Scope of the build
Fixed scope, fixed timeline, 100% U.S.-based senior engineers on Eastern-time hours.
- HL7 v2 and FHIR R4 interface engine
- Terminology mapping (LOINC, SNOMED, ICD-10)
- Replayable message queue with dead-letter handling
- PHI-safe logging and access controls
- Analytics warehouse feed
- Monitoring, alerting, and interface dashboards
- Runbooks for on-call staff
What you get
Feeds that stay up
Every interface monitored with replay instead of silent loss.
Analytics-ready
Normalized clinical data lands in the warehouse daily.
Audit-ready
Access to PHI is logged, scoped, and reviewable.
Where this fits
- → EHR to warehouse
- → Lab result ingestion
- → Payer data exchange
- → Registry reporting
From signature to production
The same delivery rhythm on every engagement. You always know what shipped last week and what ships next.
- Week 0
Scope lock
Two working sessions with your team. We write the spec, the acceptance criteria, and the integration list, then fix the price against it.
- Weeks 1-2
Spine first
Data model, auth, environments, CI, and the riskiest integration go in before any screen is polished. You see it running in staging.
- Mid-build
Weekly demo
Working software every Friday, on your staging environment. Scope changes get priced in the same call, never discovered at the end.
- Go-live
Handover that holds
Runbooks, monitoring, test suite, and a recorded walkthrough for your engineers. You own the repo and the accounts from day one.
Before you book a call
Straight answers on price, timeline, ownership, and who writes the code. If your question is not here, ask it on the call — we answer it the same way.
Scope clinical data interoperability hub →What does clinical data interoperability hub cost?
From $70,000. The price is fixed against a written scope after a two-session discovery, so the number you approve is the number you pay. Typical delivery runs 8–12 weeks.
How long does it take to go live?
8–12 weeks from scope lock to production for the scope listed on this page. You see working software in your staging environment every week, starting in week two.
What does it integrate with?
Out of the box we wire Epic, Redox, Mirth, Snowflake and AWS. Anything with an API or a file drop can be added during scope lock.
Who actually builds it?
Senior U.S.-based engineers on Eastern-time hours. No offshore handoff, no rotating junior bench. The people on your kickoff call are the people writing the code.
Do we own the code?
Yes. Your repo, your cloud accounts, your data — from the first commit. We hand over runbooks, tests, monitoring, and a recorded walkthrough so your team can take it forward without us.
Can this start smaller than the full scope?
Usually. We can carve a first slice that proves the hardest part of clinical data interoperability hub in a few weeks, then sequence the rest once it is running in production.
Related case studies
- Relimed Case Study Case StudySee how NextGen Coding solves real software, AI, cloud, automation, data, and integration challenges with senior US engineering teams.
- Perreign AI Hippa Compliance Platform Case StudyPerreign AI is a regulatory technology company dedicated to modernizing compliance workflows. Its leadership identified that healthcare organizations.

