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EHR Integration Services
Your Systems Should Talk to Each Other. Ours Make Sure They Do.
Peerbits designs and builds production-grade EHR integrations across Epic, Cerner, Oracle Health, Athenahealth, and 50+ healthcare systems — using HL7, FHIR, and direct APIs to eliminate data silos, reduce manual work, and unify your clinical and administrative data flows.
The average health system runs 18 separate clinical applications — each with its own data format, integration layer, and maintenance burden. 30% of clinical staff time is lost to re-entering the same data across disconnected systems.
50+
EHR & HIS systems integrated
6 wks
Average time to live integration
99.9%
Uptime SLA on all integrations
Standards & Compliance
HL7 v2.x / v3
FHIR R4 / R5
CCDA / CCD
X12 EDI
DICOM
IHE Profiles
HIPAA Compliant
Why EHR Integration Fails — and How Peerbits Fixes It
Healthcare organizations spend millions on systems that refuse to communicate. The pain is real, measurable, and fixable. Here's what we see on every engagement — and how we solve it.
The problem your team is living with
Fragmented, Siloed Systems
Your EHR doesn't talk to your billing system. Your lab system doesn't feed your clinical dashboard. Your patient portal is disconnected from your scheduling tool. Every gap requires a human to bridge it manually — every single day.
18 avg. clinical apps per health system
Manual Data Re-Entry Everywhere
Clinical staff re-enter the same patient demographics, insurance, and clinical data across multiple systems because they don't share a single source of truth. Every duplicate entry is a waste of time and a source of error.
30% of clinical staff time lost to re-entry
Custom Integrations That Break Constantly
Point-to-point integrations built years ago on proprietary interfaces break with every EHR version upgrade, staff change, or vendor update — creating a never-ending queue of emergency fixes that consumes IT capacity.
60%+ of integrations fail on EHR upgrades
Incomplete Patient Data at Point of Care
Clinicians make decisions without access to complete patient information because lab results, imaging reports, referral notes, and care summaries live in disconnected systems that have never been integrated.
70% of adverse events linked to incomplete data
How Peerbits solves it
Unified Integration Layer Across All Systems
We design and build a centralized integration hub — using HL7 FHIR, v2, and REST APIs — that connects every clinical and administrative system to a single, consistent data exchange layer. One change propagates everywhere.
Hub-and-spoke architecture
Real-Time Bidirectional Data Sync
Patient demographics, clinical observations, orders, results, and care summaries flow automatically between systems in real time — eliminating duplicate entry and ensuring every clinician sees the same complete record.
Zero duplicate data entry
Standards-Based Integrations That Survive Upgrades
We build on HL7 FHIR R4/R5, standardized HL7 v2 message types, and vendor APIs — not brittle proprietary interfaces. When Epic or Cerner releases a new version, your integration keeps working.
Version-resilient by design
Complete Patient Record at Every Touchpoint
Labs, imaging, notes, medications, and care plans from every connected system surface in the physician's EHR workflow automatically — giving clinicians the complete patient picture without leaving their primary system.
360° patient data at point of care
How a Peerbits Integration Layer Works
We build a standards-based integration hub that sits between your systems — translating, routing, and orchestrating data across every protocol your environment uses.
STEP 1
HL7 v2 / v3
The dominant message standard in clinical systems — ADT, ORM, ORU, MDM, DFT, SIU, and 30+ message types for patient events, orders, results, and billing.
ADT · ORU · ORM · DFTSTEP 2
FHIR R4 / R5
The modern standard for health data exchange — RESTful APIs, resource-based data models, and SMART App Launch for clinical application integration and patient access.
REST · US Core · Bulk ExportSTEP 3
X12 EDI
Insurance and administrative data exchange — 837 claims, 835 remittance advice, 270/271 eligibility, 278 prior authorization, and 834 enrollment transactions.
837 · 835 · 270/271 · 278STEP 4
DICOM & IHE
Medical imaging integration — DICOM study routing, IHE XDS document sharing, MHD for mobile access, and PACS integration for radiology workflow connectivity.
DICOM · XDS · IHE MHD
50+ EHR & Clinical Systems. One Integration Partner.
