PilotFish – Fastest HL7 FHIR Integrations and Easy Path to CMS Compliance
Accelerate Your FHIR Strategy with a Proven, Scalable Integration Platform and Support for CMS-0057-F Compliance
Driven by economics and government digital transformation mandates, H7 FHIR has gained enormous traction as the de facto standard in healthcare data exchange. FHIR has been built on decades of investment and regulation, with impressive scaling and integration into EHR and EMR vendor systems, including Epic, Cerner, Oracle, Athenahealth and others. Along the way, Bulk FHIR, SMART, and Clinical Decision Support (CDS) hooks have been integrated into EHR systems and various use cases.
How Partnering with PilotFish Accelerates FHIR Integration
PilotFish’s Integration Platform easily handles healthcare’s complex mix of legacy technology, FHIR APIs, existing standards and terminologies, EHR vendor APIs, and commercial APIs.
- PilotFish bridges the gap between legacy formats and modern APIs, without requiring the replacement of existing infrastructure.
- PilotFish delivers a common and consistent foundation for any FHIR-based implementation. It offers full support for FHIR versions DSTU2 to R5.
- PilotFish provides the easiest path to ensuring compliance with the 2026-2027 CMS-0057-F mandates and deadlines for exchanging mandated FHIR APIs for Patient Access, Provider Access, Payer-to-Payer Data Exchange, and Prior Authorization.
PilotFish’s eiConsole IDE features a low-code, drag & drop environment and modular architecture, radically simplifying the creation of complex interfaces. PilotFish supports Anything-to-Anything integration, whether on-premises or in the cloud.
Rapidly Implement FHIR-Based Interfaces with the PilotFish Integration Platform
How PilotFish Deals with Challenges of the FHIR Data Model – A Quick Overview
- FHIR Resources are the building blocks of HL7 FHIR’s data model. They represent granular clinical concepts and healthcare data, breaking down the data into its simplest, usable form, e.g., patient, problem list, medication list, lab results, allergy list, claim, procedure, encounter, and so on. (The FHIR standard is close to defining nearly 200 Resource Types.)
- The FHIR data model is represented as XML (eXtensible Markup Language) and/or JSON (JavaScript Object Notation). Resources are modular and designed to be adapted to specific use cases.
- FHIR enables resources to be extended and aggregated into profiles and packages.
- FHIR profiles define specific resource types, including constraints and extensions.
- FHIR packages group these profiles and other conformance resources, as well as Implementation Guides.
FHIR also specifies REST (Representational State Transfer) to exchange data resources between systems. Leveraging RESTful APIs, based on open web technologies such as XML, JSON, and RDF, makes FHIR APIs easy to integrate across systems. For lightweight RESTful APIs, state-of-the-art PilotFish API XL architecture offers a means to encapsulate entire API-driven business processes.
Easy FHIR Interface Configuration with PilotFish’s Graphical Automated Interface Assembly Line
PilotFish’s graphical assembly line integration approach makes exchanging data from diverse sources, such as clinical, claims, encounter, and prior authorization data, a breeze. Each interface goes through a series of seven configurable stages.
Leverage Built-In FHIR Productivity and Ease-of-Use Tools
The integrated visual Data Mapper with a FHIR format reader allows users to drag & drop FHIR documents for mapping.
As with our other format readers included in the PilotFish eiConsole, users only need to select from a drop-down menu to read in the format. Users can choose the FHIR version and desired FHIR schema to load the desired subset of the standard, along with its associated documentation.
PilotFish supports FHIR integration with all healthcare standards such as HL7 2.x and 3.x, CCD, CCDA, DICOM, HIPAA X12 EDI, NCPDP and others.
Built-in processors and transformation modules are the foundation for full-spectrum standards support. RESTful API capabilities with FHIR query/response are included.
With PilotFish, FHIR and any other standard can be supported using the identical configuration process for seamless integration—no need for additional software or components.
HL7 to FHIR
PilotFish HL7 to FHIR simplifies the mapping of HL7 message segments, datatypes and vocabulary to the HL7 FHIR standard.
