FHIR Integration & Implementation Services — India & USA
Leading FHIR Integration Company — FHIR R4/R5 Using Mirth Connect India & USA
Taction Software is a trusted healthcare interoperability company delivering expert FHIR integration, implementation, and consulting services using Mirth (Nextgen) Connect — helping hospitals, clinics, payers, and digital health companies achieve seamless, standards-compliant healthcare data exchange across EHR/EMR systems, APIs, and patient portals.
FHIR Integration Company Delivering Mirth Connect Consulting for Healthcare Organizations
Fast Healthcare Interoperability Resources (FHIR) is the modern international standard for electronic healthcare information exchange — developed by HL7 International to address the fragmented, siloed nature of healthcare data across hospitals, clinics, payers, laboratories, and digital health applications. Taction Software is a trusted FHIR integration and implementation company in India & USA, delivering expert FHIR R4 and R5 solutions using Mirth (Nextgen) Connect, custom FHIR APIs, and SMART on FHIR application development for healthcare organizations worldwide.
As healthcare records become increasingly digitized and patients move across care settings, the need for reliable, real-time, standards-based data exchange has never been more critical. Our FHIR practice helps hospitals, health systems, payers, digital health companies, and healthcare IT vendors implement FHIR-based interoperability solutions that comply with US regulatory mandates (CMS Interoperability Rule, ONC 21st Century Cures Act), international FHIR standards, and emerging SMART on FHIR application ecosystem requirements — all delivered with the technical rigour and healthcare domain expertise that patient data demands.
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FHIR Integration Services
Comprehensive FHIR Integration & Implementation Services
Taction Software delivers the full spectrum of FHIR services — from FHIR strategy consulting and API development through EHR integration, SMART on FHIR application development, regulatory compliance, and ongoing FHIR support and maintenance.
FHIR Integration Using Mirth Connect
Mirth (Nextgen) Connect is the world’s most widely deployed open-source healthcare integration engine — and FHIR’s HTTP connectors, JSON/XML data format support, and JavaScript transformer capabilities make it the ideal platform for building production-grade FHIR integrations. We design and implement complete FHIR integration channels using Mirth Connect — from HL7 v2 to FHIR transformation through FHIR API listener configuration, FHIR resource mapping, and enterprise routing logic.
FHIR API Development & FHIR Server
We develop custom FHIR R4/R5 compliant RESTful APIs and FHIR server implementations — enabling your healthcare application to expose patient data to authorized third-party apps, patient portals, and partner systems using the FHIR standard. Our FHIR API implementations support the full capability statement, all required FHIR interactions, SMART on FHIR authorization, and US Core profile conformance validation.
SMART on FHIR Application Development
SMART on FHIR is the authorization framework that enables third-party applications to securely access patient data from FHIR-compliant EHR systems — with patient or provider consent. We develop SMART on FHIR apps that launch within EHR workflows (EHR launch) or standalone, authenticate via OAuth 2.0, retrieve patient-specific FHIR data, and deliver clinical decision support, patient engagement, or population health analytics within the provider’s existing clinical environment.
FHIR EHR/EMR Integration Services
We integrate your healthcare applications with leading EHR/EMR systems using their native FHIR R4 APIs — enabling bi-directional patient data exchange, real-time clinical data access, and seamless EHR workflow integration. Our team has hands-on experience with Epic’s FHIR API (R4), Oracle Cerner’s Ignite API, Athenahealth’s FHIR API, and several other major EHR platforms’ FHIR interfaces.
CMS Interoperability & Regulatory Compliance
We help US healthcare payers, providers, and healthcare IT vendors achieve compliance with the CMS Interoperability and Patient Access Final Rule (CMS-9115-F) and ONC 21st Century Cures Act Final Rule — both of which mandate specific FHIR R4 API implementations with defined timelines and enforcement mechanisms. Our compliance services cover gap assessment, FHIR API implementation, attestation support, and ongoing compliance monitoring.
