EHR integration blocking go-live?
Connect your product to the systems your customers use.
Explore EHR integrations
Healthcare integration and engineering
Healthcare software.Connected systems.Working together.
We integrate EHRs, labs, and payer systems, engineer custom clinical platforms, and build data pipelines and AI agents that automate healthcare workflows.
Epic
HL7 & FHIR
X12
Data pipelines
Healthcare integration & engineering
What’s Holding Your Team Back?
Start with the problem. Find the engineering support you need.
Too many disconnected systems?
Connect EHRs, labs, and payer workflows across your organization.
Explore interoperabilityYour EHR doesn’t fit your workflow?
Build or modernize a clinical platform around your specialty.
Explore custom EHR engineeringCan’t trust your healthcare data?
Turn fragmented clinical and claims data into reliable datasets.
Explore data engineeringAI works in a demo. Now what?
Connect AI agents to real systems and controlled workflows.
Explore agentic AIIntegrations failing after launch?
Add monitoring, failure alerts, and recovery procedures.
Explore integration supportNot sure where to start?Talk to our engineering team
EVIDENCE FOR YOUR SHORTLISTReal Healthcare Challenges.
Real Healthcare Challenges.
See How We Approached Them.
Evaluating an integration or product partner? Explore the systems, workflows, and technical decisions behind our work.
Explore all case studies
Revenue Cycle / 01
Wound Care Practice Software: Revenue Cycle Case Study
Wound care software for a US provider group: structured wound assessments, eligibility checks before the visit and claim checks before submission. Live.
Explore the implementation
Case Study / 02
AI Progress Notes Case Study: 81 Notes Signed by Therapists in 11 Days
81 AI-drafted therapy notes signed in 11 days, 68% with no edits, $0.14 a draft. How we built it, the safety rules, and the time-saved formula.
Explore the implementation
Case Study / 03
Clearinghouse Claims Integration: Hardening a Live X12 Pipeline for a US Behavioral-Health EHR
How Nirmitee hardened a live clearinghouse claims integration for a US behavioral-health EHR, tracing 837P, 835 and 277CA defects to root cause and fixing them.
Explore the implementationWorking through a similar challenge?Discuss your requirements with our team
THE VISION / CONNECTED HEALTHCAREMany Systems.
Many Systems.
One Connected
World of Care.
We engineer the connections between healthcare systems, data, and people—so information can support the care it was meant for.
Connect the Clinical Picture.
Link EHRs, labs, and care applications through interfaces and shared data models.
Explore clinical integration
BUILT HERE. SHARED WITH EVERYONE.Healthcare Engineering.
Healthcare Engineering.
With the Source to Show It.
Choosing an engineering partner? Look under the hood. Explore six of our 17 open-source projects, built around real healthcare integration challenges.
US Interoperability & RCM
FHIR Prior Auth Engine
FHIR-native prior-authorization workflow engine — orchestration, async holds, human-in-the-loop review and event sourcing for CMS-0057 / Da Vinci.
Inspect the codeUS Interoperability & RCM
Clearinghouse Simulator
Drop-in stand-in for a real clearinghouse SFTP/EDI integration. 120 scenarios across 837, 270/271, 835, 278 and more.
Inspect the codeFHIR Platforms
Headless EHR — FHIR R4
A headless EHR platform built on FHIR R4 — multi-tenant, HIPAA-ready, with ABAC authorization, SMART on FHIR, field-level encryption and bulk $export.
Inspect the codeFHIR Platforms
OpenMirth Console
Open-source operations layer for Mirth Connect and OIE — modern web admin, clinical observability and channel CI/CD.
Inspect the codeUS Interoperability & RCM
X12 ↔ FHIR Mapper
Maps X12 837/835 to FHIR R4 through an anti-corruption layer: adapters → canonical model → FHIR. Includes a paste-and-map playground.
Inspect the codeABDM
ABDM Node.js SDK
TypeScript SDK for the ABDM (Ayushman Bharat Digital Mission) V3 APIs — ABHA, HIP, HIU, consent and health-information exchange.
Inspect the code HEALTHCARE TECHNOLOGY SOLUTIONSWhat’s Standing Between
What’s Standing Between
You and Your Next Milestone?
