Iguana Healthcare Integration Engine

Iguana is a high-performance integration engine that enables secure, real-time data exchange between a wide variety of systems. It supports integration across EHRs, LIS, RIS, PACS, RCM, billing platforms, CRMs, and more, using standard and custom data formats such as HL7, FHIR, X12, XML, and CDA/CCDA. With Iguana, organizations can streamline data interoperability, automate workflows, and unify disconnected systems within a single, scalable platform.

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 stands apart from 'drag and drop' platforms and rigid middleware by giving developers direct, code-level access to every part of the integration. Built for complex and custom workflows, it provides a scriptable environment with live debugging, real-time testing, built-in version control, and support for high volume processing. This design gives technical teams unmatched control, agility, and transparency, without sacrificing speed or reliability.

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 “plug-and-play” sense — and for good reason. While some platforms offer pre-built adapters, EHR implementations often vary significantly from site to site, making fixed adapters unreliable. Iguana takes a more scalable approach: it provides a powerful, code-level development environment that gives your team full control to build custom, reliable integrations tailored to the specific configuration of any EHR.

Yes. Iguana can integrate with any EHR system, including Epic, Cerner, Meditech, Athenahealth, and others. 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 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.

You can expect responsive and knowledgeable support from a team that understands integration. We provide email and phone support, detailed documentation, and training resources to help your team succeed. For more hands-on help, our professional services team is available to assist with specific projects or ongoing needs.

Whether you're exchanging data through APIs, working with HL7, FHIR, or other formats and protocols, we're here to help guide you through the process. Many of our customers cite the quality of our support as one of the main reasons they chose Iguana.