HL7 v2 / CDA to FHIR Migration
Many healthcare organizations are migrating from legacy HL7 v2 messaging and CDA/C-CDA document exchange to modern FHIR R4 APIs. We provide comprehensive migration services — mapping legacy message segments and CDA sections to FHIR resources, building transformation pipelines using Mirth Connect, and implementing FHIR-based replacement interfaces that preserve all existing data semantics while modernizing the technical exchange layer.
FHIR Bulk Data & Population Health
The FHIR Bulk Data Access specification ($export operation) enables authorized systems to export large volumes of patient data in NDJSON format — making FHIR the foundation for population health analytics, value-based care reporting, quality measure calculation, and research data sharing. We implement FHIR Bulk Data servers, client export pipelines, and downstream analytics integrations for health systems and payers.
FHIR Consulting & Implementation Strategy
Successful FHIR implementation starts with a clear strategy — understanding your use cases, regulatory requirements, technical constraints, and organizational readiness before any development begins. Our FHIR consultants help healthcare organizations define their FHIR roadmap, select appropriate implementation guides, design their FHIR server architecture, and develop the change management and governance frameworks needed for sustainable FHIR-based interoperability.
FHIR Support, Testing & Maintenance
FHIR implementations require ongoing support — as EHR vendors release API updates, implementation guides evolve, regulatory deadlines shift, and new use cases emerge within your organization. We provide structured FHIR support retainers covering production issue resolution, FHIR conformance testing, API version upgrade management, and proactive monitoring of FHIR endpoint availability and performance.
Why FHIR
Why is FHIR the Global Standard for Healthcare Data Exchange?
FHIR (Fast Healthcare Interoperability Resources) has rapidly become the world’s leading healthcare interoperability standard — mandated by US federal regulation, adopted by leading EHR vendors, and implemented by health systems in over 50 countries. Understanding why FHIR matters is the first step toward unlocking its transformative potential for your organization.
FHIR is Built for the Modern Web
Unlike legacy HL7 v2 messaging or the complex CDA document standard, FHIR is designed around modern RESTful web APIs, JSON and XML data formats, and OAuth 2.0 / SMART on FHIR authentication — the same technologies that power every modern web and mobile application. This means healthcare developers can use familiar tools, standard HTTP clients, and open-source FHIR libraries to build integrations in days rather than months. FHIR’s developer-friendly design has catalysed an explosion of digital health innovation that was impossible under previous standards.
FHIR is Federally Mandated in the USA
The US Centers for Medicare & Medicaid Services (CMS) Interoperability and Patient Access Final Rule (CMS-9115-F) mandates that payers participating in Medicare Advantage, Medicaid, CHIP, and Qualified Health Plans expose patient data via FHIR R4 APIs. The ONC’s 21st Century Cures Act Final Rule requires EHR vendors to support FHIR-based APIs for patient and provider access. Non-compliance carries significant financial penalties. For US healthcare organizations and their technology partners, FHIR implementation is no longer optional — it is a regulatory requirement with concrete enforcement timelines and deadlines.
FHIR Eliminates Healthcare Data Silos
Healthcare has historically been characterized by fragmented, incompatible data systems — patient records locked in proprietary EHR databases, labs unable to share results electronically, payers disconnected from provider clinical data. FHIR’s standardized resource model — with defined data structures for Patients, Observations, Conditions, Medications, Encounters, Practitioners, Organizations, and 150+ other clinical concepts — creates a universal healthcare data vocabulary that enables true interoperability between previously incompatible systems, improving care coordination, reducing duplicate testing, and ultimately improving patient outcomes across the entire care continuum.
Why Mirth (Nextgen) Connect is the Ideal Platform for FHIR Integration?
Mirth Connect (now Nextgen Connect) is the world’s most widely deployed open-source healthcare integration engine, trusted by thousands of hospitals, health systems, and healthcare IT companies for HL7 v2 and FHIR-based interface development. Its combination of native HTTP connectors, JSON and XML data processing, JavaScript-based transformation engine, and FHIR-specific extension capabilities makes it the natural platform for organizations already running Mirth infrastructure who need to extend to FHIR R4.
