Question 1

What if we've already started our FHIR integration?

Accepted Answer

Most teams I work with are mid-integration — that's often when hidden issues surface. The diagnostic pinpoints where your architecture is breaking down so you can fix it without starting over.

Question 2

Is this worth it vs. hiring a full-time engineer?

Accepted Answer

A senior interoperability hire takes 3–6 months and $200K+/year — and still won't guarantee sound architecture decisions upfront. The diagnostic delivers a production-ready roadmap in 2 weeks. The accelerator ships working systems in ~8 weeks. Both cost less than a single bad quarter of rework.

Question 3

What happens in the 20-min diagnostic call?

Accepted Answer

We review your architecture, integration scope, and early risk signals. You'll leave with a clear read on whether hidden issues exist — and whether a deeper diagnostic is warranted. No pitch, no pressure.

Question 4

What if our use case is complex or unusual?

Accepted Answer

That's typically why I'm brought in. Multi-EHR environments, high-volume pipelines, strict compliance — the diagnostic is built for complexity and produces a roadmap tailored to your architecture and constraints.

Question 5

Can you help us migrate from Mirth Connect or legacy HL7 systems?

Accepted Answer

Yes. I've migrated teams off Mirth, Rhapsody, and custom HL7 pipelines to modern FHIR-based architectures — without disrupting live workflows. The goal is less fragility, better data quality, and a system that scales.

Question 6

What happens after the engagement ends?

Accepted Answer

Your team owns everything — code, architecture, documentation. Engagements are structured for clean handoff so your engineers can operate and extend the system independently.

Question 7

Who is this NOT a good fit for?

Accepted Answer

Teams still in early ideation without a defined integration target, or teams looking for low-cost execution without commitment to production quality. This work is for teams shipping real integrations where mistakes are expensive.

Question 8

How quickly can we start?

Accepted Answer

Typically within 1–2 weeks. Availability is intentionally limited to keep engagements focused.

EHR Integration Readiness Scorecard

Architecture & Standards Readiness