- Full support for HL7 v.2x messaging
- Integrated HL7 Data Mapper with drag & drop configurations
- Supports HL7 v2 message format transformation, e.g., ADT (Admit, Discharge, Transfer), ORM (Order Management), ORU (Observation Result), SIU (Scheduling Information), etc.
X12 to FHIR
Discover the most straightforward conversion of FHIR to X12 formats. PilotFish streamlines handling and automation of client healthcare benefit and claims information sources in any format, including Excel spreadsheets, PDFs, Word documents, email attachments, JSON flat files, CSVs and more. We ensure rapid FHIR and X12 interoperability.
- Robust configuration-driven X12 Parser and Formats
- Supports all HIPAA X12 message formats and use cases, including:
- EDI 270 and 271 (Eligibility Verification Inquiry)
- EDI 278, 278i, and 275 (Prior Authorization)
- EDI 837 (Healthcare Claims)
- EDI 276/277 (Claims Status)
- EDI 834 (Benefit Enrollment and Maintenance)
- EDI 835 (Remittance Advice)
- Support for non-standard, hybrid and proprietary EDI formats
- Out-of-the-box SNIP Levels 1-7 validation and the ability to test every transaction sent or received for compliance
PilotFish delivers the fastest and most efficient way to integrate and exchange FHIR data across healthcare with payers, providers and Medicare and Medicaid (CMS).
“When I was reading reviews about PilotFish, one of the biggest things that stood out was how easy it is to configure. That’s a game changer for us.”
SVP Vendor Operations, Solution Provider for Medicare Advantage Plans
How PilotFish Excels as Your Data Intermediary for FHIR at Scale
PilotFish streamlines the entire lifecycle of FHIR implementation from transformation to monitoring. We lead in FHIR integration innovation, impressive usability and extensibility delivering:
- FHIR modular architecture supporting DSTU2 through R5 FHIR versions
- PilotFish’s Automated Graphical Interface Assembly Line with built-in FHIR format reader, FHIR resource operations, drag & drop Data Mapping, and reusability
- Legacy System Compatibility that does not require the replacement of existing infrastructure
- SMART on FHIR support and OAuth
- Vendor Neutrality for seamless integration with any EMR/EHR, analytics tool, or partner system
Discover how others have tackled FHIR integration challenges. Read our case studies: Healthcare Data Integration (HL7 FHIR, X12 EDI, Care Delivery, Claims), Healthcare Claims Accuracy Solution and Payment Integrity (HL7 FHIR and X12 EDI Integration) or EHR Medical Device Integration (HL7 FHIR, EMR, HIS, ORU).
PilotFish is exceptionally well-positioned to help providers and payers across the healthcare ecosystem comply with the 2026-2027 CMS FHIR mandates of CMS-0057-F. Visit our PilotFish Cheat Sheet: CMS-0057-F Compliance and our PilotFish CMS-0057-F Mandates Solutions page.
PilotFish’s dedication to transforming healthcare integration and interoperability is evident in our continuous innovation and comprehensive suite of solutions.
FHIR Frequently Asked Questions
PilotFish’s integration platform handles FHIR DSTU2 through R5, giving you one solution for any current or planned FHIR release.
Built-in support for Patient Access, Provider Access, Payer-to-Payer Data Exchange and Prior Authorization APIs positions you to hit the 2026-2027 CMS-0057-F timelines with confidence.
Yes. PilotFish converts HL7, X12, CCD, CCDA, DICOM or proprietary data to FHIR without replacing existing infrastructure.
Absolutely. The integrated HL7 Data Mapper allows you to drag & drop segments—such as ADT, ORM, and ORU—directly onto FHIR resources.
Yes. A configuration-driven X12 parser maps transactions like 270/271, 278, 837 and 835 to FHIR resources for real-time interoperability.
Check out our FAQ pages for more.
If you’re curious about the software features, free trial, or even a demo – we’re ready to answer any and all questions. Please call 813 864 8662 or click the button.
HL7 is the registered trademark of Health Level Seven International.
X12, chartered by the American National Standards Institute for more than 35 years, develops and maintains EDI standards and XML schemas.