The Mirth Connect FHIR extension acts much like the standard HTTP Listener channel but with FHIR-aware settings — enabling developers to build FHIR-compliant API endpoints, consume FHIR resources from external FHIR servers, and transform legacy HL7 v2 messages into FHIR R4 resources within the familiar Mirth channel development environment. This means organizations can leverage their existing Mirth infrastructure and interface developer skills to adopt FHIR — without requiring a complete re-platforming of their integration architecture.
Taction Software’s Mirth Connect engineers combine deep Mirth channel development expertise with FHIR R4 specification knowledge — designing FHIR integrations that are not only technically compliant but also operationally maintainable by your internal teams, with comprehensive channel documentation and monitoring dashboard configuration as standard deliverables of every engagement.
01
FHIR Integration Discovery & Channel Design
We map your existing HL7 v2 or legacy data sources to FHIR R4 resource targets — documenting the complete field-level mapping, identifying data quality gaps, and designing the Mirth Connect channel architecture before any development begins.
02
Mirth FHIR Channel Development & Transformation
We build the FHIR integration channels in Mirth Connect — including source connector configuration, JavaScript transformer logic for FHIR resource construction, FHIR API destination connectors, error handling, and comprehensive channel-level logging for audit and troubleshooting purposes.
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FHIR Validation, Testing & Go-Live
We validate all FHIR resources produced by Mirth channels against the FHIR R4 specification and relevant Implementation Guide profiles using the HL7 FHIR Validator — ensuring conformance before go-live. Production deployment includes monitoring dashboard configuration and runbook documentation for your operational team.
FHIR Standard Overview
Understanding the FHIR Standard — Components, Resources & Specification
FHIR is a comprehensive healthcare interoperability framework built around standardized data resources, RESTful APIs, and implementation guides. Understanding its structure is essential for successful FHIR implementation.
FHIR Resources — The Building Blocks
- Resources are the fundamental unit of FHIR — each representing a distinct healthcare concept
- 150+ defined FHIR resources: Patient, Observation, Condition, Medication, Encounter, DiagnosticReport, Practitioner, Organization, and more
- Each resource has a defined structure with mandatory and optional elements
- Resources are exchanged as JSON or XML over standard HTTPS connections
- Resources support CRUD operations via RESTful HTTP methods (GET, POST, PUT, DELETE)
- Extensions allow resources to be customized for local requirements while preserving interoperability
FHIR API & Exchange Paradigms
- RESTful API — the primary FHIR exchange model using standard HTTP and HTTPS
- FHIR Messaging — asynchronous exchange using message bundles (similar to HL7 v2 messaging)
- FHIR Documents — structured clinical documents (equivalent to CDA) using FHIR resources
- FHIR Subscriptions — real-time event-driven notifications when resources change
- FHIR Bulk Data Access — $export operation for large-scale population data retrieval
- CDS Hooks — clinical decision support integration at key EHR workflow trigger points
FHIR Implementation Guides (IGs)
- US Core IG — the baseline FHIR profile set mandated by ONC for US interoperability
- SMART on FHIR — authorization framework for third-party app access to EHR data
- Da Vinci IGs — payer-provider data exchange for value-based care (PDex, CDex, HREX)
- Argonaut Project — accelerated development of FHIR profiles for EHR vendors
- mCODE — minimal Common Oncology Data Elements for cancer data standardization
- IPA (International Patient Access) — global baseline FHIR patient access standard
FHIR Security & Compliance
- SMART on FHIR — OAuth 2.0 based authorization for secure app-level data access
- HTTPS/TLS — mandatory transport-level encryption for all FHIR data exchange
- HIPAA compliance — FHIR implementations must maintain full HIPAA PHI protections
- Audit Logging — FHIR AuditEvent resource for complete data access audit trails
- Consent Management — FHIR Consent resource for patient authorization and opt-out tracking
- Patient-directed access — FHIR enables patients to share their data with apps of their choice
Key FHIR R4 Clinical Resources
- Patient — demographics, identifiers, contact information, and managing organization
- Observation — clinical measurements, lab results, vital signs, and social history
- Condition — diagnoses, problems, and health concerns with clinical status
- MedicationRequest — prescriptions and medication orders with dosage and prescriber
- Encounter — clinical encounters, hospital admissions, and outpatient visits
- DiagnosticReport — pathology, radiology, and other diagnostic reports with results
FHIR Versions — R4 vs R5
- FHIR R4 (4.0.1) — the current mandated standard; required by CMS and ONC regulations
- FHIR R4B — intermediate release with specific resource improvements for medication and clinical data
- FHIR R5 — the latest FHIR release with significant improvements in subscriptions, permissions, and workflow
- Most production implementations target FHIR R4 for regulatory compliance
- Forward-compatibility planning for R5 migration is recommended for new implementations
- Taction supports FHIR R4, R4B, and R5 implementation and migration services
Why Taction Software
Why Choose Taction Software for FHIR Integration & Implementation?
