Standards-compliant FHIR, done right the first time
FHIR (Fast Healthcare Interoperability Resources) is the modern standard for exchanging healthcare data — and the foundation of US regulatory interoperability under the 21st Century Cures Act and USCDI. But a FHIR endpoint is only useful if it is conformant: correct resource profiles, terminology bindings, search parameters and security. We build FHIR APIs and apps that pass validation and actually interoperate with Epic, Oracle Health, athenahealth and any USCDI-compliant system.
Our team designs and implements FHIR R4 resource models and CapabilityStatements, builds SMART on FHIR applications with OAuth 2.0 / OpenID Connect launch flows, constrains resources to US Core profiles, sets up Bulk FHIR ($export) pipelines for population-level data, and implements CDS Hooks for point-of-care decision support. Every payload is validated against the relevant profiles before it ships.
- FHIR R4 APIs, resources & CapabilityStatements
- SMART on FHIR apps with OAuth 2.0 / OIDC
- US Core & USCDI profile conformance
- Bulk FHIR ($export) & CDS Hooks services
What's Included
Everything you need, delivered by a senior, security-first team.
FHIR API Development
Design and build conformant FHIR R4 REST APIs with custom search parameters and CapabilityStatements.
SMART on FHIR Apps
Provider- and patient-facing apps with EHR launch, OAuth 2.0 scopes and OpenID Connect.
US Core & USCDI
Constrain resources to US Core profiles with correct terminology (SNOMED CT, LOINC, RxNorm, ICD-10-CM).
Bulk FHIR Export
$export pipelines for population health, analytics and payer-to-payer data exchange.
CDS Hooks
Real-time clinical decision support triggered inside the clinician workflow.
HL7 v2 to FHIR
Bridge legacy HL7 v2 and CCDA data into FHIR resources with validated mapping.
Conformant FHIR APIs and SMART on FHIR apps
FHIR (Fast Healthcare Interoperability Resources) is the modern, RESTful standard for healthcare data — and the backbone of US regulatory interoperability under the 21st Century Cures Act. A FHIR endpoint only delivers value when it is genuinely conformant: correct resource profiles, terminology bindings, search parameters, security and a valid CapabilityStatement. We build FHIR APIs and apps that pass validation and interoperate with the systems your users actually run.
What we build with FHIR
- FHIR R4 REST APIs — resource models, custom search parameters, operations and a conformant CapabilityStatement.
- SMART on FHIR apps — provider-facing (EHR launch) and patient-facing (standalone launch) apps secured with OAuth 2.0 scopes and OpenID Connect.
- US Core & USCDI conformance — resources constrained to US Core profiles with SNOMED CT, LOINC, RxNorm and ICD-10-CM terminology.
- Bulk FHIR ($export) — population-level extracts for analytics, quality reporting and payer-to-payer exchange.
- CDS Hooks — real-time clinical decision support surfaced inside the clinician workflow.
- HL7 v2 ↔ FHIR bridging — turn legacy ADT/ORU messages and CCDA documents into validated FHIR resources.
Platforms and EHRs we work with
We build on HAPI FHIR and managed cloud FHIR services — AWS HealthLake, Azure Health Data Services and Google Cloud Healthcare API — and integrate with major EHR FHIR endpoints including Epic, Oracle Health (Cerner) and athenahealth.
Built for Cures Act compliance
Standardised API access to USCDI data is a core requirement of the ONC Cures Act Final Rule. We design your FHIR APIs and Bulk FHIR capabilities to align with those requirements — and, because we also run HIPAA and security programs, we can make sure the whole thing is compliant end to end, not just standards-valid.
How the Engagement Works
Discover
We assess your current state, goals and constraints.
Design
A secure, costed plan with clear milestones and SLAs.
Deliver
Iterative, auditable execution with security built in.
Operate
Ongoing optimisation, monitoring and support.
Pairs Well With
HL7, FHIR & EDI Integration
Healthcare interoperability: HL7 v2, FHIR, X12 EDI and interface engines connecting EHRs, labs, payers and devices.
Learn moreMirth Connect Services
Mirth Connect (Open Integration Engine) implementation, channel development, upgrades and 24/7 support for HL7 & FHIR interfaces.
Learn moreFHIR Interoperability
FHIR R4 APIs, SMART on FHIR apps, US Core & USCDI conformance and Bulk FHIR pipelines for Cures Act compliance.
Learn moreFrequently Asked Questions
HL7 v2 is the long-established messaging standard using pipe-delimited messages (ADT, ORU, etc.), while FHIR is a modern, RESTful, resource-based standard that uses JSON/XML and web APIs. Many organisations run both — we build FHIR APIs and also bridge legacy HL7 v2 and CCDA data into FHIR resources.
SMART on FHIR is a framework that adds an OAuth 2.0 / OpenID Connect security and app-launch layer on top of FHIR, letting third-party apps securely access EHR data with scoped permissions. We build both provider-facing (EHR launch) and patient-facing (standalone launch) SMART apps.
Yes. We constrain FHIR resources to the US Core implementation guide, apply the required terminology bindings and search parameters, and validate every resource so your API meets USCDI requirements under the 21st Century Cures Act.
We design FHIR APIs and Bulk FHIR export capabilities that align with the ONC Cures Act Final Rule, including standardised API access to USCDI data — as part of your broader compliance strategy, which we can also support on the HIPAA and security side.
We work with HAPI FHIR, cloud FHIR services (AWS HealthLake, Azure Health Data Services, Google Cloud Healthcare API) and integrate with major EHRs such as Epic, Oracle Health and athenahealth via their FHIR endpoints.
Ready to get started with FHIR Interoperability?
Book a free consultation — we'll map a secure, practical path forward.