Standards-first,vendor-neutral
FHIR/HL7 when available; Calendar/iCal fallback for small practices. Field-level allowlists and retention/redaction policies keep every adapter safe.
Standards when you have them, dignity when you don’t
Move safely, leave when you want
Every clinic is on its own timeline. If your systems offer FHIR or HL7, we use them—Appointments, Slots, Schedule, the basics that matter. If they don’t, we don’t force a migration; we operate with a calendar fallback that still enforces rules and leaves a clean audit log. HealthCloud keeps mappings and retention settings you control.
The point of standards isn’t a logo on a slide; it’s the ability to move safely and leave when you want, without vendor lock-in.
What this means
- FHIR/HL7 when available, Calendar/iCal fallback when not.
- Allowlist + retention policies set by you in HealthCloud.
- Audit trails and exit paths by design—no lock-in.
CSV today
Structured exports that match clinic import templates
Standard CSV with columns for:
- Patient identifier (MRN or external ID)
- Screening date and time
- Instrument (PHQ-2, PHQ-9, PHQ-A)
- Item-level responses (0-3)
- Total score and severity band
- Item-9 endorsement flag
FHIR during pilot
Write Observation and Task resources to your sandbox
Observation (item + total)
PHQ item-level and total score as LOINC-coded Observations. Optional QuestionnaireResponse if your EHR supports it.
Task (follow-up)
Item-9 endorsements create Tasks assigned to care team. Status, priority, and notes included.
Adapter pattern + webhooks
Field-level allowlists, retention, and redaction policies baked into every integration.
Field-level control
Each adapter defines an allowlist. We hash or redact anything outside the scope before it hits HealthCloud.
- Retention: Appointment + Slot data kept 30 days by default.
- Redaction: Contact info removed from logs after sync.
- Calendars: iCal tokens stored encrypted + rotated every 30 days.
Webhooks + adapter pattern
Webhooks notify your systems when HealthCloud records change. Adapter scripts translate payloads into whatever your EHR or calendar expects.
Example webhook payload
POST /webhooks/appointment → { id, status, slot.start, slot.end, patient.reference }Your adapter script transforms this into your EHR's expected format—no PHI travels through webhook URLs.
Mapping example
Simple lookup showing how external fields land in HealthCloud.
| External field | HealthCloud field | Notes |
|---|---|---|
| appointment.identifier | referenceId | Accepts MRN, UUID, or vendor ID |
| slot.start/end | availabilityWindow | 24h retention, redacted after sync |
| patient.phone/email | contactDetails | Field-level allowlist defines what flows in |
Additional interoperability standards
Beyond FHIR: HL7, CDA, and Direct messaging
HL7 v2/v3
ADT, ORU, and ORM segments via MLLP or HTTPS with adapter scripts you can review.
CDA + Direct
Generate/consume CDA docs and send via Direct messaging (HISP-certified).
Calendar/iCal fallback
Read/write availability via iCal feeds, ICS invites for confirmations, and redaction after sync.
CloudAIN tie-ins
HealthCloud stores mappings, AgenticCloud syncs, Astra logs every event.
HealthCloud
Stores mappings, retention policies, allowlists, and webhook payloads.
AgenticCloud
Runs sync jobs (FHIR, HL7, calendar) and retries on failure.
Astra (optional)
Event log + replay for high-compliance orgs that need immutable feeds.
Requirements
What we need from your IT team
Sandbox credentials
Test patients
IT contact
Security & governance
Enterprise-grade compliance for clinical data
Encryption
AES-256 at rest, TLS 1.3 in transit
RBAC
Role-based access with audit logging
Audit trail
Every write logged with timestamp and user
BAA available
Business Associate Agreement for HIPAA compliance
Next step
Review the integrations checklist →
Walk through the HealthCloud mappings, AgenticCloud job schedule, and Astra logging expectations before you hand over credentials.
Supports clinicians; not diagnostic. HIPAA compliant with RBAC, audit logging, and encryption. In emergencies, call local services.