Data exchange module
Records that move like the region does
Three rivers meet at one point; your systems should too. AHR's exchange layer converges ADT feeds, results, documents, and APIs into one longitudinal record.
The network
One gateway, every message
Facilities exchange clinical messages through the AHR gateway: monitored, deduplicated, and reconciled into the record. The diagram is original artwork.
What flows
Message types that carry care
Standard transport, clinical fidelity. Reference ranges, units, and signing states survive the trip.
ADT feeds
Admit, discharge, and transfer events keep census and encounter context synchronized across facilities.
Orders & results
ORM/ORU message pairs carry laboratory and diagnostic orders out and results back with reference ranges intact.
Document exchange
C-CDA continuity-of-care summaries travel with the patient at every transition of care.
FHIR® API surface
Scoped read and write resources for portals, analytics, and partner applications, with the same audit trail as the chart.
Deduplication
Redundant routes are detected and suppressed before they reach the chart.
Replay & backfill
Missed messages are recovered from the queue and applied in order.
Interface monitoring
Every route reports volume, latency, and error state to the status page.
Operations
Exchange you can watch
The same gateway powers the public status feed; degradations post in minutes, not at the quarterly review.
Implementation
Interfaces are configured in a dedicated environment with your terminology mappings before production traffic.
Cutover
Parallel-run validation compares inbound volumes against your existing systems before go-live sign-off.
Oversight
Interface activity lands in the same audit search as clinical access, with quarterly usage reviews.