Integrating medical records with the national interoperability standard at a type C hospital
Solution case studies are scenarios based on common industry problem patterns. They do not refer to any client and are not MarkasDev project portfolio items. Our client portfolio is published separately.
Industry context
A type C hospital runs a legacy hospital information system (SIMRS) alongside separate outpatient modules. Patient data is scattered, and submissions to the national interoperability platform often fail validation. The IT team is small and the SIMRS vendor responds slowly.
Constraints
- Limited budget
- No downtime allowed in the emergency department
- Clinical staff resist double entry
- API certificates and credentials must be managed securely
Approach
Diagnose
Map the registration, care, and reporting flows; audit data gaps against the FHIR profile in use; weigh clinical risk against compliance.
Deliver
Phased adapters for patients, encounters, and diagnoses; payload validation; an exception queue for records that fail to send.
Operate
Monitor delivery success, alert on failures, keep a mapping runbook, schedule syncs, and support regulatory changes.
High-level architecture
Secret management. Logging without storing excess patient data in logs.
Typical outcomes
Less double entry at critical points; delivery success rises step by step.
Typical or expected outcomes, not claims about MarkasDev project results.