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Healthcare Middleware Integration Framework

A pre-built interface engine layer for HL7 v2/v3, FHIR R4, and DICOM traffic, with routing, transformation, and monitoring configured through mapping rules instead of custom point-to-point code.

HL7 v2/v3FHIR R4DICOMMLLP
AT A GLANCE Live
6–10 wksTypical deployment
HL7 + FHIR + DICOMProtocols supported
Visual mappingNo point-to-point code
24/7Interface monitoring
ARCHITECTURE

How the Middleware Integration framework is put together

Source Systems EHR, lab, imaging systems Protocol Adapters MLLP, REST, DICOM listeners Mapping Engine Visual field transformation Routing Engine Retry & dead-letter handling Destination Systems EHR & downstream apps Monitoring Dashboard Live volume & failure metrics
Core pipeline
Configurable output
OVERVIEW

One interface engine instead of N point-to-point integrations

Every new EHR, lab system, or imaging system a health system connects tends to become its own custom integration, each with its own retry logic and its own failure mode nobody remembers six months later. This framework replaces that pattern with a single interface engine: HL7 v2/v3, FHIR R4, and DICOM traffic all route through the same protocol-agnostic layer, and new connections are added as mapping rules rather than new codebases.

It ships with visual mapping and transformation tooling, retry and dead-letter handling for messages that fail downstream, and a real-time monitoring dashboard so interface issues surface before they become a clinical data gap, not after a department calls to ask why results never arrived.

At a glance

  • Deployment modelWhite-labeled, configurable
  • ProtocolsHL7 v2/v3, FHIR R4, DICOM, MLLP
  • MappingVisual, rule-based transformation
  • ReliabilityRetry & dead-letter handling
  • HostingYour cloud or ours
Book a Fit Assessment
CAPABILITIES

What's already built into the framework

01

Protocol-agnostic message routing

HL7 v2/v3, FHIR R4, and DICOM messages route through the same engine, so adding a new source or destination system doesn't mean adding a new integration codebase.

02

Visual mapping & transformation rules

Field-level mapping and transformation logic are configured visually and versioned, instead of buried in custom scripts only one engineer understands.

03

Retry & dead-letter handling

Failed deliveries are retried automatically on a configurable policy, and anything that still fails lands in a dead-letter queue for review rather than silently disappearing.

04

Real-time interface monitoring dashboard

A live dashboard shows message volume, failure rates, and latency per interface, so a struggling connection is visible before it causes a clinical data gap.

05

MLLP & transport support

Native MLLP support for HL7 v2 traffic alongside REST-based FHIR endpoints, covering the transport patterns most EHRs and lab/imaging systems actually use.

06

Change-log'd interface versioning

Mapping and routing changes are versioned with a change log, so a modification to one interface can be traced, reviewed, and rolled back independently.

TECHNICAL SPECIFICATION

Under the hood

Dimension Details
Protocols HL7 v2.x/v3, FHIR R4, DICOM
Transport MLLP, REST, HTTPS
Mapping Visual rule-based field & message transformation
Reliability Automatic retry, dead-letter queue, alerting
Monitoring Real-time dashboard, per-interface metrics
Compliance HIPAA, BAA-ready hosting

Standards & protocols

HL7 v2/v3FHIR R4DICOMMLLP

Cloud & compliance

AWSAzureGCPHIPAASOC 2
DEPLOYMENT PATH

How this framework reaches production

01

Fit Assessment

Inventory your source and destination systems and map them to the engine.

02

Mapping Configuration

Build visual field mappings and routing rules per interface.

03

Sandbox Validation

Run live message traffic through the engine against test endpoints.

04

Go-Live

Staged rollout with monitoring, alerting, and a rollback plan.

FAQ

Common questions about the Middleware Integration framework

Does this replace our existing interface engine, or sit alongside it?

It can do either. Most deployments migrate interfaces onto the framework incrementally, running alongside a legacy engine during transition rather than requiring a single cutover.

What happens when a downstream system is unreachable?

Messages are retried automatically on a configurable policy. If delivery still fails, the message lands in a dead-letter queue for review instead of being dropped.

Can we see interface health without checking logs manually?

Yes, a real-time monitoring dashboard tracks message volume, failure rate, and latency per interface, with alerting on thresholds you configure.

Does it support DICOM alongside HL7 and FHIR?

Yes, DICOM traffic routes through the same protocol-agnostic engine as HL7 v2/v3 and FHIR R4, so imaging integrations don't need a separate toolchain.

How are mapping changes tracked?

Every mapping and routing change is versioned with a change log, so a specific interface's history can be reviewed and rolled back independently of others.

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