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Why Data InterOps? Your Preferred Healthcare Data Integration & Digital Health Partner

  • Writer: Naveed Akhter
    Naveed Akhter
  • Apr 6, 2023
  • 9 min read

Updated: 3 hours ago

Driving Modern Healthcare Data Exchanges

We empower healthcare providers, payers, and digital health innovators to overcome the real-world challenges of global digital health transformation by building secure healthcare data highways. That means turning fragmented EHRs, lab systems, imaging platforms, billing and RCM tools, CRMs, and patient apps into a connected, standards-based ecosystem where data can move safely and intelligently across every point of care. By combining deep expertise in HL7, FHIR, IHE, X12, C-CDA and modern cloud architectures with product-grade application development, we help organizations build closed data loops and move beyond one-off interfaces and into interoperable platforms that are ready for today’s operations and tomorrow’s AI.

Data InterOps - Driving Modern Healthcare Data Exchanges
Data InterOps | Driving Modern Healthcare Data Exchanges

Healthcare organizations live in a messy, multi-system reality: EHRs, practice management, lab systems, imaging platforms, payer portals, CRMs, patient apps and analytics tools all generating data in different formats, standards and workflows.

Data InterOps exists to make that ecosystem work together.

We started as a healthcare data integration company, mastering HL7, FHIR and interface engines. Today, we help providers, payers and digital health companies build interoperable, cloud-native, AI-ready platforms that connect clinical, operational and financial data across the care continuum.


The Healthcare Interoperability Stack – Not Just “HL7 vs FHIR”

Before talking about what we do, it helps to be clear about the standards and technologies that govern modern healthcare IT.


HL7 v2 – The Operational Backbone of Healthcare Messaging

HL7 Version 2 (HL7 v2) is still the operational backbone for real-time messaging in hospitals, clinics and diagnostic networks across the US, Europe and much of the world. It’s the language that keeps day-to-day clinical and administrative workflows in sync across dozens of systems.

At a high level, HL7 v2 powers:

  • Patient administration & movements

    • ADT (Admit, Discharge, Transfer) messages drive patient identity and location across EHRs, bed management, nurse call, telemetry, dietary, and downstream systems.

    • SIU messages keep appointment and scheduling systems aligned across clinics, surgery centers and ancillary services.

  • Orders, results & clinical workflows

    • ORM / OMG / OML messages carry orders for labs, radiology, cardiology, pathology and other procedures.

    • ORU messages return structured and narrative results (lab panels, vital signs, observations) into EHRs, portals and reporting tools.

    • MDM messages distribute clinical documents (discharge summaries, operative notes, reports) between systems.

  • Pharmacy, medication & therapies

    • RDE / RDS / RGV messages support medication orders, dispensing and administration flows between CPOE, pharmacy and MAR/BCMA systems.

    • These are critical for closed-loop medication management and medication safety workflows.

  • Billing, charges & financial events

    • DFT (Detailed Financial Transaction) and BAR messages carry charges and financial events from clinical systems into billing and revenue cycle platforms.

    • This is how many organizations bridge the gap between clinical activity and financial outcomes without reinventing their entire stack.

  • Immunizations, registries & public health

    • VXU messages are used to send immunization events to registries;

    • other HL7 v2 profiles feed syndromic surveillance, lab reporting and public health systems.

  • Master data & configuration

    • MFN (Master File Notification) messages help keep provider, location, service and code master data synchronized across multiple systems.

These messages constantly move between:

  • EHR / EMR / HIS platforms

  • LIS and RIS

  • PACS / VNA and imaging viewers

  • Pharmacy systems and ADCs

  • Registration, scheduling and practice management

  • Billing, RCM and sometimes CRM or engagement platforms

Despite the rise of FHIR and modern APIs, HL7 v2 remains critical infrastructure: it’s battle-tested, deeply embedded in US and European provider environments, and underpins most real-time workflows.

