Integrations & wire protocols

Pollen8 MR is FHIR R4 first but speaks the legacy wire formats too. Configure inbound + outbound integrations from Connections.

FHIR R4

US Core profiles for every resource.
FHIR Bulk Export ($export) for outbound — your downstream analytics stack can pull a full tenant snapshot.
Inbound Bulk Export for migrations from eCW + Kareo + other compliant FHIR servers.

HL7 v2 MLLP

Inbound MLLP listener for the long tail of lab + ADT feeds:

ORU^R01 — observation result. Parsed into Observation + attached to the matching ServiceRequest.
ADT^A01 (admit), A02 (transfer), A03 (discharge), A04 (register), A08 (update) — fold into the ADT census.
ORM^O01 — order. Mostly for inbound radiology ordering when Pollen8 is a downstream filler.

MLLP listener configured per tenant with an SSL-tunneled port + sending facility allow-list.

X12 (RCM family)

270/271 — eligibility request / response. See Eligibility.
276/277 — claim status. Optional polling layer between submit and 835.
277CA — claim acknowledgment.
278 — prior-authorization. See Prior auths.
837P / 837I — professional + institutional claim submission.
835 — electronic remittance advice. See RCM § ERA ingest.
999 — functional acknowledgment.

Pluggable per-tenant clearinghouse adapter. Default ships with Stedi; mock + on-prem adapters available.

Surescripts NewRx

Outbound mTLS prescription send. See Pharmacy.

DirectTrust S/MIME

Clinician-to-clinician secure messaging. Multipart MIME with detached PKCS#7 signature — spec conformant. Used by inbound + outbound referrals where the counterpart is on DirectTrust.

DICOM (WADO-RS)

Imaging study list + frame fetch via WADO-RS. See DICOM viewer. Pollen8 doesn’t store DICOM pixel data — points at your PACS.

Stripe Connect

Per-tenant Connect account for patient payments + statements. Webhook signature verification on all callbacks. Invoice flip on payment posts to the patient ledger.

CDS Hooks

Decision-support hook surface for add-ons + external triggers. Pollen8 calls registered CDS Hooks endpoints at standard hook points (patient-view, order-select, medication-prescribe, order-sign) and renders the cards inline.

Use cases: third-party decision support (Wolters Kluwer, Logica), internal compliance gates, tenant-built integrations.