Healthcare Interoperability Platform

Every health system speaks a different dialect. InteropX is the translator that never mishears a patient.

One platform for the full interoperability stack — ingest, translate, orchestrate, and govern every message moving between your EHR, payers, labs, and downstream apps. Built for engineering teams who own the integration, not just the vendor contract.

RAW HL7 V2 — WHAT ARRIVES ON THE WIRE

MSH|^~\&|EPIC|GENHOSP|INTEROPX|PEERBITS|20260707102214||ADT^A01|MSG00001|P|2.5.1

SEGMENT

MSH — Message Header

EVENT

ADT^A01 — Patient admit

ROUTE

EPIC → InteropX → Peerbits

RESULT

Structured FHIR Encounter, in real time

Ten capabilities, four real layers

These aren't ten separate tools bolted together — they're the actual stages a message passes through, from the moment it leaves an EHR to the moment it's a governed, queryable, patient-consented FHIR resource.

LAYER 01

Gateway

The single door every integration walks through — before anything is parsed, translated, or stored.

API Gateway

The authenticated front door for every system that talks to InteropX — internal services, partner integrations, and third-party apps alike.

  • OAuth2 and SMART on FHIR token exchange at the edge
  • Per-client rate limiting and request throttling
  • Routes traffic to the correct engine — FHIR, HL7, or custom endpoint — without exposing internal topology
LAYER 02

Translate

Where format stops being a barrier — legacy pipe-delimited messages and modern FHIR resources both become one shared representation.

HL7 Engine

Parses and generates HL7 v2.x traffic — ADT, ORU, ORM, SIU — down to the segment level, so legacy systems keep working without becoming a bottleneck.

  • Full MSH, PID, PV1, OBX segment parsing and generation
  • Version negotiation across HL7 2.3 through 2.8
  • Malformed-message quarantine with re-processing on fix

FHIR

Native FHIR R4 and R5 support so InteropX can serve as the FHIR-facing surface for any system that expects it — no separate conversion layer required.

  • Full RESTful FHIR API across core resource types
  • Bulk data export ($export) for population-level queries
  • SMART on FHIR app launch for embedded third-party apps

Data Mapper

Field-to-field mapping between whatever a source system sends and whatever a target system — FHIR, HL7, or a custom schema — expects to receive.

  • Visual mapping canvas for non-code field alignment
  • Reusable, versioned mapping templates per source system
  • Dry-run validation before a mapping goes live

Terminology Service

Keeps clinical codes meaningful across systems that were never designed to agree with each other on vocabulary.

  • Cross-mapping across ICD-10, SNOMED CT, LOINC, RxNorm, CPT
  • Value-set validation against configured code systems
  • Custom local-code to standard-code crosswalks
LAYER 03

Orchestrate

Once a message is understood, something downstream usually needs to react to it — without polling for it.

Event Engine

Publishes a real-time event for every clinically meaningful transaction, so downstream workflows fire the moment something changes — not on the next polling cycle.

  • FHIR subscriptions and outbound webhooks per event type
  • Configurable triggers on admit, discharge, result, and order events
  • Retry and dead-letter handling for failed deliveries

Workflow Router

Decides what happens next based on message content — routing, filtering, enriching, or splitting a single inbound message into multiple downstream actions.

  • Rule-based routing on any FHIR or HL7 field value
  • Fan-out to multiple destinations in parallel
  • Enrichment from external lookups before forwarding
LAYER 04

Govern & Operate

Interoperability at scale isn't finished when data moves correctly — it's finished when you can prove who moved it, who consented to it, and how healthy the pipeline is.

Audit Logs

An append-only, tamper-evident record of every read and write — who accessed what, when, and through which integration.

  • Immutable log entries with actor, timestamp, and resource
  • Exportable audit trails for compliance review
  • Query-level logging, not just record-level

Monitoring

Live visibility into how every integration endpoint is actually performing, before a partner has to tell you it's down.

  • Per-endpoint throughput, latency, and error-rate tracking
  • Threshold-based alerting to the on-call channel of your choice
  • Historical trend view for capacity planning

Dashboard

One operational view across every connected system — instead of stitching that picture together from five different vendor consoles.

  • Integration health and message volume in one screen
  • Active mappings and terminology sets at a glance
  • Role-based views for engineering, ops, and compliance teams

Consent Management

Patient-level consent captured once and enforced everywhere — so a sharing restriction set at intake is honored by every query afterward.

  • Granular, resource-level consent rules
  • Real-time enforcement at query time, not batch review
  • Consent status visible alongside the record it governs

Measured Results

What Healthcare Organizations Achieve

Across all active healthcare web deployments — from single-practice clinics to multi-state health systems — these are the outcomes Peerbits clients consistently achieve.

R4/R5

FHIR versions natively supported

2.3–2.8

HL7 v2 versions parsed

5

Terminology systems cross-mapped

100%

Query-level audit coverage

Bring your own EHR, lab feed, or payer connection — see how InteropX would map to it.

A technical walkthrough with our interoperability team, scoped to your actual message formats — not a generic demo environment.

Request technical walkthrough

Integration case studies

Real EHR connections, payer integrations, and interoperability platform deployments.

Healthtech ,

Remote Patient Monitoring (RPM) app

Remote patient monitoring app helps to bridge the gap between patients and healthcare providers. It tracks the vitals of the patients and sends it to the doctors.

  • Core Technology : Angular , Swift
  • Industry : Healthcare
featured

Healthtech , AWS / Cloud ,

Built secure healthcare cloud infrastructure using AWS for streamlining & automation of operations

A healthcare startup struggled with increasing loads of data and manual infrastructure management as its business expanded. Peerbits successfully built cloud infrastructure using AWS for their system possessing auto-scaling, automated and more.

featured

Healthtech ,

Native iOS app to bridge the gap between patients and healthcare providers

This is a native iOS app that helps to bridge the gap between the patients and healthcare providers. Patients can monitor their health on a regular basis and share the data with the doctors and healthcare professionals.

  • Core Technology : Swift
  • Industry : Health
featured

Frequently asked questions

InteropX is Peerbits' full-stack healthcare interoperability platform — a single integration layer that ingests messages from any source (EHR, payer, lab, device), translates them to a shared representation, orchestrates downstream workflows in real time, and governs every data movement with audit trails and consent enforcement.

InteropX connects to Epic, Cerner, Oracle Health, Athenahealth, MEDITECH, and any system that exposes FHIR R4/R5, HL7 v2, or X12 EDI. The Gateway layer handles protocol translation before any clinical data is processed.

Yes. InteropX is designed around ONC §170.315 requirements — FHIR R4 APIs, SMART on FHIR launch, patient access, provider directory, and prior authorization API compliance under the CMS 9115-F and CMS-0057-F rules.

The Terminology Service maintains live cross-mapping tables for ICD-10, SNOMED CT, LOINC, RxNorm, and CPT. Every data element passing through the Translate layer is validated against configured value sets and mapped to target code systems — eliminating the silent data corruption that happens when systems disagree on vocabulary.

Yes. Every component of InteropX is built with HIPAA Technical Safeguards as a default — PHI encryption at rest (AES-256) and in transit (TLS 1.3), role-based access controls, append-only audit logging, and BAA coverage for all subprocessors.

Yes. InteropX is available as a fully managed cloud service or as a self-hosted deployment on AWS, Azure, or GCP using HIPAA-eligible infrastructure. All architecture patterns are documented for cloud security review.

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