Integration Solutions

    Seamless connectivity across your healthcare ecosystem

    Brandywine's integration practice connects disparate healthcare systems into a unified, interoperable ecosystem. We build robust API layers, middleware solutions, and event-driven architectures that enable real-time data flow between EHRs, labs, pharmacies, payers, and clinical research platforms.

    What We Do

    Service overview and the core capabilities BCP brings to every integration solutions engagement.

    HL7 FHIR and v2 message integration
    RESTful and GraphQL API development
    Enterprise Service Bus (ESB) and middleware solutions
    Event-driven architecture with Azure Service Bus
    EDI and X12 transaction processing
    Real-time data streaming with Kafka and Event Hubs

    Key Benefits

    Unified Data Flow

    Break down silos with real-time integration across EHRs, labs, pharmacies, and payer systems.

    Standards Compliance

    Native HL7 FHIR and v2 support ensures interoperability with any certified healthcare system.

    Reduced Latency

    Event-driven architectures deliver near-instant data synchronization across your entire ecosystem.

    Healthcare API integration and connected systems network
    Connected ecosystems

    FHIR, HL7, and event-driven pipelines that keep data in sync.

    Why BCP for Integration Solutions

    Native HL7 FHIR R4 and v2 message processing expertise
    Azure API Management with SMART on FHIR proxy capabilities
    Event-driven architectures with Kafka, Service Bus, and Event Hubs
    EDI/X12 transaction processing for claims, eligibility, and enrollment
    Near-instant data synchronization across multi-system healthcare ecosystems
    400+ connector library with Azure Logic Apps for rapid integration

    Who We Serve

    The audiences this service is built for, with the specifics that matter to each.

    Health Systems

    EHR-to-lab, EHR-to-pharmacy, and clinical-system integration.

    • HL7 v2 & FHIR R4
    • Epic / Cerner interface engines
    • SMART on FHIR launch flows

    Payers

    Claims, eligibility, prior-auth, and member data exchange.

    • EDI 270/271/276/277/278/834/835/837
    • FHIR Patient Access / Provider Directory APIs
    • Real-time eligibility services

    HIEs & Networks

    Multi-party interoperability and trust frameworks.

    • Carequality / CommonWell / TEFCA
    • Direct secure messaging
    • Consent and identity federation

    Digital Health & SaaS

    Embedded integration platforms for product teams.

    • Customer-facing FHIR APIs
    • Multi-EHR connector frameworks
    • Iguana / Mirth / Rhapsody implementations

    Typical Triggers

    If any of these sound familiar, you're in the window where this service delivers the most value.

    ONC / Cures Act mandate

    Patient Access, Provider Directory, USCDI APIs required.

    EHR replacement

    Hundreds of interfaces to rebuild against new EHR.

    EDI partner mandate

    Payer or state agency requires new transaction sets or formats.

    Real-time requirement

    Batch nightly feed no longer meets clinical or operational needs.

    M&A integration

    Two systems, two interface engines, one consolidation target.

    Integration platform sunset

    Legacy Cloverleaf, BizTalk, or Mirth needs migration.

    Service Deliverables

    Three engagement models, same engineering rigor — choose the operating boundary that fits your team.

    BCP Hosted

    Fully managed by BCP

    • Hosted integration platform (Iguana / Rhapsody / Azure Integration Services) in BCP tenant
    • Managed interfaces with monitoring, retries, and SLAs
    • Tier-1 interface support and on-call

    Client Hosted

    Delivered into client tenant

    • Interfaces, channels, and pipelines deployed into client interface engine and Azure tenant
    • Source control, IaC, and operational runbooks
    • Knowledge transfer for client interface team

    BCP-Managed, Client Hosted

    BCP operates inside your tenant

    • BCP operates the client's interface engine 24/7 (cloud or on-prem)
    • Interface monitoring, error queue management, new interface builds
    • Quarterly platform health and roadmap reviews

    Service Timeline

    BCP's framework-driven methodology: Discover → Design → Build → Validate → Launch → Operate. Durations are typical and right-sized to scope.

    011–2 weeks

    Discover

    • Interface inventory
    • Trading-partner mapping
    • Latency & SLA review
    022–3 weeks

    Design

    • Canonical message model
    • Error & retry strategy
    • Security & auth design
    03Per interface 1–3 weeks

    Build

    • Channel development
    • Test harness & sample messages
    • Trading-partner UAT
    041–2 weeks

    Validate

    • End-to-end testing
    • Error injection & DR
    • Trading-partner sign-off
    051 week per wave

    Launch

    • Cutover & dual-run
    • Monitoring & alerting tuned
    • Hypercare
    06Ongoing

    Operate

    • Interface ops & on-call
    • New interface builds
    • Trading-partner changes

    Service Stack

    The BCP-preferred technology stack for this service, plus the common client stacks we support and operate.

