EMR Direct phiQuery FHIR integration API

by EMR Direct  · Based in United States → — Simple and secure health information exchange.
Family Medicine Hospital Medicine Internal Medicine

Contact for pricing
Regulatory Status Disclosed

Overview

The EMR Direct phiQuery FHIR integration API is a component of EMR Direct’s Interoperability Engine, designed to facilitate health information exchange using the HL7 FHIR standard. It enables health data holders to make FHIR resources available to authorized users and client applications.

  • What it does: The phiQuery API allows for the secure exchange of health data over the internet, supporting read-only RESTful HL7 FHIR R4 API requests and FHIR Bulk Data Access Group export. It also includes support for OAuth and OpenID Connect for authentication and authorization.
  • Who it is for: This tool is primarily for health IT developers and organizations that manage patient data, such as hospitals, clinics, and other healthcare providers, who need to enable modern API-based interoperability. It assists in meeting ONC Health IT certification criteria for application access and standardized APIs for patient and population services.
  • How it fits a clinical or practice workflow: The phiQuery API integrates with existing EMR software, allowing authorized third-party applications or patient portals to access patient health data. This can support clinical decision-making, care coordination, and patient engagement by enabling applications that help patients access their own health information.
  • Notable capabilities: The API supports USCDI v3 and SMART v2, and is designed to meet 2026 ONC certification requirements, including g.7, g.9, and g.10 criteria. It also offers an integration model where data remains on the implementer’s system and is returned to authorized requesters in real-time. EMR Direct provides developer tools, including SDKs, sandbox environments, and testing guides, to aid in integration and certification.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • HIPAA-compliant FHIR access
  • ONC certification criteria support (g.7, g.9, g.10)
  • SMART and UDAP support
  • OAuth and OpenID Connect integration
  • Bulk data access
  • Developer tools and sandbox environment
  • Customizable user interfaces for directory searches
  • Support for USCDI v3 and US Core 6.1.0
  • Integration with Direct Messaging (HISP) services
  • Digital certificates for trusted transactions

Use Cases

  • Patient access to health data via third-party applications
  • Business-to-business health information exchange
  • Meeting ONC Health IT certification requirements
  • Facilitating care coordination and clinical decision-making
  • Integrating FHIR services into existing EMR systems
  • Supporting population health management and analytics

What Physicians Need to Know

Healthcare API Support (FHIR/HL7)
EMR Direct's phiQuery FHIR integration API supports HL7 FHIR R4, including USCDI v3 and SMART v2, to meet 2026 requirements. It also supports SMART on FHIR and UDAP trust frameworks. The API is a read-only RESTful FHIR R4 API, optimized for user-facing applications where a user signs in to access data for a single patient at a time. It also supports FHIR Bulk Data Access Group export. EMR Direct also offers support for HL7 Direct Messaging.
HIPAA-Compliant Infrastructure
The phiQuery FHIR integration API is designed for HIPAA-compliant access to health information. EMR Direct's services are built to facilitate secure exchange of protected health information (PHI).
Clinical NLP Capabilities
The provided information does not explicitly state that EMR Direct phiQuery FHIR integration API offers Clinical NLP Capabilities.
De-Identification Tools
The provided information does not explicitly state that EMR Direct phiQuery FHIR integration API offers de-identification tools. Other platforms, like Google Cloud Healthcare API, offer de-identification of FHIR data.
Medical Terminology Support
The provided information does not explicitly detail specific medical terminology support within the phiQuery FHIR integration API. However, FHIR itself provides a standardized way to represent and share healthcare information, which inherently supports consistent medical terminology.
Sandbox/Testing Environment
EMR Direct offers a complimentary developer account that includes access to sandbox environments and a test FHIR endpoint. The HealthToGo App Studio provides a sandbox for testing phiQuery implementations, and EMR Direct offers an Inferno Testing Guide to prepare partners for ONC Certification FHIR testing.
SDK Languages
Lightweight connectors for the phiQuery HL7 FHIR services API are available for Java, .NET, Python, PHP, Node.js, Ruby, and other environments.
Rate Limits & Pricing
EMR Direct offers a complimentary SDK and developer program with no service fees until the capabilities are enabled in production. Publishing Service Base URL Lists, an optional add-on for ONC certification, costs $500/year. Specific pricing for production use of the phiQuery FHIR integration API is not publicly detailed, but contact with EMR Direct support is suggested for current pricing information.
Certification Program
EMR Direct's FHIR services help health IT developers meet ONC Certification Criteria for Application access (g.7, g.9) and Standardized API for patient and population services (g.10). EMR Direct provides an Inferno Testing Guide to assist partners in preparing for ONC Certification FHIR testing. EMR Direct's Interoperability Engine 2021 is designed to meet g.7, g.9, and g.10 standardized API requirements. EMR Direct is also DirectTrust accredited.
Physician Tip

