InterSystems TrakCare Integration

Integrate your digital health solution with InterSystems TrakCare, a widely deployed EPR platform supporting hospitals and health systems globally, using 6B’s secure, standards-based interoperability services. We enable reliable, real-time data exchange and workflow integration so your application can connect seamlessly with TrakCare across clinical, administrative, and operational settings.

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Trusted by NHS organisations, healthtech vendors, and clinical innovators, 6B delivers full-lifecycle TrakCare integration – from initial discovery and architecture through development, testing, deployment, and ongoing support. Whether you’re building patient engagement tools, clinical decision support, PAS-connected services, results viewing, EPMA extensions, or operational dashboards, our integrations are robust, scalable, and aligned with UK NHS interoperability and security expectations.

Understanding InterSystems TrakCare

InterSystems TrakCare is an integrated electronic patient record (EPR) and hospital information system designed to support end-to-end hospital workflows. It combines core clinical documentation with administrative and operational capabilities such as scheduling, admissions and discharge workflows, order management, results viewing, and patient flow. TrakCare is used across a variety of care environments, including acute, specialist, and multi-site health systems, where consistent workflows and dependable data access are critical.

TrakCare is built on InterSystems technology with a strong focus on interoperability and performance. It supports integration with third-party applications through standards-based interfaces and modern APIs, enabling connected ecosystems that extend the EPR without fragmenting workflows. In NHS settings and other complex health environments, TrakCare integrations commonly underpin shared care, regional interoperability, specialist clinical pathways, and cross-organisation operational reporting.

Because TrakCare often sits at the centre of clinical and administrative operations, integrations must be engineered to be safe, resilient, and well-governed. A successful approach accounts for patient identity, encounter context, access controls, audit requirements, and the realities of 24/7 hospital operations – ensuring information is exchanged securely and at the right time to support clinical decision-making.

Our InterSystems TrakCare Integration Process

We begin with structured discovery sessions involving clinical leads, operational stakeholders, and technical teams to define the outcomes you need to achieve. Use cases might include admissions and discharge triggers, results and orders exchange, patient context launch, referral workflows, appointment and scheduling synchronisation, real-time patient tracking, or automation of administrative updates. We translate these into a clear integration specification, mapping data and workflow needs to TrakCare’s available interfaces and interoperability capabilities.

Next, we design the integration architecture with security, performance, and maintainability as first-class requirements. Depending on the TrakCare deployment and your solution needs, this may include HL7 messaging, RESTful APIs, and HL7 FHIR-based exchange. We also design for event-driven patterns where appropriate, enabling near real-time updates when patient status, orders, results, or encounters change. Authentication and authorisation are implemented using modern protocols such as OAuth2 and OpenID Connect where supported, alongside client certificates, network controls, and role-based access policies aligned to NHS governance.

Our development approach leverages a library of reusable integration components – including secure authentication modules, message routing and transformation services, and standards-based resource handlers – accelerating delivery while maintaining quality and consistency. We implement robust data mapping, terminology handling where required, and validation rules to support clinical safety and reduce downstream reconciliation issues.

Every integration undergoes rigorous testing, including unit and integration testing, clinical scenario validation, and performance checks in controlled environments. We ensure data integrity, patient matching, error handling, audit logging, and resilience under load before moving to production. We then support go-live planning and coordination, including cutover activities, monitoring setup, runbooks, and support pathways to ensure a smooth transition into live hospital workflows.

Following deployment, 6B provides ongoing monitoring, maintenance, and iterative enhancement. As TrakCare configurations evolve and interoperability capabilities are extended, we help keep your integration aligned, secure, and compatible – reducing operational risk and supporting long-term value.

Benefits of InterSystems TrakCare Integration

Clinicians benefit from faster access to the right information in context, reducing the need to duplicate documentation or switch between disconnected systems. Integrations can streamline patient review, clinical decision support, and pathway management by ensuring observations, results, orders, and key encounter details are available when needed. Contextual launch and single sign-on options also improve usability and reduce friction in busy clinical environments.

Hospitals and health systems gain improved interoperability across clinical and operational functions. Real-time, standards-based integration supports safer patient flow, better coordination between departments, and reduced delays caused by manual re-entry or reconciliation. When TrakCare is connected effectively to specialist systems, portals, analytics platforms, and shared care services, organisations can improve both efficiency and service quality while supporting broader digital transformation goals.

Operational and informatics teams benefit from better data consistency and more reliable reporting. Integrated feeds of admissions, transfers, discharge events, and scheduling updates support capacity management, performance oversight, and improved governance. Automation reduces the administrative burden on frontline teams and improves compliance with workflows that require timely updates.

Patients benefit from safer, more joined-up care. When clinical and administrative systems share accurate, timely information, there are fewer handover gaps, fewer errors caused by missing context, and better continuity across services. Integration also enables more effective patient communication and engagement when portals or messaging services are connected directly to TrakCare workflows.

