The healthcare data fabric, designed and operated as one system.
A modern interoperability practice spanning strategy, architecture, engineering and operations, Epic Bridges, FHIR, HL7, TEFCA and HIE connectivity, delivered by senior integration engineers.
One advisory practice for the entire healthcare data exchange lifecycle.
NexBridge interoperability engagements blend EHR-native expertise (Epic, Oracle Health) with modern API and standards engineering, so your Bridges, Care Everywhere, FHIR, HL7 and TEFCA programs run as a coherent system, not a collection of point integrations.
Reference architectures, standards selection, sequencing roadmaps.
Interface, FHIR API and HIE connector implementation.
Tier 1-3 interface support, monitoring and continuous improvement.
HIPAA-ready engagements, data stewardship and audit readiness.
The NexBridge healthcare data fabric.
A vendor-neutral reference model for moving clinical and administrative data across Epic, Oracle Health, regional HIEs and QHIN networks.
Interface · API · Identity
Nine pillars. One coherent practice.
We staff specialized teams across each pillar, and integrate them into a single program when your roadmap demands it.
Epic Bridges
Interface design, build, testing and ongoing operations.
Care Everywhere
Network configuration, identity strategy, query optimization.
FHIR R4 & Bulk
API enablement, SMART on FHIR, app gallery, bulk export.
HL7 v2 & CDA
Legacy interface modernization and message routing.
TEFCA Readiness
QHIN selection, governance, participant onboarding.
HIE Connectivity
Regional, state and specialty HIE participation.
Integration Engines
Rhapsody, Mirth, Cloverleaf, Corepoint expertise.
Patient Matching
EMPI strategy, attribute tuning, identity governance.
Data Governance
Stewardship, lineage, consent and audit programs.
Bridges, engineered as a product.
From specification through go-live and steady-state operations, we treat your Bridges interface estate as a managed product, versioned, monitored and continuously improved.
Inbound, outbound, two-way design across Epic and ancillary systems.
Unit, integration, regression and pre-production parallel runs.
Monitoring, incident response and root cause analysis.
Throughput tuning, error reduction, message rationalization.
A Care Everywhere program clinicians actually use.
We tune Care Everywhere from the inside out, network selection, identity matching, query workflows and clinical reception, so external records arrive where and when they're needed.
Activation, partner enablement, agreements.
Algorithms, demographic tuning, escalation paths.
Auto-query, manual workflows, reconciliation.
Provider training, navigation, governance.
FHIR as a first-class integration tier.
API enablement, app gallery curation, SMART on FHIR launch flows and bulk export pipelines, built to USCDI v3 and the regulatory baseline established by the ONC certification program.
FHIR R4 endpoint design, scopes, throttling.
Backend Services, group export, $export pipelines.
Standalone & EHR launch, OAuth, scopes, audit.
v3 alignment, profile validation, CapabilityStatement.
The backbone still runs on HL7. We keep it healthy.
Most healthcare data still moves through HL7 v2. We rationalize sprawling interface estates, modernize routing, and bridge legacy CDA and X12 flows into FHIR-ready architectures.
Segment design, vocabularies, downstream contracts.
Cross-platform migration & consolidation.
Rules, transformations, error queues.
End-to-end monitoring and alerting.
A TEFCA-focused readiness path, not a checklist.
QHIN selection, Common Agreement alignment, participant and sub-participant onboarding, governance design and use-case sequencing, the full readiness journey for delivery networks entering TEFCA.
Vendor fit, use cases, contract structure.
Policies, oversight, exchange purposes.
Participant / sub-participant enablement.
TI, payment, public health, individual access.
Connecting to the networks that matter to your patients.
Regional and state HIE participation, specialty exchanges (immunization, cancer registries, public health), and consolidated reporting back to internal analytics platforms.
Connectivity, message specs, certification.
ELR, eCR, syndromic surveillance, immunization.
Cancer, behavioral, transplant, prescription.
Reportability response, attestation evidence.
Governance that accelerates exchange, not slows it.
A pragmatic governance operating model: stewardship councils, data domains, lineage, consent capture and audit trails, engineered alongside the integration platform, not bolted on.
Councils, domain owners, decision rights.
Use, retention, sharing, breach response.
Granular consent capture and enforcement.
End-to-end provenance for every exchange.
Matching that holds up across every network.
Match rates degrade quickly across HIE and TEFCA boundaries. We design identity programs that combine EMPI tuning, demographic data quality and governed escalation paths to keep records together.
Algorithm tuning, weights, thresholds.
Linkage review, merges, manual escalation.
Demographic completeness, standardization.
Match rate, false-positive tracking, KPIs.
A repeatable path from interface estate to modern data fabric.
Five phases. Sequenced, value-driven, and adaptable to the realities of a live healthcare environment.
Interface census, capability assessment, opportunity mapping.
Target-state architecture, standards, sequencing roadmap.
FHIR enablement, HL7 rationalization, engine consolidation.
Operating model, policies, stewardship workstreams.
Tier 1-3 support, monitoring, continuous improvement.
HIPAA-ready engagements. Standards-aligned by default.
Every NexBridge interoperability engagement is delivered against documented HIPAA, ONC and TEFCA standards, with consultant-side controls, BAAs, and audit-ready documentation.
Three ways to work with us.
From a focused advisory sprint to a long-term managed interoperability practice.
Advisory Sprint
2-4 week assessment delivering target-state architecture and roadmap.
- Interface census
- Standards review
- Sequencing plan
Build Engagement
Interface, FHIR or HIE build led by a senior integration team.
- Bridges build
- FHIR enablement
- HIE onboarding
Managed Practice
Embedded interoperability team running and improving the data fabric.
- Tier 1-3 support
- Monitoring
- Continuous improvement
Ready to modernize your healthcare data exchange?
From a single Bridges build to a multi-year TEFCA and FHIR program, start the conversation.