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API development and integrations

The integration work nobody wants to do.

APIs that connect healthcare systems, EHRs, lab platforms, pharmacy networks, and payer rails. Built around the standards that work and the workarounds for the ones that don't.

Updated

Capabilities

Three pillars, one API surface.

Interoperability, architecture, and security travel together. We build them as one surface, not three workstreams, because the moment they drift, the integration is the one that breaks. FHIR is the substrate, sitting on top of the broader healthcare data solutions practice.

01
Interop, by the standard

Healthcare interoperability

FHIR R4 where we can, HL7v2 and the older transports where we have to. Direct work against Epic, Oracle Cerner, athenahealth, eClinicalWorks, NextGen, AdvancedMD, Healthie, and the long tail of practice-shaped systems.

  • FHIR R4 and SMART-on-FHIR
  • HL7v2 over interface engines
  • Lab data exchange
  • Medical device APIs
  • Claims and eligibility (X12)
Standards and tech
  • FHIR R401
  • HL7 v202
  • SMART-on-FHIR03
  • CDA04
  • DICOM05
02
Enterprise shape

API architecture that scales

Scalable, secure, observable API infrastructure designed for healthcare loads. Versioning, rate limits, and the gateway shape that lets you ship without breaking your downstreams.

  • REST and GraphQL endpoints
  • WebSocket and streaming
  • Rate limiting and quotas
  • Versioning strategy
  • Gateway and BFF patterns
Standards and tech
  • Node.js01
  • Hono02
  • Apollo GraphQL03
  • Kong04
  • AWS API Gateway05
03
BAA included

Security and compliance

OAuth 2.0, OIDC, end-to-end encryption, and the row-level audit trail your security review already has on the checklist. HIPAA and SOC 2 controls baked into the API surface, not bolted on.

  • OAuth 2.0 and OIDC
  • End-to-end encryption
  • Row-level audit logging
  • HIPAA controls
  • SOC 2 Type II posture
Standards and tech
  • Auth001
  • AWS KMS02
  • JWT03
  • TLS04
  • CloudTrail05
System integrations

Where we've already shipped.

Four classes of integration we see most often, with the partner systems and capabilities that come with each. Same posture across all of them: interop, audit, observability.

01Patient records, sync and audit

EHR integrations

Direct work against the leading electronic health record systems and the practice-shaped vendors the long tail runs on.

Partners
  • Epic
  • Oracle Cerner
  • athenahealth
  • AllScripts
  • NextGen
Capabilities
  • Patient data sync
  • Clinical notes
  • Appointment scheduling
  • Lab results
  • Prescription orders
02Order to result, instrumented

Lab system APIs

Real-time connectivity with laboratory information systems and the diagnostic equipment that feeds them.

Partners
  • Quest Diagnostics
  • LabCorp
  • Roche Diagnostics
  • Abbott
  • Siemens Healthineers
Capabilities
  • Test ordering
  • Result delivery
  • Quality control
  • Instrument integration
  • Report generation
03Routing across PBM rails

Pharmacy networks

Pharmacy management systems and prescription networks, including the routing rails most teams underestimate.

Partners
  • Surescripts
  • CVS Health
  • Walgreens
  • PBM networks
  • Wholesale distributors
Capabilities
  • Prescription routing
  • Inventory management
  • Claims processing
  • Patient notifications
  • Drug interaction checks
04Eligibility to claim, traced

Payer systems

Insurance and payment processing rails, including the prior-auth and eligibility flows that gate revenue.

Partners
  • Stripe
  • Square
  • Eligibility verification
  • Claims clearinghouses
  • Prior authorization
Capabilities
  • Payment processing
  • Benefit verification
  • Claims submission
  • Prior auth
  • EOB processing
Why the API holds

Built for the way healthcare actually moves data.

Four properties we hold the line on. They are not features in a brochure. They are the things that decide whether the integration is still running at quarter four.

Sync

Real-time data sync

Instant synchronization across connected systems. Patient data lag measured in milliseconds, not hours.

Routing

Intelligent routing

Content-aware and priority-aware routing across endpoints, with retry semantics that match the upstream SLA.

Transform

Data transformation

Conversion between the healthcare data formats and standards that refuse to die. FHIR, HL7v2, CDA, X12, and the rest.

Scale

Global scalability

APIs sized to spike without flinching, deployed across regions, with the cost shape that does not surprise the CFO at quarter-end.

Developer experience

Docs, SDKs, and a sandbox that works.

The integration is only as good as the second team's first hour with it. We ship the OpenAPI spec, the SDK, and the sandbox that turns the first hour into a working request.

01

OpenAPI specification

Complete API documentation with interactive testing and schema validation.

  • Swagger UI
  • Code examples
  • Try-it-out
  • Schema validation
02

SDKs and libraries

Pre-built clients for the languages your engineers actually use.

  • TypeScript and Node.js
  • Python
  • PHP
  • C# .NET
03

Testing tools

Sandbox environments, mock responses, and the error simulations your QA team needs.

  • Test data sets
  • Mock responses
  • Performance testing
  • Error simulation
Engagement shape

Discovery to production.

Eight to twelve weeks, four phases, one pod. Same team from the discovery sketch through the production launch.

01Week 1 to 2

Discovery

Map existing systems, data flows, and the boundary conditions your integrations actually have to survive.

02Week 2 to 4

Design

API specification, contract tests, and the integration architecture you can review before the first commit.

03Week 4 to 10

Development

Build and test integration endpoints with the parity suite running against the upstream sandbox.

04Week 10 to 12

Deployment

Production launch with traces, dashboards, and the on-call shape needed to keep it healthy.

Next step

Bring us the contract. We'll bring the parity tests.

Secure, scalable APIs that connect the healthcare ecosystem you actually have, not the one in the architecture deck.