HealthXferRECORD EXCHANGE INFRASTRUCTURE

REQUEST → PRE-FLIGHT → FULFIL → AUDIT IN YOUR EHR

Records that move themselves.
Even at 2am.

One form for requestors. One queue for your techs. Turn on autopilot and any request whose pre-flight checks come back green is fulfilled and audited without a human — while your department is closed.

Book a 20-min demoSee autopilot run ↓
LIVE PIPELINE · 02:14:06 LOCALTRANSFERS TODAY 214 · PHI AT REST 0 B
INSIDE YOUR HOSPITALREQUESTORSEPIC · FHIRPACS · DICOMWEBPACS · DIMSERIS / LISHIM DOCUMENTSOUTSIDE HOSPITALIMAGING CENTERSPECIALIST CLINICREFERRING PROVIDERHealthXferMATCH · CONSENT · TRANSFERAUDIT → EPIC REPORT MODULEPHI VAULT PURGED ON SUCCESS

01 INTAKE

One public URL. Department first, then org key, patient name, DOB, study type, date range, delivery preference.

02 PRE-FLIGHT

Patient found in Epic, consent on file, studies present in PACS for that type and range.

03 FULFIL

Tech clicks send, or autopilot does it on the schedule. DICOMweb first, DIMSE fallback.

04 AUDIT

Disclosure written to your Epic report module. One transaction ID. PHI purged from the vault.

AFTER-HOURS AUTOPILOT

Turn it on at close. Wake up to an empty queue.

Every two minutes the scheduler picks up pending export requests for departments you have set to automated. If all three pre-flight checks are green, it fulfils, writes the audit, and purges the PHI vault. Anything amber or red is left untouched for a human in the morning — with the reason attached.

EXPORT AUTOMATION

ON · AFTER HOURS

DASHBOARD / EXPORT QUEUE · RADIOLOGYAUTOPILOT RUNNING
TXNREQUESTORSTUDYPRE-FLIGHT / STATE
HX-4471Mercy ImagingCT chest
QUEUEDPENDING
HX-4479Northside OrthoMR knee
QUEUEDPENDING
HX-4487Dr. Awan (PCP)XR wrist
PATIENT ✓CONSENT ✓STUDIES 0HELD — NO STUDIES IN RANGE
HX-4492St. Luke's HIMUS abdomen
QUEUEDPENDING
HX-4500Lakeside CardiologyEcho
QUEUEDPENDING
AUTO-FULFILLED TONIGHT · 18HELD FOR TECH · 3MEDIAN TIME TO FULFIL · 3m 41s
SCHEDULER LOG02:14:06
02:14:06awaiting next cron tick_
GET /api/cron/process-pending · EVERY 2 MIN · BATCH 50

CHECK 01

Patient found

Epic demographic match on first name, last name and date of birth — the cross-facility standard. MRN is a local reference only.

CHECK 02

Consent on file

FHIR Consent query against the destination tenant before anything moves.

CHECK 03

Studies ready

QIDO-RS count for the requested study type and date range. Zero results is a red.

THE RULE

All green, or a human decides

Checks skipped for configuration reasons never block. One amber or red and the request stays in the queue with the reason attached — autopilot never guesses.

Two lanes, two switches

Automation is per direction, per tenant, and independent — so you can let outbound run itself while inbound deliveries still get eyes on them.

EXPORT · YOU ARE THE FULFILLER

Others request records from you

Techs fulfil or reject from the export queue. With export automation on, pending requests are auto-fulfilled on the schedule — techs can still work anything manually at any time.

FULFIL / REJECTTECH ACTIONS
AUTO-FULFIL ON SCHEDULEAUTOMATION ON
METRICS · BY STATUS / BY ORGCSV EXPORT

IMPORT · YOU ARE THE REQUESTOR

You requested records from others

Fulfilled deliveries land in the import queue for accept or reject. With import automation on, they can be auto-accepted — same audit written to your EHR either way.

ACCEPT / REJECT DELIVERYTECH ACTIONS
AUTO-ACCEPT ON FULFILAUTOMATION ON
REQUEST FROM FACILITYNO ORG KEY NEEDED

SANDBOX MODE

Outbound fax and email are suppressed — safe for demos and go-live rehearsals with no real deliveries.

OUTBOUND WEBHOOK

We POST on created, fulfilled and rejected so your internal apps and audit integrations can react.

DEPARTMENT WORKFLOWS

Each department is automated or manual. Manual departments still get the audit written to your EHR.

No PHI hoard. Here is the receipt.

Security review starts here, so we put it in the open rather than behind a badge row. Identifiers live in a short-lived encrypted vault, fetched only when an integration actually needs them, and purged on success.

DATA ELEMENTRETAINEDWHERE IT LIVES
Patient name + date of birthVAULT, SHORT-LIVEDAES-256-GCM · purged after a successful transfer
Local MRN (reference only)VAULT, SHORT-LIVEDOptional · never used for cross-facility lookup
Images and documentsNEVER AT RESTStreamed source PACS → destination PACS
Disclosure logNOT OURSEpic report module, under the patient
Transaction ID + routingRETAINEDNeeded to deliver, trace and reconcile
HIPAA-ALIGNEDBAA AVAILABLESOC 2 TYPE II (ENTERPRISE)NO LOCK-INPER-TRANSFER TRANSACTION ID

Priced per department, not per health system

STARTER · 1 SITE

$1,500/mo

500 studies/mo. Imaging centers and single-site pilots. Guided onboarding and HIPAA BAA included.

START A PILOT →

PROFESSIONAL · 5 SITES

$3,500/mo

2,500 studies/mo. Epic FHIR + PACS automation, autopilot scheduling, 4-hour SLA, 2-day onboarding.

BOOK A DEMO →

ENTERPRISE · UNLIMITED

From $9,500/mo

Health systems and large networks. Dedicated engineer, 99.9% SLA, SOC 2 Type II.

TALK TO US →

ANNUAL BILLING SAVES 17% · PO / NET 30 AVAILABLE · HIPAA BAA ON ALL PLANS

Watch one request clear itself

Sandbox with your departments, twenty minutes, no PHI required.

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