Healthcare & Fitness ,
Fitness app exclusively for women
Our esteemed client from Abu Dhabi wanted us to build an app for their Health & Fitness service. This service is exclusively for women. Our develop...
SMART on FHIR · HL7 R4/R5 · OAuth 2.0 · CDS Hooks
Break Down Healthcare Data Silos. Build Interoperable Apps.
Peerbits designs and builds SMART on FHIR applications that plug directly into Epic, Cerner, and 30+ EHR systems — giving clinicians context-aware tools at the point of care, and giving patients seamless access to their own health data.
CMS & ONC mandate: The 21st Century Cures Act and ONC interoperability rules now require EHRs to expose FHIR R4 APIs. Non-compliance risks information-blocking penalties. SMART on FHIR is no longer optional — it is a regulatory baseline.
30+
EHR systems supported via FHIR APIs
R4/R5
Full FHIR version support including R5
100%
ONC certification compliant architecture
Standards & Compliance
HL7 FHIR R4 / R5
SMART App Launch v2
OAuth 2.0 / OIDC
CDS Hooks
US Core Profiles
Bulk FHIR Export
HIPAA Compliant
The Interoperability Problem — and How We Solve It
Healthcare data remains locked inside disconnected EHR silos. Every integration failure costs clinicians time, patients safety, and organizations revenue. SMART on FHIR is the solution — but only when implemented correctly.
Customer pain points
Data Locked in EHR Silos
Clinical data sits trapped inside Epic, Cerner, or Meditech with no standardized way for third-party apps to access it. Developers write brittle, proprietary point-to-point integrations that break with every EHR version upgrade.
60%+ integrations break on EHR updates
Months-Long Integration Timelines
Custom HL7 v2 and proprietary API integrations take 6–18 months to build, require specialized middleware, and demand ongoing maintenance — consuming engineering capacity that should go toward clinical innovation.
6–18 months per custom integration
Regulatory Non-Compliance Exposure
The 21st Century Cures Act and ONC interoperability rules require FHIR R4 APIs and prohibit information blocking. Organizations without SMART on FHIR-compliant systems face enforcement actions and loss of certification.
Up to $1M/day information-blocking penalty
Poor Clinical App Usability
Clinicians must switch between multiple systems — each requiring separate login, duplicate data entry, and manual copy-paste — adding 90+ minutes of wasted time per physician per day to cognitive overload.
90+ min/day lost to context-switching
Peerbits SMART on FHIR solutions
Open, Standardized FHIR APIs
We build SMART on FHIR applications using HL7 FHIR R4/R5 APIs — the same standard that Epic, Cerner, Oracle Health, and Apple Health use. One integration works across every compliant EHR, eliminating proprietary lock-in forever.
Write once · Run anywhere
Weeks, Not Months, to Live Integration
SMART on FHIR's standardized launch framework and OAuth 2.0 authorization dramatically reduces integration complexity. Our pre-built FHIR client libraries, EHR sandbox environments, and certified connection profiles get you live in 4–8 weeks.
4–8 week go-live
ONC-Certified Compliance Architecture
Every application we build is architected for 21st Century Cures Act compliance — FHIR R4 APIs, patient data access rights, information-blocking rule adherence, and full audit trails included from day one.
Cures Act compliant
EHR-Embedded, Context-Aware Apps
SMART apps launch directly inside the EHR workflow — physician opens a patient chart, the app loads automatically with that patient's data pre-populated. Zero context switching. Zero duplicate login. Zero manual data entry.
Launch within EHR workflow
The SMART App Launch Architecture — End to End
SMART on FHIR combines HL7 FHIR for data access with OAuth 2.0 for secure authorization — enabling any app to launch within any FHIR-compliant EHR with full patient context loaded automatically.
STEP 1
EHR initiates SMART launch
Clinician opens patient chart; the EHR triggers a SMART launch URL passing patient and encounter context automatically.
STEP 2
SMART app receives context
The Peerbits-built SMART app receives the launch parameters — patient ID, encounter ID, user role — with no manual entry required.
STEP 3
OAuth 2.0 authorization
The auth server validates the app, issues a scoped access token — granting only the data permissions the app has been granted by the organization.
STEP 4
FHIR data retrieval
The app reads Patient, Observation, Condition, MedicationRequest, and other FHIR resources in real time from the FHIR server via RESTful API.
STEP 5
Write-back & patient access
The app writes structured data — notes, orders, care plans — back to the EHR via FHIR, and patients access their own data through compliant patient-facing apps.
SMART on FHIR Solutions for Every Healthcare Stakeholder
Whether you're a health system modernizing your EHR integration layer, a digital health startup building your first FHIR app, or a payer enabling member-facing data access — we have built it before.
Deploy SMART apps directly inside Epic and Cerner for clinical decision support, AI scribe integration, care gap alerts, and population health dashboards — without custom middleware.
Solves:EHR workflow fragmentation, clinical app deployment complexity, data silos across facilities
Build your app once on SMART on FHIR and deploy it across Epic, Cerner, Oracle Health, and Athenahealth — reaching the entire US healthcare market without separate integrations for each EHR.
