A healthcare IT interoperability consultancy. We work the seams between Epic, Cerner, and everything around them — interface engines, FHIR APIs, migrations, dashboards, and the HIPAA posture underneath.
Healthcare IT isn't broken because nobody cares. It's broken because the systems were never designed to talk to each other — and the people stuck patching the gap are the same people trying to keep patients alive.
We work the seams. HL7 v2 feeds, FHIR APIs, X12 claims, interface engines, and the audit trail underneath. Source systems, exchange layers, core platforms, processing pipelines, and the dashboards that turn data back into care. Below is the simplified shape of a healthcare data pipeline we've shipped variations of dozens of times.
Source systems push patient and clinical data through standards-based exchange layers into the core EHR. We organize, validate, and route that data into reporting, decisions, and improved care — without breaking the workflow underneath.
Smart Phrases, order sets, MyChart flows, PowerChart sidebars, BPAs that fire when they should and stay quiet when they shouldn’t. Tuned with the clinicians who live in it.
Legacy EHR cutovers, conversion mapping, historical chart loads, deduplication of patient identities. We move the data and the audit trail with it.
Power BI and Tableau on top of Clarity, Caboodle, HealtheIntent, or a clean FHIR warehouse — quality measures, throughput, and program ROI clinical leadership will actually open.
BAA-first cloud architecture, audit logging, encryption at rest and in flight, role-based access. Built for the security questionnaire before it arrives.
ADT messages stuck in the queue, ORU results landing in the wrong chart, FHIR Bundles failing validation. We read the logs, fix the mapping, and write the runbook.
Buyers in this space want to see fluency, not buzzwords. Here are the message types, resources, and profiles we read, write, and troubleshoot every week.
Four hospitals running Epic, Cerner, Meditech, and a legacy Allscripts instance, with a care-management team duct-taping CSVs between them. We replaced point-to-point HL7 v2 feeds with a Mirth-fronted FHIR R4 layer, normalized Patient and Encounter identities, and put a single discharge workflow on top. Time to document a discharge plan dropped from 22 minutes to under 4.
Interoperability is the practice, not a side line. We speak Epic, Cerner, HL7, and FHIR fluently — and we talk to your clinical team in their language and your IT team in theirs.
BAA on file before any PHI moves. HIPAA, SOC 2, HITRUST, and NIST 800-66 mapped to every project from week one — never bolted on after.
Real engineers on day one — Austin, Texas, Central Time, with the documentation hygiene US healthcare buyers and their security teams expect.
The team that built the interface operates it. SLA-backed support, documented runbooks, and pages that get answered by the engineer who wrote the mapping.
We're allergic to the agency theater of kickoff decks and discovery PDFs. This is what you actually get.
Two weeks of structured discovery. We listen, audit, and write a single shared brief — no decks of slides, no shifting goalposts.
Architecture, data flow, compliance posture, and UX. We design the system AND the team that will maintain it after we're gone.
Senior engineers from week one. Weekly demos. No black-box phases, no surprise retrospectives — you stay in the room.
The team that built it stays available. SLA-backed support, on-call, and continuous improvement that doesn't require a new SOW each time.
No discovery deck. No 47-page proposal. Tell us what you're building and we'll come back within 48 hours with a real technical read.