From the largest hospital enterprise platforms to community clinic systems — we have built and maintained integrations across every major EHR deployed in the US, UK, Middle East, and Asia Pacific.
Peerbits maintains pre-configured integration profiles, sandbox credentials, and certified connection templates for every major EHR — so your integration starts from a proven baseline, not a blank file.
EpicCernerMeditechAllscriptsAthenahealtheClinicalWorksNextGenGreenwayDrChronoPractice FusionKareo+40 more
Epic
MyChart, FHIR R4, CDS Hooks, Epic App Orchard — full suite integration for health systems running Epic across inpatient and ambulatory environments.
FHIR R4CDS HooksApp Orchard
Oracle / Cerner
Cerner Code, HL7 v2 ADT/ORU, FHIR R4, and Millennium-native API integration — supporting the full Cerner clinical and financial application suite.
HL7 v2FHIR R4Cerner Code
Athenahealth
Athena REST API, FHIR R4, direct scheduling integration, and billing workflow connectivity for ambulatory practices on the Athena platform.
REST APIFHIR R4Scheduling
Meditech Expanse
Meditech FHIR R4 APIs, MAGIC and Expanse-native HL7 interfaces, and community hospital integration for the Meditech-dominant acute care segment.
FHIR R4HL7 v2Expanse
eClinicalWorks
eCW FHIR APIs, HL7 integration, healow patient portal connectivity, and billing system integration for primary care and specialty group practices.
FHIRHL7healow
NextGen & Allscripts
NextGen Healthcare APIs, Allscripts FHIR and HL7 v2 integration, covering specialty practices and mid-market ambulatory environments across North America.
HL7 v2FHIRAPI
Kareo & DrChrono
Cloud-native EHR APIs for small-to-mid practice integration — scheduling, clinical note sync, insurance verification, and billing workflow connectivity.
REST APIWebhooksFHIR
40+ More Systems
Practice Fusion, Greenway, Netsmart, Qualifacts, Brightree, MatrixCare, PointClickCare, Veradigm, Modernizing Medicine, and many more.
Behavioral HealthPost-AcuteSpecialty
Integration Challenges Vary by Organization Type
A hospital system integrating 20 applications has very different needs from a startup connecting their app to Epic for the first time. We build for both — with the same precision.
Multi-facility, multi-EHR environments requiring a centralized integration engine — connecting clinical, financial, imaging, pharmacy, and analytics systems across dozens of sites.
Solves:Multi-site data silos, cross-facility patient records, M&A integration of acquired systems
EHR-to-PM-to-billing integration for group practices — eliminating dual-entry, connecting scheduling to clinical documentation, and automating claims submission from the clinical workflow.
Solves:EHR to billing gaps, scheduling disconnects, manual claims preparation
Connect your digital health product to any EHR your customers use — FHIR-based or HL7-based — without building and maintaining a separate integration for each hospital or practice.
Solves:Multi-EHR onboarding complexity, time-to-market, integration maintenance burden
Clinical data exchange with provider networks — FHIR-based claims attachments, clinical quality measure data, care gap notifications, and prior authorization API integration.
Solves:Provider-payer data exchange, HEDIS quality data, CMS mandate FHIR compliance
Bidirectional lab order and result integration — ORU result delivery to ordering providers, ORM order routing from EHRs to LIS systems, and FHIR DiagnosticReport connectivity.
Solves:Result delivery delays, manual result re-entry, LIS-EHR disconnects
Transition of care document exchange — CCDA/CCD-based discharge summaries, medication reconciliation feeds, and continuity of care data flowing from acute to post-acute settings.
Solves:Discharge summary gaps, medication reconciliation, care transition coordination
OUR SERVICES
End-to-End EHR Integration Engineering
From integration strategy through production support — every layer of the integration lifecycle, managed by Peerbits.
- HL7 v2 / v3 & FHIR R4/R5
- Multi-EHR & system connectivity
- HIPAA-compliant data exchange
- 24/7 monitoring & SLA support
01
Integration Strategy & Architecture
Integration landscape assessment, protocol selection, hub-and-spoke vs. point-to-point evaluation, middleware selection, and a phased integration roadmap aligned to your clinical and operational priorities.
