The plumbing
Every protocol independent healthcare runs on
A patch bay doesn't care whose equipment is on either end. We normalize each format once and route it anywhere — the messaging standards, the money rails, and the transports that carry them.
HL7 v2.xCore
The workhorse. ADT, ORM/OMG, ORU, SIU, DFT — four decades on, still the majority of clinical traffic. Every dialect normalized once, over MLLP.
FHIR R4 / R4BCore
The regulatory future. US Core, SMART on FHIR, Bulk FHIR — the on‑ramp to payer APIs, prior auth, and TEFCA as CMS‑0057‑F deadlines land in 2026–2027.
DICOM · DICOMwebCore
C‑STORE, C‑FIND, C‑MOVE and their REST equivalents. Store‑and‑forward routing with tag morphing — the complete teleradiology image path.
C‑CDACore
Continuity of care documents, referral notes, discharge summaries — routed, validated, and flattened into FHIR or analytics where you need structure.
X12 EDI · 837/835 · 270/271Phase 2
The money rails. Claims, remittance, eligibility, and prior auth — we own the practice‑to‑billing‑partner connection end to end.
MLLP · SFTP · AS2 · RESTCore
The transports underneath everything, over site‑to‑site IPsec or WireGuard VPN — plus embedded LOINC, SNOMED CT, RxNorm, and ICD‑10 terminology mapping.