Integration fabrics for healthcare.

FHIR-native integration across EHR, payer, and regulated health-tech systems. Clinical-safety aware, interoperability-mandate ready.

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Overview

Integration fabrics infrastructure for healthcare, built to the standard institutions in this sector are required to operate.

XVICA designs, builds, and operates this layer for healthcare clients in the UK, US, Canada, and Australia. The work is specified against the regulatory regime, the operational profile, and the examination expectations of this sector before any code is written.

01Why it matters

What healthcare cannot get wrong here.

Interoperability mandates outpace legacy EHR capabilities.
Clinical integrations carry patient-safety consequences.
HL7 v2 is not going away, and FHIR is not optional.
Integration failures surface as clinical events, not engineering tickets.

02Regulatory posture

Named regimes, mapped controls

Regulatory requirements are translated into explicit control requirements, then mapped to tests and evidence collection. Nothing is implied.

UK healthcare

NHS Interoperability Toolkit, GP Connect, Spine connectivity, shared care records, and NHS DSPT.

US healthcare

21st Century Cures Act information-blocking rule, TEFCA, USCDI data elements, and HL7 FHIR US Core.

Standards

HL7 FHIR R4/R5, HL7 v2, SNOMED CT, ICD-10, dm+d, OpenEHR, IHE profiles, and DICOM where imaging is in scope.

03Reference architecture

Design decisions distinctive to this intersection

Components and design choices that recur across our work for this sector. Each deployment is specified individually.

FHIR-first

Internal canonical is FHIR R4/R5. HL7 v2 and legacy formats translated at the fabric boundary, not scattered across systems.

Clinical-safety hazard classification

Integrations affecting clinical surfaces carry hazard classifications reviewed by a named Clinical Safety Officer.

Terminology versioning

SNOMED, dm+d, and ICD versions are explicit. Upgrades are planned events with reviewed impact.

Regional and national connectivity

Spine, GP Connect, shared care records, and regional HIE platforms integrated through the same fabric used for internal flows.

PHI/PII boundary enforcement

De-identification, tokenisation, and access scoping at the fabric layer, not per integration.

04XVICA's approach

How we work in healthcare.

Healthcare integration has a characteristic no commercial estate shares: an integration failure is a potential patient-safety event, and the people who judge whether it is one are Clinical Safety Officers with named accountability. Our approach builds to their review as a first-class property. FHIR is the internal canonical; HL7 v2 and bespoke feeds are translated deliberately at the fabric boundary rather than drifting through the estate; clinical-safety hazards are classified and mitigated in-system. What this typically changes is the economics of interoperability mandates: information-blocking compliance, Spine integration, or a TEFCA-adjacent programme stops being a bespoke project for each surface and becomes a standard-practice extension of an already-governed layer. The CSO gets their evidence; the integrations team stops fighting fires.

05Engagement