Build a product. Connect your systems. Put AI into practice.
Start with the challenge your team needs to solve.
FOR HEALTHTECH FOUNDERS & PRODUCT LEADERS
Your Next Healthcare Product. Built to Move Forward.
Turn a product roadmap into software your users can work with—from an early MVP to a platform that needs to scale.
- Product discovery & architecture
- Healthcare workflows & integrations
- AI-assisted Product Engineering
FOR CTOS & INTEGRATION TEAMS
Connect the Systems. Unblock the Workflow.
Bring EHRs, clinical applications, and patient data together with FHIR and HL7 expertise grounded in healthcare workflows.
- EHR & EMR connectivity
- FHIR APIs & data mapping
- Integration testing & support
FOR CLINICAL & OPERATIONS LEADERS
Put AI to Work on the Work That Slows You Down.
Identify a useful starting point for AI, then build around your data, your workflow, and the people responsible for the outcome.
- Workflow automation
- AI & ML development
- Human review where it matters
FOR DIGITAL & BEHAVIORAL HEALTH TEAMS
Digital Experiences With Care at the Center.
Build mental health applications that respect patient privacy and support the relationship between people and their care teams.
- Patient-centered experiences
- Privacy-conscious architecture
- Therapeutic workflow support
START WITH A CONVERSATIONYou Know the Challenge.
You Know the Challenge.
Let’s Work Out the Next Step.
Bring your roadmap or integration problem. We can discuss the technical dependencies, delivery approach, and where our team can help.
Book an engineering conversation Talk through your project with the Nirmitee team.See how we’ve approached other projects
THE DELIVERY BLUEPRINTHealthcare Integration.
Healthcare Integration.
From Architecture to Production.
Explore the work, decisions, and deliverables at each stage. Scope and milestones are tailored to your systems and dependencies.
STAGE 01 / Discover
Understand the Workflow Before Designing the Connection.
Map the clinical and operational problem to the systems, people, and data involved. Agree what a successful integration needs to do.
- Review source and destination systems
- Identify access, vendor, and data dependencies
- Define scope and acceptance criteria
PROJECT ARTIFACTS01
Your systems + business priorities↓A shared technical brief
WHAT YOU CAN EXPECT
System inventory
Workflow map
Integration scope
Clear scope. Documented decisions. Reviewable progress.Prepare your integration brief
WAYS TO WORK TOGETHERThe Right Engagement.
The Right Engagement.
For the Work Ahead.
Start with the shape of your challenge. We’ll discuss the scope, team, and delivery responsibilities that fit.
01
A Defined Project
You have a specific integration or product milestone.Discuss a scoped engagement with agreed dependencies, deliverables, and acceptance criteria.
Discuss your scope02
A Dedicated Team
You need engineering capacity across a growing roadmap.Explore a team that works with your product and technical leads across development and integration priorities.
Explore dedicated teams03
Ongoing Engineering
Your platform is live and your integration needs keep evolving.Plan support, interface changes, monitoring responsibilities, and iterative improvements around your environment.
Discuss ongoing supportEngagement scope, staffing, timelines, and support terms are agreed for each project.
OUR CLIENTS / CONNECTED HEALTHCAREEngineering Connections.
Engineering Connections.
Supporting the Teams Behind Care.
Healthcare organizations and technology companies we work with. Explore our work in EHR connectivity, clinical data exchange, and digital health product engineering.
One focus: Healthcare Systems that work together.
UNITED STATES
Connect the US Care Ecosystem.
EHR connectivity, FHIR APIs, HL7 interfaces, and revenue-cycle integrations for healthcare technology teams.
INDIA
Explore ABDM integration Build for ABDM-Connected Care.
ABHA, consent-led health information exchange, and HIMS integration for India’s digital health ecosystem.
KNOWLEDGE HUB / PLAN WITH CONFIDENCEBetter Questions.
Better Questions.
Better Technology Decisions.
Practical resources for healthcare teams assessing integration scope, product architecture, and AI implementation.
Browse resources & guidesFOR CTOS & INTEGRATION LEADS
Scope an Integration Before You Estimate It.
Structure the requirements and dependencies your team needs to discuss with an engineering partner.
