Healthcare IT Consulting & Engineering

US-based healthcare IT consultants — from HL7 and FHIR integration to medical software development, cloud infrastructure, and cybersecurity.

HL7 v2 FHIR R4 DICOM X12 EDI CDA TEFCA

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What We Do

Healthcare IT Consulting Capabilities

From HL7 and FHIR integration to integration-engine deployments, FDA-regulated software, HIPAA-compliant cloud infrastructure, and healthcare cybersecurity — Saga IT is a healthcare IT consulting firm built for hospital-grade workloads. Pick a capability to see what the work looks like.

Standards · interoperability · EHR data exchange

Healthcare data interoperability built on the standards

HL7 v2, FHIR R4, DICOM, X12 — the protocols that move clinical data between EHRs, payers, labs, and devices. We design, build, and operate the interfaces, working at the API level with every dominant EHR platform: Epic, Oracle Health, MEDITECH, eClinicalWorks, NextGen, athenahealth. Our team has shipped FHIR APIs through Epic App Orchard certification, Oracle Code listing, and athenaOne Marketplace review. On the messaging side we run ADT, ORM, ORU, and SIU feeds at hospital scale — tens of thousands of messages a day with full Z-segment coverage, ACK/NAK handling, and message-level reconciliation.

EHR & integration services

HL7 v2 ADT, ORM, ORU, SIU, MDM with full Z-segment coverage
FHIR R4 APIs · US Core conformance · Bulk FHIR export · CDS Hooks
Epic, Oracle Health, MEDITECH, eCW, NextGen, athenahealth integration
HIE / TEFCA QHIN connectivity + CMS-0057-F Patient Access APIs

Mirth Connect · OIE · Rhapsody · Iguana

Healthcare integration engines: built, migrated, operated

Every hospital that moves HL7 messages runs an integration engine. We've built hundreds of Mirth Connect channels and — since the 2024 NextGen Connect license change — moved early to the open-source Open Integration Engine (OIE) so customers aren't locked into commercial licensing. We handle channel development, cloud deployment, version upgrades, and full vendor migrations: Cloverleaf, Rhapsody, and Iguana into Mirth or OIE with parallel-run validation and zero-downtime cutover. Once you're live, our managed-services team owns interface health dashboards, error-queue triage, capacity planning, and the 24×7 on-call rotation that keeps clinical feeds flowing through the night.

Integration-engine services

Mirth Connect channel development, cloud deployment, and upgrades
Open Integration Engine (OIE) consulting and contributor support
Engine migrations: Cloverleaf · Rhapsody · Iguana → Mirth / OIE
24×7 managed services with message-level SLAs and on-call response

SaMD · mHealth · clinical AI · analytics

Healthcare software that ships in regulated environments

Healthcare software isn't ordinary software with HIPAA stapled on. It lives inside someone else's EHR, serves clinicians mid-visit, and handles data with direct patient-safety consequences. We build apps under IEC 62304, AI workflows that pass clinical review, and analytics pipelines — compliance baked in from sprint one rather than bolted on at submission time. Our team has shipped Class II SaMD through 510(k) clearance, embedded Epic App Orchard apps used inside ICUs and emergency departments, ambient AI scribes that handle PHI under signed BAAs, and OMOP-CDM analytics platforms for population-health research at academic medical centers.

Healthcare software development

SaMD development under IEC 62304 + ISO 14971 risk management
HIPAA-compliant mobile and web apps (patient portals, telehealth, CDS)
Healthcare AI: ambient scribes, CDS Hooks, medical NLP, prior-auth automation
Clinical analytics on OMOP CDM + FHIRPath + healthcare data warehousing

HIPAA-compliant AWS · Azure · GCP infrastructure

HIPAA-compliant cloud infrastructure for clinical workloads

PHI workloads have unforgiving requirements: BAA coverage, encryption-at-rest with customer-managed keys, audit logging that auditors actually accept, and architecture that survives an OCR investigation. We design, deploy, and run healthcare cloud infrastructure on AWS and Azure — with HIPAA, HITRUST, and SOC 2 controls in place from day one. That covers lifting hospital data centers into AWS with KMS, GuardDuty, and CloudTrail baselines; deploying Azure Health Data Services for managed FHIR and DICOM workloads; and running ongoing 24×7 cloud operations with quarterly capacity reviews, incident response, and audit-evidence templates that hold up to assessor scrutiny.

