EHR & EMR Integration
Bidirectional connectivity with Epic, Cerner, Athena, and Meditech — the systems of record your product has to plug into.
HL7 v2FHIR R4C-CDA
Explore EHR integration Healthcare Interoperability & IntegrationConnect Any Healthcare System.
Connect Any Healthcare System.
Speak Every Standard.
Nirmitee connects EHRs, labs, pharmacies, devices, and payers into one clean, real-time FHIR data layer — so your product ships, your go-lives hold, and your data finally moves.
HL7 v2FHIR R4X12DICOMSMART on FHIRHIPAA compliant · BAA available
47/47
Inferno g10 conformance tests passing
52
Legacy interfaces migrated to FHIR — zero downtime
4
Standard families in production: HL7 · FHIR · X12 · DICOM
US · IN
Engineering across two countries, one delivery layer
The Interoperability Gap
The Data Already Exists. It Just Can't Move.
Every hospital and health-tech product runs on a dozen systems that were never designed to talk to each other. When patient data stays trapped in EHRs, labs, pharmacies, devices, and payer systems, the cost is real: stalled go-lives, deals lost to "does it integrate?", clinicians re-keying data, and reports that never reconcile.
We close that gap for a living — turning fragmented systems into one dependable, standards-based data layer you can build on.
EHRs speak HL7 v2. Your app speaks FHIR.
Point-to-point interfaces multiply until nobody can change anything without breaking three others.
Labs, imaging, devices — all different dialects.
DICOM, ORU messages, proprietary device feeds. Each needs mapping, normalization, and terminology binding.
Payers and RCM live in X12. Nothing reconciles.
Eligibility, claims, and remittance run on EDI most product teams have never touched.
Interactive · Interoperability Studio
See Exactly How Your Systems Connect
Click the systems you run. Watch them wire into one FHIR data layer, see the standard behind each connection — then get a personalized integration blueprint. This is what we do, made tangible.
Clinical Systems
Diagnostic Systems
Devices & Monitoring
Nirmitee
Integration EngineFHIR R4 · HL7 v2 · X12 · DICOM
Integration EngineFHIR R4 · HL7 v2 · X12 · DICOM
one clean data layer
Pharmacy & Medication
Financial & Admin
External Ecosystem
Connection Detail
Click any system above to see the standard it speaks, the data that flows, and exactly what we do to connect it.
Your Integration Blueprint
We'll email your map + a scoping call invite. No spam, ever.
✓ Blueprint on its way — a Nirmitee engineer will reach out within one business day.
Standards We Speak Fluently
Not a Wrapper. Deep Implementation.
We've built production systems on each of these — including a SMART on FHIR server that passes 47/47 Inferno g10 conformance tests and interface engines running in live hospitals.
HL7 v2.x
Interface Messaging
ADT, ORM, ORU, DFT, SIU, MDM — the backbone of hospital integration, parsed and routed reliably.
FHIR R4
US Core & APIs
Resource modeling, RESTful APIs, profiles, and US Core conformance for modern app-to-EHR exchange.
SMART / OAuth2
App Launch & Auth
SMART on FHIR launch, OAuth 2.0 scopes, and CDS Hooks — apps that run securely inside the EHR.
X12 EDI
Payer & RCM
270/271 eligibility, 837 claims, 835 remittance — the EDI layer that runs healthcare's business side.
DICOM
Imaging
DICOM & DICOMweb for radiology and cardiology — images and structured reports into your workflow.
C-CDA
Documents
Clinical Document Architecture for summaries, referrals, and transitions of care — generated and parsed.
Terminology
Coded Data
SNOMED CT, LOINC, ICD-10, RxNorm mapping so data means the same thing in every system.
Bulk / IHE
Population Scale
FHIR Bulk Data ($export) and IHE profiles for HIE, registries, and population-health movement.
Integration Services
How We Help You Connect
Six engineering services covering the full lifecycle — from a single interface to a certified, EHR-embedded product.
SMART on FHIR Apps
Launch your clinical app inside the EHR with OAuth 2.0 — built on patterns that pass Inferno g10 certification.
SMARTOAuth 2.0CDS Hooks
Explore SMART on FHIR Interface Engine & HL7→FHIR Migration
Mirth Connect / Rhapsody channel development and legacy-to-FHIR migration — modernize interfaces with zero downtime.
Mirth ConnectHL7→FHIRMigration
Explore Mirth & migration Device & Wearable Integration
Bring vitals, ECG, glucose, and RPM data from clinical and consumer devices into the record — normalized and de-duplicated.
RPMFHIR ObservationIoT
Explore device integration Payer, RCM & X12 EDI
Eligibility, claims, and remittance over X12 — the revenue-cycle and payer connectivity most teams can't build alone.
270/271837/835FHIR Claim
Explore payer & RCM ABDM Integration (India)
Ayushman Bharat Digital Mission connectivity for hospitals, labs, and insurers — powered by the first native TypeScript ABDM V3 SDK, built by us.
