Integration, software, and security engineering

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

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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

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The backbone of the interface layer

Build, upgrade, migrate, and run the engine you already have

Every hospital that moves HL7 messages runs an integration engine, and picking one is its own healthcare integration engine comparison. We've built hundreds of Mirth Connect channels, moved early to the open-source Open Integration Engine fork after the 2024 license change, and run Rhapsody engagements for teams on the commercial platform: channel dev, upgrades, migrations, and 24x7 managed services across all three.

Mirth Connect channel development + cloud deployment + upgrades
Open Integration Engine (OIE) consulting and support
Rhapsody implementation, FHIR Facade design, and cross-engine migration
24x7 managed services with message-level SLAs and on-call

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Every major EHR vendor

APIs and marketplace apps for every major EHR

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

Security & compliance readiness

Security engineering, plus the readiness work auditors accept

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 compliance gap analysis, pen tests, cloud security architecture, and the readiness work for certifications auditors actually accept.

HIPAA Security Rule gap analysis + technical safeguards implementation
Penetration testing + vulnerability management + SIEM tuning
Cloud security architecture (AWS, Azure, GCP) with BAA coverage
HITRUST CSF, SOC 2 Type II, and ISO 27001 audit readiness

See all Security & Compliance services

Development

Custom healthcare software development, HIPAA-compliant mobile and web apps, clinical data analytics, and cloud infrastructure services on AWS and Azure.

Healthcare Software Development

Custom healthcare and medical software: SaMD under IEC 62304, clinical decision support, and EHR-integrated applications.

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Medical Device Integration

IEEE 11073 SDC, IHE PCD, IoMT connectivity, alarm management, and RPM integration, bridging bedside hardware to clinical systems.

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Medical Imaging & DICOM

Cloud PACS development, DICOMweb APIs, AI imaging pipelines, and zero-footprint viewers for radiology + teleradiology.

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Healthcare App Development

HIPAA-compliant mobile and web apps: patient portals, telehealth platforms, and clinical tools.

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Healthcare AI

Ambient AI scribes, imaging AI, and LLM tools integrated into Epic and Oracle Health via FHIR, SMART on FHIR, and CDS Hooks.

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Clinical Decision Support

CDS Hooks services, SMART on FHIR sidebars, and Da Vinci prior authorization that fire inside the clinician workflow across Epic, Oracle Health, and MEDITECH.

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Healthcare Data Analytics

Clinical data warehousing, OMOP CDM, ETL pipelines, and population health analytics.

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Healthcare Cloud Services

HIPAA-compliant cloud infrastructure, migration, and managed services on AWS and Azure.

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Integration

End-to-end healthcare interoperability services: from HL7 v2 and FHIR R4 API development to HIE deployment and TEFCA compliance.

Healthcare Interoperability

Strategic interoperability consulting connecting EHRs, payers, labs, and clinical systems.

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HL7 Integration

ADT, ORM, ORU, and SIU interface development for legacy and modern healthcare systems.

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FHIR API Integration

FHIR R4 APIs, SMART on FHIR applications, Bulk FHIR export, and CDS Hooks.

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CMS Interoperability

CMS-0057-F compliance, Patient Access API, and Prior Authorization API development.

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HIE Integration

Health information exchange design, deployment, and provider onboarding.

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TEFCA Integration

QHIN connectivity, Common Agreement compliance, and trusted exchange implementation.

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LIS/LIMS Integration

Laboratory system connectivity, EHR-LIS interfaces, and lab data exchange.

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Healthcare IT Staff Augmentation

Embedded healthcare integration engineers, fractional CTO/CIO support, and dedicated team augmentation for hospitals and digital health companies.

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Integration Engines

Healthcare integration engine consulting, deployment, and managed services across Mirth Connect, the open-source Open Integration Engine, and Rhapsody, for hospitals and health systems of every size.

Healthcare Integration Engines

Integration engine consulting, deployment, and managed services for healthcare organizations.

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Mirth Connect

Channel development, cloud deployment, and managed services for Mirth Connect.

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Open Integration Engine

Consulting and support for OIE, the open-source fork of Mirth Connect.

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Rhapsody Integration Engine

Implementation, FHIR Facade design, X12 EDI workflows, engine migration, and 24x7 managed support.