Integration mappingProtocol selectionArchitecture design
02
HL7 v2 Interface Development
Design, build, and test HL7 v2 interfaces — ADT patient demographics, ORU lab results, ORM orders, DFT charges, SIU scheduling, and custom Z-segment extensions for any EHR combination.
ADTORU / ORMSIUDFT / BARMDM
03
FHIR API Integration
FHIR R4/R5 API implementation — RESTful resource access, Bulk Data export, SMART on FHIR app launch, CDS Hooks integration, and US Core profile-aligned data exchange.
FHIR R4/R5Bulk ExportUS CoreCDS Hooks
04
Integration Engine Setup & Management
Deploy and configure enterprise integration engines — Mirth Connect, Rhapsody, Ensemble/HealthShare, Azure Integration Services, or AWS HealthLake — with custom channel development and monitoring.
Mirth ConnectRhapsodyAzure HL7AWS HealthLake
05
Data Transformation & Mapping
Clinical data transformation between formats — HL7 v2 to FHIR mapping, CCD/CCDA generation, terminology translation (ICD-10, SNOMED, LOINC, RxNorm), and custom data normalization pipelines.
HL7 → FHIRCCDA / CCDSNOMEDLOINCRxNorm
06
Integration Monitoring & Support
24/7 integration monitoring, alerting on message failures, SLA-backed uptime guarantees, version upgrade support when EHRs release updates, and quarterly integration health reviews.
24/7 monitoring99.9% SLAUpgrade supportAlert & dashboards
Built for Production Healthcare Environments
Every integration we deliver is built for clinical-grade reliability — not just connectivity. These are the technical capabilities that make the difference between a demo and a production system.
Sub-second latency
Bidirectional Real-Time Sync
Data flows in both directions — reads and writes — in real time. Patient demographics updated in the EHR propagate instantly to billing, portal, and analytics systems without any manual intervention.
Zero silent failures
Error Handling & Message Recovery
Automatic retry logic, dead-letter queuing, message acknowledgment tracking, and human-readable error dashboards — so no message is ever silently lost and every failure is visible and recoverable.
Cross-system normalization
Intelligent Data Transformation
Complex HL7 message transformation, FHIR resource mapping, CCDA document generation, and terminology translation — handling the semantic differences between how different systems represent the same clinical concept.
Full observability
Integration Monitoring Dashboard
Real-time visibility into message volumes, success rates, error rates, and latency for every integration — with drill-down into individual message payloads and end-to-end transaction tracing for debugging.
HIPAA BAA included
HIPAA-Grade Security
TLS 1.3 encryption in transit, AES-256 at rest, role-based access control on integration management, HIPAA audit logging of all PHI data flows, and signed Business Associate Agreements for every deployment.
Upgrade-safe builds
EHR Version-Resilient Architecture
Integration designs that tolerate EHR vendor version upgrades — using capability-discovery APIs, version negotiation in HL7, and FHIR conformance statements so updates don't break your workflows.
Cross-system MPI
Patient Matching & MPI
Probabilistic patient matching across systems with different ID formats — resolving duplicate patient records, linking encounters from different facilities, and maintaining a Master Patient Index across your integration landscape.
CommonWell · Carequality
HIE & Network Connectivity
Connection to national and regional Health Information Exchanges — CommonWell Health Alliance, Carequality, eHealth Exchange — for access to external patient records from outside your facility.
ICD-documented
Full Integration Documentation
Every integration delivered with complete technical documentation — data dictionaries, message flow diagrams, interface control documents (ICDs), test scripts, and runbooks — so your team can own and maintain it.
Real life example of patient engagement software delivered by Peerbits
Identify how our experts solved business challenges leveraging technology by reading case studies.
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Why Healthcare Organizations Choose Peerbits for EHR Integration
EHR integration expertise is rare and deeply specialized. Most IT vendors understand networking. Very few understand HL7 ADT message structures, FHIR R4 conformance, or how Epic's patient identifier scheme interacts with your MPI.
We understand the clinical workflows, not just the wires
Knowing that an ADT A08 update can conflict with an A31 merge — and what that means for downstream billing — requires healthcare integration experience that generalist developers simply don't have.
