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SMART on FHIR App Development Company

Build apps that launch directly within EPRs and deliver real-time clinical context with SMART on FHIR integration from 6B. As a specialist SMART on FHIR App Development company, we help digital health startups, NHS organisations, and health IT vendors create interoperable apps that connect seamlessly with electronic health record systems using open healthcare standards.

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Need help with SMART on FHIR App Development?

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

Rebecca

Rebecca

Business Development

Or call Rebecca on 0113 350 1290

Whether you’re building decision support tools, patient-facing platforms, or data visualisation apps, we design and deliver SMART on FHIR-compliant solutions that are secure, scalable, and ready for deployment within leading EPR ecosystems.

What Is SMART on FHIR?

SMART on FHIR (Substitutable Medical Applications, Reusable Technologies on Fast Healthcare Interoperability Resources) is a healthcare application framework that enables apps to run securely inside EPRs while accessing data in real time via open standards.

SMART on FHIR apps typically:

  • Launch within an EPR interface with single sign-on
  • Access patient context automatically from the host EPR
  • Read and write data using the HL7 FHIR standard
  • Use OAuth 2.0 and OpenID Connect for secure authorisation
  • Comply with NHS and international interoperability standards

SMART on FHIR apps streamline workflows for clinicians, enable deeper insights into patient care, and support modular innovation without duplicating systems.

Our SMART on FHIR App Development Process

As an experienced SMART on FHIR App Development company, we guide clients through the full lifecycle — from standards alignment and architecture design to build, test, and deployment.

We begin with technical discovery to identify EPR integration targets (e.g. Oracle Health/Cerner, Epic, etc), user roles, and data needs. We work closely with your team to map how your application will interact with the host EPR, including which FHIR resources to query, what user context is required, and what workflows are triggered.

Our design team ensures your SMART on FHIR app delivers a seamless user experience within the EPR frame, following clinical UX best practices and accessibility standards. We develop secure, standards-compliant apps using the latest versions of FHIR (R4, R5) and SMART protocols.

We also support sandbox testing, EPR vendor approvals, and NHS interoperability assurance processes to get your app ready for real-world use within UK healthcare environments.

Benefits of SMART on FHIR App Development

SMART on FHIR unlocks powerful capabilities for digital health applications — enabling richer data exchange, streamlined workflows, and faster clinical adoption.

With 6B as your SMART on FHIR development partner, you’ll gain:

  • Seamless EPR integration via standards-based APIs
  • Faster adoption by embedding directly into clinical workflows
  • Reduced duplication of patient data entry and administrative tasks
  • Standards compliance with HL7 FHIR, OAuth 2.0, and OpenID
  • Enhanced security through context-aware authentication
  • Scalable architecture ready for NHS, US, and global deployment

Whether you’re targeting hospital systems, GP practices, or integrated care environments, SMART on FHIR gives your app the ability to operate within the existing clinical ecosystem — securely and contextually.

Why Choose 6B for SMART on FHIR App Development?

6B brings deep expertise in healthcare interoperability and digital product development. We understand how to design and build SMART on FHIR apps that meet technical, clinical, and regulatory demands — and deliver lasting value for both users and health systems.


Our team has delivered apps that integrate with major UK and international EPRs using HL7 FHIR and SMART protocols, including Epic and Oracle Health (Cerner). We know how to navigate NHS standards, interface with vendor APIs, and manage the security requirements involved in EPR-connected applications.


We focus on building apps that are clinically useful, future-proof, and compliant — embedding NHS Login, IG controls, DCB 0129 safety frameworks, and ISO 27001-aligned practices into every project.


And we’re not just developers. We act as strategic partners — helping you shape integration pathways, pass assurance checks, and plan for multi-site rollout and long-term evolution.

SMART on FHIR App Development Insights