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ADAPTIXCORE · INTEROPERABILITY
The record should move when the patient does.
A patient handoff is only finished when the receiving team has the record and the state has the submission. AdaptixCore treats both as operational work with live status — exchanged in the formats receivers actually accept, validated before anything leaves, and reconciled in the open when a transmission fails.
THE OPERATIONAL OUTCOME
What connected actually means on shift.
The hospital is not surprised
The receiving team should know the patient is coming and inherit the record when the patient arrives — not reconstruct it from a verbal report and a fax that lands the next day.
The state gets the submission, provably
The state EMS registry export is a first-class artifact of the chart, validated before it leaves — not an overnight batch nobody watches.
Nothing fails silently
A rejected message is an operational event. It lands in a live operator queue with the receiving system's actual error text, so the agency finds out the day it happens, not the month the numbers look wrong.
HOW THE RECORD MOVES
Four exchange patterns, one monitored layer.
Every pattern below runs through the same exchange surface, with the same monitoring and the same audit trail — there is no side channel a message can disappear into.
Outbound chart delivery
The finalized prehospital record is exchanged over HL7 v2 and FHIR R4 through the platform's exchange surface, so the receiving system of record gets structured data, not a PDF.
State registry submission
Charts are validated against NEMSIS 3.5.1 at write time and submitted to state reporting, with per-submission validation evidence captured.
CAD and hospital integrations
Inbound dispatch and facility integrations run through the same monitored exchange layer, with per-integration liveness, latency, and reject-rate reporting.
Failed-transmission reconciliation
Every rejected message surfaces in a live operator queue with the receiver's actual error text, and the agency owns its own field mappings in a tenant-scoped mapping console.
STANDARDS EVIDENCE
NEMSIS is native, not bolted on.
NEMSIS V3 Compliant
v3.5.1 Collect Data
Issued by the NEMSIS Technical Assistance Center for the 'Collect Data' exchange category against NEMSIS schema v3.5.1. This is a data-exchange compliance badge for that category and schema version, not a blanket certification of the platform.
NEMSIS 3.5.1
Built into the ePCR software
Internal build verification: the NEMSIS 3.5.1 XSD/Schematron validator modules are confirmed present and passing in the ePCR service. This is a statement about the software build, not a claim of formal third-party NEMSIS certification.
TECHNICAL SPECIFICATION
The standards underneath, for the technical evaluator.
Everything listed here exists in the shipping platform. If a standard or network is not on this list, AdaptixCore does not currently claim it.
| Standard / behaviour | What ships |
|---|---|
| NEMSIS 3.5.1 | Native XSD and Schematron validation in the ePCR build; state registry export as a first-class artifact of the chart. |
| HL7 v2 | Message exchange for receiving systems that consume v2 feeds, monitored on the exchange surface. |
| FHIR R4 | Structured exchange of the prehospital record via the ePCR service's FHIR export. |
| Transmission monitoring | Per-integration liveness, latency, and reject rate on one operator surface; failed transmissions queued with receiver error text. |
| Field mapping | Tenant-scoped mapping console — the agency owns and updates its own vendor mappings. |
| Provenance | Every value in the delivered chart carries who captured it, when, and from which device. |
SEE IT MOVE
Watch a chart leave the building.
The fastest way to evaluate interoperability is to follow one record: chart it, validate it, and watch its exchange status — the ePCR application is where that record lives.