Pre-built profiles for every major EHR from day one
We maintain certified integration profiles, sandbox credentials, and tested connection templates for 50+ EHR systems — so your project starts from a proven foundation, not discovery.
You own the integration — no middleware licensing trap
We don't lock you into a per-message middleware platform. Every integration we deliver is yours — documented, transferable, and maintainable by your internal team or any future vendor.
99.9% uptime — not a marketing claim, a contractual commitment
Clinical operations depend on integrations working. We back every production integration with a 99.9% uptime SLA, 24/7 monitoring, and a defined incident response SLA that protects your patients and your operations.
Strategy through support — one team, no handoffs
The team that designs your integration architecture builds it, tests it, deploys it, and supports it. No handoff between strategy consultants and offshore developers — clinical context is preserved from day one through go-live.
HIPAA, ONC, and 21st Century Cures Act — built in
Every integration is designed with HIPAA safeguards, ONC certification considerations, and information-blocking rule compliance embedded from the architecture stage — not retrofitted after a compliance audit.
vs. Rhapsody / MuleSoft / Redox
Unlike generic integration platform vendors that charge per-message or per-connection fees and require you to build healthcare-specific logic yourself, Peerbits delivers a fully configured, clinically-aware integration layer — with healthcare domain expertise, EHR-specific knowledge, and a fixed engagement model that doesn't penalize you for growing patient volume.
What Clients Experience on Every Engagement
Measured across 100+ EHR integration projects delivered over the past four years.
6 wks
Average time from contract to live production integration
vs. 6–18 months industry average
99.9%
Integration uptime SLA across all production deployments
Contractually backed
70%
Reduction in manual data re-entry for clinical staff
Measured at 90 days post-go-live
Zero
Proprietary middleware licensing fees
Open standards · You own the stack
What CIOs & Integration Teams Say
#clientspeak
Learn more about our processes from our clients
Play Video
After a rigorous selection process choosing Peerbits as our technology partner was the right choice. Peerbits is an innovative company with a team of talented, committed, and smart individuals. Thank you for helping us deliver world-class healthcare solutions. Good job.
Dan
Health vector
Your Systems Are Ready to Finally Talk to Each Other.
Start with a free EHR integration assessment — we'll map your current integration landscape, identify the highest-impact connection gaps, and deliver a prioritized integration roadmap with effort estimates within two weeks.
Get a Free Integration AssessmentFrequently asked questions
EHR integration is the process of connecting your Electronic Health Record system with other clinical and administrative systems — labs, billing, pharmacy, imaging, patient portals, and analytics platforms — so data flows automatically between them without manual re-entry or duplicate work.
We integrate with 50+ EHR and HIS systems including Epic, Cerner, Oracle Health, Athenahealth, Meditech, eClinicalWorks, and more — using HL7 v2/v3, FHIR R4/R5, and direct vendor APIs with pre-built certified connection profiles for each system.
We support the full spectrum of healthcare integration standards — HL7 v2.x and v3 message types (ADT, ORU, ORM, DFT, SIU, MDM), FHIR R4/R5 RESTful APIs, X12 EDI (837, 835, 270/271, 278), CCDA/CCD documents, DICOM, and IHE profiles.
Most production integrations go live within 6 weeks — compared to the 6–18 month industry average for custom HL7 integrations. Our pre-built EHR profiles, certified sandbox environments, and tested connection templates eliminate the discovery phase that consumes most integration timelines.
No. We build version-resilient integrations using capability-discovery APIs, standardized HL7 message types, and FHIR conformance statements — so when Epic or Cerner releases a version upgrade, your integration continues working without emergency fixes.
We deploy and configure all major enterprise integration engines — Mirth Connect, Rhapsody, Ensemble/HealthShare, Azure Integration Services, and AWS HealthLake — with custom channel development, monitoring dashboards, and 24/7 production support.
The cost depends on the number of systems being connected, integration protocols required, data transformation complexity, and support SLA. Unlike per-message middleware platforms, Peerbits delivers a fully owned integration layer — no ongoing licensing fees and no cost penalties as your patient volume grows.
Have more questions?
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