Interoperability Strategy

Strategic guidance for healthcare data exchange, EHR integration, and clinical interoperability initiatives.

Navigate Healthcare Interoperability

Healthcare interoperability is complex—technically, commercially, and politically. Should you integrate directly with Epic's FHIR APIs or use a data aggregator? Is CDS Hooks the right approach for your clinical workflow? How do you handle the fact that every Epic instance implements FHIR differently?We provide interoperability strategy consulting for healthcare organizations planning data exchange initiatives. Our guidance is based on real implementation experience—we've built FHIR data stores, CDS Hooks systems, and EHR integrations that actually work in production at scale.

Interoperability Strategy Services

FHIR Integration Strategy

Develop your FHIR integration roadmap—which resources to prioritize, how to handle implementation variations across EHR vendors, and whether to build direct integrations or use intermediary platforms.

Epic Integration Planning

Navigate Epic's ecosystem of integration options: App Orchard, SMART on FHIR, CDS Hooks, MyChart integration, and direct FHIR APIs. We help you choose the right approach for your use case and go-to-market strategy.

CDS Hooks Strategy & Planning

Determine if CDS Hooks is the right approach for your clinical decision support needs. We help you understand the implementation costs, testing requirements, and site-by-site configuration work involved.

Data Aggregator Evaluation

Assess whether platforms like Particle Health, Health Gorilla, or Redox make sense for your integration needs—or if direct EHR connections are more appropriate. We evaluate cost, coverage, and technical trade-offs.

Clinical Workflow Integration

Design integrations that fit naturally into clinical workflows rather than disrupting them. We help you understand provider behavior, EHR UI constraints, and change management requirements.

Interoperability Roadmap Development

Build a phased interoperability implementation plan that sequences EHR connections, data standards adoption, and clinical integration milestones based on your business priorities and resource constraints.

Real-World Implementation Experience

Built FHIR Data Stores at Scale

We built the FHIR data store integration for 1upHealth, handling data exchange across their network of healthcare providers. We understand the challenges of FHIR at scale, not just in sandbox environments.

Developed Production CDS Hooks Systems

We've built clinical decision support systems using CDS Hooks that run in production Epic environments. We know the difference between the specification and the reality of implementation—including the expensive testing and site-specific configuration required.

Created Consent-Based Data Marketplaces

We built the FHIR ecosystem powering HealthVerity's consent-based identifiable data marketplace. This required solving complex interoperability challenges around data provenance, consent management, and multi-source data integration.

Understand EHR Vendor Ecosystems

We've worked with Epic, Cerner, and other major EHR vendors across multiple implementations. We understand how they really work, not just how their documentation says they should work.

PHI De-identification Technology

We built MedScrub, a HIPAA-compliant de-identification proxy that enables healthcare applications to safely use large language models without exposing PHI to external API providers.

Planning a Healthcare Data Integration?

Schedule a 30-minute discovery call to discuss your FHIR implementation, Epic integration, or interoperability strategy.