The platform that routes the clinical messages your hospital, payer, lab, or HIE
depends on every minute — HL7 v2 through FHIR R4,
USCDI v3, IHE PIX/PDQ/XDS, full audit trail, and a security posture your
privacy officer signs off on. Trusted by BlueCross, Humana, Ascension, IU Health,
and University of Utah Health.
HL7 v2 still routes most clinical messages in production. FHIR R4 is what new consumers expect. Both have to coexist for years — the platform translates between them at runtime.
A typical health system runs Epic at the flagship, Cerner in acquired hospitals, Athena at outpatient clinics, and home-grown systems for specialty workflows. Each speaks differently.
Every message contains protected health information. Audit retention is 6 to 10 years depending on state. The integration platform owns half the PHI exposure surface in your environment.
Federal mandates keep moving the FHIR target forward. USCDI v3 today, v4 next year. The integration layer has to evolve without breaking existing v2 consumers.
A representative encounter for a single patient as it moves across the clinical estate — from outpatient registration through lab, imaging, pharmacy, and billing. Every stop is a different system; every transition is an HL7 v2 or FHIR R4 message routed by Art2link, audited, and replayable.
Patient checks in. Demographics, insurance, and consent captured. Art2link broadcasts the ADT event to downstream subscribers (billing, lab, pharmacy) within 200ms.
Provider places two orders: a CBC panel and a chest X-ray. Art2link routes each order to the appropriate ancillary (lab analyzer, RIS) with patient context preserved.
Lab analyzer emits result via HL7 v2.5.1 over MLLP. Art2link validates, transforms to FHIR R4 Observation for the FHIR-native consumer (population-health platform), and persists to the EHR result repository.
Radiologist signs off on the chest X-ray report. Structured report flows through Art2link to the EHR; image stays on PACS. Cross-reference via accession number maintained in the FHIR ImagingStudy resource.
Provider sends a prescription based on the lab finding. Surescripts NewRx (an HL7 v3 / NCPDP SCRIPT variant) routes via Art2link to the patient’s preferred pharmacy. RxFill notification expected on Day 2.
The downstream population-health platform pulls the lab observation via FHIR R4 for chronic-condition tracking. Same data, different shape, same audit lineage.
Charge codes generated. Art2link routes the financial transaction to the billing system. Coverage discovery (270/271) confirms eligibility before claim creation.
Professional claim submitted to clearinghouse and routed onward to BlueCross. 277 status response expected within 48 hours. Reconciliation runs continuously in the operator UI.
enc-UMC-77104-d1). One click in the operator UI surfaces every message in the chain — ADT, orders, results, prescription, charges, and claim — with payload, timing, and status side-by-side. This is what your operations team sees in production.
Clinical messaging across EHRs. HL7 v2 in, FHIR R4 out. USCDI v3 aligned, IHE-profile compatible.
Read more → CommonEHR ↔ ERP ↔ billing ↔ supply chain. Integration patterns for the non-clinical systems that surround the EHR.
Read more → Payer sideHealthcare X12 (270/271, 276/277, 834, 835, 837) for eligibility, claims status, enrollment, and remittance.
Read more → Digital healthFHIR R4 endpoints, SMART on FHIR OAuth, partner-facing APIs with per-tier rate limiting and OpenAPI 3.1 validation.
Read more →Art2link runs entirely inside your Azure tenant — PHI never leaves your subscription. Encryption at rest and in transit, Entra ID-secured access, Key Vault-backed secrets, and immutable audit logs configurable to your state-specific retention requirements (6 to 10 years typical). USCDI v3 and ONC Cures Act-ready for public-health and TEFCA exchanges.
A top-10 US health system routes 50,000+ HL7 messages/day across 14 hospital sites — ADT, ORU, ORM, MDM, SIU, RDE — with zero PHI exposures across two years of operation. Epic + Cerner co-existence with HealtheIntent population queries on the FHIR side.
A regional HIE consolidated 32 EHR feeds from member hospitals onto Art2link and stood up a FHIR R4 endpoint in 11 weeks — covering Carequality, eHealth Exchange, and ONC-required public-health reporting.
30 minutes with a senior healthcare-integration architect. Bring one of your live HL7 feeds; leave with a tailored FHIR readiness plan and a working session model of the relevant patterns — no slides.