Published on
March 26, 2025
·
Written by
Joshua Kelly

Understanding Flexpa's FHIR Transforms - Enhancing Healthcare Data Interoperability

Dive into how Flexpa's transform pipeline standardizes healthcare data from diverse payer sources, ensuring consistent, high-quality FHIR resources for developers.

In the complex landscape of healthcare data interoperability, standardization is key to providing developers with reliable, consistent data. Flexpa's transform pipeline is the unsung hero that turns raw payer data into pristine FHIR resources. Today, we're pulling back the curtain to explain how our transforms work and why they're essential for building robust healthcare applications.

The Challenge: Healthcare Data Variability

Healthcare data comes from hundreds of different sources, each with its own quirks and inconsistencies:

  • Coding systems vary widely across payers
  • Financial data may use different formats
  • Resource tagging and identification follow inconsistent patterns
  • Provider information comes in various forms and completeness levels

Without standardization, developers would need to build custom logic for each data source – an unsustainable approach that slows innovation.

Flexpa's Transform Pipeline

Our transform system processes raw FHIR bundles through a series of specialized operations, each addressing a specific aspect of standardization:

1. Raw FHIR Bundle →

2. Normalize Codings →

3. Financial Calculations →

4. Code Display Enrichment →

5. NPI Resolution →

6. Fallback Values →

7. Resource Tagging →

8. Identifier Management →

9. Source Attribution →

10. Resource Sorting →

11. Batch Optimization →

12. Final Validated Bundle

Each step ensures the data you receive is consistent, regardless of which payer it originated from.

Key Transform Components

Coding Normalization

Our coding transform standardizes terminology systems to canonical URLs and ensures codes follow standard formats:

  • Maps proprietary code systems to standard URIs
  • Normalizes code formats for consistency
  • Ensures all codeable concepts follow FHIR best practices

Financial Calculation

For claims data, we normalize adjudication amounts across different payers:

  • Standardizes benefit calculations
  • Normalizes currency representations
  • Ensures consistent financial data structure across payers

Resource Tagging

We add metadata to every resource:

  • Attaches provenance information
  • Tags resources with their origin payer
  • Ensures proper attribution in multi-payer environments

Provider Resolution

Our NPI resolution transforms identify and standardize provider references:

  • Maps provider identifiers to canonical NPIs where possible
  • Enriches provider information for more complete data
  • Creates proper FHIR references between related resources

Benefits for Developers

With Flexpa's transform pipeline, developers can:

  1. Build Once, Connect Everywhere - Write code against a single, consistent data model instead of handling payer-specific variations
  2. Improve Application Reliability - Count on data structure consistency for more robust applications
  3. Focus on Innovation - Spend time building valuable features instead of data normalization logic
  4. Scale Confidently - As we add more payers, your integration continues to work without modifications

Real-World Impact

Consider financial calculations in an EOB resource. Without transforms, you'd see different adjudication codes, varying approaches to representing patient responsibility, and inconsistent benefit calculations across payers. Our transforms normalize these differences, so whether the data comes from a Medicare plan or a commercial insurer, your application can process it the same way.

Conclusion

Flexpa's transforms are the invisible foundation that makes our API reliable and consistent. By handling the complex work of data standardization behind the scenes, we enable developers to build better healthcare applications faster.

As we continue expanding our network and refining our transforms, you can be confident that the data you receive will maintain the high quality and consistency standards that make Flexpa the trusted platform for healthcare data access.

Want to learn more about how our transforms handle specific data types? Contact us for a detailed discussion about your use case.

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