Nirmitee.io

Medical device integration services · United States

Medical Device Integration Services

We connect bedside monitors, home health devices, wearables and screening stations to EHRs and health tech products. Readings arrive over IEEE 11073, Bluetooth health profiles, vendor clouds or HL7 v2 from a device gateway, and land as FHIR Device and Observation resources tied to the right patient, with units, timestamps and provenance intact.

  • IEEE 11073
  • Bluetooth GATT
  • IHE PCD DEC
  • HL7 ORU^R01
  • FHIR Observation
  • UCUM
  • HealthKit
  • Health Connect

A reading is only useful once it has context.
  1. 01Device or gateway

    A cuff, pulse oximeter or bedside monitor produces a measurement over Bluetooth, a vendor cloud or an HL7 v2 gateway.

  2. 02Integration layer

    Decode, normalize to MDC, LOINC and UCUM, attach the device identity and associate the right patient.

  3. 03EHR or your product

    Write FHIR Observation or ORU^R01, route out-of-range values to a review queue and keep the raw record.

The short answer

Medical device integration services, in short

Nirmitee builds the software that moves medical device data into clinical systems. For remote monitoring and consumer health products we connect Bluetooth Low Energy devices, Apple HealthKit, Android Health Connect and manufacturer clouds. For hospitals we take HL7 v2 ORU^R01 feeds from device gateways built on the IHE Patient Care Device profiles and route them into the EHR flowsheet. Every reading is normalized to IEEE 11073 MDC codes, LOINC and UCUM units, associated with a verified patient and device, and stored as FHIR Device, DeviceMetric and Observation resources your product and your customers' EHRs can read.

Who it is for
Remote patient monitoring and digital health companies, device manufacturers adding software, and hospital teams connecting monitors, pumps and vitals carts to the EHR.
What we build
Device adapters, BLE and mobile health-store sync, gateway and vendor-cloud connectors, HL7 v2 and FHIR mapping, patient and device association, and the review queues around them.
The outcome
Device data your clinicians can trust: the right patient, the right units, the source device on record, and a pipeline that alerts you when a device or feed goes quiet.

Device protocols

Medical device protocols and standards we integrate

The protocol a device speaks decides the architecture. These are the ones we build against, with the detail that usually decides whether a connector works in the field.

Protocol or standardWhere you meet itWhat it carriesWhat we design for
IEEE 11073-20601 and 104xx device specializationsPersonal health devices: blood pressure (10407), weighing scales (10415), glucose meters (10417), pulse oximeters (10404)Measurements coded in the IEEE 11073-10101 MDC nomenclature, with device and system identityMapping MDC codes to LOINC and UCUM, and the HL7 Personal Health Device FHIR guide as the target model
Bluetooth health profilesBlood Pressure, Glucose, Health Thermometer, Weight Scale, Pulse Oximeter and Continuous Glucose Monitoring profiles; Generic Health Sensor for newer devicesGATT characteristics with SFLOAT values, timestamps, status flags and stored-record accessPairing and bonding, stored-record download after reconnect, clock drift and duplicate suppression
Mobile health storesApple HealthKit on iOS and Android Health ConnectSamples written by devices and apps, each with a source and a time windowPermission prompts, background delivery, a missing permission never read as a zero, and incremental sync
Manufacturer clouds and SDKsCellular cuffs and scales, CGMs, smart rings and wearables with their own platformsREST APIs and webhooks with vendor-specific payloadsOAuth consent per patient, rate limits, backfill windows and each vendor's terms of use
IHE PCD over HL7 v2Hospital monitors, ventilators, infusion pumps and vitals carts behind a device gatewayDEC (PCD-01) as ORU^R01 with MDC codes in OBX-3; ACM alerts (PCD-04); PIV infusion programmingValidated versus unvalidated readings, flowsheet row mapping, device-to-patient association and alert routing
IEEE 11073 SDCPoint-of-care devices in the OR and ICU that support service-oriented device connectivityLive device state, metrics and alerts over a networkRead-only data capture scoped separately from any remote control of the device
FHIR R4 device resourcesEHR write-back, RPM platforms and data platformsDevice, DeviceMetric, Observation and Provenance, with US Core vital signs profilesThe HL7 Point-of-Care Device and Personal Health Device guides, US Core 6.1.0 vital signs and patient references that resolve

Also in scope when your workflow needs it: DICOM output from imaging devices, serial and RS-232 bedside equipment behind a gateway, and CSV or PDF exports from legacy device software.

