The problem
Interoperability mandates that penalize data blocking, plus the need to connect cloud tools to legacy EHRs without an expensive rip-and-replace.
Apps, devices, and networks connect to the EHR already in place.
API middleware on FHIR, HL7, and REST that connects third-party apps, devices, and networks to the EHR you already run.
Book A Discovery Call
30-minute call. No system replacement.
- API gateway and routing
- FHIR / HL7 translation
- EHR connectors
- Monitoring and errors
Our Recent Work
Orders, Results, And Referrals Across Provider Systems
For a hospital working with an external partner, interface engines and REST gateways synchronized medication orders, prescriptions, laboratory results, and referrals across heterogeneous systems. Facility modules exchanged those messages with the primary information system, and delivery was verified.
Capabilities usedMedication orders and prescriptions, laboratory results, referral management.
Fee Schedules And System Configuration On The Same Gateway
Procedure fee schedules and system administration settings moved through the same middleware, so fee tables and configuration stayed aligned between the primary system and connected facility modules instead of being maintained twice.
Capabilities usedSystem configuration and administration, procedure fee schedules.
The pathway
Third-party applications, diagnostic devices, and external networks need a path into the EHR the clinic already runs. This middleware is that path, built on FHIR, HL7, and REST.
One gateway handles OAuth 2.0, rate limits, and payload format. Mapping modules turn proprietary records and HL7 v2 messages into FHIR resources such as Patient, Observation, DiagnosticReport, and MedicationRequest.
Read and write adapters cover mid-market platforms including athenahealth, eClinicalWorks, and NextGen. Live logs show which transactions arrived, which messages were dropped, and where latency is building, so an order, a lab result, or a referral can be traced from the sending system to the chart.
Who this is for
Chief technology officers, directors of IT infrastructure, and health-tech systems integrators.
How it works
API gateway and routing
Central routing for OAuth 2.0 authentication, rate limits, and secure payload formatting on inbound and outbound transactions.
FHIR / HL7 translation
Mapping modules translate proprietary formats or HL7 v2 messages into FHIR resources such as Patient, Observation, DiagnosticReport, and MedicationRequest.
EHR connectors
Adapters for mid-market EHR platforms, including athenahealth, eClinicalWorks, and NextGen, to support read and write without a custom stack for every site.
Monitoring and errors
Live logs of transaction success, dropped messages, and latency across connected clinical systems.
What you get
- One gateway handles sign-in, rate limits, and payload format.
- Proprietary formats and HL7 v2 become FHIR resources.
- Read and write adapters cover athenahealth, eClinicalWorks, and NextGen.
- Success, dropped messages, and latency stay visible.
Questions to settle first
Does this replace our EHR?
No. The middleware connects third-party apps, diagnostic devices, and external networks to the EHR already in place.
Which message formats does the gateway translate?
Proprietary payloads and HL7 v2 are mapped to FHIR resources such as Patient, Observation, DiagnosticReport, and MedicationRequest. REST is supported on the same gateway.
Which EHRs already have connectors?
Read and write adapters cover mid-market platforms including athenahealth, eClinicalWorks, and NextGen, so each site does not need its own integration stack.
How do we know a message arrived?
Live logs show transaction success, dropped messages, and latency. A failed order, result, or referral is visible instead of silent.
What do we start with?
One workflow (orders, lab results, prescriptions, or referrals) between the systems you already run.
See if this pathway fits
We start with one workflow, measure it, then expand. Book a 30-minute discovery call.
Book A Discovery Call
30-minute call. No system replacement.