ABHAABDM V3FHIR
Explore ABDM integration Built for Your Team
Integration, Targeted to Your World
We speak your buyers' language and your stack. Here's exactly how we plug in for the teams we work with most — and the specific play we run for each.
For Digital-Health Startups
FHIR & SMART on FHIR Integration That Gets Your App Into Epic
You're building a product that has to run inside Epic, Cerner, or Athena — and every enterprise deal now hinges on "does it integrate?" Integration is the gate between your demo and a signed contract, but it isn't your core product.
The play we run SMART on FHIR app launch (OAuth 2.0, US Core scopes), read/write to the EHR, and Epic App Orchard / vendor-security-review prep — on patterns validated against Inferno g10.
- Certified SMART app + US Core resource mappings
- Provider & patient launch inside the EHR
- Security-review & App Orchard onboarding docs
SMART on FHIRUS CoreOAuth 2.0
~4–8 wks to live launchFor RCM & Payer-Tech
X12 EDI & Prior-Auth Integration for RCM and Payer-Tech Products
You move eligibility, claims, and authorizations — and your customers live in X12 EDI you'd rather not build and maintain in-house. X12 is unforgiving, every payer connection is slightly different, and nothing reconciles.
The play we run X12 270/271 eligibility, 837 claims, 835 remittance, and 278 / Da Vinci prior-auth — bridged to FHIR Coverage and Claim wherever your product needs a modern API.
- Payer connectivity + X12 parse/generate
- Remittance reconciliation against your ledger
- FHIR Coverage / Claim bridge + Da Vinci
270/271837/835Da Vinci
per-transaction or programFor RPM & Device Companies
Device & RPM Data Integration Into the Record (FHIR Observation)
You capture vitals, ECG, glucose, or activity — and clinicians want it in the chart, not in yet another app. Device data is high-volume, noisy, and rarely standardized; getting it into the EHR cleanly is the hard part.
The play we run Ingest device streams, normalize and de-duplicate into FHIR Observations, then write to the EHR and feed clinical decision support and RPM billing workflows.
- Ingestion pipeline + noise/dup handling
- FHIR Observation normalization + units
- EHR write-back + RPM billing hooks
FHIR ObservationHL7 v2IEEE 11073
pipeline + 1 EHR, then scaleFor Health Systems & Hospital IT
HL7 v2 → FHIR Migration & Mirth Connect for Health Systems
You run a stack that works — and you need to connect or modernize it without a rip-and-replace. Channels built by an engineer who has since left, no automated deployment, an HL7→FHIR migration deferred yet again.
The play we run Mirth Connect / interface-engine channel development, HL7 v2 → FHIR R4 migration with phased cutover and parallel-run, and managed operations — around your live systems, not on top of them.
- Channel development & deployment automation
- Zero-downtime migration with rollback
- Monitoring, alerting & managed support
HL7 v2Mirth ConnectFHIR R4
Mirth services How We Work
Integration Done the Careful Way
Interoperability projects fail on assumptions, not code. Here's how we de-risk yours.
// 01
We Don't Replace What Already Works
Your EHR, interface engine, and databases stay. We integrate around what's live, so nothing breaks to make something new work.
// 02
We Plan the Cutover from Day One
Migrations live or die on the switch. We design phased cutover, parallel-run, and rollback before writing the first mapping.
// 03
We Start with the Data Model, Not the API
Endpoints are easy. Getting the data model, terminology, and identity right is the hard part — so that's where we start.
1
Discover
Map your systems, data flows, standards, and the real integration surface.
2
Model
Design the canonical data model, terminology bindings, and identity strategy.
3
Build
Engineer interfaces, APIs, and transforms with tests and observability baked in.
4
Certify
Validate against Inferno, US Core, and connectathon-grade conformance suites.
5
Operate
Monitor, alert, and support in production — with a Delivery Manager on point.
Security, Identity & Governance
Compliance Isn't a Checkbox. It's the Architecture.
Every integration we build is HIPAA-compliant and BAA-ready from the first line of code — with encryption, consent, identity, and audit designed in, not bolted on.
Talk to a security-minded engineerAES-256 & TLS
Encryption at rest and in transit across every hop.
HIPAA & BAA-ready
Architecture built to pass audits on first submission.
Consent & MPI
Consent management and Master Patient Index for clean identity.
Full audit logs
Every access and exchange traceable, RBAC-controlled.
Proof, Not Promises
Interoperability We've Shipped
Real integration engineering, in production, at health systems and digital-health companies.
Cross-hospital syncRead the case study
Cross-Hospital Clinical Data Synchronization
Connected a German hospital network for real-time cancer-care collaboration — clinical data synchronized across independent facilities without disrupting local systems.
Real-time
cross-site data
FHIR
canonical layer
Bidirectional syncRead the case study
openEHR + FHIR Bidirectional Sync
Kept a five-facility cancer-care network in sync across openEHR and FHIR — bidirectional, conflict-aware synchronization that let each site keep its own stack.
