Complete EHR Access. Real-Time AI Readiness.
The Interoperability Gateway gives organizations the ability to think like an integration engineer and deliver like a data engineer.
Legacy Tools Weren't Built To Power Health AI, Automation, or Modern Care
Not Real-Time
Legacy engines and APIs
deliver data hours or days late, while AI and modern applications need streaming and event-driven feeds
Siloed and Incomplete Data
Clinical information remains
fragmented across EHRs, labs,
imaging, and unstructured sources
Brittle Connections
Every EHR upgrade or vendor change breaks existing integrations, requiring costly maintenance and reconfiguration
Custom Builds for Every Integration
Each new connection requires specialized developers and one-off engineering, driving up cost and slowing
speed to market
Lack of Visibility & Control
Most solutions act as black boxes.
When data breaks, it’s hard to trace, debug, or recover
Innovation Gridlock
Average integration timelines of 12–18 months make it impossible for digital health and AI teams to iterate quickly
Meet The Interoperability Gateway
A Unified Layer to Connect, Normalize, and Stream Healthcare Data in Real Time
What Interop Gateway Powers Across Healthcare
Real-time Data Access
Get full patient context in real time, enabling accurate AI insights, decision support, and patient engagement
Event-driven Workflows
Enable event notifications (admit/discharge, new labs, referrals) to build real-time care pathways and/or RCM automations
Writeback & Bi-Directional Interoperability
Enable safe, standardized writeback (FHIR++, APIs, EHR operator) across multiple EHRs
Patient Engagement
• Real-Time Patient Notifications
• Personal Health Record Integration
• Closed-Loop Engagement
Care Coordination & Care Planning
• Cross-EHR ADT Event Sharing
• Referral Management
• Care Plan Synchronization
Trusted By
.svg)
.svg)
Everything You Need, One Unified Gateway
Prebuilt connectivity to the healthcare ecosystem
Eliminate months of custom engineering with ready-to-use connectors to major EHRs, HIEs, labs, imaging platforms, and health data sources. From Epic and Cerner to Athena, eCW, Canvas, and PointClickCare, integrations are standardized and production-ready.
Connect without limits
Connect to any system, in any format, with full coverage of HIMSS interoperability levels. Gateway ensures data flows are secure, real-time, and standardized.
Flexible to fit every integration need
Orchestrate real-time, on-demand, batch, bulk, or bootstrapping data flows with configurable pipelines. Support for various data workflows to ensure downstream systems always receive accurate, standardized data.
Built for healthcare scale and trust.
Enterprise-grade reliability with auto-scaling, high throughput, fault tolerance, DR support, and archival retention. Ensure compliance with HIPAA, SOC 2, HITRUST, MFA, RBAC, and full audit trails.
Designed for developers, trusted by operations
Quickstart guides, sandboxes, and sample apps shorten the adoption curve. APIs, SDKs, and CLI tools accelerate integration development. Various developer tooling and self-service controls streamline operations with fewer admin overheads.
Lower Cost. More Speed. Better Data.
Scale with Confidence
Real-time streaming, auto-scaling, and multi-tenancy support millions of transactions
Enterprise Ready
HIPAA, SOC2, HITRUST compliance with policy controls and observability
Scale with Confidence
Real-time streaming, auto-scaling, and multi-tenancy support millions of transactions.
Enterprise Ready
HIPAA, SOC2, HITRUST compliance with policy controls and observability.
Lower TCO
Prebuilt connectors and reusable pipelines reduce integration spend
Faster Time-to-Market
Out-of-the-box EHR access and sandboxes cut onboarding from months to days
Better, Clean Data
Validation, normalization, and terminology mapping ensure clean, usable data
Why XCaliber Interop Gateway Stands Apart
XCaliber's Interop Gateway was built for real-time AI readiness.
With connectors to major EHRs out-of-the-box, real-time streaming, and enterprise-grade compliance, Interop Gateway is built for scale, speed, and trust.
Connect To Any EHR
Scale Your Operations
We’ve Heard Every Question You’ve Had to Google
What kinds of data can we access?
Can I get full patient identifiers from an EHR aside from export?
Which EHRs do you support out of the box?
How do I write referrals using ServiceRequest in Epic?
Do you support real-time event triggers?
How can I access EHR data without owning the instance?
Decades Of Building At The Frontlines Of Tech And Healthcare
Our team brings decades of experience building at the intersection of healthcare and technology, from athenahealth, Weill Cornell, and New York-Presbyterian to Google Research and Salesforce. We’ve seen firsthand how legacy interoperability slows innovation, and we’re rethinking it from the ground up.
XCaliber exists to unlock healthcare data with the speed, scale, and trust modern teams need, enabling better tools for clinicians, smarter systems for organizations, and better outcomes for patients.
Try Interop Gateway
Free for 30 Days!
From access to action: clean healthcare data,
real-time and ready to use
- Out-of-the-box connectivity to Epic, athena, eCW, and more
- Real-time access, writeback, and event triggers in one gateway|
- Built-in observability to monitor, log, and replay every event
- Developer-first APIs + sandboxes for rapid onboarding
Our clients trust us