What we build

What our medical device integration services build

Pick the workstreams your product needs. Each one ships with a specification, tests on the target hardware and an owner.

01

Bluetooth and mobile device connectors

BLE clients for the standard health profiles and for vendor GATT services, plus HealthKit and Health Connect sync with permission handling and background delivery.

BLE GATT · BLP · GLP · PLXP · CGMP · HealthKit · Health Connect

HealthKit and Health Connect to FHIR →
02

Vendor cloud and gateway connectors

Integrations with cellular device clouds, CGM and wearable platforms, and hospital device gateways, with backfill, retry and a record of every reading received.

REST · webhooks · OAuth 2.0 · MLLP · PCD-01

RPM data pipeline: device to FHIR →
03

Normalization and terminology

One internal model for every device: IEEE 11073 MDC codes mapped to LOINC, units converted to UCUM, and each value kept with its device, method and timestamp.

MDC · LOINC · UCUM · SNOMED CT

Device integration with FHIR and IEEE 11073 →
04

Patient and device association

Enrollment flows that bind a serial number to a patient, reassignment when a device changes hands, and shared-station sessions that reset between people.

Device.identifier · UDI · Patient · Encounter

Patient identity and consent →
05

EHR delivery

Readings written to Epic, Oracle Health and other EHRs as FHIR Observations or HL7 v2 ORU^R01 messages into flowsheets, with validation status and the source device carried through.

FHIR Observation · ORU^R01 · US Core vital signs

RPM data into Epic and Oracle Health →
06

Monitoring and review queues

Alerts when a device stops reporting, when a feed stalls or when values fall outside agreed ranges, routed to the care team or support queue your clinical owners define.

Silence alerts · data-quality flags · audit log

Integration monitoring and support →

Buyer decisions

Device data paths compared

Most products end up with more than one path. The choice depends on the device, the care setting and who owns the patient relationship.

PathBest fitStrengthsWhat to plan for
Direct Bluetooth to your mobile appRPM and consumer products where the patient already uses your appYou own the data path and the experience; works with many standard devicesPairing support, background limits on iOS and Android, and firmware differences between models
Mobile health store (HealthKit, Health Connect)Wellness and chronic care apps that read data from many devicesBroad device coverage through one integrationData arrives when the phone syncs; provenance is the writing app, not always the device
Manufacturer cloud APICellular devices shipped ready to use, CGMs and wearablesNo pairing for the patient; data arrives without a phoneVendor agreements, per-vendor payloads, rate limits and what happens when a vendor changes its API
Hospital device gateway (IHE PCD)Inpatient monitors, pumps and vitals carts feeding the EHREstablished pattern with the EHR's device integration moduleGateway licensing, association at the bedside and nursing validation before charting
Aggregator platformTeams that want many device brands quicklyOne contract and one API across brandsPer-device fees, less control over data freshness and a second vendor in your data path
Interoply (our platform)Products that need device data, HL7, FHIR and X12 behind one APIDevice connectors, mapping and monitoring in one placeFit with your hosting and data residency rules

The right path is the one your patients will actually use every day. Adherence decides more RPM programs than protocol choice does.

Integration boundaries

Medical device integration boundaries: who owns what

Device work crosses regulatory, clinical and vendor lines. We write the split down before the build starts.

