FHIR Facade - Aigilx Health

Ever faced service disruptions because legacy interfaces can’t keep up with modern data demands? – FHIR Facade is the answer! 

What Is a FHIR Facade?

A FHIR Facade is a lightweight translation layer that sits in front of your existing systems—EHRs, claims platforms, HIE repositories—and exposes a clean, standards-based FHIR REST API. Rather than rewriting or replacing those legacy back ends, the facade:

  • Intercepts incoming FHIR calls
  • Translates them into native queries (HL7 v2, CCD, custom payloads)
  • Converts the results back into FHIR Resources

There are two primary approaches:

Storage-Less Facade: Maps each request on the fly against your live system—no new datastore required.

Server-Backed Facade: Synchronizes data into a dedicated FHIR repository and serves API calls from that optimized store.

The Legacy–API Divide

or decades, healthcare data exchange has relied on: 

HL7 v2 Point-to-Point Feeds 
Hand-coded interfaces that often break with every vendor update. 

CCD/CCDA Batch Exports 
Heavy XML documents delivered nightly or hourly—introducing latency and inflexibility. 

Custom Flat Files & APIs 
CSV or bespoke JSON schemas, each requiring its own parser and transformer. 

These patterns create costly maintenance, hidden delays, and brittle integrations—yet many organizations remain chained to them because a full back-end rewrite feels impossible. 

Why a Facade Matters Today

Modern healthcare demands have outpaced what batch-only interfaces can deliver. A FHIR Facade addresses three urgent imperatives: 

  • Regulatory Pressure: 
    Standards like the 21st Century Cures Act, CMS patient access rules, and USCDI/TEFCA frameworks make open APIs mandatory. 
  • Consumer & Clinician Expectations: 
    Telehealth platforms, patient portals, and analytics dashboards demand real-time data – waiting for the next batch window undermines care and insight. 
  • Innovation Enablement: 
    AI models, remote monitoring devices, and third-party developers all rely on FHIR-compliant endpoints to unlock clinical and claims data now, not years from now. 

Ready to break free from batch windows and unleash real-time FHIR APIs across your organization? 
Let’s sketch your path forward. 

DM us to schedule a 10-minute whiteboarding session! No slides, no sales pitch, just a focused discussion on your interoperability roadmap. 

Aigilx health specializes in developing Interoperability solutions to create a healthcare ecosystem and aids in the delivery of efficient, patient-centric and population-focused healthcare.

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Email: contact@aigilxhealth.com