Let’s build something great.

From the first line of code to production at scale, we turn healthcare challenges into software that performs, connects, and lasts.

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Healthcare Integrations Live
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Major EHRs Supported

What We Integrate

We handle the full spectrum of healthcare integrations—across systems, standards, and data types—so you don’t have to coordinate across multiple vendors.

Healthcare Integrations We Specialize In

We connect systems using every standard that matters — from trusted HL7 feeds to the latest FHIR APIs.

Why It Matters:

Admissions, labs, orders, transcriptions, care summaries — daily operations depend on moving this data instantly between EHRs, LIS, RIS, and partner systems. When data stalls or mismatches, patient care slows, duplicate work piles up, and compliance risk grows.

How We Do It:

We map every touchpoint, clean up messy source formats, and bridge older message structures to modern APIs so you can connect new patient apps or portals without tearing out stable systems. For example, we help hospitals keep HL7 lab feeds steady while sharing results through FHIR APIs, or connect an older RIS to a cloud PACS with zero manual re-entry. Every connection is tested with real scenarios to hold up when partners change a feed or a standard version.

Standards We Use:

  • HL7 v2 & v3: Live messaging for ADT, orders, results.
  • CDA / C-CDA: Structured documents for care summaries.
  • FHIR R4 & R5: Secure APIs for modern apps and patient access. 

Why It Matters:

Radiology, cardiology, and labs generate huge volumes of critical patient data. That data has to move smoothly between PACS, RIS, LIS, and EHRs so results reach the right clinician fast and without error.

How We Do It:

We design connections that fit how your departments actually work, whether it’s routing DICOM images to cloud storage or handling lab orders that still rely on older ASTM protocols. We ensure your imaging workflows stay fast, and your lab data lands in the patient chart where it belongs, fully mapped and coded.

Standards We Use:

  • DICOM & DICOMweb: Standard for imaging and PACS/VNA sharing.
  • HL7 ORU / OML: Lab orders and results.
  • ASTM: Used for legacy lab devices.

Why It Matters:

Eligibility checks, prior authorizations, and claims keep revenue flowing. If data lags or mismatches, payments stall and rework pile up.

How We Do It:

We build stable EDI bridges that sync your systems with clearinghouses, payers, and PBMs. For example, we help a provider verify coverage in seconds with real-time 270/271 feeds instead of waiting days for paper follow-up. Remittance files flow back cleanly to your billing team through secure 835 connections, closing the loop with less manual correction.

Standards We Use:

  • X12 EDI (270/271, 278, 837/835): Eligibility, prior auth, claims, remits
  • NCPDP SCRIPT: E-prescriptions to pharmacies and PBMs

Why It Matters:

Data often moves beyond your four walls. Sharing patient summaries, referrals, or identity details with partners or regional exchanges demands standards you can trust.

How We Do It:

We connect your EHRs and partner systems to HIEs and HISPs using IHE profiles for patient matching and XDS.b for document exchange. For example, we help a hospital push discharge summaries to a state HIE with XDS.b while ensuring patient IDs match perfectly through PIX/PDQ. When DIRECT messaging is a better fit, we set up secure channels so your providers can send referrals directly from the EHR.

Standards We Use:

  • IHE Profiles (XDS.b, PIX/PDQ): Document sharing, patient matching
  • DIRECT Protocol: Secure messaging for providers

Why It Matters:

Patients and clinicians expect fast, secure access to health data — not just inside the hospital but on phones, tablets, or wearable devices at home.

How We Do It:

We help you open up your EHR safely with SMART on FHIR so trusted apps can pull patient data with proper consent. For example, we bridge remote monitoring data from connected wearables into your clinical workflows using IEEE or Bluetooth Low Energy protocols, mapping the values back to the patient chart without manual entry. Every connection aligns with USCDI v3 so you stay compliant with national exchange rules.

Standards We Use:

  • SMART on FHIR: Patient and clinician apps
  • USCDI v3: National data classes for exchange
  • IEEE 11073, BTLE: Wearables and bedside devices

Why It Matters:

Exchanging data across organizations now means proving you meet trust and security standards — not just your own but the nation’s.

How We Do It:

We help you align your systems with the TEFCA Framework so you can join a QHIN and exchange data nationwide without rebuilding your tech stack. This means mapping existing feeds to TEFCA rules, ensuring record completeness, and preparing your interfaces for third-party audits when required.

Standards We Use:

  • TEFCA Framework: Trust framework for QHIN onboarding

How We Work Across Your Integration Lifecycle

We cover every stage whether you’re enabling new connections, keeping legacy stable, or simplifying what’s grown too complex.

Enable New Interoperability
Sustain What Already Works
Reengineer & Simplify

When you add partners or expand workflows, you need modern, standards-driven connections.

  • Build HL7 interfaces with proven engines like Mirth, BizTalk, Cloverleaf
  • Enable CCDA & FHIR exchange for secure patient data flows
  • Develop FHIR Bulk Data APIs & secure OAuth2 connections
  • Deliver digital RCM streams — 837, 835, 270, 271, 834
  • Submit CQM data with QRDA to meet reporting mandates
  • Support TEFCA trusted exchange & QHIN onboarding
  • Deploy engines on-prem or cloud, containerized if needed
hands-tablet-scientist-person-laboratory

Legacy systems often do their job well — but hidden risks and old interfaces can break under change.