For vendors and digital health innovators, TrakCare integration strengthens product adoption by fitting naturally into existing hospital processes. Standards-based interoperability increases scalability, supports repeatable deployments across organisations, and positions your solution for long-term compatibility as NHS interoperability expectations continue to mature.

Why Choose 6B for InterSystems TrakCare Integration?

6B has strong experience delivering integrations across complex NHS environments, connecting third-party applications to core EPR and PAS platforms with a focus on clinical safety and operational resilience. We understand the realities of integrating with enterprise hospital systems like TrakCare – including patient identity management, encounter context, event timing, and the governance expectations that come with systems used at scale.


We build integrations using secure, standards-based approaches including HL7 messaging, HL7 FHIR, and RESTful APIs, alongside robust authentication and access controls. Our solutions are designed to operate reliably across cloud, hybrid, and HSCN-connected environments, supporting the hosting and network models commonly found in UK healthcare.


To accelerate delivery without compromising quality, we maintain a continually evolving library of reusable assets such as message handlers, transformation templates, authentication modules, and integration monitoring patterns. This improves consistency, reduces risk, and helps teams move from prototype to production efficiently.


Security, compliance, and patient safety are embedded throughout our delivery. We design with auditability and governance in mind, aligning with recognised best practices and NHS expectations including DSPT, DCB standards, and ISO 27001-aligned processes. We implement resilient error handling, clear audit trails, and safety checks to reduce clinical risk and support operational assurance.


Most importantly, 6B provides end-to-end accountability. From discovery workshops and technical design through testing, go-live, and ongoing support, we work as an extension of your team – combining technical expertise with healthcare domain understanding to ensure your InterSystems TrakCare integration delivers real-world impact.

Estimate the Cost of Your InterSystems TrakCare Integration Project

Please answer a few questions to help our InterSystems TrakCare integration consultants accurately assess your needs and calculate a personalised quote quicker.

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InterSystems TrakCare Integration FAQs

We design integrations to work with your existing TrakCare configuration wherever possible. Our approach minimises disruption to live environments and avoids unnecessary customisation of the core EPR. Where configuration changes are required, we help scope and validate them with your TrakCare and clinical teams to ensure safety and governance are maintained.

Yes. We regularly deliver integrations that operate across multiple TrakCare instances, including environments split by site, region, or care setting. Our architectures support centralised or federated models, allowing data to flow consistently while respecting local configuration, access controls, and information governance requirements.

Patient identity management is a core consideration in every TrakCare integration. We work with NHS identifiers such as NHS Number and local MRNs, and design clear matching, validation, and exception-handling rules. This helps reduce duplication, prevent mis-association, and support safe clinical workflows across connected systems.

Yes. We design integrations to be non-intrusive and resilient, using asynchronous patterns, throttling, and buffering where appropriate. This ensures that third-party applications do not place undue load on TrakCare and that clinical operations remain stable even during peak activity or downstream system outages.

Absolutely. We strongly advocate testing in dedicated development and test environments before any live deployment. This includes validating data flows, workflow behaviour, error handling, and edge cases using realistic clinical scenarios, helping reduce risk and increase confidence ahead of go-live.

Timelines vary depending on complexity, use cases, and environment readiness. Smaller, well-defined integrations can be delivered in weeks, while more complex, multi-workflow projects may take several months. During discovery, we provide clear delivery plans and milestones so stakeholders have realistic expectations from the outset.

Yes. While we have deep experience in NHS environments, our TrakCare integration approach is applicable internationally. We adapt to local regulatory requirements, hosting models, and standards, while maintaining the same focus on security, resilience, and clinical safety.

We design integrations to be maintainable and version-tolerant wherever possible. As part of our ongoing support service, we monitor for platform changes, assess impact, and implement updates as needed. This reduces the risk of disruption and ensures your integration continues to operate reliably as TrakCare evolves.

Readiness checklist for InterSystems TrakCare Integration

  • Document the workflows you want to integrate with TrakCare (e.g. admissions, orders, results, EPMA, patient flow).
  • List the data types your solution needs to exchange, such as demographics, encounters, orders, or results.
  • Clarify patient and encounter identity requirements, including NHS number, MRN, and visit identifiers.Confirm your governance and assurance position (DPIA, DSPT, DTAC, clinical safety where applicable).
  • Identify local environment dependencies, such as interface availability, HSCN connectivity, or client certificates.
  • Prepare realistic test scenarios and example data aligned to live clinical workflows.

Speak To Our InterSystems TrakCare Integration Experts

Whether you're developing a new digital health product or extending an existing solution with InterSystems TrakCare integration, 6B brings the technical expertise, healthcare insight, and experience needed to accelerate delivery.

Sarah Luther

Sarah Luther

Business Development

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Or call Sarah on 0113 350 1290