Open the scoping guideFOR EHR & PRODUCT TEAMS
Prepare Your Team for Epic Integration.
Use the integration checklist to guide your planning and identify questions to resolve early.
Explore the checklistFOR TECHNOLOGY & OPERATIONS LEADERS
Plan Where AI Fits in Your Healthcare Workflow.
Explore an implementation playbook to help shape conversations about your AI roadmap.
Read the AI playbookMore insights, company news, and resources +
Knowledge Hub
Industry insights, technical guides, research reports, and company updates to help you navigate healthcare technology.
Blog10 min read
Cerner PowerChart Integration: SMART Launch or MPages
How to put your product inside Cerner PowerChart: SMART on FHIR launch or MPages, what Oracle's public pages confirm, and what to ask each hospital first.
EHR IntegrationOracle HealthSMART on FHIR
October 31, 2026
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Blog16 min read
Cerner (Oracle Health) API Integration: Routes, Access and What It Costs
Planning a Cerner API integration? Compare FHIR R4, EHR APIs, HL7 v2 and Bulk Data, see who provisions what at each hospital, and check Oracle's listed fees.
EHR IntegrationOracle HealthFHIR
October 31, 2026
Read Full Blog
Blog13 min read
Build, Buy or Hire a Healthcare Data Platform: A CIO Decision Guide
A CIO guide to build, buy or hire for a healthcare data platform: staffing, sourced costs, risks, a scoring sheet and when not to hire us.
Healthcare Data Engineering
October 31, 2026
Read Full Blog
Blog12 min read
Skilled Nursing Data Platform: Joining PointClickCare, Sage Intacct and Smartlinx
How multi-facility SNF operators join PointClickCare, Sage Intacct and Smartlinx: vendor access routes, data model, checks and a realistic 90 days.
Healthcare Data EngineeringSkilled NursingPointClickCare
October 31, 2026
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Blog11 min read
Healthcare Analytics Dashboard: How to Build One People Act On, With a Prediction Loop
Build a healthcare analytics dashboard that drives decisions: metric contracts, forecasts, validation gates, action logs and who owns each one.
Healthcare Data EngineeringHealthcare AnalyticsAI in Healthcare
October 31, 2026
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Blog12 min read
Healthcare Data Integration: Refresh Frequency, Cleanup and Reconciliation
How to integrate healthcare data from many sources: refresh by source, where cleanup belongs, SQL reconciliation checks and who owns each decision.
Healthcare Data EngineeringData IntegrationHealthcare Interoperability
October 31, 2026
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SECURITY, STANDARDS & ENGINEERING DISCIPLINEConnected by Standards.
Connected by Standards.
Built with Safeguards.
For healthcare technology teams, interoperability and security belong in the same conversation. Define the controls and evidence your environment requires from the start.
Protect Access to Health Data
Plan identity, permissions, encryption, and audit trails around the people and systems that need access.
Access controls · Encryption · Audit loggingDesign for Data Exchange
Define resources, mappings, and interfaces that connect clinical systems and support the intended workflow.
FHIR · HL7 · SMART on FHIR · ABDMMake Technical Reviews Easier
Agree on documentation, validation, and operational responsibilities that support your security and procurement review.
Architecture · Test evidence · RunbooksHave a Security or Vendor-Assessment Checklist?
Share your requirements so we can discuss applicable controls, documentation, and project scope.
AI Moves Us Forward. People Give It Purpose.
Life at Nirmitee. Human Connections Behind Connected Healthcare.
AI helps us build. People bring the judgment, curiosity, and care. Behind every integration is a team that listens, challenges assumptions, and takes responsibility for the work—and for one another.
Product Development
Engineering Excellence
Strategic Planning
Cross-functional Teams
Team Collaboration
Mentorship & Growth
Team Gathering
Join Our Team
Build the future of healthcare technology with a team that values innovation, collaboration, and meaningful impact.
FOR HEALTHCARE TEAMS READY TO BUILDBring Your Hardest
Bring Your Hardest
Healthcare Technology Challenge.
An integration that’s holding you back. A product ready for its next stage. An AI use case worth exploring. Let’s discuss what it will take to move forward.