Social Data on FHIR
Transform Social Data into Actionable Care with FHIR
Unify clinical, social, and community data using FHIR-native SDOH exchange to enable coordinated care, measurable outcomes, and equity-driven healthcare delivery.
Aigilx Health enables healthcare organizations, public health agencies, and community networks to operationalize Social Determinants of Health (SDOH) using standards-based Social Data on FHIR interoperability across EHRs, social care platforms, public health systems, and Community-Based Organizations (CBOs).
SDOH, Whole-Person Care & FHIR Interoperability Expertise
Aigilx Health specializes in FHIR-based SDOH interoperability that supports whole-person care models, enabling organizations to integrate social, behavioral, and environmental data alongside clinical data. Our solutions enable real-time capture, exchange, and analytics of SDOH across healthcare, public health, and community ecosystems.
By unifying medical and non-medical data through FHIR, organizations move beyond episodic care to continuous, person-centered, and outcomes-driven care delivery.
Driving Social Data Interoperability with the Gravity Project
Aigilx Health aligns its Social Data on FHIR architecture with the Gravity Project’s nationally recognized SDOH standards to ensure:
- Semantic consistency across systems
- Federal and state program readiness
- True cross-sector interoperability
This alignment enables standardized SDOH screening, risk assessment, referral workflows, service tracking, and outcomes reporting across healthcare and social care systems.
Programs & Initiatives We Accelerate
Our Social Data on FHIR solutions support large-scale programs that require fully integrated clinical and social care delivery, including:
- Medicaid 1115 Waiver Programs
- Whole-Person Care Initiatives
- Value-Based Care & Population Health Programs
- Community Care Hubs & Social Care Networks
- Maternal & Child Health Programs
- Behavioral Health & Social Service Integration
- Public Health Reporting & Surveillance
- Closed-Loop Referral & Care Coordination
SDOH & FHIR Capabilities
Unified SDOH Data Foundation Across Clinical, Social & Community Systems
Aigilx Health establishes a FHIR-native integrated data foundation that brings together social, economic, environmental, and clinical data into a single, unified view of individuals and communities. This eliminates data silos and creates a consistent, trusted foundation for coordinated decision-making across sectors.
SDOH Data Capture, Native Assessment & FHIR Normalization
We provide a native SDOH assessment and screening platform that enables direct capture of structured social risk data at the point of care, within case management workflows, and through community outreach programs.
We also ingest SDOH data from EHRs, referral platforms, social care systems, and CBO platforms. All incoming data is normalized, enriched, and standardized into FHIR-compliant SDOH datasets, ensuring semantic consistency across the ecosystem.
Bi-Directional Data Exchange Across Any Format & Any Mechanism
Aigilx Health supports real-time and batch exchange of social data across FHIR, HL7 v2, C-CDA, APIs, and flat files, using secure transport mechanisms including REST APIs, SFTP, secure messaging, and direct endpoints.
This enables true two-way data exchange between clinical systems, social care platforms, public health systems, payers, and community networks.
Predictive Modeling, Risk Scoring & Social Vulnerability Insights
Our platform applies predictive analytics and social risk scoring models to forecast need, identify emerging vulnerabilities, and generate person-level and population-level risk indicators. This enables proactive interventions, early outreach, and data-driven whole-person care strategies.
Population Explorer Dashboards & Community-Level Analytics
Aigilx Health delivers interactive population dashboards that visualize SDOH trends, compare geographies, and analyze patterns across communities and defined cohorts—supporting planning, funding decisions, and statewide reporting.
Targeting, Segmentation & Outreach Optimization
Organizations can filter and segment populations based on social risk, utilization patterns, and service gaps to design targeted outreach strategies, allocate resources effectively, and improve program engagement and service uptake.
Closed-Loop Referral Enablement & Outcome Tracking
We enable full closed-loop referrals across healthcare and social care systems, including referral initiation, status updates, service fulfillment tracking, outcome capture, and cross-organization coordination. This improves accountability, reduces referral leakage, and strengthens care continuity.
EHR, Health System & Community-Based Organization (CBO) System Integrations
Aigilx Health delivers seamless interoperability across hospital and ambulatory EHR systems, public health platforms, Health Information Exchanges (HIEs), Community-Based Organization (CBO) systems, social care case management platforms, and referral and care coordination systems—ensuring that clinical, social, and community systems operate as one fully connected ecosystem.
Compliance, Consent & Governance Assurance
We embed enterprise-grade security, consent management, audit trails, and role-based access controls across the Social Data on FHIR lifecycle. Our platform is designed to meet HIPAA, state, federal, and grant-driven SDOH reporting requirements.
Program Performance Tracking, Evaluation & Outcomes Measurement
Aigilx Health enables longitudinal measurement of program utilization, referral effectiveness, service outcomes, population-level SDOH trends, and health equity indicators, providing actionable insights that support continuous program improvement, performance evaluation, and funding-ready reporting.
Collaborative Data Alignment Across Agencies, Payers & Community Partners
We provide a shared, transparent view of social care data and performance metrics across agencies, providers, payers, and CBOs—enabling coordinated planning, faster decision-making, and cross-sector accountability.
Growth Intelligence, Engagement & Outreach Performance Analytics
Our analytics help organizations identify expansion opportunities, optimize outreach strategies, track campaign performance, and deliver personalized, insight-driven community engagement that improves participation and long-term retention.
Why Aigilx Health Is Your Premier Social Data on FHIR Partner
Aigilx Health combines deep FHIR interoperability expertise with real-world SDOH and public health program delivery experience. We support the full lifecycle—from strategy and standards alignment to implementation and ongoing managed operations.
Our approach is:
- Standards-first and Gravity-aligned
- Proven across state and community programs
- Scalable from pilot to statewide deployment
- Secure, auditable, and compliance-ready
- Built for clinical + community + public health integration
Who Requires Social Data on FHIR
- State and County Governments
- Departments of Health
- Medicaid & Public Health Programs
- Health Information Exchanges
- Hospitals & Health Systems
- Managed Care Organizations
- Community-Based Organizations (CBOs)
- Social Care & Referral Platforms
Why Aigilx Health Is Your Premier Social Data on FHIR Partner
Receive an expert-led review of your current social data, referral, and interoperability capabilities along with a high-level roadmap tailored to your program objectives.
Speak with a Social Data Interoperability Expert
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.
