Connect to Any FHIR-Compliant EHR in Minutes
Integrate with Epic, Cerner, Athena, and any FHIR R4 server without moving data. Direct queries mean PHI stays in the EHR. Zero centralization. HIPAA-by-design.
FHIR integration with multiple EHRs
EHR Integration Creates Data Governance & HIPAA Risks
Custom EHR integrations centralize patient data into separate systems, creating HIPAA risk and data governance nightmares. Custom integrations take months. Data synchronization creates latency. EHR updates break connections.
Custom EHR integration time: 3-6 months
Cost: $100K-$500K per EHR
Data latency: 1-24 hours (batch sync)
Centralized PHI systems: Regulatory risk
FHIR R4 Direct Queries—No Data Movement
HDIM queries live FHIR R4 EHR data directly. No data centralization. No ETL. No synchronization jobs. Patient data stays in the EHR. Real-time queries. HIPAA-by-design.
FHIR R4 standard queries (not proprietary)
OAuth2 + SMART on FHIR authentication
Multi-EHR orchestration (Epic, Cerner, Athena, etc.)
Direct queries (no data movement)
What Sets Us Apart
No Data Movement
Direct FHIR queries eliminate data centralization. PHI never leaves the EHR. 5-minute cache compliance with HIPAA.
Multi-EHR Out of the Box
Single unified query interface across Epic, Cerner, Athena, Medidata, AllScripts, and any R4 server.
HIPAA-by-Design
No data warehousing. No synchronization risk. Query-based architecture eliminates common compliance gaps.
FHIR Integration Process
Configure Endpoint
Register FHIR R4 server URL. OAuth2 client credentials. Point-and-click configuration.
Authenticate
OAuth2 handshake with EHR. User consent flow (SMART on FHIR). Tokens securely stored.
Test Connection
Verify connectivity with test queries. Check patient discovery, resource retrieval. Confirm performance.
Map Cohorts
Define patient cohorts using FHIR query logic. Existing cohorts from EHR or build new ones.
Execute Queries
Run HDIM processes against live EHR data. Care gaps, HEDIS measures, risk scores—all real-time.
FHIR Integration Capabilities
HAPI FHIR 7.x with enterprise-grade features
HAPI FHIR 7.x (Industry-Leading)
Built on most-used FHIR library. Complete R4 support. Validated against official HL7 test suites.
Multi-EHR Support
Epic, Cerner, Athena, Medidata, AllScripts, NextGen, Greenway, Kareo, and any FHIR R4 server.
OAuth2 & SMART on FHIR
Industry-standard authentication. User consent flows. Token refresh and secure storage.
Direct Live Queries
No batch synchronization. Direct FHIR R4 REST calls. Real-time data. Millisecond latency.
All R4 Resources Supported
Patient, Practitioner, Organization, Condition, Observation, Procedure, Medication, Encounter, and more.
Caching (HIPAA Compliant)
Optional query-result caching with 5-minute TTL. Reduces latency without HIPAA risk.
Integration Success Stories
Customer Success
Health System (Multi-EHR)
Challenge
Epic main campus, Cerner clinics, Athena urgent care. Custom integrations would be 3 systems × $200K = $600K.
Solution
Single HDIM instance with FHIR R4 connectors to all three EHRs. Direct queries, no centralization.
Impact
Unified Quality Reporting Across 3 EHRs
- ✓Integration cost: $600K → $80K
- ✓Setup time: 3 months → 2 weeks
- ✓Data latency: 24 hours → Real-time
- ✓HIPAA risk: Eliminated (no centralization)
Customer Success
ACO Network (20 Clinics, 5 EHRs)
Challenge
Each clinic had different EHR. Unified reporting seemed impossible without $1M+ data warehouse.
Solution
HDIM FHIR connectors orchestrated across all 5 EHRs with single unified interface.
Impact
Unified ACO Dashboard Across 5 EHRs
- ✓Clinics integrated: 20 (5 different EHRs)
- ✓Patients: 250K real-time visibility
- ✓Data freshness: Real-time (vs. nightly batch)
- ✓Cost vs. warehouse: 70% savings
Customer Success
Regional Payer
Challenge
Wanted real-time provider performance visibility. FHIR adoption was new for payer.
Solution
Guided integration with delegated health systems. Trained on FHIR and OAuth2.
Impact
Real-Time Provider Performance Visibility
- ✓Provider FHIR adoption: Accelerated
- ✓Performance data freshness: Real-time (vs. claims lag)
- ✓Hidden readmission risk: Earlier identification
- ✓Care coordination: 25% faster
Technical Specification
FHIR Support
Authentication & Security
Query Performance
API Endpoints
Compliance & Data Privacy
No Data Centralization
Direct FHIR queries mean PHI never leaves EHR. Eliminates centralized data governance and HIPAA risk.
Audit Logging
All FHIR queries logged with timestamp, user, endpoint. Exportable for compliance review.
Cache Compliance
Optional caching with automatic 5-minute TTL. HIPAA compliant per OCR guidance.
Access Control
OAuth2 ensures only authorized users access FHIR data. EHR-native access controls respected.
Pricing & ROI
Pricing Model
Per-EHR Connection + Data Volume
Typical Investment
$20K-$50K per EHR connection, or $100K-$200K/year for multi-EHR setup
Multi-EHR: Far cheaper than custom integrations ($500K+)
No data warehouse: Ongoing savings on infrastructure
Real-time: Enables revenue-generating features (care coordination, readmission prevention)
Related Capabilities
Care Gap Detection
Identify and close care gaps in real-time using FHIR queries and automated detection across 52+ HEDIS measures.
HEDIS Evaluation
52 NCQA-validated HEDIS measures. Real-time CQL evaluation, historical trending, and submission-ready QRDA exports.
Multi-Tenant Security
Enterprise isolation with complete tenant separation. Database RLS, independent encryption, zero data leakage.