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Trusted
By 500+ U.S. Healthcare Providers
Enable Interoperability Within Your Workflows with SMART on FHIR
Securely connect EHRs, third-party apps, and care systems using SMART on FHIR integration services built on the HL7 FHIR R4 SMART framework so patient data flows where it’s needed, without disrupting workflows or compliance.
Trusted by 150+ US Industry Leaders, From Innovative Start-Ups to NASDAQ Giants
Proven Impact Across SMART on FHIR Integrations
Real-world outcomes from healthcare organizations building interoperable, EHR-embedded applications
10+
Years of Healthcare Interoperability & FHIR Experience
90%
Supporting US Healthcare & EHR Ecosystems
40–60%
Faster Data Access within EHR-Embedded SMART on FHIR Apps
100%
HIPAA, SOC 2, HITRUST–Aligned Delivery
Build a Connected Healthcare Ecosystem with SMART on FHIR Integration
Enable seamless, standards-based connectivity across EHRs, apps, and care systems using SMART on FHIR APIs—so data moves securely, and workflows stay uninterrupted.
Seamless FHIR Interoperability
Securely connect EHRs to internal and external healthcare systems to enable standards-based data exchange through SMART on FHIR APIs, simplifying interoperability across clinical systems.
- SMART on FHIR App Launch
- FHIR R4 Resource Mapping
- Context-Aware EHR Access
- Standards-Based Data Exchange
- Multi-System EHR Connectivity
SMART on FHIR App Enablement
Support EHR-embedded app launch and authorization using the SMART app launch framework, and SMART on FHIR–compliant applications enabling context-aware access to FHIR resources through standardized APIs.
- SMART on FHIR App Launch
- Context-Aware Patient & User Access
- EHR-Embedded App Experiences
- Standardized FHIR API Access
- Multi-EHR App Compatibility
Security & Access Control
Keep your patient data safe with security controls aligned with OAuth 2.0 SMART on FHIR authentication, authorization, and auditability across EHR-connected applications.
- SMART OAuth2 Authorization
- Role-Based Access Control (RBAC)
- FHIR Scope & Consent Management
- Audit Logging & Traceability
- HIPAA-Aligned Data Protection
Advanced FHIR Analytics & Insights
Leverage secure SMART on FHIR healthcare integrations to transform FHIR data into actionable insights for reporting, population health, and data-driven clinical and operational decisions.
- FHIR Data Normalization
- Analytics-Ready FHIR Pipelines
- Population Health Insights
- Custom Clinical & Operational Reporting
- Real-Time Data Access for Analytics
Scalable Cloud-Based Deployment
Deploy and scale SMART on FHIR applications on secure, cloud-native infrastructure designed to support growing users, data volumes, and multi-EHR environments—without compromising performance or compliance.
- Cloud-Native Architecture
- Elastic Scaling & High Availability
- Multi-Tenant Deployment Support
- Secure Environment Isolation
- Production-Ready Monitoring & Logging
Trusted SMART on FHIR Implementations
Proven outcomes from healthcare organizations deploying standards-based interoperability solutions
Crestwood Primary Care Network
Multi-Site Primary Care Group
Challenge:
Disconnected EHR systems limited data sharing across care teams and slowed access to patient information at the point of care.
Results:
- SMART on FHIR–enabled EHR connectivity
- Context-aware access to patient data within workflows
- Reduced dependency on custom integrations
Care Locations
12+
Unified EHR App Experience
1
Faster Clinical Data Availability
40%
" SMART on FHIR allowed us to bring data directly into the clinician workflow without changing how our teams work. A&I helped us integrate cleanly with our EHR and finally make interoperability usable—not just theoretical. "
BlueRiver Digital Health
Healthcare Technology Company
Challenge:
Launching EHR-embedded applications across multiple provider systems required consistent authorization, context, and alignment with standards.
Results:
- SMART on FHIR app enablement
- Standardized EHR launch and authorization
- Multi-EHR compatibility without custom builds
EHR Platforms Supported
3+
Standards-Based App Launch
100%
Reduction in Integration Effort
50%
"A&I’s SMART on FHIR expertise made it possible for us to launch inside EHRs without reinventing integrations for every system. The consistency and reliability of the implementation accelerated our go-to-market significantly. "
Harborview Care Alliance
Value-Based Care Organization
Challenge:
Limited interoperability made it difficult to aggregate patient data across partner systems and support care coordination initiatives.