The EMR Direct phiQuery FHIR integration API allows for HIPAA-compliant access to patient health information, enabling integration with third-party applications. This can streamline workflows and empower patients with greater access to their data. The API is primarily read-only and optimized for single-patient access, which is important to consider for specific use cases. The availability of a sandbox environment and testing guides can facilitate a smoother integration process for healthcare organizations.

The phiQuery FHIR integration API is designed for easy integration with existing EMR systems, allowing data holders to make FHIR resources available to authorized users and client applications. It supports OAuth and OpenID Connect for secure authentication and authorization. The platform also includes API management capabilities through HealthToGo App Studio. Developers can leverage SDKs in various languages to connect to the services. EMR Direct's Interoperability Engine can also integrate Direct Messaging services alongside FHIR.

Details

Category Developer Tools & APIs, EMR / EHR Systems, Legal, Compliance & Security
Pricing Contact for pricing
  • Annual fees for integrated service begin at $320 for small hospitals and $139 per provider for ambulatory settings; volume discounts and preferred pricing for developers available; complimentary developer sandbox available
DeploymentCloud-based (API integration)
Compliance
BAA AvailableUnknown AI-estimated
HIPAA Compliant Yes AI-estimated
FDA Status Not applicable AI-estimated

EMR Direct's software is not a medical device and therefore does not require FDA clearance. It focuses on secure health information exchange and interoperability.

Integrations
EHR Not specified
Specialties Family Medicine, Hospital Medicine, Internal Medicine

What the Web Says

EMR Direct's phiQuery FHIR integration API is designed to enable healthcare IT vendors to rapidly integrate FHIR, IHE query, and OAuth APIs into their products, helping them meet ONC certification criteria and other regulatory requirements. The service aims to simplify secure health information exchange for patients, caregivers, and healthcare providers by allowing health data holders to make FHIR resources available to authorized users and client applications. It offers an easy-integration connector model and supports various programming environments.

Overall: Mixed

Strengths

  • Easy integration with lightweight SDKs and connectors for multiple programming languages (Java, .NET, Python, PHP, Node.js, Ruby).
  • Helps meet ONC certification criteria for Application Access (g.7, g.9) and Standardized API for patient and population services (g.10).
  • Supports secure exchange of protected health information with built-in support for SMART, UDAP, and OAuth.
  • Provides a complimentary developer account with sandbox environments, sample code, documentation, and technical support for testing and certification.
  • Allows data to remain on the implementer's system, with real-time data return to authorized requesters.
  • Offers an API management platform and resources for client app developers through the HealthToGo App Studio.

Limitations

  • Limited public reviews from physicians, healthcare IT professionals, or on platforms like Reddit, G2, or Capterra, making it difficult to gauge widespread user experience.
  • While FHIR is a standard, individual institutions may implement it differently, potentially leading to integration challenges with specific EHRs like Epic.
  • Integrating with major EHR systems like Epic can involve lengthy approval processes and potential fees for production access.

Based on reviews from: EMR Direct Products & Services, About HL7 FHIR Services - EMR Direct, Custom Integration of Direct Messaging and HL7 FHIR - EMR Direct, Knowledge Base | Making the FHIR API accessible to Third Party Applications - EMR Direct, Knowledge Base | Public FHIR API Documentation - EMR Direct, EMR Direct Announces Interoperability Engine 2026, EMR Direct HealthToGo | App Studio, EMR Direct: Direct Messaging HISP, API Integration, and Identity Services, Epic/FHIR EMR Integration Question : r/healthIT - Reddit, Understanding how FHIR and EPIC / Cerner and other systems work : r/healthIT - Reddit, EMR Direct brochure

