EHR integration for clinical systems and patient data workflows

[Integration]EHR Integration Services

EHR integration services that keep clinical and operational data moving reliably across your ecosystem. We connect EHRs with LIS, PACS, billing, portals, and third-party platforms using HL7, FHIR, and secure APIs – with monitoring and governance built in.

  • HL7 v2 interfaces, FHIR integrations, and API-based connectivity
  • EHR ↔ LIS connectivity for orders, results, and status updates
  • EHR ↔ PACS / imaging workflows and data routing
  • EHR ↔ billing/RCM integrations and downstream automation
  • Interface monitoring, alerting, and integration governance for stability

What our EHR integration services cover

EHR integration services should support real operational workflows – not just “connect systems.” For example, orders, results, and imaging updates must move reliably between teams and tools. That’s why we design, build, and maintain integrations that keep data consistent across your EHR and the systems around it.

When teams engage us for EHR integration services, scope typically includes:

  • EHR ↔ LIS connectivity for orders, results, and status updates
  • EHR ↔ PACS / imaging routing and report delivery workflows
  • EHR ↔ billing/RCM handoffs that reduce duplicate entry and rework
  • Patient, provider, and encounter data synchronization across systems
  • Secure API-based integrations with portals and third-party applications
  • Optional monitoring and governance patterns to keep interfaces stable over time

Most EHR integrations follow a small set of repeatable patterns. However, the risk usually lives in the edge cases – acknowledgements, exceptions, and real-world routing rules. Therefore, we confirm workflow owners and “must-not-fail” scenarios first, and then validate the data path end to end.

Common workflows include:

  • Lab orders placed in the EHR and delivered to the LIS with acknowledgements and exception handling
  • Results returned to the EHR with consistent formatting and clear status tracking
  • Imaging order coordination and report/document delivery tied back to the clinical record
  • Automated downstream routing to analytics and operational workflows (as required)
  • Data normalization and mapping so multiple sources remain consistent over time

We choose the integration method based on your EHR’s capabilities and the workflow requirements. In many environments, HL7 v2 still powers operational messaging; meanwhile, FHIR and vendor APIs are often better for modern app connectivity. As a result, we align the standard to the outcome you need – not the other way around.

We select the integration method based on your EHR’s capabilities, partner constraints, and workflow requirements:

  • HL7 v2 interfaces for event-driven operational messaging
  • FHIR integrations (including common R4 patterns) when supported and appropriate
  • Secure REST API integrations for modern platforms and partner systems
  • CDA / document-based exchange when clinical document delivery is the best fit

Keeping EHR integrations reliable in production

Reliable EHR integrations depend on more than code. They require visibility, ownership, and a plan for change. We help teams reduce integration downtime by improving observability and integration governance practices.

  • This includes:
    Practical monitoring and alerting approaches for critical interfaces
  • Clear ownership and escalation paths when failures occur
  • Change control practices so EHR upgrades and partner changes don’t break production workflows
  • Documentation standards that reduce troubleshooting time and repeated rework

EHR integrations often move protected health information, so security and compliance need to be built into the integration approach. We follow least-privilege access patterns and support secure transport and audit-ready logging practices appropriate for healthcare environments.

We also help teams establish operational guardrails – like access reviews, change workflows, and incident handling – so integrations remain safe and stable as systems evolve.

Different teams need different levels of support. We offer flexible engagement options depending on whether you need delivery capacity, strategic guidance, or ongoing integration help.

  • Project-based delivery for a defined workflow or interface build
  • Ongoing integration support for maintenance, improvements, and operational continuity
  • Consulting and training to strengthen internal teams and improve long-term integration outcomes

Our delivery process

EHR integration services run smoother when delivery is predictable. We keep scope clear, validate assumptions early, and document decisions so your integrations stay maintainable.

  • file pdf
    Discovery & Scope
    We confirm the workflow, systems in scope, success criteria, and the exact outcomes you need in production.
  • plug 2
    Build the Connection
    We implement the interface using the right approach for your environment (HL7, FHIR, or secure APIs) and align routing and acknowledgements.
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    Milestones & Timeline
    We break work into clear milestones so you can track progress and make informed decisions along the way.
  • Mapping & Design
    We define field mappings, transformations, and normalization rules so data is consistent across systems.
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    Validation & Testing
    We validate standard scenarios and failure paths to reduce surprises at go-live and protect workflow reliability.
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    Go-live & Stabilization
    We support cutover, monitor early production behavior, and stabilize quickly if issues appear.
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    Security & Access Control
    We follow least-privilege access patterns and support secure transport and audit-ready logging practices.
  • Documentation & Handoff
    You receive interface specs, mapping artifacts, and an operations runbook for ongoing maintenance and support.

EHR integration service options

Contract EHR Integration Development Services

Need help with a tricky EHR Integration? Contract with us to build your integration. We’ll provide you with the experience and resources to build any EHR integration.

