TecXra is a full-cycle, AI-powered software company building web and mobile applications, HIPAA-ready healthcare platforms, MVPs and SaaS products for startups and enterprises.
Connect your product to the systems your clinicians already use. TecXra builds FHIR, HL7 and API integrations across leading US EHRs, with HIPAA safeguards designed in from the first sprint.
A product that cannot read and write clinical data inside the EHR rarely survives in a hospital or practice. Every EHR vendor has its own APIs, access program and approval process, even though most now support the HL7 and FHIR standards. Under the 21st Century Cures Act, certified EHRs must offer standardized FHIR APIs, which makes integration far more practical than it used to be, but each system still needs its own plan. Our healthcare software team has hands-on experience across Epic, Cerner, athenahealth and Meditech.
We build on HL7 v2, FHIR R4 and SMART on FHIR so your integration works across systems, not just one.
Every EHR has its own developer program, sandbox and approval path. We scope that early so it does not stall your launch.
Encrypted storage, role-based access, audit logging and BAAs with infrastructure providers, from the first sprint.
Large health systems and academic medical centers. FHIR APIs, SMART on FHIR and HL7 v2 interfaces.
Hospitals on Oracle Health Millennium. FHIR R4 APIs, code Console app registration and a sandbox.
Ambulatory practices and medical groups on athenaOne. 800+ API endpoints, HL7 and C-CDA interfaces.
Hospitals running MEDITECH Expanse. SMART on FHIR testing and partner programs through Greenfield.
Ambulatory practices on eClinicalWorks. FHIR R4 API with US Core profiles and OAuth 2.0 / SMART on FHIR.
Ambulatory and specialty practices on NextGen Enterprise and Office. FHIR-based APIs and HL7 interfaces through NextGen’s developer program.
Ambulatory practices and health systems on Veradigm and Allscripts platforms. FHIR APIs and HL7 interfaces through the Veradigm developer program.
Specialty practices in dermatology, ophthalmology, orthopedics and more. API and partner access tailored to specialty workflows.
Independent and multi-provider practices on Intergy and Prime Suite. FHIR APIs and HL7 interfaces, planned practice by practice.
Small, community and rural hospitals. HL7 interfaces and API-based data exchange, scoped to each hospital’s setup.
Epic is the EHR many large health systems and academic medical centers run. Epic’s developer site, open.epic.com, publishes a large library of APIs, including FHIR APIs, and Epic Showroom is where Epic customers discover third-party products that work with Epic. Apps that run inside the clinician workflow typically use SMART on FHIR, and data exchange uses FHIR APIs and HL7 v2 interfaces.
Cerner is now part of Oracle Health. Its Millennium platform exposes FHIR R4 APIs. Developers create an application in Oracle Health’s code Console, test it in a nonproduction sandbox, and then work with each customer, who provisions the application against their own tenant through a service request.
athenahealth’s cloud platform, athenaOne, is used by ambulatory practices and medical groups. athenahealth offers over 800 API endpoints for extending the platform, HL7 and C-CDA interfaces for exchanging clinical data, and a Marketplace Partners Program that helps promote and distribute integrated apps.
MEDITECH’s Expanse EHR is used by hospitals of many sizes, including community hospitals. MEDITECH’s Greenfield initiative has two parts: Greenfield Workspace, a development environment where app developers can test solutions, including SMART on FHIR apps, in a real MEDITECH EHR, and Greenfield Alliance, for partners with proven products that complement or extend Expanse.
eClinicalWorks (eCW) is a widely used ambulatory EHR. It exposes a FHIR R4 API built on US Core profiles, secured with OAuth 2.0 under SMART on FHIR. You register an application in the eClinicalWorks developer program, which issues a client ID, and then each practice must authorize your app in its own environment, so build lead time into your plan.
NextGen Healthcare serves ambulatory and specialty practices on NextGen Enterprise. Developers join the NextGen Developer Program by submitting a company and product form. NextGen then reviews the product for platform compatibility. Apps that extend NextGen Enterprise can be listed in the NextGen API Marketplace, and NextGen runs a separate path for Patient Access apps.
Veradigm, formerly Allscripts, offers a FHIR R4 API for its EHR products. Developers register on the developer portal, create an app, choose their scopes and request production access. Veradigm Connect reviews each request. The FHIR API is read-only. Apps that need to write data or reach practice management data use the Unity API instead.
ModMed serves specialty practices such as dermatology, ophthalmology, orthopedics and gastroenterology. It publishes two API paths. The EMA Proprietary API supports ModMed EMA and ModMed Practice Management, with sandbox environments. The Certified FHIR API covers EMA, ModMed GI and gGastro, and requires registering as a vendor.
Greenway Health’s EHR products are Intergy and Prime Suite. Its FHIR R4 API supports read operations and SMART on FHIR authentication, with PKCE required. Greenway’s proprietary API, GAPI, supports reads and writes across clinical and financial data. Apps can run inside the EHR or on their own. Developers register on the Greenway Developer Platform, and SMART apps can be submitted to the App Gallery.
TruBridge, which includes the former CPSI, serves community and rural hospitals. Its FHIR R4 API provides read-only access to patient clinical data. It is certified for 170.315(g)(7), (g)(9) and (g)(10), and it has patient, provider and enterprise access scopes. Patients reach their data through MyCareCorner. Developer access is handled through the TruBridge Developer Portal.
A clear process with clinical review built in, so you always know what is happening and what comes next.
Pick the target EHRs, the data you need and the approval path for each, before any code is written.
FHIR and HL7 mapping, SMART on FHIR apps and secure data sync, built in two-week sprints.
Sandbox testing against real clinical scenarios, with clinical stakeholder review gates.
Compliant deployment, audit logging and hands-on support through the first weeks.
EHR integration connects your software to an electronic health record system so data such as patients, appointments, medications and results can be read and, where permitted, written securely. It uses standards such as HL7 v2 and FHIR, and each EHR vendor adds its own access program.
TecXra integrates with leading US EHRs, including Epic, Oracle Health (Cerner), MEDITECH, athenahealth, eClinicalWorks, NextGen, Veradigm, ModMed, Greenway Health and CPSI / TruBridge. We use FHIR, SMART on FHIR, HL7 and vendor APIs, connecting directly or through third-party partners depending on what each system supports.
Each system has its own access requirements and approval timelines, and customers often have their own steps too. We scope this early and guide you through each system's process, so access does not become a surprise late in the project.
It depends on the systems and data involved. FHIR R4 is the modern standard and most major EHRs offer FHIR APIs, but many hospitals still exchange data over HL7 v2 interfaces. We design the integration layer to support the standards your customers actually use.
HIPAA compliance depends on how the whole system is built and operated. We design with encrypted storage, role-based access controls, audit logging and BAAs with cloud infrastructure providers, and your own compliance team or counsel should confirm the final setup.
Yes, through approved APIs. For example, our healthcare AI agent case study shows an agent that books appointments and answers insurance questions, with a clear hand-off to staff for anything clinical.
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