Taction Software combines 15+ years of healthcare IT expertise, deep Mirth Connect channel development experience, and FHIR R4/R5 implementation knowledge — delivering healthcare interoperability solutions that are technically sound, clinically relevant, and operationally sustainable.
01
Deep FHIR + HL7 + Mirth Connect Expertise
Our healthcare integration team has 15+ years of HL7 v2, CDA, and FHIR experience — covering the complete HL7 standards portfolio. This breadth means we understand the legacy context of FHIR implementations, not just the FHIR specification in isolation. Our Mirth Connect engineers have deep channel development expertise, and our FHIR developers understand FHIR R4 resource semantics, US Core profiles, and SMART on FHIR authorization at the specification level.
02
HIPAA-Compliant, Security-First Development
Every FHIR integration we deliver is designed with HIPAA compliance as a foundational requirement — not an afterthought. We implement HTTPS/TLS for all FHIR data in transit, OAuth 2.0 / SMART on FHIR for authorization, comprehensive audit logging via FHIR AuditEvent resources, minimum necessary data access patterns, PHI tokenization where appropriate, and Business Associate Agreement (BAA) coverage for all project work involving patient data.
03
Real-World EHR Integration Experience
We have hands-on experience integrating with the FHIR APIs of major EHR systems — Epic, Oracle Cerner, Athenahealth, MEDITECH, and others — including navigating their real-world API quirks, sandbox environments, app registration processes, and production certification requirements. This practical EHR integration experience dramatically reduces the time and cost of successful FHIR EHR integration delivery for your project.
04
Regulatory Compliance Depth (CMS, ONC, USCDI)
Our FHIR team follows US healthcare regulatory developments closely — including CMS Interoperability Rule requirements, ONC 21st Century Cures Act mandates, USCDI v3/v4 data class requirements, and emerging CMS rulemaking (CMS-0057 Prior Authorization rule). We help US healthcare organizations understand their compliance obligations and implement the specific FHIR APIs required by each regulatory mandate — with clear timelines and conformance testing evidence.
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Agile FHIR Delivery — Working Integrations Every Sprint
We develop FHIR integrations in two-week Agile sprints — deploying working FHIR API endpoints and Mirth Connect channels to your test environment after every sprint for validation and clinical review. This sprint-based approach means you see real FHIR data flowing through your integration early in the project — enabling early course correction and alignment with your clinical and technical teams throughout the engagement.
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Cost-Effective FHIR Development from India
Taction’s India-based FHIR engineering team delivers US and UK-equivalent FHIR implementation quality at 40–60% lower cost — without any compromise on FHIR specification conformance, security standards, or delivery timeline. For healthcare organizations and health IT vendors managing tight budgets alongside demanding regulatory compliance timelines, India-based FHIR development from Taction delivers exceptional value per dollar invested in healthcare interoperability.
Engagement Models
Flexible Engagement Models for FHIR Projects
We offer three proven engagement structures that match every type of FHIR project — from focused FHIR API development and EHR integration work through large-scale implementation programs and ongoing FHIR maintenance retainers.
Model 01
Fixed Cost FHIR Project
Best for FHIR projects with clearly defined scope — specific FHIR API endpoints, Mirth Connect channel development, EHR integration, or compliance implementation where deliverables are well-specified and budget certainty is the priority.
