Trustbit Technologies
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trustbit / healthcare
01 · Healthcare Interoperability

Your EHR, your lab and your payer all speak different dialects. We interpret — in production, at volume.

Trustbit's healthcare practice approaches hospital systems the way we build ERP: read the live traffic first, write the mapping second, and stay on the roster after go-live. The practice is led by an engineer with 15 years inside hospital integration — EHR feeds, engine migrations, payer EDI, ABDM — backed by the same Trustbit bench that runs plants on 99.9% SLAs.

trustbit@hie:/engine● DEMO
// channel board · a day we're built for
● ADT in  — 38,412 msg/day
● ORU in  — ack p95 < 400 ms
● FHIR out — txn 200 · 0 errors
// dead-letter queue
● 0 unresolved · replay armed
// on-call
24×7 · interfaces watched, not hoped
02 · The exchange, live

What an interface actually does all day.

Four scenarios our practice lead has built over and over across 15 years — a hospital go-live, an ABDM onboarding, a payer claims loop, a lab network. The traffic below is simulated; the discipline is not. Watch the messages move — that's the whole job. Keeping them moving is the career.

03 · What we integrate

Five groups of work. One practice across all of them.

Every engagement below is run by the same team, on the same discipline: live message samples before specs, mappings under version control, a parallel run before every cutover, and a dead-letter queue that never swallows a result silently.

/ 01 · EHR & CLINICAL SYSTEMS

EHR integration — through the doors the vendor actually opens

Epic, Oracle Health (Cerner), athenahealth or the HIS your hospital already runs. We connect apps and platforms through each vendor's sanctioned surfaces — FHIR APIs, SMART launches, HL7 interfaces — and we say plainly what each door does and doesn't allow.

Surfaces
FHIR · SMART · HL7 v2
Auth
OAuth2 · OIDC · mTLS
Geography
US + India
Vendor queues
Managed for you
/ sys_01
Epic
SMART on FHIR in-chart launches, US Core reads, orders and results interfaces — scoped against what your Epic org has switched on, not the brochure.
/ sys_02
Oracle Health / Cerner
FHIR R4 endpoints and classic HL7 feeds. We plan for the parts the brochure skips — ops jobs, site-specific field usage, real go-live queues.
/ sys_03
athenahealth
API-first ambulatory integration: appointments, clinicals, claims-adjacent data — built to clear athena's marketplace certification path.
/ sys_04
Any HIS / EMR
Vendor-agnostic connectivity for Indian HIS and specialty EMRs — even the ones that have never shipped an HL7 interface. Especially those.
/ 02 · STANDARDS & DATA PLATFORMS

Standards work — v2 to FHIR, engine to cloud

The pipe-delimited workhorse and the RESTful future, bridged properly. We build and rescue Mirth Connect estates, stand up FHIR facades and data stores, and take Indian providers through ABDM milestone by milestone.

Standards
HL7 v2 · FHIR R4 · C-CDA
Engines
Mirth · Rhapsody · Cloverleaf
FHIR stores
HAPI · Azure · GCP · AWS
India rail
ABDM · M1 → M3 · NHCX
/ std_01
HL7 v2 interfaces
ADT, ORM/ORU, SIU over MLLP — application ACKs, not just accept ACKs. Half the job is Z-segments; we read live samples before we write a line.
/ std_02
FHIR R4 builds
Facade or repository — we'll tell you which and why. US Core or ABDM profiles, SMART v2 auth, bulk $export, subscriptions. Watched at p95, at real cohort sizes.
/ std_03
Mirth Connect estates
Channel development, rationalization and upgrades — including the 4.6+ licensing shift and Java 17 moves — with configs in Git and rollback plans in writing.
/ std_04
ABDM integration
ABHA linking, HIP/HIU flows, consent-manager wiring, sandbox-to-production milestones. The hard part is consent expiry at a busy registration desk — we build for that.
/ std_05
C-CDA & documents
Parse, validate and de-duplicate the XML document family that still carries referrals and discharge summaries between systems.
/ std_06
openEHR & data stores
Archetype-based clinical platforms and queryable FHIR repositories — data you can ask questions of, not a write-only compliance layer.
/ 03 · LABS · DEVICES · PHARMACY

Diagnostics and dispensing — wired to the chart

Orders out, results back, no result ever lost between the analyzer and the chart. LIS interfaces, bedside device connectivity and pharmacy flows — the messages where a silent failure is a clinical event, not a ticket.

Lab flows
ORM / ORU · OML / OUL
Analyzers
ASTM · POCT1-A
Terminology
LOINC-mapped compendium
Imaging
DICOM · DICOMweb
/ lab_01
Laboratory / LIS
Bidirectional order-result loops with identifier validation, reflex rules and result routing that's verified — not assumed — end to end.
/ lab_02
Medical devices
Monitors, analyzers and point-of-care instruments through device gateways into the clinical record — timestamped, unit-checked, attributed.
/ lab_03
Pharmacy
Prescription and dispensing flows — NCPDP SCRIPT where the market speaks it, HL7 and API bridges where it doesn't.
/ lab_04
Compendium mapping
Your local test codes mapped to LOINC, your problem lists to SNOMED CT — the unglamorous work that makes every downstream integration honest.
/ 04 · PAYERS & REVENUE CYCLE

Payer rails — claims, eligibility, prior auth

The money-side messages: X12 EDI through clearinghouses in the US, NHCX claims exchange in India, and the FHIR prior-auth stack that CMS-0057-F turns into a hard deadline. Revenue leakage usually traces back to an interface — we go find it.

