Custom EHR Integration

No. We offer Iguana, an integration engine that gives your team full control to build, manage, and maintain your own interfaces. Instead of outsourcing your integration work, Iguana provides a powerful platform that lets you customize and adapt integrations to fit your systems and workflows. This approach gives you greater flexibility, faster iteration, and avoids vendor lock-in.

That said, you're not on your own. While you remain in control, we offer optional professional services to help when needed — whether you're building your first interface, testing a proof of concept, or solving a complex integration challenge.

Iguana is designed for teams that want to build and manage their own integrations — typically healthcare software vendors, hospital IT departments, and developers.

To use Iguana effectively, you’ll need access to a developer or technical team. It’s a code-based platform, so programming is required. If you’re new to healthcare standards (like FHIR, HL7, etc.), our templates and tools can help you get started. But if you don’t have technical resources in-house or through a partner, Iguana likely won’t be the right fit.

Yes — and that’s a key part of its strength. Iguana is built for teams who want full control over how data moves between systems. Pre-built adapters can fall short when real-world systems differ from expected standards. Coding gives you the ability to tailor each interface to fit your specific requirements.

To support this, Iguana includes the Translator, a purpose-built development environment with features like auto-complete, inline help, real-time testing with live data, and version control. Paired with our library of pre-built Component templates, you can build robust, customized integrations quickly and efficiently.

Yes — or you need someone on your team who is. Iguana is built for developers and technical teams who want to create and maintain their own integrations. If you're looking for a no-code platform or a fully managed service, Iguana probably isn't the best fit.

Not in the traditional sense. While some platforms claim ready-made integrations and adapters, most EHR systems require customization due to variations in configuration. Iguana does not provide plug-and-play (or drag-and-drop) solutions. Instead, it provides the tools and framework to build reliable integrations tailored to your specific environment, with pre-built Components that help you get started quickly.

Yes. Iguana can integrate with any EHR system, including (but not limited to) Epic, Cerner, Meditech, Athenahealth, and more. It supports integration through protocols such as HL7, FHIR, REST APIs, and direct database connections. Rather than relying on rigid connectors or vendor-controlled services, Iguana gives you full flexibility to build interfaces that match the specific requirements of each system.

Iguana integrates with a wide variety of systems, including EHRs/EMRs, Hospital Information Systems (HIS), Laboratory and Radiology Systems (LIS/RIS), PACS, Billing and Claims Systems (BIS), Health Information Exchanges (HIEs), mobile apps, medical devices, and databases. It supports complex workflows such as claims processing, radiology and diagnostic result delivery, device data ingestion, order and report routing, and data exchange across clinical, financial, and operational systems.

Iguana supports HL7 (2.x), HL7 v3, FHIR, CDA, CCD, X12, NCPDP, EDI, JSON, XML, CSV, plain text, and proprietary/custom formats. It allows you to normalize, transform, and route virtually any message type.

Most integration tools rely on drag-and-drop workflows, built-in adapters, or managed platforms that limit flexibility when real-world systems behave differently than expected.

Iguana takes a developer-first approach — giving your team direct access to the code behind every integration. There are no black boxes. You can fully customize interfaces to match the specific behavior of any system, build reusable modules, and adapt quickly as requirements evolve.

Many organizations choose Iguana after outgrowing simpler tools or wanting to reduce long-term maintenance costs by taking ownership of their integration stack.

No. Iguana includes a large collection of pre-built Components that cover common integration scenarios. Think of these as templates or starting points for connecting to various systems, including Epic, Athenahealth, and more. Even if a specific system template isn't available, Iguana includes Components for standard connection types such as REST APIs, HL7 over LLP, SFTP, and database access. These can be configured to work with nearly any EHR system.

Drag-and-drop tools can be useful for basic workflows, but they often struggle with complex or non-standard implementations. Iguana gives you direct control and flexibility, which is essential for building integrations that are scalable, reliable, and tailored to your needs.

We offer detailed documentation, training resources, and access to our professional services team. Our goal is to empower your team to build and maintain high-quality integrations, whether you're working with HL7, FHIR, APIs, or other data formats. Many of our customers cite the quality of our support as one of the main reasons they chose Iguana.