Decode Health is a FHIR HL7 interface engine that connects EHRs like Epic, Oracle Health (Cerner), athenahealth, & others with lab systems, billing platforms, imaging, devices, and FHIR APIs so every system receives the same structured, consistent, real-time healthcare data.
FHIR HL7 Interface Engine That Closes Interoperability Gaps
As healthcare organizations scale, keeping data aligned across systems becomes harder since it's stored in different places and formats. Decode Health is the FHIR HL7 interface engine that takes that load and standardizes messages, supporting care teams.
The Gap Today
What It Costs You
How Decode Health Solves It
Patient information is scattered across EHRs, labs, & imaging systems, making it hard for care teams to get a complete, accurate data view.
Roughly four hours a week are spent finding and fixing the same broken messages.
The HL7 parser checks every field as the message moves through. If something's missing, it's flagged or replayed, never lost.
Every time a new partner, insurance company, or registry wants to connect, the team has to build the connection from scratch.
Six to twelve weeks for each new connection, with an engineer assigned to it the whole time.
Our FHIR integration engine comes with the common connections already built. Older formats translate cleanly into newer ones.
Older systems and newer cloud tools communicate in different languages. They don't naturally understand each other.
Two separate integration teams, two sets of tools, twice the bill.
One FHIR HL7 integration tool handles both. Information moves cleanly in either direction without the team writing translation codes.
Every message goes through four stages: routing, validation, transformation, and monitoring.
STAGE 01
Inspect & Route
FILTER WHAT COMES IN
MLLPHTTPSRESTAuthorization
Every message arrives over a secure connection of either a traditional hospital protocol (MLLP) or modern web channels like HTTPS or REST. The engine reads and identifies the event (an admission, lab result, order, scheduling change, discharge, billing, or prescription), confirms sender authorization, and sends it. Anything broken or unauthorized is set aside, not dropped.
Passes the Stage 01
engine.decodehealth.io / inbound
INCOMING STREAMS
MLLPHospital ADT feed
Live
HTTPSREST webhook
Live
RESTEHR API endpoint
Live
EVENT ROUTER
ADT^A01 — Admission
Routed
ORU^R01 — Lab result
Routed
SIU^S12 — Schedule
Queued
STAGE 02
Parse, Validate, Enrich
THOROUGHLY CHECKING THE DATA
HL7 ParserCustom fieldsPatient indexCode lookup
The HL7 parser breaks each message down to the individual field, including custom fields unique to the health system. It then checks the message against rules and can fill in missing details from a patient index, a code lookup table, or a FHIR interface engine server before passing it on.
Passes the Stage 02
HL7 Parser · ORU^R01 · MSG-77412
FIELD BREAKDOWN
MSH · Sending ApplicationEPIC_EHR
✓
PID · Patient ID (MRN)PT-8821043
✓
PID · Date of Birth19840612
✓
OBX · Result Value—
Enriched
ZPI · Custom: PayerIDBCBS-IL-9910
✓
OBX value filled from patient index. Code validated against LOINC.
STAGE 03
Transform & Deliver
STANDARDIZATION FOR DELIVERY
HL7 v2 → FHIRCDA → FHIRX12 → JSONNCPDP SCRIPT
Most engines get fragile at translation. As a FHIR HL7 interface engine, Decode Health turns HL7 v2 into FHIR, CDA into FHIR, X12 claims into the JSON your analytics warehouse expects, and prescriptions into NCPDP SCRIPT. Every translation is versioned, so teams can test changes before they go live and roll them back if needed.
Every message is logged in a way that can't be tampered with. When a downstream system rejects a batch, it's replayed, not rebuilt from scratch. Audit exports are HIPAA-ready, and ISO 27001 controls cover the HL7 interface engine itself.
How Decode Health Solves Your Integration Challenges
Simplified Integration
A centralized HL7 integration engine simplifies how interfaces are built and managed. It shortens implementation timelines & reduces the effort required for ongoing troubleshooting.