FDA device software boundary

Software that only transfers, stores, converts or displays device data is a medical device data system under 21 CFR 880.6310 and falls outside the device definition under section 520(o)(1)(D) of the FD&C Act. Software that analyzes signals or drives time-critical alarms is a device software function. We design the architecture with your regulatory lead so each component sits on the side you intend.

Device manufacturers

Own firmware, device accuracy and their cloud platforms. We handle the access requests, developer agreements and test units, and build to the published interface.

Your clinical team

Owns thresholds, review workflows, escalation rules and billing criteria such as the RPM data-day requirements. We implement the rules exactly as signed off.

The integration layer (ours)

Connectors, decoding, normalization, association, mapping, delivery, retry, audit logging and alerts. Defects in this layer are ours to fix.

Security and PHI

Device data is PHI once it is linked to a patient. We sign a BAA, encrypt in transit and at rest, and work inside our ISO 27001:2022 certified management system.

Deliverables

Medical device integration deliverables

Everything lands in your repository and your runbook.

01

Device interface specification

Per device family: transport, profile or API, fields, units, timestamps, status flags and sample payloads.

02

Connectors in your repository

BLE, mobile, cloud or gateway connectors with configuration per device model kept out of the code.

03

Terminology and unit maps

MDC to LOINC and UCUM maps with reviewer sign-off and a queue for new device models.

04

FHIR and HL7 v2 mappings

Device, DeviceMetric and Observation profiles, and ORU^R01 layouts for EHR flowsheets.

05

Test evidence on real hardware

Pairing, reconnect, stored-record download, clock drift, duplicate, missing-data and wrong-patient cases.

06

Monitoring and runbook

Silence and data-quality alerts, a support runbook and a checklist for onboarding the next device model.

Delivery phases

Medical device integration timeline

A first device family into one product typically takes 8 to 14 weeks. Device access, vendor agreements and EHR testing set most of that date, so we request them in week one.

  1. 01

    Discovery and device access

    Weeks 1 to 2

    Devices and developer access secured, data contract drafted, regulatory boundary agreed

  2. 02

    Connector build

    Weeks 2 to 7

    Connectors and normalization built and tested against real units and recorded payloads

  3. 03

    EHR and product delivery

    Weeks 5 to 11

    FHIR or HL7 v2 delivery built, patient association tested, clinical review workflow signed off

  4. 04

    Pilot and hypercare

    Weeks 9 to 14

    Pilot with a small patient group or unit, monitoring live, runbook handed over

Cost drivers

What drives medical device integration cost

You get a fixed scope and price after one scoping call. These are the factors that move it.

Number of device models

Each model needs its own test units and field testing, even within one standard profile.

Transport

A standard Bluetooth profile is quicker than a proprietary GATT service or a new vendor cloud.

EHR write-back

Writing into Epic or Oracle Health flowsheets adds the health system's build and test cycle.

Association model

Home devices bound to one patient are simpler than shared stations and bedside devices.

Clinical rules

Thresholds, escalation routing and review queues add workflow and acceptance testing.

Support level

Monitoring, device onboarding and on-call support are priced per connection.

Get a fixed scope on a 30-minute call ↗

Proof

Device integration work you can check

Client names are withheld. The work below is delivered and described without identifying the client.

Anonymized delivered work

Offline screening EMR with connected devices

A rural screening program runs our offline-first EMR in clinics where power and network drop out. Blood pressure, pulse and oxygen readings are captured from connected devices on the visit and reconciled to the central record when a signal returns.

Anonymized delivered work

Contactless health screening kiosk

We built the software behind a public-venue screening kiosk: guided contactless vitals capture and private result delivery to each person who steps up.

Anonymized delivered work

Consumer health records with wearable data

We took over a live consumer health records app and unified provider records with each user's own wearable data into one health timeline, shipping to the app stores throughout.

Nirmitee platform

Interoply integration platform

Our platform runs device, HL7 v2, FHIR and X12 connectors behind one API, with monitoring and replay built in.

See Interoply →

Security

ISO 27001:2022 certified, BAAs signed

We are ISO 27001:2022 certified and sign Business Associate Agreements for work that touches patient data.

