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Project Overview

One API for every EHR behind it.

The middleware sits between a healthcare payment platform and a growing estate of electronic health record systems, exposing a single standardised API so that onboarding a new provider means writing an adapter rather than rebuilding the integration.

EHR Integration Middleware Platform

The Challenge

Every new provider meant a bespoke integration.

The payment platform needed to exchange data with a growing number of EHR systems, each with its own formats, authentication and API behaviour. Vendor-specific logic accumulated across the codebase, making maintenance costly and expansion slow, and because balance retrieval depended on live calls, response times followed third-party availability.

Bespoke Per Vendor

Bespoke Per Vendor

Each EHR integrated as its own build.

Logic Sprawl

Logic Sprawl

Vendor-specific code spread through the codebase.

Third-Party Latency

Third-Party Latency

Response times tied to external system availability.

Inconsistent Records

Inconsistent Records

Transient failures leaving payments partly posted.

Approach & Solution

Adapters underneath, one schema on top.

Approach Solution

smartData built a Java middleware platform sitting between the payment application and the EHR estate, exposing one unified API regardless of the system behind it. Vendor-specific behaviour is abstracted into an integration layer, so adding an EHR means implementing an adapter rather than modifying any downstream code.

Data exchange is standardised on FHIR resources, giving a consistent clinical and demographic schema across every connected system. A caching layer with fallback holds recently retrieved balances so routine lookups return in seconds and stay available during upstream outages, with retry logic maintaining consistency.

Key Features

Integration complexity handled in one place.

Unified API Surface

Unified API Surface

One interface regardless of the system behind.

FHIR Standardisation

FHIR Standardisation

A consistent schema across every connected system.

Caching With Fallback

Caching With Fallback

Lookups served during upstream provider outages.

Retry And Audit Logging

Retry And Audit Logging

Transient failures recovered rather than silently dropped.

Product Showcase

One connection point.

EHR Integration Middleware Platform

Final Outcome

New providers onboard without new integrations.

Adding an EHR is an adapter rather than a rebuild, payment lookups return in seconds and survive upstream outages, and every synchronisation leaves an audit trail that makes discrepancies reconcilable.

EHR Integration Middleware Platform

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