WinFully on Technologies
Case study · Healthcare

Better Patient Experience Using HL7 FHIR on Cloud

We modernized a leading health system's oncology support app onto HL7 FHIR and cloud-native infrastructure, unifying clinical and lifestyle data into a single patient profile for more personalized, compassionate care.

Healthcare & Life ScienceHL7 FHIR R4Patient / Medication / Observation resourcesFHIR client librariesRESTful APIsFHIR servers
Impact

Results at a glance

Unified
clinical + lifestyle patient profile
FHIR R4
standard APIs replace legacy web services
Real-time
data exchange via RESTful FHIR endpoints
Multi-cloud
scalable FHIR servers on AWS and GCP
Single
authoritative repository across source systems
Background

The situation

A leading US health system runs a digital Family Care App that supports cancer patients and their caregivers throughout treatment. Legacy EHR web services were never designed for modern data exchange, limiting comprehensive access to patient information. Clinical records, operational databases, lab systems, and personal-care apps stayed fragmented, leaving providers with an incomplete patient picture. The platform also focused narrowly on clinical data, missing the lifestyle, behavioral, and emotional context that drives truly personalized care.

The objective

Modernize the underlying infrastructure to handle growing data volumes and deliver enhanced, more personal patient support. Replace brittle EHR web-service dependencies with standards-based interoperability. Bring clinical and lifestyle data together so the app can engage patients as whole people.

Our approach

How we delivered

1

Migrate to FHIR-based APIs

Replaced legacy EHR web services with HL7 FHIR R4-compliant APIs built on standardized resources such as Patient, Medication, and Observation, establishing a consistent, interoperable data contract.

2

Build a centralized data platform

Integrated clinical records, operational systems, and lab data into one authoritative repository, resolving fragmentation and giving providers a complete, trustworthy patient profile.

3

Deploy cloud-native FHIR servers

Stood up scalable FHIR servers across AWS and GCP with RESTful APIs, enabling real-time data exchange that keeps pace with rising volumes and demand.

4

Re-engineer the application layer

Rebuilt the app to consume FHIR APIs through FHIR client libraries, removing direct legacy EHR dependencies and simplifying future integration.

5

Add a patient engagement layer

Captured lifestyle and personal context such as hobbies, travel preferences, family details, and pets, letting care teams engage patients with empathy beyond their clinical chart.

Architecture

The technical solution

A block-level view of the system we designed and delivered — data and control flowing across each stage.

Source Systems
Legacy EHR
clinical records
Operational + Lab DBs
fragmented sources
Personal-Care Apps
lifestyle context
Interoperability
HL7 FHIR R4 APIs
Patient / Medication / Observation
FHIR Client Libraries
app integration
Data Platform
Centralized Repository
authoritative profile
Engagement Layer
clinical + lifestyle
Cloud Delivery
FHIR Servers on AWS + GCP
scalable, multi-cloud
RESTful APIs
real-time exchange
Experience
Family Care App
patients + caregivers
Care Team View
whole-person insight
From fragmented EHR web services to a unified FHIR-based patient platform on cloud.
The interface

What the users see

A wireframe of the experience we shipped — laid out for the people who use it every day.

Family Care App
Oncologist
Care Coordinator
Nurse Navigator
Caregiver
Hobbies & Interests
Travel Preferences
Family & Pets
Emotional Support
Upcoming Appointment
Medication Reminder
Recent Lab Results
Treatment Milestone
Patient-facing mobile experience unifying care team, personal context, and treatment timeline.
How it works

Clinical data, flowing where it needs to go

We connect source systems, normalize to HL7 and FHIR, and route validated data to the payers, analytics, and applications that depend on it — securely and with a full audit trail.

HL7 and FHIR clinical data flow through the WinFully interoperability engineDATA SOURCESINTEROPERABILITY ENGINECONSUMERSEHR / EMREpic · Cerner · AthenaLab / LISHL7 v2 orders & resultsImaging / PACSDICOM · radiologyIntegration hubMirth · HL7 v2 · FHIR R4 · CCDANormalize · Validate · Route · AuditPayer / RCMEDI 834 · 837 · claimsAnalytics & AIWarehouse · ML modelsPatient / Provider appFHIR APIs · portals
Reference architecture

A cloud foundation built to scale and stay secure

From edge to data tier, we design layered, observable architectures with security and compliance engineered in — deployable to AWS, Azure, or GCP as single-cloud, multi-cloud, or hybrid.

Reference cloud architecture across edge, application, and data tiersEDGEAPPLICATION TIERDATA TIERPLATFORMUsers & CDNWAF · TLS · edge cacheAPI gatewayAuth · rate limitingContainersKubernetes · autoscaleMicroservicesREST · event-drivenServerlessFunctions · queuesManaged DBSQL · NoSQL · cacheObject storageBackups · data lakeCI/CDPipelines · IaCObservabilityLogs · metrics · tracesSecurityIAM · KMS · HIPAA/PCIDeployable to AWS · Microsoft Azure · Google Cloud — single, multi-cloud, or hybrid
The results

Outcomes delivered

  • Care coordination improved as providers gained a single, complete view of each patient across clinical and operational sources.
  • Standards-based FHIR APIs replaced fragile legacy web services, making interoperability and future integrations far more reliable.
  • Unifying clinical and lifestyle data produced a richer patient profile that powers more personalized, compassionate engagement.
  • Cloud-native FHIR servers gave the platform room to scale with growing data volumes without re-architecting again.
  • Provider-patient relationships strengthened as care teams could respond to the whole person, not just the diagnosis.
Under the hood

Technology stack

The platforms, frameworks, and standards behind the solution.

Interoperability

HL7 FHIR R4 Patient / Medication / Observation resources FHIR client libraries

APIs

RESTful APIs FHIR servers

Cloud

AWS GCP

Data Platform

Centralized clinical repository Operational + lab data integration
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