Healthcare Interoperability Solutions and Services

Healthcare interoperability solutions are the software, platforms and engineering services that let separate health systems exchange data and use it. They include FHIR APIs, HL7 v2 interfaces, X12 EDI, document exchange, integration engines, terminology mapping, identity matching and the monitoring that keeps interfaces running.

HIMSS describes four levels: foundational (systems can send and receive data), structural (the format is standard, such as HL7 v2 or FHIR), semantic (the meaning is shared through code systems like LOINC and SNOMED CT) and organizational (governance, consent and policy that let organizations trust the exchange).

FHIR R4 with US Core and SMART App Launch for APIs, HL7 v2 for hospital event feeds, X12 5010 for claims and eligibility, C-CDA for clinical documents, DICOM for imaging and NCPDP SCRIPT for e-prescribing. USCDI v3 defines the minimum data set certified EHRs must exchange.

Match the vendor to the job. Interface engines suit many HL7 v2 feeds, aggregators suit fast read access across many EHR sites, and an engineering partner suits production connections you want to own. Ask for public evidence such as Inferno test results or open-source code, a signed BAA, and who runs the interfaces after go-live.

A healthcare interoperability platform is software that hosts connectors, transforms data between standards, routes messages and monitors delivery. Examples range from interface engines such as Mirth Connect and Rhapsody to API platforms. Interoply is our platform for running the integrations we build.

CMS-0057-F requires Medicare Advantage organizations, Medicaid and CHIP programs and QHP issuers on the federal exchanges to run Provider Access, Payer-to-Payer and Prior Authorization FHIR APIs, plus an enhanced Patient Access API, by January 1, 2027. Medicare Advantage, Medicaid and CHIP payers must also meet new prior authorization decision timeframes from January 1, 2026.

TEFCA is the national framework for exchange between Qualified Health Information Networks under a Common Agreement. You join through a QHIN, directly or as a participant of one. It matters if you need records from outside your network or must answer treatment and individual access queries.

Information blocking is a practice by a provider, health IT developer or exchange that is likely to interfere with access, exchange or use of electronic health information, unless an exception applies. The 21st Century Cures Act defines it, and HHS enforces it with fines for developers and exchanges and disincentives for providers.

HL7 v2 is an event-message standard from the 1980s and 1990s that still carries most hospital feeds. FHIR is HL7's modern API standard built on REST, JSON and OAuth 2.0. Most interoperability programs use both, with FHIR for apps and APIs and HL7 v2 for real-time hospital events.

Cost depends on the number of systems and sites, read-only versus write-back, the standards in scope, compliance deadlines, data history and whether we run the interfaces after go-live. We scope a fixed first phase after discovery instead of quoting a list price.

We sign Business Associate Agreements and are ISO 27001:2022 certified. Connections use least-privilege access, encryption in transit and at rest, audit logs of every exchange and synthetic data in development.

Yes. We build and support interfaces on Mirth Connect, Rhapsody, Infor Cloverleaf and Corepoint, work with Redox, and plan migrations between engines, including moves driven by the Mirth Connect 4.6 license change.