Solves:Multi-EHR integration cost, time-to-market, technical debt accumulation
Access real-world clinical data via FHIR Bulk Data APIs for research, pharmacovigilance, clinical trial recruitment, and post-market surveillance — compliantly and at scale.
Solves:RWE data access, FHIR bulk export for research, trial eligibility screening
Implement FHIR-based member data access, DA VINCI use cases, prior authorization APIs, and Care Plan sharing — meeting CMS interoperability mandates on time.
Solves:CMS FHIR mandate compliance, DA VINCI implementation, member data portability
Add SMART on FHIR launch support to your existing product — making it compatible with any compliant EHR without rebuilding your core application logic or data model.
Solves:SMART-enabling legacy products, EHR app store submission, certification requirements
FHIR-based public health reporting, immunization registry integration, electronic case reporting, and population-level bulk data access for surveillance and research programs.
Solves:eCR implementation, immunization data exchange, FHIR reporting to public health agencies
OUR SERVICES
End-to-End SMART on FHIR Engineering
From FHIR server setup to SMART app launch in production — every layer of the stack, built and delivered by Peerbits.
- FHIR & HL7 standards
- Real-time data sync
- Secure API connections
- Zero workflow disruption
01
SMART App Development
Full-stack SMART on FHIR application development — clinical decision support tools, patient-facing apps, care management dashboards, and workflow tools that launch natively inside EHR systems.
SMART App Launch v2React / AngularCDS HooksEHR-embedded
02
FHIR Server Implementation
Design, build, and deploy a production-grade FHIR R4/R5 server — with full US Core profile support, Bulk FHIR export, and capability statement configuration for your specific data needs.
HAPI FHIRAzure FHIRAWS HealthLakeBulk Data API
03
EHR FHIR Integration
Connect your application to Epic MyApps, Cerner Code, Oracle Health, Athenahealth, and 30+ EHR FHIR APIs — including sandbox setup, credential management, and go-live support.
Epic MyAppsCerner CodeOracle Health30+ EHRs
04
OAuth 2.0 & Security Layer
Design and implement the full authentication and authorization stack — OAuth 2.0 authorization servers, PKCE flows, scoped access tokens, and patient consent management compliant with SMART App Launch v2.
OAuth 2.0OpenID ConnectPKCEConsent Management
05
CDS Hooks Integration
Build Clinical Decision Support services that fire automatically at key EHR workflow moments — order entry, patient selection, medication prescribing — surfacing evidence-based alerts and suggestions in real time.
CDS Hooks 2.0patient-vieworder-signReal-time alerts
06
ONC Certification & Compliance
Navigate 21st Century Cures Act requirements, information-blocking rules, and ONC certification criteria — with documentation, test execution, and regulatory submission support for your FHIR implementation.
21st Century CuresONC §170.315Info BlockingTouchstone Testing
Built on Open Standards. No Proprietary Lock-In.
Every system we build uses published open standards — FHIR, OAuth 2.0, OpenID Connect, CDS Hooks — ensuring your investment is portable, upgradeable, and future-proof.
140+ resource types
FHIR R4 & R5 Full Support
Full implementation of HL7 FHIR R4 resources with R5 migration path — covering Patient, Encounter, Condition, Observation, MedicationRequest, DocumentReference, and 140+ resource types.
v2 specification
SMART App Launch v2
EHR-hosted and standalone launch flows — supporting patient-context, practitioner-context, and system-level launches with full PKCE, dynamic client registration, and backend services profiles.
Real-time CDS
CDS Hooks 2.0
Real-time clinical decision support cards and suggestions that fire at order-sign, patient-view, medication-prescribe, and custom hook points — integrated with AI models for intelligent recommendations.
Population-scale
FHIR Bulk Data Export
Asynchronous bulk FHIR export for population health, research, and analytics — supporting Group-level, System-level, and Patient-level exports with NDJSON output and progress tracking.
US Core 6.1
US Core & USCDI+ Profiles
All FHIR resources profiled against US Core 6.1 and USCDI v3 requirements — ensuring your implementation meets ONC certification and CMS interoperability mandate data element requirements.
Real-time events
FHIR Subscriptions & Notifications
Topic-based FHIR R5 subscriptions delivering real-time notifications when patient data changes — powering care gap alerts, lab result notifications, and discharge event triggers.
Touchstone certified
Sandbox & Testing Environments
Pre-configured Epic and Cerner sandbox environments, Synthea synthetic patient data generation, Touchstone conformance testing, and automated FHIR validation pipelines — before you touch production.
SNOMED · LOINC · RxNorm
FHIR Mapping & Terminology
HL7 v2 to FHIR mapping, StructureMap transformation, and clinical terminology binding — SNOMED CT, LOINC, RxNorm, ICD-10 — ensuring semantic interoperability across every data exchange.
FHIR-native BI
FHIR Analytics & Reporting
FHIR-native analytics pipelines — flatten FHIR bundles to columnar formats, Power BI and Tableau connectors, and population health queries using FHIR Measure and MeasureReport resources.
