Connect Every Clinic to Your HIE, Including Small and Specialty EHRs

Smartlink Health Solutions helps health information exchanges connect clinics that use small, specialty, legacy, and hosted EHRs.

Trusted by customers and partners like…
SAS, a technology company and NCHealthconnex, the NC health information exchange
DCHIE, a health information exchange in Washington, DC that uses Smartlink for EHR connectivity.
The-logo-for-Manifest-MedEx,-The-logo-for-Manifest-MedEx,-the-largest-nonprofit-health-data-network-in-California.

 

Our Smartlink Data Connector (SDC) uses FHIR, HL7, APIs, and database connections where they work, and patented UI integration for what they can’t reach. It works with any EHR regardless of operating environment (SaaS, hosted, on-premise), with no EHR vendor involvement and zero effort for clinic staff.

SDC has delivered 700+ integrations across 90+ EHRs, including clinic connections for DCHIE, NC HealthConnex, and Manifest MedEx.

Why small and specialty EHRs are hard to connect

EHR integrations are expensive, time consuming, and always limited by the data exposed by the vendor. Standard connections work well for the big EHRs, but they often can’t reach smaller, legacy, specialty, or hosted systems. Here’s why.

  • ●API and HL7 interfaces require EHR vendor cooperation and often take six to nine months.
  • ●Database agents have to be installed locally and aren’t viable for hosted or SaaS EHRs.
  • ●Specialty EHRs used by behavioral health, long-term care, post-acute, and dental providers are often not meaningful use certified, which makes them much more difficult to integrate with.
  • ●Vendor fees vary widely, so it’s hard to predict what connecting a mix of practices will cost.

How Smartlink connects every clinic to your HIE

Smartlink Data Connector (SDC) helps HIEs connect all providers, including behavioral health, dental, post-acute care facilities, long-term care, and home health. Integrating with an HIE with SDC is more affordable, and requires zero effort for clinic staff. SDC can also increase the value of the HIE for payers by getting deeper data that isn’t available via API, such as social history, immunization data, and dates of service for procedures, diagnoses, and medications.

SDC selects the right approach for each integration — maximizing speed, coverage, and cost-efficiency.

  • ●FHIR & HL7: Standards-based exchange for structured clinical data where vendor APIs support it fully.
  • ●API & Database: Direct connectivity where vendor APIs exist and provide sufficient access depth and breadth.
  • ●User Interface: Smartlink’s proprietary engine enables bidirectional data exchange with EHR interfaces when standard APIs are unavailable, restricted, or cost-prohibitive — no vendor involvement required.

Just like a remote user, SDC logs into an EHR and extracts or inserts virtually any type of data. The solution resides entirely in the cloud, and does not require any local software installation.

Data SDC can share with an HIE includes CCDA/CCD documents, discrete data, chart notes, images and documents, lab orders and results, and non-MU data such as dental and behavioral health records.

See the full list of integrated systems →

Consistent Cost

Pre-known cost, regardless of EHR mix

Predictable Time

Integration timelines are short and predictable

Community Wide

Any system regardless of operating environment

How three HIEs connected harder-to-reach clinics

DCHIE

Medicaid providers in Washington, DC

Under a District grant to connect Medicaid providers to the DC HIE, Team Enlightened needed to reach behavioral health, long-term care, post-acute, and dental practices, many on EHRs that aren’t meaningful use certified. Smartlink provided a consistent price point across all EHR vendors and predictable integration timeframes, and did not require any effort on the part of the practices.

“The complexity of the DCHIE project called for a tool that I call an interpreter. It had to speak multiple different languages and yet be able to share the information. Smartlink ultimately eliminated the excuse of ‘I can’t share data because I don’t have that level of technology.’”

Antwanye Ford, President & CEO, Enlightened, Inc., Grant Award Prime, DCHIE

Read the DCHIE success story →

NC HealthConnex

Specialty and primary care practices

As the technology partner for NC HealthConnex, North Carolina’s state-designated HIE, SAS has worked with Smartlink to connect practices on EHRs that are hard to reach, including dental, behavioral health, and primary care.

“As the State of North Carolina’s HIE technology partner, we knew it was important to provide options for connecting to the state-designated Health Information Exchange, NC HealthConnex, particularly for those healthcare clinics with specialty-specific electronic health records. Our partnership with Smartlink has made a difference as we edge closer to the goal of linking health care providers in North Carolina.”

