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“More than 1 in 5 US hospitals cannot integrate the electronic health information they receive from outside sources.” — ONC
Integration consulting starts with discovery, auditing the real integration surface your EHR exposes, because many failed projects assume an API layer that does not exist.
FHIR integration APIs where they exist, HL7 v2 interfaces where they do not, built and tested against the systems on both ends.
Mirth Connect, Rhapsody, Redox, and Lyniate, the integration platforms that route and map messages between an EHR and everything around it.
We integrate with the EHR system you run today, as it exists, rather than pushing a rip-and-replace no one asked for.
Data mapped between the differing schemas of the connected systems, so a field means the same thing on both sides.
One integration layer that pulls data from several different client EHRs into a central system, while each keeps its own EHR.
Custom EHR integration software solutions, and tailored EHR integration solutions, for a connection a packaged product does not offer.
Managed services that keep interfaces running, with HIPAA and OAuth 2.0 built into every one.
Broader system integration and software integration services connecting the EHR to the wider healthcare ecosystem.
Healthcare data integration and data integration services that reconcile records from many sources into one.
EHR software integration and medical software integration across clinical, operational, and patient-facing tools.
End-to-end integration solution development, from integration strategy through delivery and support.
“1 in 3 transferred patients had duplicate tests ordered, and 1 in 5 of those tests were not medically needed.” — National Library of Medicine
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EHR integration is the process of connecting an electronic health record system with other healthcare software — labs, CRM, telehealth, pharmacy, billing, imaging, and analytics — so data flows between them automatically. It relies on standards like HL7 and FHIR and, where systems lack modern APIs, on integration engines such as Mirth Connect. Done well, it eliminates duplicate data entry and gives clinicians a unified view without replacing the existing EHR.
Yes. Replacing an EHR is rarely necessary to integrate it. Modern systems expose FHIR R4 and proprietary APIs; older systems are integrated through HL7 v2 interfaces, integration engines like Mirth Connect, or database-level connections. The key is auditing what integration surface your EHR actually exposes before committing to an approach — many failed projects assume an API layer that does not exist. We start with that discovery, then integrate with what is really there.
Laboratory integration with an EHR uses HL7 v2 messaging: ORM messages send lab orders from the EHR to the laboratory information system (LIS), and ORU messages return results back into the patient record. Modern integrations may use FHIR DiagnosticReport and Observation resources. An integration engine like Mirth Connect maps and routes these messages between the EHR, the LIS, and any hospital systems involved.
Each EHR exposes FHIR R4 APIs but implements them differently. Epic requires App Orchard certification, a multi-week process with annual renewal, and uses custom FHIR profiles. athenahealth is API-first with standard OAuth and is faster to integrate. Oracle Cerner sits between. For systems without full API support — or for legacy versions — integration uses HL7 v2 interfaces through an engine like Mirth Connect. The approach depends on the platform and the data you need.
An EHR can integrate with laboratory systems (LIS), CRM platforms like Salesforce, telehealth platforms, pharmacy and e-prescribing networks, imaging and PACS, billing and revenue-cycle systems, practice-management software, health information exchanges (HIE), electronic data capture (EDC) for clinical trials, patient portals, and analytics dashboards. Each connection uses HL7, FHIR, or a vendor API, routed through an integration engine when multiple systems are involved.
Cost depends on the number of systems, whether the EHR has modern APIs or needs interface-engine work, data mapping complexity, and whether integration is real-time or batch. A single read-only FHIR connection is far cheaper than a bidirectional, multi-system integration across labs, billing, and CRM. Ongoing costs include interface maintenance and vendor certification renewals, such as Epic App Orchard. A precise estimate follows a discovery phase assessing your EHR’s integration surface.
Yes. A common scenario is aggregating data — demographics, scheduling, claims — from clients who each use a different EHR into one central system, such as a billing or practice-management platform, while each client keeps their own EHR. This uses an integration layer that normalizes data from each EHR, via FHIR, HL7, or APIs, into a common model. An integration engine handles the format and protocol differences between the connected systems.
