# Saga IT

> Healthcare IT consulting firm specializing in HL7 v2, FHIR R4, DICOM, and Mirth Connect / Open Integration Engine. US-based, supports hospitals, imaging centers, EHR vendors, and health-tech startups across integration, cloud, and AI deployment.

The site is the canonical reference for several of our open-source tools (MirthSync CLI, MirthSync Plugin, MirthSync for VS Code) and hosts a comprehensive DICOM specification browser, HL7 v2 reference, and DICOM/HL7 example libraries that are widely cited by developers building healthcare integrations.

## Services

- [Healthcare Software Development](https://saga-it.com/services/healthcare-software-development): Custom healthcare software development — cloud-based EHR, HIPAA-compliant SaaS, FHIR app development, telehealth platforms, healthcare workflow automation. Covers IEC 62304 SaMD lifecycle, ISO 14971 risk management, IEC 62366 usability for FDA-regulated medical software.
- [Healthcare App Development](https://saga-it.com/services/healthcare-app-development): HIPAA-compliant mobile + web app development for patient portals, telehealth, clinician rounding, secure messaging. SMART on FHIR embed via Epic Haiku/Canto/Showroom and Oracle Health equivalents.
- [Medical Device Integration](https://saga-it.com/services/medical-device-integration): Connected device integration — patient monitors, ventilators, infusion pumps — to EHR via IEEE 11073 SDC, IHE PCD, and HL7 v2/FHIR. FDA cybersecurity (SBOM, IEC 80001), alarm management, point-of-care device-EHR auto-charting.
- [Medical Imaging Integration](https://saga-it.com/services/medical-imaging-integration): DICOM, PACS, VNA, viewer integration. HL7 v2 ORM/ORU/MWL, FHIR ImagingStudy, DICOMweb WADO-RS, IHE SWF.b conformance, cloud imaging on AWS HealthImaging / Azure DICOM service / GCP Healthcare.
- [Healthcare Interoperability](https://saga-it.com/services/healthcare-interoperability): Top-level interoperability hub — HL7 v2 + FHIR R4 + IHE + TEFCA + CMS-9115 + DirectTrust + C-CDA — across vendors, networks, and regulatory mandates.
- [EHR Integration](https://saga-it.com/services/ehr-integration): Vendor-neutral EHR integration hub. Epic, Oracle Health (Cerner), MEDITECH, athenahealth, NextGen, eClinicalWorks, Allscripts/Veradigm — APIs, FHIR endpoints, message routing, app marketplace publishing.
- [Epic Integration](https://saga-it.com/services/epic-integration): Epic Radiant + PACS, MyChart, Care Everywhere, Vendor Services, Showroom, FHIR R4 + SMART on FHIR, Hyperspace-embedded viewers.
- [Oracle Health (Cerner) Integration](https://saga-it.com/services/oracle-health-integration): Cerner Millennium API, PowerChart customization, Cerner RadNet integration, FHIR R4 endpoints.
- [HL7 Integration](https://saga-it.com/services/hl7-integration): HL7 v2 ADT, ORM, ORU, SIU, MDM message routing, ACK handling, MLLP gateways, version conversion (v2.3 to v2.5.1, v2 to FHIR R4).
- [FHIR API Integration](https://saga-it.com/services/fhir-api-integration): FHIR R4 server deployment (HAPI FHIR, AWS HealthLake, Azure Health Data Services, GCP Healthcare FHIR), SMART on FHIR launch, US Core profiles.
- [Healthcare Integration Engines](https://saga-it.com/services/healthcare-integration-engines): Integration engine hub — Mirth Connect, OIE (Open Integration Engine), Rhapsody, Iguana, Corepoint, InterSystems IRIS, BridgeLink. Build vs buy comparison, migration paths, multi-engine architectures.
- [Mirth Connect Services](https://saga-it.com/services/mirth-connect): Mirth Connect channel development, NCPDP and CCDA transformations, Mirth-to-OIE migration, performance tuning, custom code template libraries.
- [Open Integration Engine (OIE)](https://saga-it.com/services/open-integration-engine): OIE deployment, channel migration from commercial Mirth Connect to OIE, professional support for the open-source fork.
- [Healthcare AI Integration](https://saga-it.com/services/healthcare-ai-integration): AI scribe deployment, ambient documentation, FHIR-aware AI pipelines, ROI quantification for clinical AI.
- [Healthcare Cloud Services](https://saga-it.com/services/healthcare-cloud-services): HIPAA-compliant cloud architecture on AWS, Azure, GCP. AWS HealthLake, Azure FHIR service, GCP Healthcare API deployments.
- [Healthcare Data Analytics](https://saga-it.com/services/healthcare-data-analytics): OMOP Common Data Model implementation, clinical data warehouse design, ETL pipelines, population health analytics, real-world evidence, quality measure automation. OHDSI tooling (ATLAS, ACHILLES) deployment.
- [HIPAA Compliance](https://saga-it.com/services/hipaa-compliance): HIPAA Security Rule program development — gap analysis against §164.308 administrative and §164.312 technical safeguards, BAA-chain audit, policy library, MFA + encryption-at-rest + audit-logging implementation.
- [CMS Interoperability](https://saga-it.com/services/cms-interoperability): CMS-9115 Patient Access API, Provider Directory API, Payer-to-Payer Exchange (CMS-0057), Da Vinci IGs (PAS, CRD, DTR), USCDI v3 compliance, ONC certification support.
- [Healthcare Cybersecurity](https://saga-it.com/services/cybersecurity): HIPAA compliance, SOC 2 readiness, HITRUST, healthcare-specific penetration testing.