Eric Myers, SAS Lead Strategic Consultant, NC HealthConnex, SAS

See the EHRs we integrate with →

Manifest MedEx

California’s largest nonprofit health data network

Since switching to Smartlink Data Connector, Manifest MedEx has cut the average time it takes to complete a clinic EHR integration by more than 70%. As of October 2026, Smartlink supports 283 live connections for Manifest MedEx across 45 EHRs.

“We couldn’t be happier with our partnership with Smartlink. In addition to drastically decreasing the time it takes to complete an integration, we’ve significantly expanded the number of EHR brands that we can integrate with. We’ve also been able to reduce our operational overhead related to ongoing support and maintenance.”

Jason Buckner, CIO, Manifest MedEx

Read the Manifest MedEx announcement →

Why HIEs Trust Smartlink

90+

EHRs Supported

700+

Integrations Delivered

Up to 50%

Lower Custom Integration Costs

Get the HIE data you need in your EHR and in a format you can use

HIEs are a goldmine of data, but providers have to leave their workflow to look at it. Even EHRs with bidirectional HIE integration flood providers with unusable data, making it time-consuming to sift through. For primary care providers, much of this data is redundant, as it often originates from their own records.

With Smartlink, you can receive just the data you need – such as hospital discharges, care gaps, or new diagnoses and medications – within the EHR clinical workflow.

Cary Medical Management (CMM) is an MSO that shares ownership with Smartlink. CMM uses SDC to pull discharge data from NCNotify, part of NC HealthConnex, into its care management system. One CMM clinic found that 40% of discharges were not readily available in the hospital EHR portal compared to NC*Notify. SDC eliminated the 1,000-record download limit and the need to log in and search for each patient.

A laptop with HIE data, an arrow pointing to a laptop with an EHR application open receiving the HIE data.
A computer system with an arrow pointing to another system, representing bidirectional data exchange.

Bidirectional integration that delivers real value to providers

With SDC’s bidirectional HIE to EHR integration, the data in each system is compared. Only critical information that is in the HIE but missing in the EHR is provided within the EHR.

Here’s a snapshot of what Smartlink customers have achieved:

  • ●Up to 30% of patients have diagnoses in the HIE that are missing in the EHR.
  • ●Up to 12% of patients have potential drug-to-drug interactions unknown to the PCP.
  • ●Automatic extraction of ADT and discharge summaries for transitions of care saves time and ensures more patients receive the care they need.

HIE Integration Frequently Asked Questions

Use an integration partner that isn’t limited to what each EHR vendor’s API exposes. Smartlink Data Connector uses FHIR, HL7, APIs, and database connections where they work, and patented UI integration for what they can’t reach. That lets it connect behavioral health, dental, long-term care, post-acute, and home health practices. SDC supports 90+ EHRs and has delivered 700+ integrations.

Smartlink’s proprietary engine enables bidirectional data exchange with EHR interfaces when standard APIs are unavailable, restricted, or cost-prohibitive — no vendor involvement required. There are no vendor permissions required, no waiting on vendor roadmaps, and no formal partnerships needed to begin an integration.
Yes. SDC integrates with any EHR regardless of operating environment (SaaS, hosted, on-premise). It runs in the cloud and doesn’t require any local software installation at the clinic. For DCHIE, that included EHRs that aren’t meaningful use certified.

Integrating with an HIE with SDC is more affordable, and requires zero effort for clinic staff. In the DCHIE project, Smartlink did not require any effort on the part of the practices.

First integrations typically take four to six weeks. Traditional interfaces often take six to nine months.

SDC can share data beyond the CCDA, including discrete data, chart notes, images and documents, lab orders and results, and non-MU data such as dental and behavioral health records. It can also get deeper data that isn’t available via API, such as social history, immunization data, and dates of service for procedures, diagnoses, and medications.

Yes. With Smartlink, you can receive just the data you need – such as hospital discharges, care gaps, or new diagnoses and medications – within the EHR clinical workflow. Only critical information that is in the HIE but missing in the EHR is provided within the EHR.

No. SDC moves and surfaces data, and delivers it to the destination you choose. Measure calculation and registry submission happen in the systems we send data to.

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