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EHR Integration

EHR integration services across every major platform: Epic, Oracle Health, MEDITECH, eClinicalWorks, NextGen, and athenahealth. API development, data migration, and clinical workflow optimization.

EHR Integration Services

End-to-end EHR integration services across Epic, Oracle Health, MEDITECH, and more.

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Epic Integration

FHIR R4 APIs, SMART on FHIR apps, App Orchard publishing, and MyChart integrations.

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Oracle Health (Cerner)

Millennium API development, Ignite FHIR APIs, PowerChart, and CareAware integration.

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MEDITECH Integration

Expanse, 6.x, and MAGIC platform integration, FHIR APIs, and legacy migration.

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eClinicalWorks

eCW API integration, v12 upgrades, practice management, and healow Marketplace apps.

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NextGen Healthcare

NextGen Enterprise and Office integration, specialty practice workflows, and API development.

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athenahealth

athenaOne API integration, Marketplace app development, and certification support.

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Allscripts / Veradigm / Altera

Integration across the Allscripts product lineage: Veradigm EHR (Veradigm) and TouchWorks, Sunrise, Paragon (Altera Digital Health). Unity API, FHIR R4, HL7 v2, partner-program builds.

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Security & Compliance

Healthcare security and HIPAA compliance services: compliance gap analysis, penetration testing, cloud security architecture, and readiness consulting for HITRUST, SOC 2, and ISO 27001 certifications.

Healthcare Security

Comprehensive healthcare security covering HIPAA, cybersecurity, cloud, and compliance.

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HIPAA Compliance

Compliance gap analysis, security program development, and ongoing compliance monitoring.

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Cybersecurity

Penetration testing, vulnerability assessments, and healthcare security architecture.

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Healthcare Cloud Security

Cloud security architecture, compliance controls, and managed security services.

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Compliance Consulting

HITRUST CSF, SOC 2 Type II, and ISO 27001 readiness assessments and compliance consulting.

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How We Engage

Four ways healthcare teams work with Saga

Discovery to managed services: pick the shape that matches where you are. We embed as part of your team or deliver a turnkey project, with engineers leading the conversation, not sales.

Pattern 1 / 4

Discovery & Roadmap

The entry point when you know there's a problem but not the right shape of solution. Architecture decision record, scope estimate, and risk register with mitigation paths: output you can take to procurement or use to brief a different vendor.

Fixed fee
1–3 weeks
ADR + scope
Risk register

Pattern 2 / 4

Project Delivery

Turnkey integration projects: sprint-based, embedded engineers, shippable increments every two weeks. Sprint cadence with weekly demo + retro, GitHub PR review against your style guide and security rules, production-ready ship at each milestone. Typical scope: HL7 / FHIR / DICOM integration, EHR app build, cloud migration, Mirth/OIE channel work.

Sprint cadence
8–24 weeks
GitHub PR review
Fixed fee or T&M

Pattern 3 / 4

Embedded Augmentation

Saga engineers slot into your team to fill the HL7, FHIR, DICOM, Epic, or Mirth/OIE skill gaps you can't hire fast enough. Engineers work in your sprint, your repo, your standups. Senior healthcare engineers, not generalists with a HIPAA tutorial. Scale up or down sprint by sprint as your roadmap shifts.

Senior healthcare engineers
3–12 months
Per-engineer monthly
Your repo · your sprint

Pattern 4 / 4

Managed Services

24×7 production support for Mirth/OIE channels, FHIR APIs, integration engines, and HIPAA cloud: message-level SLAs, on-call, monitoring + incident response. SLA tiers from business hours to 24×7 with paged on-call. Patches, upgrades, engine version management. Quarterly DR drills + capacity reviews + compliance reporting.

24×7 SLA
Ongoing
On-call + monitoring
Monthly retainer

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

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Book a 30-min call · or email us and we'll reply within one business day.

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How can we help?

Pick whichever fits best. We'll take it from there.

I'm interested in Saga's services or products A project, existing system to support, integration work, or a compliance need. Tell us what you're working on. I have a question or I'm learning the space Researching options, comparing approaches, or just curious. I'm reaching out with a sales pitch You're selling a product or service to Saga IT.