For Data InterOps, HL7 v2 isn’t a legacy afterthought — it’s a first-class citizen. We design and maintain:

  • Robust ADT and SIU feeds as the “source of truth” for patient identity and encounters

  • Clean order/result loops (ORM/ORU, RDE/dispense, lab and imaging) that map cleanly into FHIR and analytics models

  • Charge and DFT flows that align clinical events with revenue cycle systems

  • Integration-engine channels (Mirth/NextGen Connect and others) with routing, transformation, monitoring and error handling baked in

And when you are ready to introduce FHIR, we build bridge patterns that translate HL7 v2 messages into FHIR resources and back again, so you can modernize APIs without ripping out the HL7 plumbing that still runs your hos


HL7 FHIR – API-First Healthcare Data

FHIR (Fast Healthcare Interoperability Resources) is HL7’s modern, web-native standard for exchanging healthcare data over REST APIs. Instead of big monolithic messages, FHIR breaks information into small, reusable “resources” such as:


  • Clinical: Patient, Encounter, Condition, Observation, AllergyIntolerance, Medication, MedicationRequest, Procedure, Immunization

  • Administrative: Organization, Practitioner, Location, Appointment, Schedule, Coverage

  • Financial: Claim, ClaimResponse, ExplanationOfBenefit, PaymentNotice

  • Documents & workflow: DocumentReference, Task, CarePlan, Consent


These resources are exchanged using familiar web patterns: GET/POST/PUT/PATCH calls, JSON or XML payloads, search parameters, paging, and versioning. That makes FHIR a natural fit for web, mobile, microservices and cloud platforms, not just EHR back-ends.

FHIR R4 also defines:

  • Profiles & Implementation Guides (IGs) to constrain resources for specific use cases (e.g., US Core, payer APIs, national programs).

  • Terminology support via CodeSystem, ValueSet and ConceptMap to keep coding consistent (ICD, SNOMED CT, LOINC, RxNorm, etc.).

  • Security patterns via SMART on FHIR, OAuth2/OIDC and fine-grained scopes so apps can safely access only what they’re allowed to see.


FHIR is now central to:

  • Provider and patient-facing applications – clinical viewers, patient portals, telehealth and remote monitoring apps that read and write data via FHIR APIs.

  • Payer APIs and value-based care programs – clinical data exchange, prior authorization, quality reporting and member access built on FHIR financial and clinical resources.

  • National and regional health information exchanges – FHIR-based access layers on top of existing EMRs, registries and document exchanges.

  • AI and analytics pipelines – normalized, structured data streams feeding warehouses, features stores and ML models instead of ad-hoc, custom feeds.


For Data InterOps, FHIR is the core abstraction layer we use to connect legacy systems, new apps and analytics in a way that’s standards-based, testable and future-proof.


CDA & C-CDA – Clinical Documents & Summaries

The HL7 Clinical Document Architecture (CDA) and Consolidated CDA (C-CDA) provide XML-based templates for exchanging full clinical documents: discharge summaries, consultation notes, transitions of care, patient summaries and more.

In the US, certified EHRs must be able to export data using C-CDA, making it a key format for health information exchange and transitions of care.


ANSI X12 – Eligibility, Claims & Remittance

On the financial side, X12 EDI defines HIPAA-mandated transactions for payers and providers, including:

  • 270/271 – Eligibility & benefits inquiry/response

  • 837 – Professional & institutional claims

  • 835 – Remittance advice and payments

  • 276/277 – Claim status inquiry/response

  • 278 – Prior authorization requests and responses


IHE Profiles – Turning Standards into Real Workflows

Integrating the Healthcare Enterprise (IHE) defines integration profiles that explain how to combine standards (HL7, FHIR, DICOM, etc.) to solve real-world problems:

  • XDS / XDS-I – Cross-Enterprise Document Sharing (including imaging) for longitudinal patient records

  • PDQ / PIX – Patient identity and cross-system ID lookup

  • ATNA – Audit Trail and Node Authentication for secure, auditable access

These profiles are widely used in Europe and large US networks for health information exchange and imaging.


DICOM – Imaging & Diagnostics

For imaging, DICOM (Digital Imaging and Communications in Medicine) is the international standard for transmitting, storing and displaying medical images across modalities (CT, MRI, ultrasound, X-ray, etc.) and systems (PACS, VNA, viewers).


