One clinical data layer across nine source systems
A canonical interoperability platform reduced new application integration from eight weeks to six days.
The situation
Every new digital product rebuilt mappings across HL7 feeds, FHIR APIs, and flat files, with no shared view of freshness or failed messages.
The constraint
Clinical access had to continue throughout migration, patient identities differed by source, and vendor interfaces changed without coordinated releases.
The approach
We designed the program around operational continuity and evidence. Each release had to prove it was at least as safe and understandable as the process it replaced.
Established governed patient, encounter, and order contracts.
Created source-specific adapters and patient identity review queues.
Dual-ran feeds until record-level completeness and latency met clinical thresholds.
What shipped
- A versioned clinical API
- Patient identity resolution workflows
- Freshness, completeness, and contract-drift observability
The results
9
sources unified
6 days
new app integration
99.97%
message delivery
“Integration stopped being a separate project every time product had an idea.”
Representative VP of Digital Health