Rochester Regional Health Organization's Journey to Modern Health Information Exchange



Rochester Regional Health Organization (RRHIO) required a transformation to address the limitations of its outdated Health Information Exchange (HIE) operations. Seeking a scalable, modern solution, RRHIO partnered with Aigilx to implement the Meridian Data Aggregation Platform (MDAP) and integrate Mirth Connect Servers for strategic data feed management. This initiative marked a significant advancement in healthcare interoperability and data processing.

Solution Implementation

MDAP, launched in June 2020, marked a pivotal shift in RRHIO’s approach to health information management. This platform efficiently migrated close to a billion historical messages, establishing a new benchmark in healthcare data management. The addition of Fast Healthcare Interoperability Resources (FHIR) support in 2021 further enhanced its capabilities.

MDAP now supports over 4.5 million patients, processing daily over 450,000 HL7V2 and 100,000 CCDA messages from more than 90 unique data sources across 35+ different EHR systems. It serves over 11,000 active users through a comprehensive provider portal, equipped with advanced operational and administrative tools.

Technology Stack

The technological backbone of MDAP comprises leading-edge tools and technologies, including Kafka, Docker Engine, Nginx, Postgres, Redis, Mirth Connect, Open Search, Amazon Corretto, NodeJS, React JS, Angular, Hapijs, and Pg Bouncer. This robust stack ensures the platform’s reliability, performance, and adaptability to the dynamic landscape of healthcare data management.


RRHIO’s shift to MDAP, supported by Aigilx and Mirth Connect, redefines health information exchange standards. This transition not only addresses current healthcare challenges but also lays the groundwork for future advancements, showcasing the potential of modern data platforms to improve healthcare outcomes, efficiency, and compliance.

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.


Follow Us