EMS records do not reach the receiving EMR by the time the patient does
Opening AdaptixCore
Resolving the requested operational surface.
AdaptixCore · Interoperability · Operational module
Interoperability moves the prehospital record onto TEFCA before the ambulance arrives.
TEFCA-native. US Core Prehospital Encounter FHIR IG first-mover. Bidirectional FHIR into Epic, Cerner, Meditech, and athenahealth — the signed ePCR delivered to the receiving EMR at arrival, and the outcome flowing back to the agency within 24 hours.
Interoperability ConsoleLive
OVERVIEW
LIVE OPS
QUEUE
AUDIT
REPORTS
TENANT
Isolated
AUTH
RBAC
AUDIT
Every write
TEFCA QHIN passthroughevery tenant reaches the national exchange through Health Gorilla and Kno2 without running its own onboardingACTIVE
Bidirectional FHIR R4signed ePCR outbound to Epic, Cerner, Meditech, and athenahealth; outcome data back within 24 hoursLIVE
US Core Prehospital Encounter IGthe industry-standard FHIR profile for the prehospital record, published by AdaptixCoreREADY
HL7 v2 fallbackfor receiving EMRs that do not yet accept FHIR (still the majority in rural US)ACTIVE
NEMSIS 3.5 nativethe state EMS registry export is a first-class artifact, not a bolt-on that runs overnightLIVE
Representative operator surface
Operational reality
The gap that costs agencies every cycle.
The signed ePCR arrives hours or days later as a faxed PDF that nobody re-keys, so the trauma team, the surgical service, and the hospitalist all chart on the summary the paramedic gave verbally, and the field vitals never make it into Epic at all
When the ePCR does get delivered, it is a CDA blob the receiving instance cannot map, or a raw HL7 v2 that comes into a hospital feed nobody watches
Two hospitals over, an EMR upgrade breaks the mapping and every ePCR from the agency drops silently for a month
Outcome data — admit, disposition, verified diagnosis, whether the STEMI alert was right — almost never returns to the EMS agency
There is no prehospital equivalent of what the ambulatory world already uses TEFCA and US Core for
System response
Interoperability closes every gap.
AdaptixCore is TEFCA-native from day one. Every tenant plugs into Health Gorilla and Kno2 as Qualified Health Information Networks — a prospective agency does not run its own QHIN onboarding, we route through the exchange we already contract with. The signed ePCR is delivered to the receiving EMR as FHIR R4 at arrival, in the format that receiver already accepts: Epic Vendor Services and Oracle Health (Cerner) via their FHIR endpoints, Meditech and athenahealth through their published surfaces, everyone else via TEFCA QHIN passthrough. Bidirectional means outcome data — admit, discharge disposition, verified diagnosis — flows back into the ePCR audit log within 24 hours. And AdaptixCore publishes the US Core Prehospital Encounter FHIR IG so the industry has one profile to conform to instead of every EMR vendor inventing their own. First-mover matters: whoever ships the profile owns the mapping.
Core capabilities · shipped in the platform
Built to close every gap in the workflow.
01
ShippedTEFCA QHIN passthrough
every tenant reaches the national exchange through Health Gorilla and Kno2 without running its own onboarding
02
ShippedBidirectional FHIR R4
signed ePCR outbound to Epic, Cerner, Meditech, and athenahealth; outcome data back within 24 hours
03
ShippedUS Core Prehospital Encounter IG
the industry-standard FHIR profile for the prehospital record, published by AdaptixCore
04
ShippedHL7 v2 fallback
for receiving EMRs that do not yet accept FHIR (still the majority in rural US)
05
ShippedNEMSIS 3.5 native
the state EMS registry export is a first-class artifact, not a bolt-on that runs overnight
06
ShippedC-CDA continuity
for the Meaningful Use footprint that still runs on it
07
ShippedFailed-transmission reconciliation
every rejected message surfaces in a live operator queue with the receiving system's actual error text, not swallowed silently
08
ShippedField-level provenance
every value in the delivered chart carries who captured it, when, and from which device
09
ShippedTenant-scoped mapping console
the agency owns its own vendor mappings; when a hospital upgrades Epic, the agency sees the change and updates without a vendor ticket
10
ShippedLive integration health
every hospital and CAD integration reports liveness, latency, and reject rate on one operator surface, not a monthly PDF
Live integration surfaces
Interoperability connects to the full AdaptixCore platform.
No swivel-chair integrations. No spreadsheet exports. One data model, shared across every module.
Health Gorilla (QHIN)
Kno2 (QHIN)
Epic Vendor Services / App Orchard FHIR
Oracle Health (Cerner) FHIR
Meditech Expanse FHIR
athenahealth FHIR
HL7 v2.5 / v2.5.1 / v2.7
FHIR R4 (US Core, US Core Prehospital Encounter IG)
C-CDA R2 (C-CCD, Referral Note)
NEMSIS 3.5
TEFCA / QHIN passthrough
TrustSign signature receipts
Ready when you are
Deploy Interoperability to your agency.
20 minutes with Joshua on a real tenant-isolated build — the actual operator workflow, no mocked data, no slideware.