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Hexalogy++

Sector engineering

Healthcare

Clinical-grade systems engineered for HL7/FHIR interoperability, EHR integration, and patient-pathway continuity under audit.

  • HL7/FHIR
  • EHR
  • HIPAA

02 — Engineering practice

How we engineer for this sector.

Healthcare systems do not allow ambiguity. Patient safety, regulatory posture, and operational continuity require platforms that are interoperable by construction, observable end-to-end, and recoverable under failure — across acute, ambulatory, and ancillary settings.

Our practice engineers clinical platforms against the operational realities of healthcare delivery: HL7 v2 and FHIR R4 integration with major EHRs, OMOP CDM alignment for analytics, and the security posture HIPAA and equivalent regimes require. Every engagement is delivered against measurable clinical-operational outcomes.

We engineer the validation surface alongside the platform itself, so the clinical system stays in a validated state through every release cycle. Audit traceability is generated continuously, not assembled at the end of a sprint — because in healthcare, audit failure is operational failure.

03 — Engineering surface

The technologies behind this sector practice.

A selection of the platforms, standards, and tools our principals engineer with in this sector.

Clinical Interop

  • HL7 v2
  • FHIR R4
  • OMOP CDM
  • IHE profiles
  • DICOM

EHR Integration

  • Epic (App Orchard)
  • Cerner / Oracle Health
  • Allscripts
  • OpenEHR
  • Mirth Connect

Security & Operations

  • PHI-grade access controls
  • HSM-backed key management
  • Immutable audit lake
  • OpenTelemetry
  • PagerDuty

Engage on this sector

Scope a sector engagement against your operating model.

Briefings are scoped within five working days and led by a senior architect with deep sector context.