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Standardized HL7 Results Integration Delivered Connectivity with 60+ Sites for a Healthcare Imaging Technology Provider

Healthcare & Life Sciences
Posted On: 29 September, 2026

About the Client

The client is a US-based healthcare software company specializing in cloud-based medical imaging workflows and picture archiving and communication systems (PACS). Its platform supports diagnostic image management, structured reporting, and EHR interoperability solutions across clinical care networks.

Engagement Duration: 10+ months 
Industry: Healthcare & Life Sciences

The Challenge

The client faced the following challenges related to EHR integration and connecting each destination to its platform:

  1. Every results feed needed to move onto the new cloud imaging platform without interrupting daily result delivery.
  2. Each hospital followed its own companion guide, preventing standardized HL7 messaging across all EHR facilities.
  3. The source systems structured data differently, so transformation logic had to be rebuilt before facilities could accept results.

The Approach

Cybage assigned a dedicated team of 8, split across transformation development, channel configuration, and automated QA. Each hospital's specification was studied first to define its integration and messaging requirements.

The Solution

Zero-Disruption Migration
Mirth Connect results channels were migrated from an acquired system to the parent platform, with zero disruption.


Event-Driven Delivery on Physician Approval
When a physician approved a study on the cloud imaging platform, Mirth Connect automatically generated the results message and delivered it to the receiving facility's EHR.


Standardized ORU Generation
Mirth JavaScript transformers parsed XML payloads with embedded JSON and generated HL7 ORU^R01 messages carrying patient, order, physician, and measurement data.


Site-Specific Mapping at Scale
Mapping rules from each destination’s specification template were applied individually, so every site received results in its required format.


Automated End-to-end Validation
CI/CD pipelines paired with automated Robot Framework and Playwright testing validated each workflow end-to-end before deployment.

The Impact

Cybage's cloud modernization and automation delivered the following outcomes:

  • 60+ hospital and lab sites connected to the platform.
  • 20+ EHRs and lab systems integrated.
  • 100% companion guide compliance achieved across all destinations.

Technology Stack

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Standardized HL7 Results Integration Delivered Connectivity with 60+ Sites for a Healthcare Imaging Technology Provider_Technology-Stack
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