Iguana Healthcare Integration Services: HL7 and FHIR Interfaces Built in Days, Run for Years

HL7 v2 and v3, FHIR, X12 (EDI transactions), CDA/C-CDA, DICOM, NCPDP, and custom JSON, XML and CSV formats.

Yes. iNTERFACEWARE rates the engine at over 3,600 messages per second, making it suitable for large healthcare networks and high-traffic data environments on modest hardware.

Iguana provides enterprise-grade security features, including role-based access control, SSL/TLS encryption and audit logging, and we configure and operate it to meet HIPAA, HITECH, GDPR and other regulations; the compliance section above describes each control.

Faster interface development (interfaces built in days rather than months), a low hardware footprint, built-in scripting and testing that reduce reliance on external vendors, and reliable uptime and error handling that reduce disruption. Licensing is per server rather than per interface, which matters as channel counts grow. Our services add reusable components and managed operations that lower the cost of each subsequent interface.

Yes. Iguana is cloud-compatible and can integrate both on-premise and cloud-based EHRs, billing systems, patient portals and third-party APIs, enabling hybrid or full-cloud interoperability.

Yes. QSS Technosoft tailors Iguana integration services to your operational goals, data structures and compliance requirements.

Fully. Iguana’s Translator uses Lua scripting for custom data transformation, routing logic, error handling and more, with live testing against real messages.

Hospitals, clinics, imaging centres, labs, telehealth companies, healthtech startups and insurance providers all benefit from Iguana’s ability to unify systems and facilitate reliable data exchange.

Yes. Iguana is optimised for real-time processing, ensuring timely and accurate communication between systems, which is critical in clinical and operational workflows.

A single channel or interface set takes two to four weeks; a new deployment, an Iguana X upgrade or a migration from another engine six to twelve weeks; an enterprise programme is phased over four to eight months. See the timeline and cost table above.

Yes. Iguana works with both modern and legacy systems, with tools to transform outdated data formats and protocols into standardised messaging structures such as HL7 or FHIR.

Iguana is developer-friendly, but scripting knowledge (especially Lua) is helpful. We provide training and documentation, and our managed service covers organisations that would rather not run it themselves.

Full lifecycle support: monitoring, troubleshooting, performance tuning, upgrades and scaling assistance, as a managed service if you prefer.

Extensive healthcare interoperability experience; a dedicated Iguana practice beside Mirth Connect and Rhapsody practices, so our advice is not tied to one engine; experience with Iguana X upgrades and Mirth-to-Iguana migrations; and end-to-end monitoring and 24/7 support.

The engine is Iguana, made by iNTERFACEWARE Inc.; ‘igauana’ is a common misspelling in searches. Whichever spelling brought you here, this page covers Iguana healthcare integration: building, upgrading, migrating to and running the engine.

Since NextGen made Mirth Connect commercial-only with version 4.6 in March 2025, Iguana has become the most common commercial destination for teams leaving Mirth. It fits organisations that value fast channel development, vendor support and per-server licensing. It is not an import: Mirth channels are re-implemented in the Translator, so we scope it as a rebuild with parallel validation. The alternatives are licensing NextGen Mirth Connect or moving to an open-source fork; because we run all of them, our assessment compares the three for your channels and budget.

Iguana X is iNTERFACEWARE’s current generation of the engine, built around reusable components and Git-based deployment. Upgrading makes sense when you want component reuse across many channels, modern version control, and a supported release; we convert channels, run both versions in parallel and cut over feed by feed.

Yes. We start with a channel inventory and documentation pass, then monitoring and alerting, then a supported-version plan. Most take-overs begin as managed operations and add build capacity as needed.

It depends on what you value. Iguana solutions offer vendor support, fast Translator-based development and a clear upgrade path, at a licence cost. Open Integration Engine and BridgeLink preserve the open-source model and your existing Mirth channels import directly, but support comes from the community and from partners like us. We give you the three-year cost and risk comparison for your environment in the discovery call.