Engine-Neutral · CMMI L3 · USA-Focused

HL7 / FHIR Consulting Company — Fixed-Price Sprints, USA-Focused, Engine-Neutral

A US healthcare integration consulting firm specializing in HL7 v2 / v3 / FHIR R4 work. Productized fixed-price sprints starting at $4,500. Monthly managed support tiers from $3,800/mo. 5,000+ HL7 and FHIR interfaces delivered since 2012. CMMI Level 3 process maturity. HIPAA BAA before any paid engagement.

Engine-neutral — we work with Mirth Connect, NextGen Connect, Iguana, Rhapsody, Corepoint, Cloverleaf, and InterSystems HealthShare. The right consulting partner is the one that's honest about which engine fits your situation, not the one selling the engine they happen to license.

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What HL7 / FHIR consulting actually covers

The work splits into five practice areas. Most engagements draw from two or three. Backed by senior US-based engineers and our broader Mirth Connect support practice.

Interoperability strategy

Which integration engine fits your roadmap. Which interfaces matter most. How to sequence the work. When to stay on HL7 v2 vs invest in FHIR R4. Whether to build, buy, or migrate. Advisory work, sold by the day or as part of a sprint.

Interface development

Custom HL7 v2.x interfaces (ADT, ORM, ORU, SIU, MDM, DFT, VXU). HL7 v3 CDA documents. FHIR R4 resources and Bulk Data ($export). REST and SOAP integrations. The bulk of the practice's billable work.

EHR integration

Bidirectional integration with Epic, Cerner (Oracle Health), eClinicalWorks, athenahealth, Meditech, NextGen EHR, Allscripts/Veradigm, and Greenway. Each EHR has its own integration patterns, vendor-program requirements (App Orchard for Epic, Code for Cerner), and certification paths.

Compliance and audit

HIPAA Security Rule remediation, SOC 2 evidence preparation, ONC (g)(10) certification support, 21st Century Cures Act compliance, state-level interoperability requirements. Audit-cooperation work alongside legal and compliance teams.

Operations and managed services

24/7 monitoring, incident response, change management, version upgrades. The work that comes after the build.

Productized sprint catalog

Eight named sprints in the catalog. Fixed scope, fixed timeline, fixed price.

Sprint	Price	Duration	What it delivers
Mirth Installation Sprint	From $4,500	2 weeks	Complete Mirth Connect install on Windows/Linux/cloud, channel config, first interface live
NextGen Connect Upgrade	From $8,800	4 weeks	Version upgrade from legacy 3.x/4.x to latest NextGen Connect with parity testing
eClinicalWorks $export Sprint	From $13,500	6 weeks	ONC (g)(10) FHIR Bulk Data ($export) with SMART Backend Auth and NDJSON
FHIR R4 Adapter Sprint	From $13,500	6 weeks	Full FHIR R4 layer on existing Mirth, US Core profiles, SMART on FHIR
HIPAA Audit + Remediation	From $19,500	6 weeks	PHI flow mapping, TLS hardening, audit log review, remediation plan
Iguana → Mirth Migration	From $34,500	8 weeks	Lua-to-JavaScript translation, parity testing, zero-downtime cutover (≤20 channels)
Rhapsody → Mirth Migration	From $34,500	6–8 weeks	Rhapsody Lua/Filer migration, parity testing, decommission (≤20 channels)
Corepoint → Mirth Migration	From $34,500	8 weeks	Lyniate Corepoint migration including alert/log migration (≤20 channels)

Three-or-more sprint bundles get 10–15% off. See all sprints →

Monthly support pricing

For ongoing operations after sprint work, four productized support tiers:

Tier	Monthly	Hours	SLA	Best for
Bronze	$3,800/mo	60	4-hour business hours	Small clinics, HealthTech startups
Silver	$6,800/mo	120	15-minute critical, 24/7 monitoring	Regional health systems
Gold	$12,500/mo	240	15-minute, 24/7 on-call	Hospital networks
Enterprise	From $28,000/mo	640 (4 FTE)	Custom	Fortune 500, IDNs

Sprint clients get 10% off the first month of any monthly support tier.

