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 - with a full audit trail and a security posture your
privacy officer signs off on.
HL7 v2 still routes most production traffic; FHIR R4 is what new consumers expect. Both coexist for years - the platform translates between them at runtime.
A typical system runs Epic at the flagship, Cerner in acquired hospitals, Athena in clinics, and home-grown apps for specialty workflows. Each speaks differently.
Every message carries PHI, and audit retention runs 6 to 10 years by state. Your integration layer owns half the PHI exposure surface in the estate.
Federal mandates keep moving the FHIR target - USCDI v3 today, v4 next. The layer has to evolve without breaking existing v2 consumers.
From the acute-care floor to the payer network - the same runtime, the same audit trail.

Epic, Cerner, and home-grown systems under one roof - ADT, orders, results, and charges routed in real time.

Athena, NextGen, and eClinicalWorks kept in sync with the flagship EHR - no manual re-keying.

X12 eligibility and claims, FHIR R4 endpoints, and public-health reporting across member networks.
One patient's encounter moving across the clinical estate - 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.
Check-in captures demographics, insurance, and consent. 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 to the right ancillary (lab analyzer, RIS) with patient context preserved.
Analyzer emits the result via HL7 v2.5.1 over MLLP. Art2link validates it, transforms to a FHIR R4 Observation for the population-health platform, and persists to the EHR.
Radiologist signs off. The structured report flows through Art2link to the EHR; the image stays on PACS, cross-referenced by accession number in the FHIR ImagingStudy resource.
Provider prescribes on the lab finding. The Surescripts NewRx (NCPDP SCRIPT) routes via Art2link to the patient’s pharmacy; RxFill expected Day 2.
The population-health platform pulls the lab observation via FHIR R4 for chronic-condition tracking. Same data, different shape, same audit lineage.
Charge codes drop. Art2link routes the financial transaction to billing; coverage discovery (270/271) confirms eligibility before the claim.
Professional claim goes to the clearinghouse and on to BlueCross; the 277 status is 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 access, Key Vault-backed secrets, and immutable audit logs tuned to your state retention rules (6 to 10 years typical). USCDI v3 and ONC Cures Act-ready for public-health and TEFCA exchange.
30 minutes with a senior healthcare-integration architect. Bring one live HL7 feed; leave with a tailored FHIR readiness plan and a working model of the patterns that matter - no slides.