without losing context or compliance. We design the interfaces, build them, and then run them.

  • HL7 v2 ADT, ORM, ORU, SIU, DFT interfaces with full segment coverage
  • FHIR R4 APIs + US Core profile conformance + Bulk FHIR export
  • DICOM / DICOMweb for imaging + medical device data normalization
  • HIE onboarding + TEFCA QHIN connectivity + CMS-0057-F APIs
See all Integration services below
The backbone of the interface layer

Mirth Connect and Open Integration Engine

Every hospital that moves HL7 messages runs an integration engine. We've built hundreds of Mirth Connect channels and — since the 2024 license change — have moved early to the open-source Open Integration Engine fork. Channel dev, upgrades, migrations, 24x7 managed services.

  • Mirth Connect channel development + cloud deployment + upgrades
  • Open Integration Engine (OIE) consulting and support
  • Engine-to-engine migrations (Cloverleaf, Rhapsody, Iguana → Mirth)
  • 24x7 managed services with message-level SLAs and on-call
See all Integration Engine services
Every major EHR vendor

Epic, Oracle Health, MEDITECH, eCW, NextGen, athena

We work at the API level with every dominant EHR platform. App Orchard submissions for Epic, Ignite FHIR for Oracle Health, Expanse APIs for MEDITECH, athenaOne Marketplace, healow for eCW — each vendor has its own quirks, certification process, and release calendar. We've shipped apps through all of them.

  • Epic: FHIR R4, SMART on FHIR, App Orchard certification, MyChart
  • Oracle Health: Millennium APIs, Ignite FHIR, PowerChart, CareAware
  • MEDITECH: Expanse / 6.x / MAGIC platform integration + migration
  • eClinicalWorks, NextGen, athenahealth: API dev + marketplace apps
See all EHR Integration services
HTTP trace showing parallel FHIR R4 Patient reads against six major EHR vendors, all healthy Six EHRs · six FHIR endpoints · one trace GET /Patient/e8a1f92 · parallel fan-out 6/6 healthy VENDOR ENDPOINT STATUS LATENCY Epic /api/FHIR/R4/Patient/e8a1f92 200 128ms Oracle Health /EHR/baseR4/Patient/e8a1f92 200 142ms MEDITECH /mtfhir/Patient/e8a1f92 200 212ms athenahealth /fhir/r4/Patient/e8a1f92 200 98ms eClinicalWorks /fhir/R4/Patient/e8a1f92 200 156ms NextGen /nge/fhir/Patient/e8a1f92 200 174ms TIMELINE 0 ──────────────────────── 250ms median 149ms · p99 212ms · errors 0 · vendors 6/6 all-green Same request · six vendors · one integration layer
Security, compliance & certification

HIPAA, HITRUST, SOC 2, ISO 27001

Healthcare security is regulatory, technical, and organizational — the Security Rule, the Privacy Rule, the Breach Notification Rule, plus the actual engineering work to prevent and detect incidents. We run risk assessments, pen tests, cloud security architecture, and the readiness work for certifications auditors actually accept.

  • HIPAA Security Rule risk assessments + ongoing compliance
  • Penetration testing + vulnerability management + SIEM tuning
  • Cloud security architecture (AWS, Azure, GCP) with BAA coverage
  • HITRUST CSF, SOC 2 Type II, and ISO 27001 readiness + certification
See all Security & Compliance services
Book a Consultation

Ready to get started?

Tell us about your healthcare IT challenge and we'll route you to the right team — HL7, FHIR, DICOM, Mirth, compliance, or whatever's blocking you.

  • 15 min conversation
  • Healthcare IT engineers, not sales
  • Reply within one business day

Takes about 90 seconds.

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