Healthcare IT Consulting & Engineering
Saga IT is a US-based healthcare IT consulting firm and healthcare software development company specializing in EHR integration, FHIR APIs, custom clinical applications, and HIPAA-compliant cloud.
Healthcare IT, end to end
From requirements + architecture through integration, custom software, and the cloud they all run on.
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.
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's Showroom (formerly 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
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
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 Showroom (formerly 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 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
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
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.
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 Vendor Services and Showroom 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.
Mirth Connect
Expert deployment, channel development, and ongoing support for NextGen Mirth Connect integration engine.
Learn moreHL7 Integration
ADT, ORM, ORU, MDM, and custom message development with complete interface mapping and validation.
Learn moreFHIR API Integration
SMART on FHIR applications, FHIR server deployment, and CMS interoperability rule compliance.
Learn moreMedical Device Integration
Biomedical device connectivity, real-time vitals streaming, and alarm management systems.
Learn moreMedical Imaging & DICOM
PACS integration, DICOM routing, imaging workflow optimization, and AI-ready pipeline development.
Learn moreCMS Interoperability
CMS-0057-F compliance (Jan 2027 deadline), patient access APIs, provider directory, and payer-to-payer data exchange.
Learn moreHIE Integration
Health information exchange design, TEFCA alignment, national network connectivity, and CommonWell integration.
Learn moreTEFCA Integration
Trusted Exchange Framework and Common Agreement implementation, QHIN connectivity, and national network onboarding.
Learn moreHealthcare Interoperability
End-to-end interoperability strategy, standards adoption roadmaps, and cross-platform data exchange consulting.
Learn moreOpen Integration Engine
Open-source OIE deployment, migration from Mirth Connect, channel development, and enterprise support.
Learn moreRhapsody Integration Engine
Rhapsody implementation, FHIR Facade design, engine migration, and 24x7 managed support.
Learn moreLIS/LIMS Integration
Laboratory information system connectivity: HL7 order/result interfaces, FHIR lab APIs, and cloud data platforms.
Learn more HubIntegration Engines
Vendor-agnostic integration engine consulting: deployment, channel development, and managed services across Mirth Connect, OIE, Rhapsody, and BridgeLink. Migration paths from Iguana, Corepoint, and Cloverleaf to open-source engines, with senior certified engineers on each platform.
Learn moreEHR Integration Services
Integration services across all major EHR platforms: custom HL7 and FHIR interfaces, clinical workflow automation, and bidirectional data exchange between your EHR and clinical systems.
Vendor-neutral EHR and EMR integration depth across Epic, Cerner / Oracle Health, MEDITECH, athenahealth, eClinicalWorks, and NextGen, built on Mirth Connect, Rhapsody, Iguana, and cloud-native integration engines. We’ve shipped the long tail of ADT consolidation, ORU result routing, and FHIR R4 server work that keeps multi-EHR environments running 24/7.
Oracle Health (Cerner)
Millennium API development, Ignite FHIR APIs, PowerChart customization, and CareAware device integration.
Learn moreMEDITECH Integration
Expanse, 6.x, and MAGIC platform integration with HL7 v2 interfaces, FHIR APIs, and legacy migration.
Learn moreeClinicalWorks
eCW API integration, v12 upgrades, practice management connectivity, and healow Marketplace apps.
Learn moreNextGen Healthcare
NextGen Enterprise and Office integration, specialty practice workflows, and API development.
Learn moreathenahealth
athenaOne API integration, Marketplace app development, and certification support.
Learn moreAllscripts
Unity API, FHIR R4, HL7 v2 across the Allscripts lineage: Veradigm EHR (Veradigm) and TouchWorks / Sunrise / Paragon (Altera Digital Health).
Learn moreHealthcare IT Staff Augmentation
Embedded healthcare integration engineers, fractional CTO/CIO support, and dedicated team augmentation for hospitals and digital health companies.
Learn more Full LifecycleHealthcare Software Development
Custom healthcare and medical software development from architecture through FDA clearance. Cloud-native clinical platforms, patient engagement apps, and SaMD products built to IEC 62304 and HIPAA standards.
Learn moreHealthcare App Development
HIPAA-compliant patient portals, telehealth platforms, RPM and mobile health apps, built with EHR + FHIR integration from day one.
