Cerner EHR Integration
Expert Cerner Millennium HL7 v2 and FHIR R4 integration — ADT feeds, lab interfaces, SMART on FHIR apps, and Cerner code marketplace certification for US healthcare.
Cerner Integration Services
From HL7 ADT feeds to FHIR R4 APIs and code marketplace certification — we handle every layer of Cerner Millennium integration.
Cerner Millennium HL7 Interface Development
Custom HL7 v2 interface development for Cerner Millennium — ADT, ORM, ORU, SIU, DFT, MDM, and RDE message types with full acknowledgment handling.
- ✓ADT (A01–A60) patient admit/discharge/transfer feeds from Cerner
- ✓ORM/ORU lab order and result routing via Cerner Millennium
- ✓SIU scheduling message integration for appointment data
- ✓DFT financial transaction and charge capture interfaces
- ✓MDM medical document management message handling
- ✓ACK/NACK acknowledgment processing and retry logic
Cerner FHIR R4 API Integration
Connect your applications to Cerner's FHIR R4 APIs — US Core resources, Millennium-specific extensions, OAuth 2.0 SMART auth, and production API management.
- ✓Cerner FHIR R4 endpoint integration (all supported resource types)
- ✓SMART on FHIR OAuth 2.0 authorization for Cerner environments
- ✓US Core profile compliance for Cerner resources
- ✓Cerner-specific FHIR extensions and custom search parameters
- ✓Sandbox (code.cerner.com) testing and production promotion
- ✓Token refresh, rate limit handling, and error recovery
Cerner Code Marketplace Certification
Full support for Cerner code marketplace app submission — technical review preparation, sandbox testing, security review, and go-live coordination with Cerner.
- ✓Cerner code marketplace application registration and setup
- ✓Technical architecture review aligned with Cerner requirements
- ✓Sandbox environment testing with Cerner's open developer sandbox
- ✓Security review preparation (OAuth scopes, data minimization)
- ✓Coordination with Cerner developer support during review
- ✓Production promotion and post-launch monitoring
Bidirectional Cerner Integration
Two-way data exchange with Cerner Millennium — write-back of results, orders, documents, and patient data into Cerner while pulling clinical data into your system.
- ✓Bidirectional ADT patient data synchronization
- ✓Lab order entry (ORM) and result write-back (ORU) to Cerner
- ✓CDA / C-CDA document import and display in PowerChart
- ✓Medication reconciliation and pharmacy interface loops
- ✓Scheduling write-back for appointment booking applications
- ✓MPI patient matching for cross-system identity resolution
Cerner Data Extraction & Reporting
Extract clinical, financial, and operational data from Cerner Millennium for analytics, reporting, and population health — via HL7, FHIR Bulk Export, and direct database access.
- ✓FHIR Bulk Data Export from Cerner for population analytics
- ✓Cerner Millennium CCL (Command Language) report extraction
- ✓Integration with Cerner PowerInsight and HealtheIntent
- ✓Real-time ADT and clinical event feeds to data warehouses
- ✓HEDIS and quality measure data extraction via FHIR
- ✓Custom ETL pipelines from Cerner to Snowflake / SQL Server
Cerner Integration Security & Compliance
HIPAA-compliant Cerner integration architecture — encrypted transport, PHI audit trails, minimum necessary data access, and BAA-backed infrastructure.
- ✓TLS 1.2/1.3 encryption for all Cerner HL7 and FHIR channels
- ✓SMART scope minimization to limit PHI exposure
- ✓FHIR AuditEvent logging for all Cerner data access
- ✓PHI data flow documentation for HIPAA risk assessment
- ✓BAA-compatible cloud infrastructure for Cerner integration workloads
- ✓Penetration testing and security hardening for integration layers
Frequently Asked Questions
Do you work with older versions of Cerner Millennium?
Yes. We have experience integrating with Cerner Millennium across multiple release versions. Whether you're on an older Millennium release or the latest version, we can develop HL7 interfaces and FHIR API connections tailored to your environment.
How long does Cerner code marketplace certification take?
The timeline varies based on application complexity and Cerner's review queue, but typically ranges from 6 to 16 weeks. We help you prepare thoroughly so the review goes as smoothly as possible.
Can you integrate a third-party application with Cerner without going through the marketplace?
Yes. For internal health system integrations, we often use direct HL7 v2 interfaces or the Cerner FHIR R4 API with system-level SMART credentials — no marketplace listing required.
What tools do you use for Cerner HL7 integration?
We primarily use Mirth Connect for Cerner HL7 interface development. It provides robust support for all HL7 v2 message types, MLLP connectivity, and JavaScript/Groovy transformation scripting — all well-suited to Cerner Millennium environments.
Related Services & Reading
Need to integrate with Cerner?
Talk to a Cerner integration expert — free environment assessment and architecture review for your Cerner Millennium project.