10decodersHL7 v2 and FHIR R4 — built to the standard, validated against it
From legacy ADT and ORU feeds to modern FHIR R4 APIs, SMART on FHIR apps, and Bulk Data export, we implement the standards correctly and prove it with conformance testing — then operate the interfaces in production.
Where hl7 & fhir interoperability usually goes wrong
"HL7-compatible" isn't conformant
Interfaces that pass a demo but fail on real-world edge cases and optional segments.
FHIR without governance
Resources modeled inconsistently, breaking downstream apps and analytics.
Migration risk
Moving from HL7 v2 to FHIR without a bridge that keeps both running during transition.
Our HL7 & FHIR capabilities
Standards implemented, validated, and kept conformant as the specs evolve.
HL7 v2 interfaces
ADT, ORM, ORU, SIU, DFT and more — parsing, transformation, and acknowledgement handling done right.
FHIR R4 APIs
Resource design, RESTful endpoints, and search parameters modeled to US Core and USCDI.
SMART on FHIR
OAuth2/OIDC launch, scopes, and app integration for clinician- and patient-facing apps.
Bulk Data (Flat FHIR)
$export pipelines for population-scale extract to your warehouse or analytics stack.
Conformance testing
Validation against Touchstone/Inferno and IHE profiles so you can prove compliance.
v2-to-FHIR bridging
Run legacy feeds and FHIR side by side during migration with mapping to the official v2-to-FHIR maps.
Map, build, prove, operate
Model
Define resources and interfaces against US Core, USCDI, and IHE profiles.
Build
Implement endpoints, transforms, and auth with versioning and documentation.
Validate
Run Inferno/Touchstone conformance suites and sample-message testing.
Operate
Monitor endpoints, manage versions, and keep interfaces conformant as specs update.
Conformance is a claim until it is tested. We deliver the test evidence with the interface.
The platform-only model
- Interfaces built to a demo, not the spec
- FHIR resources modeled ad hoc per project
- You own conformance testing and re-testing
- Version drift discovered when an app breaks
The 10decoders model
- Built to US Core / USCDI / IHE from the start
- One governed resource model across the estate
- Inferno/Touchstone evidence delivered with the work
- We manage versioning and re-validate on updates
