How do you connect to EHRs like Epic or Cerner?

We integrate through vendor FHIR and API programs, SMART on FHIR launch flows, and HL7 v2 interfaces via interface engines where that is how the site exchanges data. Approach depends on the EHR's supported endpoints and your use case.

How do you keep integrations reliable when a connected system goes down?

We design for failure with message queues, retries with backoff, idempotent processing, and dead-letter handling so nothing is silently lost. Monitoring and alerting on interface health let issues be caught and replayed rather than discovered downstream.

How do you handle PHI security across integrated systems?

PHI is encrypted in transit and at rest, access is scoped and logged, and we operate under a BAA. We minimize data movement, validate payloads, and align auth and audit controls with HIPAA across every connection point.

Can we start with one integration?

Yes. Most engagements start with one connection, such as a FHIR read from one EHR or one HL7 v2 feed, built and monitored in production. Later integrations reuse the same connectors and canonical model.

Can you integrate medical devices and non-clinical internal systems too?

Yes. Beyond EHRs we connect devices, lab and imaging systems, and internal tools like billing or CRM. We normalize their varied formats and protocols into consistent interfaces so data flows reliably across your clinical and operational stack.

Product Strategy & Leadership

Healthcare system integration

Connect EHRs, APIs, devices, and internal systems with integration patterns designed for reliability and interoperability.

15-Minute Scoping Call View Case Studies

What is healthcare system integration?

Healthcare system integration is the engineering that connects EHRs, labs, payers, pharmacies, devices and internal tools so data moves between them reliably. Agnotic Technologies builds it with HL7 FHIR APIs, HL7 v2 interfaces, X12 and NCPDP transactions, monitoring and replay, and HIPAA safeguards designed in from the first sprint.

EHR integration

Epic, Oracle Health (Cerner), athenahealth and others through FHIR APIs, SMART on FHIR and HL7 v2 feeds. ONC criterion 170.315(g)(10) requires certified EHRs to offer a standardized FHIR API.

Labs and diagnostics

Orders and results over HL7 v2, coded in LOINC, the observation code system maintained by the Regenstrief Institute, so results mean the same thing in every system.

Payers and pharmacies

Eligibility, claims and remittance as X12 270/271, 837 and 835, the transactions HIPAA adopts as standards, plus NCPDP SCRIPT e-prescribing.

Reliability and monitoring

Queues, retries, idempotent writes and dead-letter replay, with alerts on interface health so failures are caught before users notice.

Real-Time Projects

How do we deliver system integration?

Each integration follows the same steps, so the first one is monitored in production before the next begins.

Scoping call

We map the systems, standards, data owners and the first connection worth building.

Interface design

A canonical data model, field mappings and test data agreed before any code is written.

First integration

One connection built, tested against sandbox data and monitored in production.

Scale

Each new system reuses the same connectors, mappings and monitoring.

Support

On-call, replay and change management as partner systems update their APIs.

Who trusts us with integrations?

Global businesses trust Agnotic to deliver reliable, compliant software that drives success and fosters growth.

We Are Technology-Agnostic

With a diverse technology stack, we deliver solutions using a technology-Agnostic approach to meet your unique needs.

Wireframe & Ideation

User Experience

Voice of success

We don't just build products; we forge lasting partnerships. See how we've helped industry leaders transform their vision into technical reality.

“I can clearly see how Agnotic has a unique way of handling end-to-end development. They are always active on quick chat and provide support quickly.”

Aaron Phelan

Founder, Benchmark

“Agnotic combines deep technical expertise with strong domain knowledge. They understand the business context, anticipate challenges, and make collaboration smooth and effective.”

John Pasmore

Founder, Latimer

“Agnotic is the best technical team we evaluated. Their engineering excellence made our work dramatically easier and allowed us to stay focused on what matters most for maternal care outcomes. They took full ownership of the technical execution, and we are always happy to continue working together.”

Kim Smith

Founder, My Lauren

System integration FAQs

We work with FHIR R4 REST APIs, HL7 v2 messaging, and SMART on FHIR for app authorization, plus CDA documents where needed. We map data between these standards and your internal models so systems exchange clinical data consistently.

Related services

Product Engineering Services Product Discovery Sprint Healthcare Cloud & DevOps Services Cloud Consulting Services Why Offshore Software Development Dedicated Development Teams

Let's build your Healthcare System Integration Services.

Tell us where you are and what you're building. We'll map the fastest, most reliable path to a production-ready result, and how we'd approach it.