Healthcare Systems We Connect

Using those standards, we integrate and extend a wide spectrum of healthcare systems:

  • EHR / EMR / HIS – Core clinical systems for hospitals and clinics

  • Practice Management & Scheduling – Registration, appointments, queues, provider calendars

  • LIS & RIS – Lab and radiology information systems

  • PACS / VNA – Imaging and long-term medical image archives

  • Pharmacy & e-Prescribing – Retail and in-house pharmacy systems

  • Billing, RCM & Payer Systems – Claims, eligibility, remittance, prior authorization

  • CRMs & Marketing Platforms – Patient outreach, referral management, campaign tracking

  • Patient Engagement & Telehealth Apps – Portals, mobile apps, remote monitoring solutions


This broad connectivity is the foundation for reliable healthcare data integration services.

What Data InterOps Delivers

We combine that standards expertise with software engineering, cloud architecture and product thinking. At a high level, our services fall into four categories.


Interoperability & Interface Development

We design, build and support interfaces that:

  • Ingest HL7 v2 messages from EHRs, labs, imaging and ancillary systems

  • Expose or consume FHIR APIs for clinical and financial resources

  • Exchange C-CDA documents for transitions of care and patient summaries

  • Handle X12 EDI transactions for eligibility, claims, remittance and status

  • Move data securely via SFTP, VPNs, REST APIs and integration engines


We work extensively with integration platforms like Mirth/NextGen Connect, Rhapsody, Cloverleaf and cloud integration services, designing scalable channels, mappings, routing and monitoring.


Healthcare Application & Platform Development

We don’t stop at pipes and mappings. We also build:

  • Clinical viewers and HIE dashboards on top of FHIR repositories

  • Patient portals and mobile apps that surface records, results and appointments

  • Workflow apps for intake, referrals, care coordination and specialty pathways

  • Admin tools for interface monitoring, exception handling and audit trails


These are typically built using modern web frameworks (Vue/Nuxt, React, Node/TypeScript, .NET, Java/Spring) and connect back to your existing EHRs, payers and data platforms.


Cloud, Security & DevOps for Healthcare

We architect and operate healthcare workloads on AWS, Azure and GCP, focusing on:

  • Highly available hosting for FHIR servers, integration engines and APIs

  • Identity and access control via OAuth2/OIDC, SMART on FHIR patterns, role-based access

  • Encryption in transit and at rest, network segmentation, VPNs, VPCs/VNets, WAFs

  • CI/CD pipelines for safe, repeatable deployments of healthcare services

All of this is designed with HIPAA, GDPR and regional privacy regulations in mind.


Data, Analytics & AI-Ready Architectures

Once the integration groundwork is done, we help you:

  • Normalize data into FHIR-aligned models, analytics-friendly schemas or columnar stores

  • Build ETL/ELT pipelines from HL7, FHIR, C-CDA and X12 into data warehouses and lakes

  • Power dashboards and quality metrics (clinical quality, operations, revenue)

  • Lay the foundation for AI-assisted coding, summarization and anomaly detection on top of HL7/FHIR workflows

Some of the Use Cases We Solve

  1. EHR / EMR Integration & HIE-Style Views

Goal: Break data silos between core clinical systems and new digital products.

Typical scenarios:

  • Connecting third-party apps to EHRs via HL7 v2 (ADT, ORM, ORU) and FHIR APIs

  • Aggregating data into a FHIR repository and building longitudinal patient views

  • Surfacing C-CDA documents alongside discrete FHIR data for a complete clinical picture

This is especially relevant for US providers modernizing legacy HL7 integrations while rolling out mobile and web apps.

  1. Patient Intake & Front-Office Automation

Goal: Make registration and intake smarter, reduce manual effort and clean up data before it hits the EHR and billing systems.

Typical building blocks:

  • Digital intake forms capturing demographics, insurance, consents and questionnaires

  • Real-time eligibility checks (X12 270/271) during scheduling or check-in

  • Automatic creation or update of patients, guarantors and appointments in EHR / PM systems (HL7 ADT/SIU + FHIR Patient/Appointment resources)

  • Pushing discrete intake data into downstream RCM and CRM systems

US competitors in this space often combine FHIR + HL7 + patient engagement to embed intake and identity into existing clinical workflows.