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Agreed FHIR scope, cost, and timeline upfront
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No surprise budget overruns
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Milestone-based payment schedule
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Defined FHIR deliverables and conformance tests
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Best for: Focused FHIR APIs, EHR integration, compliance
Model 02
Dedicated FHIR Team
A fully dedicated FHIR engineering team — FHIR architects, Mirth Connect engineers, SMART on FHIR developers, FHIR QA engineers, and project manager — working exclusively on your healthcare interoperability program as a seamless extension of your technology team.
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Direct daily FHIR team communication
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Sprint-based FHIR builds every 2 weeks
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SCRUM-based Agile FHIR execution
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Flexible FHIR scope as requirements evolve
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Full FHIR source code access at all times
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Best for: Enterprise FHIR programs, long-term interoperability
Most Popular
Model 03
FHIR Support Retainer
Best for ongoing FHIR maintenance, EHR API update management, and continuous FHIR enhancement programs where the scope of work changes each month based on regulatory updates, new use cases, and production support needs.
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Pay only for FHIR hours actually worked
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Flexible scope each sprint
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Covers production support, upgrades, new endpoints
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Full billing transparency on FHIR engineering hours
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24/7 support options for critical environments
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Best for: Ongoing FHIR maintenance & support
Our FHIR Process
Our FHIR Integration & Implementation Methodology
We follow a structured, Agile-driven FHIR implementation methodology designed to deliver standards-compliant, clinically validated, and operationally maintainable FHIR integrations on time and within budget.
01
FHIR Discovery & Requirements Analysis
We conduct structured FHIR requirements workshops — mapping your use cases to FHIR resources and interactions, identifying applicable Implementation Guides (US Core, Da Vinci, SMART), assessing your source data systems and their HL7/FHIR capabilities, and defining FHIR conformance requirements and regulatory compliance obligations. Deliverables include a FHIR integration specification, resource mapping document, and phased implementation roadmap.
02
FHIR Architecture & Implementation Guide Mappin
We design the complete FHIR architecture — FHIR server selection or design, resource profile mapping against US Core or relevant IGs, SMART on FHIR authorization flow design, FHIR API endpoint structure, Mirth Connect channel architecture, and security design (OAuth scopes, audit logging, PHI access patterns). Every architectural decision is documented and validated against the applicable FHIR Implementation Guide before development begins.
03
FHIR Development & Integration Building
We build FHIR integrations in structured Agile sprints — developing Mirth Connect FHIR channels, custom FHIR APIs, SMART on FHIR authorization flows, FHIR resource transformers, and EHR API integrations as specified. All code follows FHIR R4 specification requirements, HIPAA security requirements, and your organization’s coding standards. Working FHIR endpoints are deployed to a test FHIR server after every sprint for clinical and technical validation.
04
FHIR Conformance Testing & Validation
We validate all FHIR resources, API interactions, and Implementation Guide conformance using industry-standard FHIR testing tools — HL7 FHIR Validator for resource conformance, Inferno for ONC certification testing, Touchstone for FHIR test script execution, and custom test suites for your specific integration scenarios. All conformance test results are documented and provided as deliverables for regulatory attestation and vendor certification purposes.
05
FHIR Security Review & HIPAA Audit
Before any FHIR integration goes to production, we conduct a comprehensive security review — OAuth 2.0 scope and token management audit, TLS configuration verification, FHIR AuditEvent logging validation, PHI data flow mapping against HIPAA minimum necessary standards, penetration testing of FHIR API endpoints, and review of all third-party FHIR library dependencies for known vulnerabilities. A security review report is provided as a standard deliverable.
06
FHIR Production Deployment & Ongoing Support
We manage the FHIR integration production deployment — server configuration, TLS certificate setup, OAuth 2.0 client registration with EHR systems, Mirth Connect production channel deployment, monitoring dashboard setup (endpoint availability, response times, error rates), and runbook documentation for your operations team. Post-go-live FHIR support retainers cover incident response, API version updates, conformance maintenance, and new use case development.
Ready to Implement FHIR for Your Healthcare Organization?
Talk to our FHIR integration experts in India or USA today. Get a free FHIR consultation, compliance gap assessment, and implementation roadmap — no commitment required. We provide 24/7 support for critical healthcare integration environments.
