Acc‑01 · Healthcare
Interop
8 wk
Acc‑02 · Fintech
Risk Signal
6 wk
Acc‑03 · Salesforce
Agent
4 wk
Acc‑04 · Industry
Asset
10 wk
Interop Accelerator · Healthcare

From HL7 chaos
to FHIR-ready
in fourteen days.

A pre‑built ingest pipeline that maps any HL7 v2 feed to clean FHIR R4, schema detection, segment parsing, validation, enrichment, and publish. Tuned on your data in week one, in production by week eight.

Book a pilot scope
Latest: v2.4.1, Mar 2026 License: Per deployment

What you actually
get on day one.

9 modules · git‑cloneable
M.01

→ Ingest pipeline

5-stage transform engine: schema detect → segment parse → FHIR map → validate → publish. Configurable per source.

Python · Pydantic · FastAPI
M.02

→ Schema mapping library

2,400+ pre-built HL7 → FHIR mappings covering ADT, ORM, ORU, MDM, SIU. Custom mappings in DSL.

YAML DSL · 2.4k mappings
M.03

→ FHIR validator

US Core, IPS, and custom profile validation. Sends rejected records to a queue with the failing rule attached.

FHIR Validator · US Core 6.1
M.04

→ Audit log writer

HIPAA-grade audit. FHIR AuditEvent resource, append-only Postgres backing store, 7-year retention.

Append-only · 7yr retention
M.05

→ Drift monitor

Detects schema drift in upstream feeds. Alerts to PagerDuty when rejection rate exceeds threshold.

PagerDuty · Slack · Email
M.06

→ Replay engine

Reprocess any time window with a new mapping. Useful for backfills, schema changes, and corrections.

Kafka · Time-travel
M.07

→ Admin console

Operator UI to inspect feeds, see rejection queue, replay records, and view drift dashboards.

React · Tailwind
M.08

→ Terraform deploy

One-command deploy to AWS, GCP, or Azure. HIPAA-eligible services only. Optional on-prem K8s manifest.

Terraform · K8s · HIPAA-eligible
M.09

→ Runbook + SLA

15 named runbooks for common incidents. 99.97% uptime SLA on Hosted tier. On-call by Emorphis engineers.

Runbook v2.4 · SLA-backed

The pipeline,
flattened out.

5 stages · < 100ms p99

Five stages, two queues, one source of truth.

interop-accelerator v2.4.1
HL7 v2 FEED IN STAGE 1 Schema Detect ~12ms STAGE 2 Parse Segments ~28ms STAGE 3 Map to FHIR R4 ~34ms · core STAGE 4 Validate & Enrich ~19ms STAGE 5 Publish ~11ms ↳ rejection q audit log · every stage
Stage 1
Schema Detect
Identify HL7 version, message type, sending facility.
v2.5 / v2.7 / v2.9
Stage 2
Parse Segments
MSH / PID / OBR / OBX / DG1 / ZRS. Custom Z-segments configurable.
HL7 parser · forgiving mode
Stage 3
Map to FHIR R4
2,400+ canonical mappings. Custom mappings declared in YAML DSL.
US Core 6.1 · IPS
Stage 4
Validate & Enrich
FHIR validator + reference resolver + enrichment from your master data.
FHIR Validator · MDM lookup
Stage 5
Publish
Write to your FHIR server. Bulk Data export. Webhook fanout optional.
FHIR REST · Bulk Data $export

The eight‑week plan.
Pinned, not promised.

8 weeks · 3 engineers
Week ↓ Ship
Week 1
Source audit.
Two engineers on-site (or virtual) with your interop lead. We catalogue every feed, every Z-segment, every quirk. Drop the deploy script on a staging EMR.
Source matrix
Week 2
First ingest live.
Connect the first feed in staging. End-to-end pipeline runs on real records. You get the admin console with a working dashboard.
Staging live
Week 3
Custom mappings.
Z-segments, custom profiles, MDM resolver wired up. We deliver mapping DSL + tests for everything outside the canonical 2,400.
Mapping DSL
Week 4
Validation & rejection.
US Core profile validation. Rejection queue routing. Your team starts handling rejections via the console.
Validation suite
Week 5
Audit + compliance.
FHIR AuditEvent fully wired. HIPAA technical safeguard test plan executed and signed. Compliance review meeting with your security team.
Audit attestation
Week 6
Load & resilience.
Synthetic load run at 2x your peak. Chaos drill. Replay engine validated on a backfill window. p99 latency benchmarked.
Load report
Week 7
Runbook handoff.
15 named runbooks reviewed with your on-call team. Two joint paging drills. Drift monitor thresholds set.
Runbook v2.4
Week 8
Production cutover.
Production deploy. Monitoring on. We stay on-call for 30 days as a safety net. SLA contract starts.
In production

What our last
three customers said.

Verified · 2025-2026
"
We'd spent eighteen months trying to build an HL7-to-FHIR layer in-house. Emorphis had ours in staging by week two, in production by week eight, and we redirected the team to clinical work that actually mattered.
Director of Engineering
US Multi-State Payer · 38M records/mo
Time saved
14months
Throughput at launch
1,840msg/sec
Uptime since cutover
99.97%

Pilot scope
in 72 hours.

↳ Direct line · Interop Accelerator

Tell us about your feeds, your downstream FHIR server, and your timeline. We'll send a pilot scope, architecture sketch, and fixed-fee quote within three business days.

Get in Touch

Questions we
get every week.

Click to expand ↓
Q.01
What if our HL7 feed has weird custom Z-segments?+
Every healthcare org has them. We catalogue yours in week 1, write the mapping in our YAML DSL in week 3, and ship a test suite alongside. You can edit the DSL files directly, no Emorphis lock-in.
Q.02
Do you handle our BAA and SOC 2 paperwork?+
Yes. We have a BAA on file with every Hosted customer. Our SOC 2 Type II report is shared under NDA. For Pilot tier, we sign your BAA but you operate the system.
Q.03
Can it run on-prem instead of cloud?+
Yes. We ship Kubernetes manifests alongside the cloud Terraform. Five of the eleven production deployments are on-prem (regulated payers and one VA system).
Q.04
What does week 8 actually deliver?+
A production system handling your live HL7 feed at p99 < 100ms, with audit logs, a working admin console, 15 runbooks, two joint on-call drills with your team, and a written compliance attestation. Then a 30-day safety-net window where we stay on-call.
Q.05
What happens after the 30-day safety net?+
Hosted customers stay on our SLA indefinitely. Pilot customers take full ownership, though most upgrade to Hosted around the 60-day mark. Enterprise customers have us embedded long-term.
Q.06
Are you actually replaceable?+
We design for it. Code is open to your team from day one. All mappings are declarative YAML. The admin console is white-labellable. Two Pilot customers operate the system entirely on their own staff today.