Interops Team
Interops Team
Interops Team™ for Modern Healthcare

Interops Team™ for Modern Healthcare

We implement U.S. Realm standards—HL7 v2, FHIR/US Core, C-CDA, IHE, Direct, TEFCA—under ONC/CMS/HHS mandates.

Welcome to Interops Team™. Feel free to Explore customized Smart Apps and solutions across many healthcare domains, or, for the tech-savvy, check out our starter set of Healthcare Tools.

The Basics

Learn the fundamentals of U.S. Healthcare
Healthcare IT
Healthcare IT

In the United States, healthcare operates within a tightly regulated framework, including HIPAA and federally mandated requirements for providers and payers that receive government funding (i.e. Medicare/Medicaid), or who may have additional requirements by their state. See Healthcare IT for more information

Interoperability

Interoperability

Interoperability

U.S. interoperability standards are guided by domain-specific implementation guides under the U.S. Realm, developed by HL7.org and IHE.net in collaboration with government workgroups and industry leaders. They define not only data formats, but also the clinical and operational context required for trusted real-world exchange. See Interoperability for more information

Healthcare Integration
Healthcare Integration

Healthcare integration involves much more than data mapping. From ingestion, transformation, and validation to deployment and ongoing support, every phase requires experienced professionals across business, clinical, and technical domains. These experts must understand the standards, the implementation guides, and the clinical workflows they support. See Healthcare Integrations for more information


We bring deep expertise across healthcare verticals and are ready to take on your most complex challenges.

Plugging In

Stay up to date with the latest Plugging In articles.
Strategy & Architecture

The Healthcare IT three-Body Problem

The Healthcare IT three-Body Problem

Healthcare IT projects often falter not due to technological complexity, but because of misalignment among three critical forces: Regulatory Requirements, Business Requirements, and Enterprise Architecture. This dynamic mirrors the physics concept of the 3-Body Problem, where competing gravitational forces create instability and unpredictability..... Read more

Modernization

How Digital Workspaces Are Giving Nurses Time Back

How Digital Workspaces Are Giving Nurses Time Back

Nursing has always been at the center of patient care, yet nurses often carry the heaviest documentation and coordination burden in the hospital. The good news is that a new generation of digital workspaces is beginning to reverse that trend. By unifying tasks, messages, and patient context into a single, thoughtful experience, these tool… Read more

Standards & Interoperability

The Coming Wave of Smart Clinical Data Integration

Smart Clinical Data Integration

For more than twenty years, healthcare integration teams have built some of the strongest and most reliable data integrations in any industry. Long before people started using terms like “smart integrations” or “intelligent data flows,” trained interface analysts were already validating, cleaning, and routing clinical data with great care and accuracy.

These teams, working with tools like Cloverleaf, Rhapsody, Corepoint, InterSystems Ensemble/IRIS, and EMR-specific integration platforms, understood something many outside of healthcare did not: clinical data is sensitive, detailed, and tied directly to patient safety. It cannot be handled the same way as normal business data. It requires people who know healthcare standards, clinical workflows, and how real hospitals operate..... Read more

Solutions

Interoperability

Provider Data Management

Provider Data Management (PDM) is a core enterprise capability that supports digital patient experiences, care-team and referral workflows, and smart applications, at the point of care, across the enterprise, and on mobile.

mobile

Mobile App Frameworks

Mobile Apps
Patient Mobile App Shell

Healthcare architecture requires apps (or subapps) to be deployed separately, to meet compliance requirements and ensure clinical data isn't comingled or confused with data that may not represent the patient's legal medical record or as part of their care.

interoperability

Da Vinci Interoperability

The Da Vinci implementation guides are referenced by the cms mandated Patient Access final rule (9115-f) and the Interoperability and Prior Authorization (0057-f) final rules.

Spotlight

Healthcare IT, Interoperability, Integrations, HIPAA and Smart Apps
Healthcare Integrations

HL7v2 - The Engine that Powers Healthcare

HL7v2 Engine

Every time a patient record is accessed, modified, or exchanged, an event is triggered. At the very least, it’s captured in a HIPAA-compliant audit trail. But for updates and transactions, HL7v2 messages propagated throughout the health system and beyond, to EHRs, lab, radiology, pharmacy, dietary, oncology, billing and many other applications including external third-parties. Admitting a patient, adjusting a medication, discharging to post-acute care, each clinical action triggers HL7v2 events that synchronize workflows and maintain operational integrity across the organization. While FHIR is optimized for structured queries and data at rest, HL7v2 remains the dominant protocol for transporting data in motion.

See Healthcare Integrations for more information.

HIPAA

The "Bare" Necessities

HIPAA’s minimum necessary standard appears throughout the regulations, yet it’s often misunderstood, unevenly applied, or not taken as seriously as it should be.

HIPAA Bare Necessities

In many organizations, access limits stop at the EMR. A user may be restricted to viewing only certain patients there—but then gain unrestricted access through a third-party vendor’s app. Others may face limits on viewing individual charts online, yet remain free to run reports containing hundreds of patients or export entire populations in bulk.

This kind of inconsistent access control is exactly what leads to HIPAA breaches, and opens the door for hackers to exploit weak points across connected systems.

See HIPAA for more information.

TEFCA

TEFCA is the future Is the Future, it's here now, and ramping up quickly, with TEFCA, Is Federated, Trusted, and Real-Time

Healthcare has always been event-driven, transactional, and real-time. But for many payers and networks, real-time access has historically been out of reach, limited to offline and delayed exchanges. TEFCA 2.0 is changing that. It accelerates the shift toward trusted, federated transactions and scalable interoperability.

TEFCA is the way forward for Interoperability

  • Federated Queries: Real-time access to data at the source, preserving clinical context and reducing duplication.
  • QHIN Trusted Frameworks: Credentialed participants, verified endpoints, and operational transparencyy.
  • Real-time Workflows: Support for nuanced, patient-specific real-time use cases.
  • Compliance: TEFCA’s policies and technical frameworks prioritize safety, accountability, and future-proofing.

See TEFCA for more information.

Forged in FHIR

Trust is forged in FHIR
Forged in FHIR

We build FHIR, aligned to U.S. Core/US Realm IGs, security and provenance, and clinical integrity. Interfaces, APIs, and workflows are implemented to protect patient data, interoperable, and usable at the point of care.

Need a hand? The Interops Team supports providers & payers across HL7 v2, C-CDA, FHIR, TEFCA, and HIPAA. Use the left sidebar (☰ on mobile) to browse topics, and switch Light/Dark from the header. Questions or ideas? or send an email: joe.morrow@interopsteam.com.