Diagnostic
Interoperability Readiness Diagnostic
Catch the gaps that delay certification, stall go-live, and create expensive rework.
In 2 weeks, you get a leadership-ready diagnostic report: prioritized risks, target-state architecture, compliance remediation priorities, and a sequenced action plan your team can execute immediately.
Best for teams before partner delivery, architecture review, certification, or go-live planning.
BUILT IN REAL CLINICAL ENVIRONMENTS
Grounded in production healthcare delivery
This work is shaped by real-world interoperability delivery across regulated environments, EHR integrations, and production clinical systems.
Who this is for
The diagnostic is designed for teams that need architectural clarity before committing to implementation — whether you're scoping a first integration, evaluating migration risk, or preparing for investor diligence.
- Planning a first major EHR integration and need to scope it correctly
- Migrating from Mirth, Rhapsody, or Ensemble and assessing risk and cost
- Approaching investor diligence and need a credible interoperability roadmap
- Preparing for certification or compliance audit (HIPAA, SOC2)
- Stalled mid-integration and need an independent second opinion on architecture
What the diagnostic surfaces
These are the expensive failure modes this diagnostic is designed to catch before they compound.
Unclear integration scope
Standards, architecture, and ownership are undefined. Decisions are deferred instead of resolved.
Compliance exposure
HIPAA or SOC2 gaps are untested. No confidence the current approach will survive audit or certification.
Brittle legacy architecture
Mirth, Rhapsody, or Ensemble is aging. Modernization cost, risk, and timeline are unquantified.
Compounding architecture drift
Early decisions are creating unclear boundaries and sequencing risk — getting more expensive to fix at scale.
What the diagnostic covers
Architecture & integration assessment
Review of integrations, data flows, and system boundaries with a target-architecture recommendation.
Compliance & risk analysis
HIPAA, SOC2, and certification gap analysis with remediation priorities and risk register.
Interoperability strategy
Phased FHIR, HL7, and DICOM plan — standards selection, sequencing, and partner readiness.
Migration & modernization assessment
Build-vs-buy-vs-migrate analysis for Mirth, Rhapsody, Ensemble, or other legacy engines.
AI & data readiness review
De-identification, NLP, RAG, and agentic pipeline readiness across your clinical data landscape.
Prioritized action plan
Sequenced roadmap with milestones, cost trade-offs, and decision points — ready for leadership or board.
What you leave with
Concrete artifacts and decisions — not a slide deck.
- Prioritized risk register — architectural, compliance, and delivery risks ranked by impact and urgency
- Target-state architecture recommendation with explicit system boundaries and sequencing
- Compliance and remediation priorities mapped to HIPAA/SOC2 requirements
- Migration and modernization recommendations with cost-benefit framing
- Leadership-ready decision memo — legible to both technical and non-technical stakeholders
- 30/60/90-day action plan with clear next steps, owners, and decision points
How the engagement works
Intake & context gathering
Async review of your architecture, integrations, and compliance posture. 60-minute kickoff to align on scope.
Assessment & analysis
Deep audit of integration architecture, data flows, compliance gaps, and delivery risk — mapping what exists, what’s missing, and what’s likely to break at scale.
Diagnostic report & walkthrough
Prioritized findings, target architecture, risk register, and action plan. Live walkthrough so your team can act immediately.
Pricing
Fixed price
$25,000
Delivered in 2 weeks
Built to produce a prioritized action plan, not a generic report.
- —Fixed-scope engagement — no open-ended billing
- —Conducted remotely, async-friendly
- —Requires 2–3 hours of your team's time across intake and walkthrough
- —Does not include implementation — if findings warrant hands-on work, the Accelerator or Retainer are designed for that
Frequently asked questions
Very little. I send a short intake form covering your stack, integration partners, compliance requirements, and timeline. If you have architecture diagrams or technical documentation, share them — but the diagnostic is designed to work without them.
That's one of the highest-value times to run it. Most expensive integration mistakes are stack and architecture decisions made under time pressure. The diagnostic gives you a clear build-vs-buy-vs-migrate framework before you commit to something hard to reverse.
Yes — migration assessment is a core part of the diagnostic for teams on legacy engines. You get a detailed cost-risk-timeline analysis for modernization, not just a recommendation to move. Many teams use it to build the internal business case.
A technical lead or architect for the kickoff and report walkthrough — roughly 2–3 hours total. If a compliance owner or product lead is involved in integration decisions, their input during intake sharpens the output.
You have a prioritized plan your team can execute independently. If the findings call for hands-on implementation, many teams move into an Accelerator engagement — but there's no obligation. The diagnostic is designed to stand on its own as a decision-making tool.
Yes. The report includes a leadership-ready decision memo with milestones, cost trade-offs, and risk framing written for both technical and non-technical audiences. Several clients have used it directly in investor updates and board presentations.
After the diagnostic
The diagnostic stands on its own. If the findings call for implementation or ongoing support, these are the typical next steps.
Accelerator
FHIR · HL7 · DICOM Integration Accelerator
Ready to execute? The Accelerator picks up where the diagnostic leaves off — scoped implementation with full handoff.
Learn moreRetainer
Advisory Retainer
Need ongoing oversight after the diagnostic? The Retainer provides fractional senior leadership month over month.
Learn moreGet clarity before the next decision becomes expensive
A focused, 2-week diagnostic that turns ambiguity into a prioritized plan your team can act on.
Availability is limited to 2 diagnostic engagements per month.
Not sure yet? Run the 3-minute scorecard to surface risk first.