Healthcare integration

Healthcare Integration Experience: What Survives Reality in PAS and EMR Programmes

Hospitals don’t fail because they chose the “wrong engine”. They fail when integration becomes a pile of point-to-point agreements with no owners, no governance, and no operational truth. JTX helps healthcare providers and vendors design integration architectures that survive go-live, audits, and the Monday morning after.

Book a 20-minute fit check Explore Healthcare IT Insights

Experience snapshot

100+ healthcare integrations delivered

HL7 v2, FHIR, REST APIs, and vendor integration patterns that hold up under clinical load.

8 TrakCare implementations

Integration architecture, interface delivery, go-live readiness, and post-go-live stabilisation.

6 platform upgrades across integrated estates

Safe cutovers, regression strategy, interface compatibility, and “nothing breaks silently” controls.

Experience spans public and private hospitals across New Zealand, the United Kingdom, and APAC. We work with providers and vendors, and we speak both languages: clinical operations and technical reality.

The uncomfortable truth about healthcare integration

Most integration problems aren’t “HL7 problems” or “FHIR problems”. They are ownership problems. Interfaces are treated like plumbing until the day a lab result routes to the wrong location, a discharge message arrives twice, or a downstream system quietly stops consuming. The cost isn’t technical. It’s clinical risk, staff burnout, and programme delays.

What survives reality in PAS and EMR programmes

Clear interface ownership for every feed, including clinical accountability and technical runbooks.
Versioned contracts (message specifications, FHIR profiles, API schemas) that are governed, not “agreed once”.
Operational observability: alerting, audit trails, and a shared view of what “good” looks like.
Cutover discipline: rehearsals, rollback paths, and “what if this fails at 2am” planning.
Vendor realism: integration is a multi-party system. The architecture must assume partial failure and slow change.

Where we help

Integration architecture and roadmap: engine strategy, target patterns, security and governance.
Interoperability delivery: HL7 v2, FHIR, REST APIs, and hybrid patterns that coexist cleanly.
Clinical system programmes: PAS/EMR upgrades, migrations, interface readiness, stabilisation and assurance.
Independent executive assurance: risk clarity, go-live readiness, and “what you’re not being told yet”.

How we work (so you don’t inherit a mess)

We keep it senior-led and practical: establish the integration truth, tighten the contracts, stabilise the operational surface, and leave behind artefacts your team can run without us. This avoids “hero integration” where only one person understands the moving parts.

FAQs

Healthcare integration architecture is the set of patterns, contracts, governance, and operational controls that make clinical data flows reliable across PAS/EMR, lab, radiology, national services, and vendor applications. It is not just an interface engine selection; it includes ownership, versioned specifications, monitoring, security, and cutover discipline so integrations survive go-live and ongoing change.

Use HL7 v2 for event-driven clinical workflows where mature feeds already exist and stability matters (admit/discharge/transfer, orders, results). Use FHIR for API-driven access, modern app ecosystems, patient and provider-facing experiences, and reuse across multiple consuming systems. In real programmes, both usually coexist; success depends on clear contracts, profiling, and governance rather than replacing everything with one standard.

Most failures are ownership and operations failures, not technology failures. Common causes include unclear interface ownership, unversioned message/API contracts, weak monitoring and alerting, unmanaged vendor change, and cutovers without rehearsals or rollback paths. The result is silent breakage, clinical risk, and burnout for support teams.

Demand evidence of delivery under clinical pressure: governed interface specifications, runbooks and ownership, observability, security controls, regression strategy, and proven cutover discipline. A good partner leaves behind artefacts your team can run without them, and provides clear risk visibility to executives before go-live.

Need an integration sanity check?

If you’re mid-programme (or about to start), we’ll help you identify the real integration risks, the decisions that matter, and what must be true before go-live.

Book a 20-minute fit check