Frequently Asked Questions
Answers to the questions healthcare organizations most commonly ask when evaluating FHIR implementation and choosing a FHIR integration partner.
FHIR (Fast Healthcare Interoperability Resources) is an international standard developed by HL7 International for the electronic exchange of healthcare information. Unlike its predecessors (HL7 v2, CDA), FHIR is built on modern web technologies — RESTful APIs, JSON/XML data formats, and OAuth 2.0 authorization — making healthcare data exchange as straightforward as any web API integration. FHIR is critically important because it is now mandated by US federal regulation (CMS Interoperability Rule, ONC 21st Century Cures Act), adopted by all major EHR vendors, and enables the patient-centered, interoperable healthcare data exchange that improves care coordination, reduces waste, and empowers patients with access to their own health data.
Mirth Connect (Nextgen Connect) supports FHIR integration through its HTTP Source and Destination connectors, which handle the RESTful HTTP interactions that FHIR requires. Combined with Mirth's JavaScript transformer engine and its support for both JSON and XML data formats, Mirth Connect can receive FHIR resources via HTTP POST, parse FHIR JSON/XML payloads, transform legacy HL7 v2 messages into FHIR resources using JavaScript mappers, and send FHIR resources to external FHIR server endpoints. The Mirth Connect FHIR extension further enhances this by providing FHIR-specific channel settings and FHIR content type handling. This makes Mirth Connect an ideal platform for organizations with existing Mirth infrastructure looking to adopt FHIR without replacing their integration engine.
SMART on FHIR is an authorization framework built on OAuth 2.0 that enables third-party applications to securely access patient data from FHIR-compliant EHR systems. You need SMART on FHIR if you are building applications that need to access patient data from EHRs on behalf of patients or providers — for example, a patient engagement app that retrieves health records from a patient's hospital EHR, or a clinical decision support tool that launches within an Epic or Cerner workflow and accesses patient FHIR data. SMART on FHIR is also required for ONC certification and for publishing apps in EHR app marketplaces like Epic App Orchard and Cerner Code. If you are only building server-to-server FHIR integrations between backend systems, you may use the SMART Backend Services profile (system-level OAuth 2.0) instead.
FHIR R4 (version 4.0.1, released 2019) is the current production standard — mandated by CMS and ONC regulations and supported by all major EHR vendors. It is the version you should target for any regulatory compliance implementation. FHIR R5 (released 2023) is the latest FHIR release, introducing improvements in subscription model (Topic-based Subscriptions), permissions and consent management, cross-version analysis, and several resource refinements. While R5 is technically superior, most production implementations are on R4, and the regulatory ecosystem (US Core, Da Vinci IGs, CMS APIs) remains on R4. For new implementations, we recommend building on R4 with an architectural awareness of R5's improvements, enabling a smoother migration path when R5 adoption matures in 2026–2027.
FHIR project timelines vary significantly by scope and complexity. A focused FHIR API integration — for example, implementing a FHIR Patient and Observation read API against a single EHR — typically takes 4–8 weeks. A comprehensive CMS Interoperability compliance implementation (Patient Access API, Provider Directory API, Drug Formulary API) typically takes 12–20 weeks depending on existing data infrastructure. A full FHIR server implementation with SMART on FHIR authorization, US Core profile conformance, Mirth Connect integration channels, and ONC certification testing typically ranges from 20–36 weeks. We provide a detailed project estimate with a sprint-level breakdown after our free FHIR discovery consultation — so you have clear timeline expectations before any engagement begins.
Yes — we offer comprehensive post-implementation FHIR support retainers. FHIR integrations require ongoing maintenance because EHR vendors periodically update their FHIR API endpoints and implementation guide conformance, regulatory requirements evolve (new CMS rules, updated US Core profiles), and your own use cases expand over time. Our FHIR support retainers cover production incident response, EHR FHIR API change monitoring and integration updates, Mirth Connect channel maintenance, FHIR conformance re-testing after updates, security patch management, and new FHIR use case development. We offer 24/7 support options for healthcare organizations with critical production FHIR integration environments that cannot afford downtime in patient data exchange.