5
facilities
2-way
openEHR ⇄ FHIR
Legacy migrationRead the case study
HL7 v2 to FHIR R4 Migration
Migrated 52 healthcare interfaces from HL7 v2 to FHIR R4 with zero downtime — phased cutover and parallel-run so not a single message was lost.
52
interfaces
0
downtime
Engagement Models
Work with Us the Way That Fits
A fixed scope with a fixed price, or a dedicated integration team as an extension of yours.
Model 01
Fixed-Price Projects
Best when the scope is clear. Share your requirement, get a discovery call, and receive a fixed estimate and timeline. You pay on milestones — no surprises.
- Fixed price, fixed timeline
- Discovery call & written estimate
- Milestone-based delivery
Model 02
Dedicated Integration Team
Best when the work is ongoing. Hire dedicated FHIR / HL7 / X12 engineers with 160 hours of focused attention each month — an extension of your team, not a black box.
- 160 focused hours / engineer / month
- Transparent billing & daily timesheets
- Complimentary Delivery Manager
From Our Engineering Blog
Go Deeper
The real how-to on healthcare integration — written by the engineers who build it.
Epic Integration
Epic Third-Party & API Integration: How Apps Connect to Epic
12 min read · Integration guide
Epic Onboarding
How to Get Your App Into Epic (2026): The Real Path, Costs & The Gate Nobody Warns You About
15 min read · Playbook
Radiology / DICOM
Radiology Integration Explained: How DICOM Images and HL7 Reports Reach Your Portal
9 min read · Deep dive
FAQ
Healthcare Interoperability, Answered
Still unsure what fits? Build a blueprint in the studio above, or just book a call.
What Is Healthcare Interoperability, and Why Does It Matter?
Healthcare interoperability is the ability of different systems — EHRs, labs, pharmacies, devices, and payers — to exchange data and use it in a consistent, meaningful way. It matters because care and product decisions depend on complete data. Without it, information stays siloed, clinicians re-key data, go-lives slip, and products lose deals to "does it integrate?" With it, data follows the patient and your product scales.
Which Standards Do You Work With?
HL7 v2.x, FHIR R4 (including US Core), SMART on FHIR and OAuth 2.0, CDS Hooks, C-CDA, DICOM / DICOMweb, and X12 EDI (270/271, 837, 835). We also handle SNOMED CT, LOINC, ICD-10, and RxNorm terminologies, plus FHIR Bulk Data. These aren't wrappers: we've shipped production systems on each, including a SMART on FHIR server that passes 47/47 Inferno g10 conformance tests.
Do We Have to Replace Our Existing EHR or Interface Engine?
No. Our first principle is that we don't replace what already works. We integrate around your live systems — your EHR, interface engine (e.g. Mirth Connect), and databases stay in place. When migration is the goal, we plan phased cutover, parallel-run, and rollback so nothing breaks during the switch.
How Do You Handle Data Privacy and Compliance?
Every integration is HIPAA-compliant and BAA-ready by design. We build in AES-256 encryption at rest and TLS in transit, OAuth 2.0 / SSO authentication, consent management, Master Patient Index for identity, role-based access control, and complete audit logging — so security is part of the architecture, not an afterthought.
Can You Migrate Legacy HL7 v2 Interfaces to FHIR?
Yes — it's one of our core services. We recently migrated 52 healthcare interfaces from HL7 v2 to FHIR R4 with zero downtime. We start with the data model and terminology, run old and new in parallel, and cut over in controlled phases so no message is ever lost.
We're a Digital-Health Startup — Can You Get Our App Into Epic?
Yes. We build SMART on FHIR apps that launch inside Epic (and Cerner/Oracle Health, Athenahealth, Meditech) using OAuth 2.0 and US Core, and we prep you for Epic's App Orchard / Showroom listing and the vendor security review. Our patterns are validated against the ONC Inferno g10 test kit, so you're building on a foundation that's already passed certification-grade conformance.
Do You Build X12 / Payer Connectivity for RCM and Prior-Auth Products?
Yes. We build X12 EDI connectivity for revenue-cycle and payer-tech products — 270/271 eligibility, 837 claims, 835 remittance, and 278 / Da Vinci prior-authorization — and bridge it to FHIR Coverage and Claim resources where your product needs a modern API. We handle payer-by-payer quirks and reconcile remittance against your ledger.
How Do We Start, and What Does It Cost?
Start with a free scoping call — or build a blueprint in the studio above. We'll map your systems and recommend either a fixed-price project (clear scope, fixed timeline, milestone billing) or a dedicated integration team (160 focused hours per engineer per month, with a complimentary Delivery Manager). You'll get a written estimate before any commitment.
Let's Connect Your Systems
Tell Us What Needs to Talk to What.
Book a scoping call and we'll map your integration surface, flag the risks, and show you the shortest path to a working data layer. Reviewed by a healthcare integration engineer — not a generic sales queue.
+1 (669) 649-0706
hello@nirmitee.io
USA
Iselin, NJ 08830
India
Baner, Pune, MH 411045
Thanks — We've Got It.
A Nirmitee integration engineer will reach out within one business day.