Managed EHR Integration Development Services

Need long-term EHR Integration Services? We’ll provide all of the resources needed to manage hundreds of integrations and become an extension of your current team. We’ll take the burden of EHR integrations off of your team’s shoulders, freeing them up to spend time on other important activities.

EHR Integration Hosting

We’ll host your integrations for you for a low monthly fee. Our hosting service comes with daily backups, 24/7 security, HIPAA compliance, and complimentary EHR integration monitoring.

EHR Integration Monitoring

When timely, accurate data exchange is a necessity, we provide 24/7, HIPAA-compliant integration monitoring tools to trigger a rapid responses to errors or unexpected downtime. When something goes wrong, our team is there in minutes, not days.

EHR Integration Strategy

Not sure how your organization should approach EHR integrations? We can help you build an EHR integration strategy tailored to your use cases, clients, goals, and budget.

EHR Integration Development Consulting

Have all of the resources you need, but want some expert EHR integration guidance? Our consultants can answer any questions you may have about EHR integrations.

[Why choose us]Here are 4 reasons why you should choose us

  • Experienced
    Our team has successfully addressed hundreds of healthcare interoperability challenges.
  • Security First
    Our team adheres to industry-standard best practices in cybersecurity and HIPAA compliance.
  • Exceptional Service
    Our US-based team delivers fast, comprehensive interoperability services that enhance your offerings.
  • 24/7/365 Availability
    We understand that healthcare is a round-the-clock responsibility, which is why we provide 24/7/365 support for your mission-critical integrations.
Healthcare data integration illustration showing cloud systems, servers, and secure medical data storage

[FAQ]EHR Integration Service FAQs

EHR integration is the process of connecting an EHR with other clinical and operational systems so data can move reliably across workflows – commonly through HL7 v2, FHIR, and secure APIs.

Timelines vary based on scope, vendor constraints, and test access. Many projects start showing progress quickly once requirements and environments are in place.

We implement integrations using the standards and interfaces available in your environment. Capabilities depend on EHR configuration, licensing, and access provided by the vendor or your organization.

The most common causes are unclear requirements, weak mapping, poor exception handling, and missing governance for change. A reliable process, strong validation, and operational ownership reduce risk significantly.

Yes – teams often need stabilization after go-live and ongoing support for changes over time. We can align on the right level of support based on your environment and priorities.

We can integrate with any EHR system, including major EHR platforms like Epic, Cerner, Allscripts, Meditech, and athenahealth, as well as smaller or custom EHR platforms. Our expertise balances the high level process of EHR integrations and the nuances between EHR platforms to ensure we can support any integration use case.

The timeline to build an EHR integration depends on the complexity of your use case, which EHR system is involved, and your client’s implementation of their EHR. However, most simple to moderate complexity integrations are completed within 4-6 weeks. We provide detailed timelines after reviewing your EHR integration needs.

We adhere to strict security protocols to protect patient data and ensure compliance with HIPAA and other relevant healthcare regulations. Our EHR Integrations prioritize data security, encryption, and privacy at every stage of the integration process.

We commonly build integrations that enable the exchange patient demographics, clinical notes, lab results, medication lists, appointment details, and more. The data that can be exchanged between systems is dependent on the capabilities of both your platform and the EHR platform you want to integrate with.

We can support EHR Integrations using any data format, but most commonly use HL7v2, FHIR STU3, FHIR R4, and CDA for most integration use cases. We build EHR integrations based on the intended use case, selecting the best data format standard for the job.

Our team has used the following data formats to build EHR integrations:

  • HL7 v2
  • HL7 v3 (CDA)
  • FHIR (HL7 v4)
  • CSV
  • JSON
  • XML
  • ASTM
  • DICOM
  • Embedded PDFs
  • TXT

Our team has used the following connectivity methods to build EHR Integrations:

  • SFTP
  • FTPS
  • VPN
  • Fax
  • AWS S3
  • REST API
  • SOAP API
  • SMTP

We build the data mapping and transformation processes inside of the integration engine, also known as the interoperability layer. The Interoperabilty layer sits between your platform, and all of the other systems that you need to integrate with. This interop layer handles all of the data mapping, data transformation, and data routing logic, kept separate from your core platform to ensure maximum compatibility.

Yes, we offer post-integration support, monitoring, and maintenance services to ensure that your EHR integration remains functional, secure, and up-to-date with any changes stemming from your platform or your client’s EHR.

Our integration solutions are designed to be scalable, so they can grow with your business. Whether you are adding new features, integrating with additional EHR systems, or expanding into new markets, we ensure that your integration framework can handle increased demand.

Common challenges include differences between integration specifications and production environments, lack of communication or support from EHR vendors, varying EHR implementations between clients using the same EHR platform. Our team has extensive experience in overcoming these challenges by leveraging our EHR Integration validation process, minimizing the reliance on EHR vendors, and desging EHR integrations to be configurable to achieve data exchange with custom EHR implementations that vary by organization.

We perform rigorous testing during the development and validation process to ensure that the data is accurate and transferred without errors. We also offer also real-time EHR integration monitoring to maintain data integrity for the lifetime of the integration.


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