Why engine-neutrality matters

Most HL7 / FHIR consulting firms have an engine relationship. Some are NextGen partners. Some resell category-leading commercial integration engines. Some bundle a third-party engine with their managed services. Partner relationships pay commissions, which means the consulting firm has economic interest in the engine recommendation, regardless of whether that engine fits the client's situation.

Our practice is engine-neutral. We hold no reseller agreements with engine vendors. The implication: when we recommend Mirth Connect, it's because Mirth Connect fits — not because we earn margin on the license. When we recommend staying on an existing engine, we mean it.

Engine selection is one of the few decisions that compounds over five years. A wrong engine choice costs $500K–$1M in license fees, training, and eventually migration. The consulting partner that helps you make the choice should not be financially conflicted on the outcome.

For the underlying engine comparisons, see Best HL7 Integration Engines 2026 and the head-to-head pages: Mirth vs Iguana, Mirth vs Rhapsody, Mirth vs Corepoint, Mirth vs Cloverleaf, Mirth vs InterSystems.

What “USA-focused” means in our context

Senior architects and incident-response leads are US-based in Chicago, Austin, Sacramento, and Cheyenne. Implementation teams are in Noida, India. The follow-the-sun rotation is what makes the 15-minute SLA economically possible — a US-only team running 24/7 would price out at three times the rate.

For US healthcare buyers, the framing that matters: the named technical lead on your engagement is US-based. The architect oversight on every critical-path change is US-based. The 24/7 follow-the-sun rotation means there's always someone awake and available — but the SLA is delivered by senior engineers, not by a triage layer that escalates.

Some buyers — particularly federal healthcare and certain state-level health systems — require US-only delivery for procurement reasons. We offer a US-only delivery option at a 1.8x multiplier on standard tiers. Useful for the small minority of engagements where it's a procurement requirement.

HL7 message-type reference guides

We maintain reference guides for each major HL7 message type — structure, common implementation patterns, and EHR-specific quirks.

ADT — Patient demographics →ORM / ORU — Lab orders & results →SIU — Scheduling →MDM — Document management →DFT — Billing & charges →VXU — Immunizations →

FAQ

Frequently Asked Questions

What HL7 message types do you work with?

All of HL7 v2.x (ADT A01-A60, ORM/ORU lab orders and results, SIU scheduling, MDM documents, DFT billing, RDE pharmacy, VXU immunizations, ACK acknowledgments) and HL7 v3 CDA documents. We maintain reference guides for each major message type covering structure, common implementation patterns, and EHR-specific quirks.

Which FHIR versions do you support?

FHIR R4 is the primary working version. DSTU2 and STU3 for legacy environments. R5 in early production for forward-looking projects. Profiles include US Core, CARIN BB, Da Vinci, and IHE-compatible custom profiles.

Are you ONC certified?

ONC (g)(10) standardized API certification is what most clients ask about. We don't operate a certified health IT product — we help clients implement integrations that comply with ONC requirements. For the (g)(10) implementation specifically, see the eClinicalWorks $export Sprint.

Do you do CDS Hooks and SMART on FHIR?

Yes. Both are included in the FHIR R4 Adapter Sprint catalog. SMART Backend Auth is what powers the eCW $export workflow. Standalone SMART on FHIR app integrations are sized separately depending on app catalog complexity.

Can you do EHR integration without involving Mirth Connect?

Yes. Most of our EHR integration work runs through Mirth Connect because it's the right engine for most situations, but we work with native Epic Bridges/App Orchard, Cerner CCL, eClinicalWorks Direct, and other EHR-native integration paths. The engine recommendation comes after understanding the use case, not before.

Do you help with payer-provider integration?

Yes. CARIN BB for payer-side data, Da Vinci for prior authorization and risk adjustment, US Core for the provider side. Payer-provider FHIR is the largest growth area in the practice as of 2026.

What's the engagement minimum?

The free 30-minute consultation is the minimum. After that, the smallest paid engagement is a single sprint (lowest is $4,500) or one month of Bronze tier ($3,800). No annual minimums.

Do you carry insurance?

Professional liability and cyber liability coverage at industry-standard limits. Certificates available on request.

Get started

The free 30-minute consultation produces a written recommendation on the right sprint or support tier for your situation. No obligation.

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