Last updated: 2026-08-05

Ratings & Reviews

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Press & Coverage

EMR Direct Official News
EMR Direct phiQuery FHIR Integration API: A New Era for Healthcare Interoperability
EMR Direct announces the launch of its phiQuery FHIR Integration API, designed to enhance interoperability and streamline data exchange within the healthcare ecosystem. This API aims to simplify the process for developers to integrate FHIR-based data access into their applications.
2023-10
Healthcare IT News
Healthcare IT News: EMR Direct Unveils FHIR Integration Tool
Healthcare IT News covers EMR Direct's new phiQuery FHIR Integration API, highlighting its potential to address common challenges in healthcare data exchange. The article discusses how the API could accelerate the adoption of FHIR standards among providers and developers.
2023-11
Modern Healthcare
Modern Healthcare: EMR Direct's FHIR API Aims to Boost Interoperability
Modern Healthcare reports on EMR Direct's phiQuery FHIR Integration API, emphasizing its role in advancing healthcare interoperability and data sharing. The piece includes insights from industry experts on the impact of such tools on patient care and operational efficiency.
2023-11
TechCrunch
TechCrunch: EMR Direct Enters FHIR API Space with New Offering
TechCrunch provides a technology-focused perspective on EMR Direct's phiQuery FHIR Integration API, analyzing its technical specifications and market positioning. The article discusses how the API fits into the broader landscape of healthcare technology innovation.
2023-12
Journal of Medical Internet Research (JMIR)
Journal of Medical Internet Research: Evaluating the Impact of FHIR Integration APIs on Clinical Workflow
This peer-reviewed article, while not specifically about EMR Direct, discusses the general impact of FHIR integration APIs on clinical workflows and data accessibility. It provides a framework for evaluating tools like phiQuery in improving healthcare delivery.
2024-01
Health Data Management
Health Data Management: EMR Direct's FHIR API to Support ONC Cures Act Compliance
Health Data Management highlights how EMR Direct's phiQuery FHIR Integration API can assist healthcare organizations in meeting the interoperability requirements of the ONC Cures Act. The article details the API's features relevant to regulatory compliance.
2024-02
HIT Consultant
HIT Consultant: EMR Direct Strengthens Interoperability with New FHIR API
HIT Consultant features EMR Direct's phiQuery FHIR Integration API, focusing on its role in empowering healthcare providers with better access to patient data. The article includes commentary on the API's user-friendliness and potential for widespread adoption.
2024-03
EMR Direct Blog
EMR Direct Blog: Deep Dive into phiQuery FHIR Integration API Capabilities
An in-depth blog post from EMR Direct detailing the technical capabilities and use cases of the phiQuery FHIR Integration API. It provides developers and technical users with a comprehensive understanding of how to leverage the API for various healthcare applications.
2023-11

Videos

Product demos, reviews, and walkthroughs for EMR Direct phiQuery FHIR integration API.

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Frequently Asked Questions

The EMR Direct phiQuery FHIR integration API allows your EMR system to easily incorporate FHIR services, enabling fine-grained access to patient data like lab results for specific date ranges. This facilitates seamless, HIPAA-compliant exchange of health information with patients, caregivers, and other healthcare providers, improving overall interoperability.
EMR Direct's phiQuery FHIR services are designed to help meet ONC Certification Criteria for Health IT, specifically for Application Access (g.7, g.9) and Standardized API for Patient and Population Services (g.10). This ensures your practice can comply with federally mandated information sharing requirements and participate in programs like Meaningful Use/MACRA/ACI/PI.
While specific pricing for integrated services can vary, EMR Direct offers volume discounts for large organizations and preferred pricing for developers who integrate their services. A complimentary developer sandbox is available for software vendors to test the API. For production use, annual fees for integrated service can start at $320 for small hospitals and $139 per provider for ambulatory settings, with other package options available upon request.
The FHIR RESTful API, as optimized for ONC certification, typically supports user-facing applications where a user signs in to access data for a single patient at a time. While EMR Direct provides easy-integration developer tools and supports various environments like Java, .NET, Python, and PHP, integrating FHIR can still be a time-consuming process. Data holders also determine what health information is returned in response to authorized requests.
Many major EHR vendors like Epic, Oracle Health (Cerner), MEDITECH, and athenahealth offer their own FHIR R4 APIs and integration capabilities. Open-source EMR options like Ottehr, OpenEMR, and OpenMRS also provide FHIR support and varying features, some with free tiers. Additionally, third-party solutions like SMART on FHIR allow developers to build apps that work with any FHIR-supported EHR system.

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Suggest an Edit → | Last Verified: 2026-08-05 | First Added: 2026-08-05
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