FHIR R4 Consulting
Strategic FHIR R4 advisory for health systems and digital health companies — from architecture decisions and US Core conformance through to Epic, Cerner, and Azure Health Data Services integration.
The Challenge
FHIR Projects Fail Without the Right Architecture From Day One
Most FHIR projects start with the wrong assumptions. Teams assume FHIR is just a REST API they can bolt onto an existing system, underestimate the complexity of conformance and validation, and discover six months in that their EHR vendor has undocumented extensions that break their integration. The result: delayed launches, failed ONC certification audits, and expensive rework. FHIR R4 is the right standard for modern healthcare interoperability — but it requires real architectural expertise to implement correctly. US Core profiles, SMART on FHIR authorization, bulk data export, terminology binding, and the nuances of each EHR vendor's non-standard implementation are not things you want to discover by trial and error in production.
Deliverables
FHIR Consulting Capabilities
- FHIR R4 architecture design — server selection (Azure Health Data Services, Google FHIR, HAPI), resource modeling, profile design, and capability statement definition
- US Core and Da Vinci Implementation Guide conformance review and gap analysis
- SMART on FHIR authorization design — standalone launch, EHR launch, and backend services (server-to-server) flows
- Epic, Cerner, and Athena FHIR API integration advisory — documented quirks, non-standard extensions, and rate limit strategies
- Azure Health Data Services architecture and deployment — FHIR server configuration, RBAC, private endpoints, DICOM, and MedTech IoT
- ONC 21st Century Cures Act compliance advisory — Information Blocking Rule, Patient Access API, and Provider Directory API requirements
- FHIR bulk data export design (SMART Backend Services, Group export, Patient export)
- Terminology and value set strategy — SNOMED CT, LOINC, RxNorm, ICD-10, and custom code systems
- FHIR validation pipeline design — profile validation, business rule validation, and integration testing approach
- Technical due diligence for health tech acquisitions — assess FHIR implementation quality, compliance posture, and integration architecture
Stack
FHIR Technology Stack
Process
FHIR Consulting Engagement
A clear, predictable engagement model with no surprises.
Discovery & Current State Assessment
Review your existing systems, integration requirements, regulatory obligations, and team FHIR maturity. Identify the specific problem to solve — whether that is EHR connectivity, ONC compliance, a new digital health product, or a payer data exchange programme.
Architecture Design & Roadmap
Produce a detailed FHIR architecture document covering server selection, resource profiles, authorization strategy, integration patterns, and a phased implementation roadmap with clear milestones and dependencies.
Implementation Support
Hands-on advisory throughout development — code reviews, integration testing, troubleshooting EHR vendor-specific issues, and conformance validation using the Inferno Test Kit and custom validators.
Go-Live & Certification Support
Support for ONC certification testing, payer submissions, and App Orchard / Marketplace submission processes. Post-launch monitoring guidance and operational runbook review.
FAQ
Frequently Asked Questions
Need Expert FHIR Advisory?
Book a free 30-minute call to discuss your FHIR architecture, integration, or compliance challenge.
Response within 24 hours · No commitment required