Bi-directional HL7 & FHIR Exchange
Data moves easily in both directions across systems using the FHIR & HL7 interface engine. Information can be pushed or pulled in most supported formats.
Bulk Message Processing
The system smoothly processes real-time bulk batch messages, keeping clinical workflows running smoothly while managing high data volumes for analytics and reporting.
Flexible Data Transformation
Advanced data transformation normalizes messages to meet different system requirements, allowing information to convert easily between multiple data formats.
Security & Operational Reliability
Built-in security protects sensitive healthcare data across environments through encryption, authentication, and activity logging that support stable operations.
Consultant Support
Easy access to integration consultants helps keep systems running smoothly, with problems fixed quickly as systems grow and integrations become more complex.
Our HL7 Interface Engine Works With Leading Healthcare Platforms
A modern FHIR HL7 interface engine should communicate with every healthcare data format, deploy into the existing environment, and connect to every system required. Decode Health does it all, with PHI never leaving your control.
FHIR HL7 Interface Engine That Closes Interoperability Gaps
As healthcare organizations scale, keeping data aligned across systems becomes harder since it's stored in different places and formats. Decode Health is the FHIR HL7 interface engine that takes that load and standardizes messages, supporting care teams.
Feature
RECOMMENDEDDecode Health
Commercial Engines
Open-Source
Implementation includedThe team builds channels and mappings. No separate contract, no in-house team build-out.
Included
Separate
DIY
Time to first integrationA well-scoped HL7 v2 channel from kickoff to production cut-over.
~2 weeks
4–8 weeks
4–8+ weeks
Integration team neededFluent engineers required to operate the engine day-to-day after go-live.
Not required
Required
Required
Monitoring & on-call24x7 incident response handled by our managed services team.
Optional add-on
Premium tier
Your team
HIPAA · ISO 27001 · GDPRCompliance certifications and a Business Associate Agreement included in the engagement.
Included
Vendor varies
Your responsibility
Licensing modelWhat you actually sign for.
License + implementation
Tiered annual
Free (MPL 2.0)
Implementation costWhere the cost of getting live actually lands.
In the engagement
Separate SOW
Your team's time
Reference customersNamed customer willing to take a reference call before contract signature.
AkshatMedTech Digital Health's HL7 Interface Engine is built to bridge the gap between disconnected systems for faster and more reliable data transfer.
Healthcare Companies & Institutions
Hospitals & Patient Care Centers
Connect your EHR to imaging and labs for a unified, 360-degree view of every patient.
Medical Imaging Centers & Labs
Automate the high-volume exchange of orders and results with external physician groups instantly.
Healthcare Startups & Solution Providers
Rapid Integration
Don't let technical barriers stall your growth. Use Decode Health to plug your proprietary solution into hospital systems like Epic or Cerner in weeks.
Enterprise Readiness
Build your product on a foundation that meets the strict interoperability standards required by large-scale healthcare institutions.
Research & Population Health
Pharma & CROs
Automatically collect accurate, high-quality data from multiple trial sites to significantly speed up clinical research.
Public Health Organizations
Pull data from across your entire care network to track health trends and improve community-wide outcomes.
Support Networks & Clinics
Remote Patient Monitoring (RPM)
Stream vitals and health data from patient homes directly into clinical workflows without manual data entry.
Specialized Clinics
Coordinate treatment and improve outcomes by pulling consistent data from your partner institutions and support networks.
A healthcare integration project can take from 4 weeks to over 12 months, but the actual time depends on certain parameters. For example, a point-to-point API connection can be completed in 4 to 6 weeks. But a large hospital connecting multiple old platforms can take 6 to 12 months or longer.
Yes, it does reduce costs. A well-thought-through, expert healthcare integration service reduces operational costs by automating manual work. This lessens duplicate data entries and prevents costly errors.
We use HIPAA-aligned security controls, encryption, role-based access, audit logging, and secure data handling throughout the integration lifecycle. Our team tests interfaces before deployment to identify data, access, and security issues before they reach production.
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