The hospital network operated multiple disconnected EMR systems across facilities, resulting in fragmented patient records and inconsistent clinical data exchange. Admission, discharge, and transfer (ADT) events often created duplicate or incomplete patient information, impacting care coordination and operational efficiency.

Lack of interoperability made it difficult to aggregate patient, encounter, order, and observation data into a unified format. Clinical teams had limited visibility into longitudinal patient records, reducing the effectiveness of care management and quality initiatives.

The absence of standardized APIs and data normalization also delayed the implementation of advanced CDS capabilities. Existing systems could not efficiently support value-based care workflows, quality measure tracking, or future CDS Hooks-based integrations with EHR platforms.

The network needed a scalable FHIR-based interoperability platform that could unify data across disparate systems, reduce operational errors, and establish a reliable foundation for enterprise-wide CDS initiatives.