Transactions
837 · 835 · 270/271 · 278
Prior auth
Da Vinci CRD · DTR · PAS
CMS-0057-F
APIs due Jan 2027
India claims
NHCX-ready
/ rcm_01
X12 EDI & clearinghouses
Claims out, remits back, eligibility in real time — validated against payer companion guides before submission, with 999s and 277CAs reconciled daily.
/ rcm_02
Electronic prior auth
CDS Hooks at order time, DTR questionnaires, FHIR PAS wrapping the X12 278 — the full Da Vinci stack, built against the 2026/2027 CMS dates.
/ rcm_03
RCM system feeds
Charge, claim-status and remittance data flowing between your HIS, billing platform and analytics — so denials get caught as data, not as month-end surprises.
/ rcm_04
NHCX (India)
Eligibility, pre-auth and claim submission on India's national claims exchange — FHIR bundles, consent-bound, built alongside your ABDM stack.
/ 05 · OPERATE & GOVERN

Run it, watch it, own the 2 a.m. page

An interface nobody watches is an outage with a delay on it. We monitor queues, latency and ACK rates around the clock, migrate clinical data without losing history, and keep patient identity and consent honest across every connected system.

Monitoring
Queue · latency · ACK/NACK
Escalation
Clinically prioritized
Identity
EMPI · merge-safe
Consent
ABDM CM · DPDP-aware
/ ops_01
Integration monitoring & support
NOC-style watch on every channel — dead-letter queues with replay tooling, alert thresholds, monthly SLA and volume reports. A failed result should page us, not a clinician.
/ ops_02
Healthcare data migration
EHR-to-EHR and legacy archival with record-level reconciliation counts, terminology normalized in flight, and retention obligations met after the old license dies.
/ ops_03
Patient identity / EMPI
Deterministic + probabilistic matching, duplicate-rate baselines, and ADT A40 merge handling that gets its own test pass — wrong-chart filing is a never-event.
/ ops_04
Consent management
Consent captured, enforced and expired on time — ABDM consent artifacts in India, HIPAA-minimum-necessary discipline in the US, DPDP obligations in writing.
// 04 · the dialects we speak
// standards & protocols · production-grade
HL7 v2.xADT · ORM · ORU · MLLP
FHIR R4US CORE · ABDM PROFILES
SMART on FHIROAUTH2 · EHR LAUNCH
C-CDACCD · TRANSITION OF CARE
DICOMDIMSE · DICOMWEB
X12 EDI837 · 835 · 270/271 · 278
// engines · rails · governance
Mirth ConnectCHANNELS · UPGRADES · HA
ABDM / ABHAHIP · HIU · M1 – M3
NHCXCLAIMS EXCHANGE · INDIA
LOINC · SNOMEDTERMINOLOGY MAPPING
IHEPIX / PDQ · XDS.b
HIPAA · DPDPBAA-READY · CONSENT-BOUND
05 · The practice

Fifteen years of hospital integration. Three years of Trustbit discipline.

Our healthcare practice lead has spent 15 years inside hospital IT — EHR go-lives, interface-engine migrations, lab networks, payer EDI, and lately ABDM — before joining Trustbit. The company around him is three years old and honest about it: what we bring is his depth, our bench, and the same SLA culture that answers a plant's 11 p.m. call.

An accept ACK only proves the message landed in a queue — not that the result filed to the chart. Interfaces that pass with ten test messages and fall over at ten messages a second are not done. That's the standard this practice is built on.”
Practice Lead Healthcare Interoperability // 15 years · hospital EHR, engines & payer EDI
/ ours

The pipes and the pager

Interfaces, mappings, engines, APIs, monitoring — designed, built, documented and on our pager. This is the part we own outright.

Trustbit
/ shared

Vendor queues & enrollments

EHR vendor queues, payer enrollments, ABDM sandbox milestones — we drive the process, your name stays on the account.

Trustbit + you
/ yours

What's clinical stays yours

What's clinically appropriate, who may see what, which policies apply — always your clinicians and your CISO. We implement; we don't overrule.

Your team
/ always

No patient data in sales

Scoping calls run on message structures and anonymized samples. Live PHI only ever moves under a signed agreement and your access controls.

Policy
06 · How we engage

Four steps, each with an artifact you keep.

No open-ended discovery. Every step ends in a document your team owns — so even if we stopped tomorrow, you'd be further ahead than when we started.

/ 01

Interface inventory

We read your live message samples and channel configs — not just the specs. Every feed catalogued, every owner named.

Week 1 – 2 · inventory doc
/ 02

Design & mapping

Field-level mapping against vendor companion guides, architecture decision (facade vs store, direct vs engine), written scope with dates.

Week 2 – 4 · mapping spec
/ 03

Build & prove

Interfaces built under version control, golden-message regression suites, load tests at production-shaped volumes, then a parallel run with automated diffing.

Week 4 – 10 · regression pack
/ 04

Cutover & watch

Staffed command-center go-live with a rollback trigger agreed in advance. Then monitoring, SLA reports and a named on-call roster.

Go-live + · runbooks
07 · Talk to us

Show us your interface list — or the deadline you've just been handed.

An ABDM milestone, a CMS date, an EHR go-live with thirty systems to reconnect, or one Mirth server nobody dares touch. A 45-minute call with the practice lead, then a written, costed scope inside two weeks. No patient data needed to start.

Book a scoping call ↗ Watch the exchange See our ERP services