Healthcare cloud services

HIPAA-compliant AWS architecture with BAA + customer-managed KMS keys
Azure healthcare workloads — Health Data Services, FHIR Service, DICOM Service
Cloud migrations from on-prem hospital data centers to HIPAA / HITRUST cloud
Managed cloud operations with 24×7 monitoring + capacity planning

HIPAA · HITRUST · SOC 2 · ISO 27001

Healthcare cybersecurity and compliance for clinical systems

Healthcare security is regulatory, technical, and organizational — the Privacy Rule, the Security Rule, the Breach Notification Rule, plus the actual engineering work to prevent and detect incidents. We run risk assessments, penetration tests, security architecture, and the readiness work for the certifications health systems and health plans actually require from their vendors. That includes guiding organizations through HITRUST CSF e1, i1, and r2 certifications, SOC 2 Type II audits with first-time clean reports, ISO 27001 stage-2 audits, and the year-round compliance program work — gap analysis, control implementation, evidence collection, assessor coordination — that turns certification from a project into an operational capability.

Healthcare security services

HIPAA Security Rule risk assessments + ongoing compliance management
Penetration testing, vulnerability management, and SIEM tuning
HITRUST CSF (e1 / i1 / r2), SOC 2 Type II, and ISO 27001 readiness
Incident response planning + tabletop exercises for healthcare orgs

100% US-Based Team

10+ Years Experience

100+ Projects Delivered

What We Do

End-to-End Healthcare IT Services

From protocol-level integration to cloud-native development and security compliance — we cover every layer of the healthcare technology stack.

Top Service

Epic Integration

Certified Epic integration specialists delivering seamless EHR connectivity. We help health systems unlock the full potential of their Epic investment — from legacy Bridges interfaces to modern SMART on FHIR apps.

Our Epic consulting practice spans App Orchard publishing, Interconnect API development, and Care Everywhere — wired by engineers who’ve shipped against every major Epic release. Whether you’re modernizing legacy HL7 v2 interfaces, certifying a SMART on FHIR app, or embedding an AI tool into Hyperspace, we handle the integration work so your clinical team stays in workflow.

Bridges & HL7 Interfaces

App Orchard Publishing

SMART on FHIR Apps

Healthcare IT Consulting & Engineering

Healthcare data interoperability built on the standards

End-to-End Healthcare IT Services

Epic Integration

Mirth Connect

HL7 Integration

FHIR API Integration

Medical Device Integration

Medical Imaging & DICOM

CMS Interoperability

HIE Integration

TEFCA Integration

Healthcare Interoperability

Open Integration Engine

LIS/LIMS Integration

EHR Integration Services

Oracle Health (Cerner)

MEDITECH Integration

eClinicalWorks

NextGen Healthcare

athenahealth

Healthcare Software Development

Healthcare Data Analytics

Healthcare Cloud Services

Healthcare AI Integration

HIPAA Compliance

Healthcare Cybersecurity

Healthcare Cloud Security

Compliance Consulting

Tools for Healthcare Integration

MirthSync

MirthSync Plugin

MirthSync for VS Code

HL7 Workbench

Message Parser

Spec Browser

MDDS Console

Web Administration

Analytics Dashboard

Flexible Deployment Strategies

Cloud Infrastructure

On-Premise Bridge

Hospital Delivery

Our Partners Across Healthcare

Ready to Transform Your Healthcare Technology?