Learn moreHealthcare Data Analytics
OMOP CDM implementation, clinical data warehousing, healthcare analytics dashboards, and population health insights.
Learn moreHealthcare Cloud Services
HIPAA-compliant cloud infrastructure, migration, and managed services on AWS and Azure.
Learn more AI & AutomationHealthcare AI Integration
Ambient AI scribes, clinical decision support, prior authorization automation, and medical NLP, integrated with your EHR, HIPAA-compliant by design, and built for the clinical workflows where AI actually moves the needle.
Vendor-neutral healthcare AI consulting across the ambient clinical documentation, AI medical imaging, and clinical AI platform stack: Abridge, Suki, Nuance DAX Copilot, Aidoc, Viz.ai, and beyond. Take the 60-second AI Readiness Assessment to see your gaps, or use the AI Scribe ROI Calculator to model the financial case before you start vendor selection.
HIPAA Compliance
HIPAA compliance assessments, remediation planning, risk analysis, and ongoing compliance program management.
Learn moreHealthcare Cybersecurity
Security architecture, penetration testing, incident response, and HITRUST CSF certification for healthcare organizations.
Learn moreHealthcare Cloud Security
Cloud security architecture, compliance controls, and managed security services for healthcare workloads.
Learn moreCompliance Consulting
HITRUST CSF, SOC 2 Type II, and ISO 27001 readiness assessments and certification support.
Learn moreTools for Healthcare Integration
Open-source developer tools and enterprise platforms built for Mirth Connect and healthcare IT teams.
MirthSync Plugin
Git version control built directly into the Mirth Connect Administrator. One-click pull, push, and visual diff.
Learn moreMirthSync for VS Code
One command spins up Mirth/OIE in Docker locally. Plus IntelliSense, channel tree, and syntax highlighting for daily channel work.
Learn more
Message Parser
Parse HL7 v2 messages into navigable tree views with syntax highlighting, segment grid, and schema details panel.
Open the parser
Spec Browser
Browse the complete HL7 v2 specification: segments, data types, tables, and message structures across all versions.
Browse the spec
Operate & Share
Run channels and deploys from any browser, then publish channels and exchange HL7, FHIR, and files with partners over encrypted gateway tunnels.
Learn more
Fleet Monitoring
Channel health, throughput, error rates, and alerting across every connected Mirth Connect and OIE server. Your whole fleet in one view.
Learn moreFree Tools & References
Open-source utilities and standards references we maintain: drop a DICOM file in the browser, browse the HL7 v2 spec, look up a Mirth Connect quirk. No install, no signup.
DICOM Viewer
Drop a .dcm file. Render in-browser. Scroll through slices. Nothing leaves your machine.
Open viewerHL7 Workbench
Paste any v2 message. Parse it. Navigate the tree. Look up segments and tables.
Preview the WorkbenchMirth Connect & OIE Resource Center
Channel troubleshooting, DB diagnostics, and integration guides for Mirth Connect 4.x and OIE.
Open resource centerTopology Builder
Drag-and-drop your integration network (engine, EHRs, PACS, lab, pharmacy) and wire up HL7, FHIR, DICOM, and SQL connectors. Runs in the browser; nothing is uploaded.
Open Topology BuilderA boutique healthcare IT consulting firm built around two practices
Saga IT is a US-based healthcare IT consulting firm and healthcare software development company. Two co-equal practices: integration and custom software, backed by the open-source tools we build and maintain ourselves.
Integration practice
HL7, FHIR, DICOM, and EHR connectivity (Epic, Oracle Health, athenahealth, MEDITECH, Veradigm, eClinicalWorks) on Mirth Connect and OIE. We stand up channels, migrate engines, and expose FHIR APIs.
Integration services →Software development practice
Custom clinical applications, healthcare AI integration, HIPAA-compliant cloud (AWS, Azure, GCP), and SaMD-aligned software development for hospitals and digital-health vendors.
Software development →Open-source builders
We built and maintain MirthSync (free CI/CD for Mirth Connect and OIE) and the HL7 Workbench (free in-browser v2 parser). Independent commercial support vendor for OIE, part of its multi-vendor support ecosystem.
See our open-source tools →Our Partners Across Healthcare
Ready to Transform Your Healthcare Technology?
From HL7 to FHIR, medical software to cloud security. Let’s build your healthcare technology roadmap.