We bring the same architectural approach, fully tailored to your tech stack and compliance needs.


  1. Lab, Imaging & Diagnostics Connectivity

Goal: Streamline ordering and results across labs, imaging centers and provider systems.

We design integrations that:

  • Send orders via HL7 ORM and receive results via ORU for lab and radiology workflows

  • Exchange and archive images using DICOM with PACS/VNA and viewers

  • Share narrative and structured results through C-CDA or FHIR DiagnosticReport / Observation resources

This supports everything from outpatient labs through advanced imaging centers.


  1. Revenue Cycle, Payers & Value-Based Care

Goal: Connect clinical data to revenue and reimbursement accurately and efficiently.

Key patterns:

  • Integrating practice management or RCM platforms with payers using X12 837, 835, 276/277, 270/271 transactions

  • Mapping between clinical codes and billing codes (ICD, CPT, HCPCS) as part of claims preparation

  • Implementing FHIR-based financial APIs alongside X12 for newer payer programs and value-based contracts

We help US organizations modernize step-by-step: keeping X12 core flows stable while introducing FHIR and analytics on top.


  1. Patient Engagement & Digital Health

Goal: Make patient-facing solutions first-class citizens in the health data ecosystem.

We integrate and extend:

  • Patient portals and mobile apps that access data via FHIR and C-CDA

  • Remote monitoring and device data into EHR workflows via FHIR and messaging

  • Appointment, messaging and telehealth tools into existing clinical workflows

The result: patient-centric experiences that do not live in a silo next to the EHR, but as part of a unified, governed data fabric.


Regional Awareness, Global Patterns

While our technology stack is globally consistent, we understand that regulation and ecosystems differ:

  • United States – HIPAA, HITECH, ONC certification, C-CDA, X12 and FHIR-based APIs

  • Europe – GDPR, IHE-based exchanges, FHIR and C-CDA usage, emerging European Health Data Space

  • Other regions – National health networks, registries and local interoperability initiatives that often reuse the same HL7/FHIR/X12/CDA building blocks

We reuse proven architectural patterns—identity, consent, logging, audit, API gateways, integration engines—and adapt them to each region’s regulatory and operational constraints.


How We Work With You

We typically structure engagements in four phases:

  1. Discovery & Architecture

    • Understand your systems, standards, integration pain points and business goals

    • Map regulatory and vendor constraints

    • Propose an interoperability and application architecture that is realistic and incremental

  2. Build & Integrate

    • Configure interfaces and mappings (HL7, FHIR, X12, C-CDA)

    • Build or extend applications (viewers, portals, intake apps, APIs)

    • Set up cloud infrastructure, identity, API management and monitoring

  3. Secure, Test & Go-Live

    • Security hardening, logging and auditing

    • Integration and conformance testing with partner systems

    • Go-live planning, cutover support and stabilization

  4. Operate & Evolve

    • Managed support for interfaces and apps

    • Enhancements as standards, payer programs or partner ecosystems evolve

    • Gradual introduction of analytics and AI workflows where they deliver real value


So, Why Data InterOps?

To sum it up:

  • Deep standards knowledge – HL7 v2, FHIR, C-CDA, X12, IHE, DICOM and national implementation guides

  • Beyond integration – We deliver interfaces and the applications, cloud platforms and data models on top of them.

  • Provider, payer & digital-health savvy – Equal comfort working with hospitals, payers, RCM vendors, labs, imaging centers and startups.

  • Global perspective with local sensitivity – Experience across US and European interoperability programs and standards.

  • AI-ready by design – Architectures that treat interoperability as the foundation for analytics and AI, not an afterthought.

If you’re planning new healthcare interoperability, data integration or digital health initiatives—whether it’s modern HL7/FHIR integration, C-CDA exchange, X12 automation, or a new patient/provider app—Data InterOps is built to be the partner that understands both the standards and the software needed to turn them into real-world impact.

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