Most EHR integrations don't fail in planning — they fail in production.

The expensive problems usually show up later: architecture drift, data issues, and compliance gaps that stall go-live.

Experience spanning millions of FHIR/HL7 records daily across Epic, Cerner, and payer systems

FHIR · HL7 · DICOM · AI-ready data pipelines

Find integration risks

3-minute self-assessment · No call required

If risks are surfaced, the diagnostic call turns them into a prioritized plan

Experience from

CDC
Microsoft
Meta
Palladium
Phare Health
Mobile Digital Imaging

Built for High-Stakes HealthTech

Experience shaped by real clinical systems, scale, and regulation.

Real-world interoperability
Phare Health

Production-scale interoperability at Phare Health

At Phare Health, I helped scale interoperability across hospitals, EHRs, and payer systems — supporting millions of FHIR/HL7 records daily in production.

  • Epic, Cerner, and payer integrations across complex healthcare environments
  • 70% less onboarding effort with GPU-accelerated de-identification and NLP pipelines
  • 60% fewer data errors through stronger validation, governance, and ingestion controls
  • Compliance built into architecture and delivery
MicrosoftMeta
2B+ users
Big Tech Scale
Petabyte-scale patterns for modern healthcare
Palladium
950+ Facilities
Nationwide Impact
Kenya's national patient identification layer
MDI
10k+ studies/day
DICOM Integration
PACS to EHR pipelines for radiology workflows

What Clients Say

Operators across healthcare teams value clarity, speed, and real-world execution.

Teddy helped us clarify the integration path early and reduce technical ambiguity before it turned into downstream rework.
Douglas J. Potter, Jr.
CEO & CTO, Mobile Digital Imaging
Mobile Digital Imaging
Teddy was instrumental in designing and shipping our interoperability foundation in a way that held up in real-world delivery.
Joshua Oiro
Former Chief Of Party, Palladium Group
Palladium
Teddy brought the kind of senior technical judgment that helps teams move faster without creating avoidable integration debt.
Name withheld
CTO, Series A care navigation startup
SA

See where delivery risk is hiding

A 3-minute scorecard for teams planning, repairing, or scaling EHR integrations.

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Built on Modern, Production-Ready Technology

Battle-tested tools that scale with your growth.

Healthcare Standards
FHIR R4HL7 v2.xDICOMIHE Profiles
Integration & APIs
Epic FHIR APICerner FHIR APIMedplumAllScriptsDirect FHIR endpoints
AI & Machine Learning
De-identification (GPU-accelerated)NLP (Clinical text processing)RAGAgentic AI workflows
Cloud & Orchestration
AWS (Lambda, ECS, RDS, S3)PostgreSQLRedisApache AirflowServerless
Data Quality
SodaGreat ExpectationsCustom validation frameworks
Compliance & Security
HIPAA-compliant architectureSOC2 controlsEncryption at rest & in transitAudit logging

Frequently Asked Questions

Answers to questions I hear most often

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.
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.
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.
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.
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.
Your team owns everything — code, architecture, documentation. Engagements are structured for clean handoff so your engineers can operate and extend the system independently.
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.
Typically within 1–2 weeks. Availability is intentionally limited to keep engagements focused.