Clinical AI Integration
We make AI actually work inside healthcare's legacy stack.
Agentic workflows against clinical systems — FHIR, HL7, and the EHRs that were never meant to talk to anything. Auditable, compliant, and built to survive the security review.
WHERE CLINICAL AI ACTUALLY BREAKS
The Seam - The integration nobody scopes, where 7 month build dies.
EHR
Legacy Stack
>
Read
FHIR
>
Validate
US Core
>
Reason
Agent
Who is this for!
Health-system IT and informatics leaders (CIO, CMIO, VP Clinical of informatics), digital teams with FHIR mandate, and innovation groups shipping AI against a legacy EHRS
The Problem
Most healthcare AI projects don’t fail on the model. They fail on the seam.
The integration layer between a modern agent and a legacy EHR is the par the nobody scopes and nobody owns. It’s where seven -month builds quietly die. We own that seam.
01
Read > validate >stage > reason. An agent never acts on unvalidated data.
02
Every write is a proposal, not an action. Human-approved, fully auditable.
03
The legacy bridge is a queue, not an API call. It degrades it doesn’t collapse
How it works
A Low-risk path from question to production
A free 30-min architectural audit. We find where integration breaks before it costs you months.
Seam Teardown
1
A fixed-scope build of the validated workflow, on synthetic data first.
Pilot
2
The hardened, deployed system with the audit and approval controls clinical use requires.
Production
3
WHAT WE WORK IN
Fluent in the stack your team actually runs.
FHIR R4 & US Core
HL7 V2 . ADT/ORU/MlLP
Epic & Oracle Health
SMART on FHIR.OAth2/PKCE
n8n orchestration
HIPAA/BAA/SOC 2 aware
Why Now
The mandate is here.
Information-blocking enforcement went live in 2026, with penalties up to $1M per violation for health-IT developers. The Cures Act already forces health systems to expose FHIR APIs. They’re required to make the date flow and forbidden from getting in the way. We’re the layer that turns that obligation into working systems.
START HERE
Find the seam your
AI project will die at
before you fund it
A free 30 minute architectural audit. Built for compliance from day one:
development on synthetic(Synthea) data, BAA before any PHIl audit trails and
data minimization design.