Interoperability engagements scoped to the work in front of your team.
Focused consulting across Epic Care Everywhere, HL7 interfaces, FHIR APIs and patient identity, delivered as discrete engagements with named consultants.
A consistent lifecycle adapted to the scope of each interoperability engagement.
Whether the work is a single Bridges interface or a multi-quarter Care Everywhere program, the shape of the engagement is the same, so scope, ownership and handoff are clear from the first conversation.
- STAGE 01Assess
- STAGE 02Design
- STAGE 03Build or Configure
- STAGE 04Validate
- STAGE 05Support
Epic Care Everywhere and HIE Connectivity
Outside records arrive inconsistently, clinicians cannot see prior encounters at the point of care, and connections to regional or state HIEs are partially configured or unmonitored.
- Care Everywhere configuration review, activation readiness, and technical coordination.
- Query workflow tuning, auto-query rules and reconciliation review.
- Technical onboarding coordination, connection validation and documentation support. Legal and participation agreements remain under the client's legal, privacy and compliance ownership.
- TEFCA and QHIN readiness assessment for organizations evaluating participation.
- A written configuration and workflow assessment.
- A prioritized change list with owners.
- Documented onboarding steps for each HIE or QHIN relationship.
HL7 Interfaces and Integration Operations
Interface queues back up during releases, legacy HL7 v2 and CDA feeds are undocumented, and no one on the team owns ongoing monitoring of the interface estate.
- Interface build, revision and retirement across Epic and ancillary systems.
- Interface engine work on the platform your team already runs.
- Release readiness, regression testing and cutover support.
- Documentation of routing, transformations and dependencies.
- Specifications and test plans for each interface in scope.
- A current-state map of the interface estate.
- Runbooks for on-call and release-window support.
FHIR and API Enablement
Application partners are asking for FHIR endpoints, internal teams want to move off point-to-point HL7 for new work, and there is no operating model for the API surface.
- FHIR endpoint design, scope definition and app registration process, using the FHIR version supported by the applicable EHR and partner integrations.
- SMART on FHIR launch flows for standalone and EHR-launched apps.
- Bulk Data (group export) design for population and analytics use cases.
- USCDI alignment based on the applicable certification, regulatory and implementation scope, with CapabilityStatement review.
- An API operating model covering intake, review and lifecycle.
- Reference implementations for a first partner integration.
- Documented app registration and scope-approval process.
Identity, Patient Matching and Exchange Governance
Duplicate records erode trust in Care Everywhere and HIE responses, matching thresholds have not been reviewed in years, and governance decisions about exchange are made ad hoc.
- Patient-matching configuration, workflow and governance review, with any proposed changes subject to client authorization, testing and patient-safety validation.
- Escalation and stewardship workflows for suspected duplicates.
- Facilitation and technical documentation to support exchange governance discussions covering participation, consent and audit. Legal, privacy and audit decisions remain with the client.
- Documentation support for internal audit and partner attestations, prepared for client review and approval.
- A matching configuration and stewardship recommendation.
- Technical governance recommendations and documentation supporting client-led exchange governance.
- Role definitions for data stewards and exchange owners.
Engagement requirements, access controls, documentation and data-handling responsibilities are defined with each client. NexBridge does not describe itself as HIPAA certified.
Epic, Care Everywhere, Bridges, Oracle Health and Cerner are referenced for identification only. NexBridge Health Systems is not affiliated with, endorsed by, or a reseller of those vendors.
Scope an interoperability engagement.
Share the service area, the systems involved and the timeline. We will respond with next steps and, when it fits, a proposed consultant profile.