  • Monitor interfaces proactively to catch exceptions early
  • Adapt integrations fast when partner systems change
  • Use automated tests to prevent live-break errors
  • Keep clear documentation to remove tribal knowledge gaps
  • Upgrade message flows and APIs to match new standards (HL7, FHIR, TEFCA)
environment-education-day-concept

As standards mature, older interface sprawl costs you more than it saves. We can help you untangle it.

  • Analyze every integration touchpoint inside and out
  • Map workflows to uncover hidden redundancies
  • Design a simpler “to-be” architecture that lowers support cost
  • Rationalize your ecosystem to reduce overhead & upgrade faster
software-development-programming-computer

Wherever you are — building new, managing old, or cleaning houses — we keep your healthcare data moving, compliant, and ready for what’s next.

Why Choose Nalashaa 

Our approach ensures your software launches strong — and stays strong.

On-Time-On-Budget

We remain accountable for your timeline and targets. No last-minute surprises, no shifting expectations — just steady, reliable delivery.

Quality-from-the-Beginning

Testing isn’t a checkbox — it’s part of how we build. From day one, every sprint includes automated checks, workflow validations, and review cycles.

Security-That’s-Engineered-In

We design compliance requirements from the start — with encrypted data flows, access controls, and full traceability built into the system.

Performance-That-Scales

Our systems are built to grow with your users, data, and needs — without rework. Whether you scale to a dozen clinics nationwide, performance holds steady.

Built-for-Change

Needs to evolve — your software should too. We structure our code, documentation, and deployment model, so you’re never locked in or left behind.

Let's Build Healthcare Technology Together

Bring your healthcare product ideas to life with expert engineering guidance.

Call Us:

732-602-2560

Mail Us:

info@nalashaa.com

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Quick Reads to Help You Navigate Interoperability

FHIR vs HL7 v2 – What Healthcare Vendors Need to Know

If you’re building or updating healthcare integrations, chances are you’ve come across both HL7 v2 and FHIR. One has been the industry’s default for decades. The other is shaping how future systems will connect. For vendors, knowing the strengths and limits of each can help avoid costly missteps in architecture and planning.

A Quick Guide to TEFCA and What It Means for Your Product Roadmap

TEFCA (Trusted Exchange Framework and Common Agreement) is a national framework developed by the Office of the National Coordinator for Health IT (ONC) to improve how healthcare data is shared across systems, networks, and organizations. For health IT vendors, this signals a clear direction in interoperability efforts — toward unified rules, common standards, and centralized exchange pathways.

How to Prepare Your Legacy System for Modern Interoperability

Many healthcare vendors still rely on legacy systems-built decades ago. These systems often handle critical workflows reliably, but they were not designed to connect with modern APIs, FHIR servers, or national exchange frameworks like TEFCA. The good news is that modernization does not always mean starting from scratch. With a practical approach, legacy platforms can be prepared for today’s interoperability demands.

Top 5 Interoperability Mistakes Healthcare Vendors Make (and How to Avoid Them)

Interoperability is no longer a technical add-on. It has become a core requirement in product development for healthcare IT vendors. Yet even well-established teams fall into common traps when trying to support data exchange across systems. Here are five mistakes to watch for — and how to avoid them.

The Role of FHIR Servers in Scalable Healthcare Integration

As healthcare shifts toward API-first architectures, FHIR servers have become central to how data is exchanged, accessed, and managed. For vendors building modern solutions, understanding the role of FHIR servers is essential — especially when planning for scalability and long-term interoperability

Frequently Asked Questions

What are healthcare interoperability solutions?+

Healthcare interoperability solutions are tools and systems that enable secure, accurate, and efficient data exchange between different healthcare software platforms. These solutions help connect EHRs, labs, payers, and third-party applications to ensure timely access to clinical and administrative information.

What are the four types of interoperability in healthcare?+

The four levels of interoperability are:

  • Foundational – Basic data exchange between systems
  • Structural – Consistent data formats and syntax
  • Semantic – Shared understanding of data meaning
  • Organizational – Governance, privacy, and policies that support exchange across systems and entities
What is an example of interoperability in healthcare?+

A hospital’s EHR system sending real-time lab results to a specialist’s clinic using FHIR APIs is a practical example. Both systems use interoperability standards to exchange structured, meaningful data without manual input

How can healthcare organizations improve interoperability?+

Improvements start with adopting standards like FHIR and USCDI, reducing reliance on custom integrations, and working with vendors that offer scalable, standards-compliant interoperability services. Participation in national frameworks like TEFCA also enhances exchange readiness.

What are common challenges in achieving interoperability?+

Two major challenges include:

  • Data inconsistency across systems due to legacy formats or poor standardization
  • Lack of aligned workflows, where even connected systems struggle with timing, permissions, or context for data use
What factors can hinder system interoperability in healthcare?+

Examples include:

  • Proprietary software that resists data sharing
  • Incompatible data standards or formats used across platforms
What role do FHIR servers play in healthcare interoperability?+

FHIR servers act as standardized access points for healthcare data, using modern APIs to facilitate real-time, secure information exchange between systems, apps, and users.

Is TEFCA mandatory for healthcare vendors?+

TEFCA is not mandatory yet, but it is shaping how national health information networks will operate. Vendors aligned with TEFCA principles are more likely to remain compatible with emerging client requirements.

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