    BCP Technology Stack

    Integration Platforms

    Azure Integration ServicesIguanaRhapsodyMirth ConnectMuleSoft

    Standards

    HL7 v2FHIR R4CDA / C-CDAX12 EDINCPDP

    Messaging

    Azure Service BusEvent HubsKafka

    API Management

    Azure API ManagementKongApigee

    Common Client Stacks We Support

    Microsoft

    Azure Integration ServicesLogic AppsAPIM

    Healthcare engines

    IguanaRhapsodyMirth ConnectCloverleaf

    Enterprise iPaaS

    MuleSoftBoomiWorkato

    Legacy

    BizTalkTIBCOCustom MLLP listeners

    BCP Azure Stack

    Purpose-built Azure components powering this service — HIPAA-compliant, scalable, and production-hardened.

    Azure API Management

    API gateway

    Developer portal, API versioning, throttling policies, and OpenAPI/FHIR facade capabilities.

    Azure Service Bus

    Message broker

    Enterprise messaging with topics, subscriptions, dead-letter queues, and duplicate detection.

    Azure Logic Apps

    Workflow automation

    400+ connectors for low-code integration with EHR systems, SaaS platforms, and on-premises services.

    Azure Event Hubs

    Event streaming

    Millions of events per second with Kafka protocol support and schema registry.

    Azure Data Factory

    Data integration

    Hybrid data integration at scale with managed VNet and self-hosted integration runtimes.

    Azure API for FHIR

    Healthcare API

    Managed FHIR R4 service with SMART on FHIR support, patient-level access, and bulk data export.

    Representative Use Cases

    • ONC interoperability rules and regulations — Patient Access, Provider Directory, and USCDI APIs
    • Claims data tool implementation and support (Edifecs, ClaimsXten, custom 837/835 pipelines)
    • EHR-to-lab integration for real-time results delivery
    • Clinical data exchange for multi-site research studies
    • Pharmacy benefit management system integration

    Compliance

    The standards we engineer to — and how BCP ensures the controls are real, evidenced, and audit-ready.

    HIPAA

    TLS / mTLS, audit-logged message store, BAA-backed infra; PHI never in plain logs.

    ONC Interoperability & Cures Act

    Patient Access, Provider Directory, USCDI v3 APIs implemented and tested.

    Carequality / TEFCA

    QHIN-aligned identity, IHE profiles (XCA, XCPD) supported.

    EDI / X12 HIPAA TR3

    Companion guides honored, 999/824 acknowledgment chains validated.

    SOC 2

    BCP-managed integration estates run under SOC 2 controls.

    Service Proof Points

    Representative engagements with the technical challenge, BCP solution, measured outcomes, and the trust assets we deliver alongside the work. Client identifiers anonymized; details available under NDA.

    Medicaid MCO, 750K lives, 6 states

    Patient Access API for a Medicaid MCO

    Challenge

    Cures Act enforcement looming with no FHIR API capability; legacy interface engine couldn't expose data securely.

    BCP Solution

    • Built Patient Access, Provider Directory, USCDI v3 APIs on Azure API Management
    • FHIR R4 facade over claims / eligibility data stores
    • Member-app onboarding and OAuth flows

    Measured Outcomes

    On-time across 6 states
    Cures Act readiness
    99.97%
    API uptime
    +148K
    Member-app activations Y1

    Stack

    Azure API ManagementAzure FHIR ServiceFunctionsCosmos DB

    Trust Assets

    • Independent FHIR conformance test
    • HIPAA + state Medicaid security review
    Health system post-merger, 4 hospitals

    EHR consolidation interface re-platform

    Challenge

    Two interface engines, 600+ interfaces, EHR consolidation to a single Epic instance.

    BCP Solution

    • Migrated all interfaces to a single Rhapsody platform under BCP managed services
    • Canonical model reduced point-to-point duplication
    • Automated regression test pack for every channel

    Measured Outcomes

    612 → 387
    Interfaces consolidated
    Hours → < 5 min
    Mean time to detect issue
    −40% net cost
    Interface team headcount

    Stack

    RhapsodyAzure DevOpsAzure Monitor

    Trust Assets

    • Interface conformance reports
    • HIPAA BAA
    • BCP 24/7 interface NOC

    Frequently Asked Questions

    01

    Does Brandywine Consulting offer integration solutions?

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    02

    What healthcare data standards does Brandywine Consulting support?

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    03

    Does Brandywine Consulting handle wearable health monitors and technology integration?

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    04

    Does BCP offer analytics and reporting integration?

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    05

    What challenges do organizations face with diverse data sources?

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    06

    What benefits do organizations derive from seamless data integration?

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    Request a Integration Solutions Proposal

    Share the specifics so we can scope, price, and stand up the right team. Most proposals back within 3–5 business days.

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