Capability
Integrations Engineering
EHR, API, and healthcare data integrations that connect your clinical and operational systems — HL7 v2, FHIR R4, EDI 837/835, and custom vendor APIs.
“Integrations built on FHIR R4 standards are more durable and vendor-interoperable than one-off API bridges — and healthcare data pipelines that handle PHI correctly at the source avoid the expensive retrofits that come from getting it wrong.”
How we approach it
Four pillars of this capability.
EHR Connectivity
Epic FHIR, Athena API, eClinicalWorks, Elation, or custom HL7 v2 interfaces — production experience across the systems your patients and providers actually use.
Data Normalization
FHIR R4 resource mapping, terminology standardization, and ICD/SNOMED/LOINC alignment — so downstream systems receive consistent, queryable data.
PHI-Safe Data Pipelines
Encrypted transit, tokenization, and de-identification where needed — with a documented PHI data flow map as a standard deliverable for BAA purposes.
Real-Time & Batch Patterns
Webhooks, event-driven architecture, scheduled ETL, and change data capture with Supabase — the right pattern for the latency and volume of your use case.
What we ship
Deliverables for every engagement.
- Integration architecture design document
- FHIR R4 or HL7 v2 connector implementation
- Data transformation and normalization layer
- PHI handling documentation for BAA compliance
- Error handling, retry logic, and dead-letter queue
- Monitoring and alerting setup
- Integration test suite
Popular verticals
Integrations Engineering by industry.
Integrations Engineering for Clinics & Specialty Practices
Read more →Healthcare SaaS FoundersIntegrations Engineering for Healthcare SaaS Founders
Read more →Telehealth & Digital HealthIntegrations Engineering for Telehealth & Digital Health
Read more →Compounding PharmaciesIntegrations Engineering for Compounding Pharmacies
Read more →HRT ClinicsIntegrations Engineering for HRT Clinics
Read more →The productized version of this capability.
Healthcare Data Infrastructure is a core AXIFI solution — the productized integration and data layer for clinical operations.
Common questions
Frequently asked questions.
Ready to build this capability?
We scope before we build — so you know the timeline and cost before any code is written.