FAQ

Medical device integration: questions buyers ask

What is medical device integration?

Medical device integration is the software that moves measurements from devices such as blood pressure cuffs, pulse oximeters, glucose meters, bedside monitors and wearables into clinical systems. It covers the connection to the device or its cloud, decoding and normalization, association with the right patient, delivery to the EHR or your product and monitoring of the whole path.

Which devices and platforms do you integrate?

Standard Bluetooth health devices, Apple HealthKit and Android Health Connect, manufacturer clouds for cellular cuffs, scales, CGMs and wearables, and hospital monitors, pumps and vitals carts through device gateways that emit HL7 v2. When a device has no public interface we assess its SDK, GATT service or export format and build the connector.

What is IEEE 11073 and do we need it?

IEEE 11073 is the family of standards for medical device communication. The 20601 exchange protocol and the 104xx specializations cover personal health devices, the 10101 nomenclature supplies the MDC codes used across devices and gateways, and SDC covers networked point-of-care devices. You need it when your devices or gateways speak it, and its codes are useful even when they do not.

How do device readings get into Epic or Oracle Health?

Two routes. Hospital device gateways send HL7 v2 ORU^R01 messages under the IHE PCD Device Enterprise Communication profile into the EHR's device integration module, where nurses validate readings before they chart. Remote monitoring products usually write FHIR Observations or send ORU^R01 through an interface the health system enables. We scope which route each customer supports.

How do you make sure a reading is linked to the right patient?

Association is designed per setting. Home devices are bound to a patient at enrollment by serial number or UDI, shared stations open a session per person and reset afterward, and bedside devices are associated through the gateway and the patient's encounter. Unmatched readings go to a review queue instead of guessing.

Is device integration software regulated by the FDA?

Software that only transfers, stores, converts or displays device data is a medical device data system under 21 CFR 880.6310 and is outside the device definition under section 520(o)(1)(D) of the FD&C Act. Software that analyzes device data to drive alarms or active patient monitoring is a device software function. We design the boundary with your regulatory lead.

Can you map device data to FHIR?

Yes. We model readings as FHIR R4 Observations with LOINC codes, UCUM units and US Core 6.1.0 vital signs profiles, with Device and DeviceMetric resources for the source and Provenance for how the value arrived. For personal health devices we follow the HL7 Personal Health Device guide, and for hospital devices the Point-of-Care Device guide.

How do you handle missing, duplicate or delayed readings?

Bluetooth devices store readings and upload them in bursts after reconnect, so we de-duplicate on device, time and value, correct for clock drift and keep the original timestamps. A missing permission or an offline device is reported as missing data, never as a zero, and silence alerts fire when a patient's device stops reporting.

Can you build a remote patient monitoring platform as well as the connectors?

Yes. We build connectors on their own or the full RPM product around them: patient app, care team dashboard, review queues, time tracking and billing data. Our remote patient monitoring software page covers that end-to-end scope.

How long does a medical device integration take?

A first device family into one product typically takes 8 to 14 weeks. Device access and vendor agreements, the number of models and any EHR write-back set most of the date. Each additional model on the same standard profile is much faster because the connector and mappings already exist.

How much do medical device integration services cost?

Cost depends on the number of device models, the transport, whether you write back to an EHR, the patient association model, the clinical rules and the support level. We give a fixed scope and price after one scoping call.

Do you sign a BAA for device data?

Yes. Device readings become PHI once linked to a patient. We sign Business Associate Agreements, encrypt data in transit and at rest, keep audit logs and work inside our ISO 27001:2022 certified management system.

Next step

Connect your first device family

Tell us the devices, the care setting and where the data has to land. An engineer replies with the connection path, what the vendor and EHR will ask for and a fixed scope.

Start with your workflow

Tell us about your devices

Share the device makes and models, where the readings should land and your target date. Use de-identified examples only. Read by an engineer, answered within one business day.

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