## Products

- [MirthSync](https://saga-it.com/products/mirthsync): Open-source CLI for Mirth Connect version control. Sync channels, code templates, and server configurations to Git. Enables CI/CD pipelines for healthcare integration teams. Free, EPL 1.0.
- [MirthSync Plugin](https://saga-it.com/products/mirthsync-plugin): All-in-one Mirth Connect Administrator extension with embedded Git, MirthSync CLI, and graphical interface. Cross-platform Java plugin. Free, open-source, Apache 2.0.
- [MirthSync for VS Code](https://saga-it.com/products/mirthsync-vscode): VS Code extension providing IntelliSense, channel tree views, multi-server sync, and Mirth Connect connection management directly from the editor.
- [HL7 Workbench](https://saga-it.com/hl7workbench) (spec browser live; parser tool in active development): Browser-based HL7 v2 message parser, validator, and formatter, plus a full specification browser for HL7 v2, v3, and FHIR. Paste any HL7 message to see segment-by-segment annotation. No upload required.
- [MDDS Console](https://saga-it.com/products/mdds-console) (coming soon — waitlist open): Web-based administration, monitoring, and peer-to-peer data exchange console for Mirth Connect and OIE deployments. Channel state visibility, alert configuration, statistics.

## Documentation

- [HL7 v2 Reference](https://saga-it.com/docs/hl7): Complete HL7 v2 message types (ADT, ORU, ORM, SIU, MDM, ACK, DFT, MDM, VXU, query), segment reference (MSH, PID, PV1, OBR, OBX, etc.), MLLP protocol, encoding rules, and version differences.
- [HL7 v2 Sample Messages](https://saga-it.com/docs/hl7/samples): 20 complete, copy-paste-ready HL7 v2 example messages across five families (ADT, ORU, ORM, SIU, MDM) with segment-by-segment annotation. Synthetic data, redistributable.
- [HL7 FAQ](https://saga-it.com/docs/hl7/faq): Common HL7 v2 questions — message structure, encoding, MLLP, FHIR comparison.
- [DICOM Specification Browser](https://saga-it.com/dicom/spec): The complete NEMA DICOM standard cross-referenced with HL7, FHIR, and cloud conformance. 5,200+ tags, 174 CIODs, 412 modules, 320 SOP classes, 63 transfer syntaxes.
- [Mirth Connect Docs](https://saga-it.com/docs/mirth-connect): FAQ, troubleshooting, database diagnostics for Mirth Connect and OIE.
- [MirthSync Docs](https://saga-it.com/docs/mirthsync): CLI, plugin, and VS Code extension installation + usage guides.

## Free Tools

- [DICOM Viewer](https://saga-it.com/dicom/viewer): Browser-based DICOM viewer built on OHIF v3. Drag-and-drop .dcm files, connect to DICOMweb servers, inspect tags. Files stay local — nothing uploaded.
- [DICOM Tag Editor](https://saga-it.com/dicom/tag-editor): Inspect and edit any DICOM header tag. Browser-only, no upload.
- [DICOM Validator](https://saga-it.com/dicom/validator): Confirm a DICOM file is structurally valid before sending it to a PACS or modality.
- [DICOM Anonymizer](https://saga-it.com/dicom/anonymizer) (coming soon — page describes planned PS3.15 Basic Profile de-identification; the tool itself is in active development).
- [Sample DICOM Files](https://saga-it.com/dicom/samples): 28 de-identified, redistributable DICOM studies across modalities (CT, MR, US, MG, NM, XA, DX, CR, OT). Use for testing PACS connectivity, viewer integrations, or AI pipelines.

## Blog

- [HL7 vs FHIR](https://saga-it.com/blog/hl7-vs-fhir): When to use each standard, how they interoperate, migration considerations.
- [FHIR R4 Implementation Guide](https://saga-it.com/blog/fhir-r4-implementation-guide): Practical guide to FHIR R4 server deployment, profile selection (US Core, IPS), and SMART on FHIR launch contexts.
- [HL7 Message Types Explained](https://saga-it.com/blog/hl7-message-types-explained): ADT, ORU, ORM, SIU, MDM message families with real-world routing examples.
- [SMART on FHIR Guide](https://saga-it.com/blog/smart-on-fhir-guide): Building EHR-embedded apps using SMART on FHIR launch, authorization flows, and scopes.
- [TEFCA Integration Guide](https://saga-it.com/blog/tefca-integration-guide): Trusted Exchange Framework participation, QHIN selection, FHIR vs C-CDA flows.
- [CI/CD for Mirth Connect](https://saga-it.com/blog/ci-cd-for-mirth-connect-using-mirthsync): Build CI/CD pipelines for Mirth Connect using MirthSync. Channel deployment, environment promotion, rollback strategies.
- [Healthcare Cloud Migration Guide](https://saga-it.com/blog/healthcare-cloud-migration-guide): Migrating on-premise healthcare workloads to AWS, Azure, or GCP. HIPAA, BAA, and architecture considerations.
- [EHR and PACS Integration](https://saga-it.com/blog/ehr-and-pacs-integration-solutions): Integration patterns between EHRs (Epic, Cerner, Meditech) and PACS systems.
- [Mirth Connect Alternatives](https://saga-it.com/blog/mirth-connect-alternatives): NextGen Connect, OIE, BridgeLink, Rhapsody, Iguana — comparison and migration paths.
- [HITRUST vs SOC 2](https://saga-it.com/blog/hitrust-vs-soc-2): Compliance framework comparison for healthcare SaaS vendors.

## Optional

- [Company / About](https://saga-it.com/company/about): Saga IT founders, leadership, history.
- [Careers](https://saga-it.com/careers): Open positions.
- [Contact](https://saga-it.com/contact): Sales and consultation booking.