Results:
- Secure data exchange using SMART on FHIR
- Improved cross-system visibility
- Better support for population health initiatives
Partner Systems Connected
5+
Data Exchange Across Care Networks
FHIR-Based
Improvement in Care Coordination Timeliness
30%
"With SMART on FHIR, we now have timely access to patient data across previously siloed systems. A&I helped us move from fragmented views to a connected care experience our teams can rely on. "
Meridian Health Solutions
Healthcare Services & Analytics Firm
Challenge:
Accessing analytics-ready EHR data required extensive preprocessing and manual data handling.
Results:
- FHIR data normalization pipelines
- Analytics-ready datasets
- Faster reporting and insights
FHIR Resources Normalized
20+
Reduction in Data Preparation Time
45%
Faster Reporting Cycles
2X
"A&I helped us structure and normalize FHIR data in a way that actually supports analytics. The SMART on FHIR approach gave us cleaner access to EHR data and shortened our reporting timelines considerably. "
Ready to Start Your SMART on FHIR Implementation?
Let’s discuss how standards-based interoperability can fit seamlessly into your EHR workflows—securely, compliantly, and at scale.
Frequently Asked Questions
Q. What is SMART on FHIR, and how is it used in healthcare?
SMART on FHIR is a standards-based framework that enables secure, EHR-embedded applications to access patient data using HL7 FHIR APIs. It’s widely used to build interoperable healthcare apps that work consistently across different EHR systems.
Q. Why is SMART on FHIR important for EHR integration?
SMART on FHIR reduces EHR integration complexity by replacing custom interfaces with standardized APIs. It allows healthcare organizations to connect apps directly to EHR workflows while maintaining security, compliance, and interoperability across systems.
Q. What is a SMART on FHIR app?
A SMART on FHIR app is an EHR-embedded application that uses the SMART App Launch framework and FHIR APIs to securely access patient data. These apps launch within the EHR and provide context-aware access to clinical information.
Q. How does SMART on FHIR work with EHR systems?
SMART on FHIR uses standardized FHIR APIs and OAuth 2.0 authentication to enable apps to launch within EHRs. The framework ensures secure authorization, patient context sharing, and consistent behavior across EHR platforms.
Q. What are common use cases for SMART on FHIR in healthcare?
Common SMART on FHIR use cases include clinical decision support, care coordination tools, patient-facing apps, population health analytics, and value-based care reporting—without building separate integrations for each EHR.
Q. How does SMART on FHIR reduce integration complexity?
SMART on FHIR eliminates one-off, vendor-specific integrations by using standardized APIs and authorization flows. This significantly lowers development, testing, and long-term maintenance efforts compared to traditional EHR integrations.
Q. Can SMART on FHIR applications work across different EHR platforms?
Yes, SMART on FHIR–compliant applications are designed to work across multiple EHR systems that support the standard, enabling portability and scalability without rebuilding integrations for each platform.
Q. Is SMART on FHIR secure for accessing patient health data?
SMART on FHIR uses OAuth 2.0 authentication, role-based access control, and scoped permissions to ensure secure access to patient data. These security measures align with HIPAA and healthcare compliance requirements.
Q. How does SMART on FHIR manage authentication and user access?
SMART on FHIR manages authentication using OAuth 2.0, enabling secure user login, consent-based access, and role-specific permissions. This ensures only authorized users and apps can access protected health information.
Q. How long does it take to implement a SMART on FHIR integration?
Implementation timelines vary by scope and EHR readiness, but SMART on FHIR integrations typically deploy faster than traditional interfaces—often within weeks rather than months—thanks to standardized APIs and workflows.
Q. Who typically uses SMART on FHIR?
SMART on FHIR is used by healthcare providers, digital health vendors, EHR-integrated app developers, and healthcare IT teams building interoperable, standards-based clinical and operational solutions.
Q. What challenges should organizations consider before implementing SMART on FHIR?
Organizations should assess EHR support, FHIR resource availability, security requirements, and workflow alignment. Proper planning ensures SMART on FHIR implementations deliver real interoperability without disrupting clinical operations.