Platform

Infrastructure engineered
for production FHIR at scale.

A modular, production-hardened platform spanning ingestion, translation, governance, and API delivery — designed for the operational complexity of enterprise payers and state Medicaid agencies.

Architecture

Five layers,
one coherent system.

fhirfabric-platform-architecture
Ingestion
HL7 v2.x ADT/ORM/ORUX12 837/835/270/271Legacy DMSSFTP / REST APIBulk FHIR ($export)Real-time streaming
Translation & Governance
FHIR R4 mapperUS Core 6.1.0CARIN BBDedup engine 99.3%Survivorship rulesGolden recordAudit lineage
Storage & Compute
AWS GovCloudFHIR R4 datastoreAES-256 at restTLS 1.3 in transitMulti-region HA
API Delivery
Patient Access APIProvider Directory APIPayer-to-Payer APIPrior Auth APISMART on FHIROAuth 2.0 / PKCE
Observability
Real-time tracing56-min P1 MTTRCompliance dashboardsProactive alertingCMS audit reports
Core modules

Every capability,
production-tested.

Payer integration
Member identity
at enterprise scale

Most payer environments are a patchwork of legacy platforms. FHIRFabric has unified seven disparate payer systems into a single FHIR-native data layer, resolving 387K duplicate records with 99.3% precision.

  • 7 disparate payer systems unified in production
  • 387K duplicate records resolved at 99.3% precision
  • Survivorship rules across 2.4M member plans
  • Full audit lineage from source to FHIR
Deduplication performance
Match precision
99.3%
Records resolved
387K
Systems unified
7
Golden record accuracy>99%
Lineage coverage100%
Member plan size2.4M
SMART on FHIR
App authorization
at 38M calls/month

Full lifecycle management for SMART on FHIR applications — from registration and scope configuration through performance monitoring and compliance validation.

  • 31 SMART on FHIR apps in production
  • 38M API calls / month
  • OAuth 2.0 + PKCE authorization
  • Granular scope enforcement per app
SMART platform metrics
Apps onboarded31
API calls / month38M
Auth protocolOAuth 2.0 / PKCE
Scope enforcementPer-app
Audit loggingEvery call
AWS GovCloud
3.1M members
71M calls/month

Our largest production deployment: FedRAMP-aligned infrastructure on AWS GovCloud with HIPAA-compliant architecture, multi-region HA, and 24/7 SRE coverage.

  • 3.1M Medicaid members on GovCloud production
  • 71M FHIR API calls processed per month
  • AES-256 encryption at rest (AWS KMS)
  • TLS 1.3 in transit · Multi-region HA
  • 56-minute P1 MTTR · 24/7 SRE
Infrastructure performance
Members (GovCloud)3.1M
FHIR calls / month71M
P1 MTTR56 min
EncryptionAES-256 / TLS 1.3
SRE coverage24/7
Integration support

What we connect
to and from.

Standard / SystemTypeDirectionNotes
HL7 v2.x (ADT, ORM, ORU, SIU)LegacyInbound → FHIRAll major types; Z-segments preserved
X12 837/835 (Claims/Remittance)LegacyInbound → FHIRHIPAA 5010 compliant
X12 270/271 (Eligibility)LegacyBidirectionalReal-time eligibility check support
FHIR R4 REST APIFHIROutboundJSON + XML; US Core 6.1.0 profiles
FHIR Bulk Data ($export)FHIROutboundNDJSON; Payer-to-Payer and analytics
SMART on FHIRFHIROutboundOAuth 2.0 / PKCE; 31 apps live
CARIN BlueButton 2.0FHIROutboundConsumer-facing claims access
Da Vinci PDex / PASFHIRBidirectionalPayer data exchange + Prior Auth
Legacy DMS systemsLegacyInboundPer-engagement connector development

Ready to see the
platform in action?

We'll walk through your environment and show you exactly how FHIRFabric fits — no generic demo.

Request a Demo →Compliance Coverage →