Real life example of patient engagement software delivered by Peerbits
Identify how our experts solved business challenges leveraging technology by reading case studies.
Healthcare & Fitness ,
Chat, meet and Exercise!
The ultimate app for cross fit gym community enables the user to socialize within the gymming…
Why Healthcare Organizations Choose Peerbits for FHIR
SMART on FHIR expertise is rare. Most agencies can build web apps — very few understand HL7 FHIR R4/R5 deeply enough to implement production-grade clinical systems that survive EHR certification audits.
Built by engineers who live in the FHIR spec
Our team has implemented FHIR servers, SMART apps, and CDS Hooks services across Epic, Cerner, Oracle Health, and AWS HealthLake — not generalist developers reading the spec for the first time on your project.
Pre-validated EHR sandbox environments ready to go
We maintain pre-configured Epic MyApps, Cerner Code, and Oracle sandbox credentials — cutting weeks off your setup time and letting us begin integration testing on day one of the engagement.
From FHIR server to production app — one team
We design the FHIR architecture, build the OAuth authorization server, develop the SMART app, implement CDS Hooks, and support ONC certification — no coordination across multiple vendors required.
ONC and 21st Century Cures Act aligned by default
Every system we build is documented, tested with Touchstone, and architected against ONC §170.315 certification criteria — so your compliance team isn't surprised at the certification stage.
We understand the clinical workflows, not just the API
FHIR is a technical standard — but knowing what data a hospitalist needs at order-sign, or what a care coordinator requires in a patient summary, requires clinical domain understanding most technology firms lack.
No proprietary middleware — your integration is yours
We build on open standards — HL7 FHIR, OAuth 2.0, CDS Hooks — not proprietary integration platforms with ongoing licensing fees. Your implementation is portable, maintainable, and vendor-independent.
vs. Redox / Mirth / PointClickCare
Unlike integration middleware platforms that charge per-message fees and abstract away the FHIR standard behind proprietary APIs, Peerbits builds directly on HL7 FHIR, SMART App Launch, and OAuth 2.0 — giving you a fully owned, standard-compliant implementation with no ongoing per-message licensing costs and zero vendor lock-in.
What Clients Experience Working with Peerbits on FHIR
Measured across SMART on FHIR and FHIR API projects delivered over the past three years.
4–8 wks
Average time to live EHR integration
vs. 6–18 months custom HL7
30+
EHR systems connected via FHIR APIs
One SMART app · Any compliant EHR
100%
ONC certification pass rate on first submission
Touchstone-tested architecture
Zero
Proprietary middleware or per-message fees
Open standards · You own the stack
What CTOs & Engineering Leaders 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
Ready to Build on Open Healthcare Standards?
Start with a free FHIR architecture review — we'll assess your current integration landscape, identify compliance gaps, and map a SMART on FHIR implementation roadmap tailored to your EHR environment.
Get a Free FHIR Architecture ReviewFrequently asked questions
SMART on FHIR is an open standard that combines HL7 FHIR for healthcare data access with OAuth 2.0 for secure authorization — enabling third-party applications to launch directly inside any compliant EHR system with full patient context loaded automatically, without separate logins or manual data entry.
All major EHR systems now expose FHIR R4 APIs as required by the 21st Century Cures Act — including Epic, Cerner, Oracle Health, Athenahealth, Meditech, and eClinicalWorks. Peerbits has pre-configured sandbox environments and certified connection profiles for 30+ EHR systems.
FHIR R4 is the current production standard required by ONC and CMS mandates. FHIR R5 introduces improvements in subscriptions, clinical reasoning, and workflow resources. Peerbits builds on R4 with a documented R5 migration path — so your implementation is compliant today and future-proof for the transition.
The 21st Century Cures Act requires EHRs and healthcare organizations to expose FHIR R4 APIs for patient data access and prohibits information blocking. Non-compliance can result in penalties up to $1M per day. Every FHIR implementation Peerbits builds is architected to meet ONC §170.315 certification criteria from day one.
With our pre-built FHIR client libraries, pre-configured EHR sandbox environments, and certified connection profiles, most integrations go live in 4–8 weeks — compared to 6–18 months for custom HL7 v2 or proprietary API integrations.
CDS Hooks is an open standard that allows external clinical decision support services to fire automatically at key EHR workflow moments — order-sign, patient-view, medication-prescribe. Peerbits builds CDS Hooks 2.0 services that surface AI-powered alerts and recommendations directly inside the clinician's EHR workflow in real time.
The cost depends on the scope of your FHIR server implementation, number of EHR integrations, SMART app complexity, and ONC certification requirements. Unlike middleware platforms with per-message fees, Peerbits delivers a fully owned implementation on open standards — with no ongoing licensing costs and no vendor lock-in.
Have more questions?
Ask our expertsKnowledge hub
We believe knowledge is the key to success journey. And the right knowledge is the key to success. Get the right knowledge by reading our well-researched blogs and staying ahead of the curve.
