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Akhester Platform

Open source FHIR infrastructure.
Commercial clinical platform.

9 Apache 2.0 components and 8 commercial Jam products — documented in one place. From SMART App Launch to hospital-chain HL7v2 integration to cross-branch drug safety.

Built onFHIR R4SMART v2.2IHE ATNAHAPI FHIRSpring Boot 3Java 21
Platform architecture
HIS / EHR SOURCESEpicCernerMEDITECHBahmniJAM INTEGRATIONJamBridge7-stage pipeline · MLLP :2575–:2582MSA|AAAJ FHIR CORE (APACHE 2.0)AJ AuthAJ ConsentAJ MPIAJ FRDATA & COMPLIANCEHAPI FHIRJamGuardATNA/BALPDHIS2
9
OSS
8
Jam
500+
Tests
FHIR R4
Standard
Apache 2.0
Licence
CommercialProduction-grade · SLA-backed · Priced per connection

Jam Platform

Clinical data platform built on the AJ FHIR open source stack. One commercial contract covers the full stack.

Commercial
v1.0.0
JamBridge

HL7v2-to-FHIR R4 integration engine. 7-stage clinical pipeline. 8 MLLP ports. Consent enforcement, patient identity, and ATNA audit built in.

Docs →▶ Demo
Commercial
v1.0.0
JamGuard

Cross-branch clinical safety. DDI detection via NLM RxNorm API. Drug-allergy checking. MAJOR interactions blocked before write.

Docs →
Commercial
v0.2.0
JamConnect

Clinical intelligence facade. Coordinates identity, consent, CDS Hooks, and clinical event routing across the platform.

Docs →
Commercial
v1.0.0
JamSHR

Shared Health Record. Cross-branch IPS via Patient/$summary. IHE MHD document store. Real-time cache invalidation.

Docs →
Commercial
v1.0.0
JamTS

Terminology Service. LOINC, SNOMED CT, ICD-10. Local lab code translation. Snowstorm federation.

Docs →
Commercial
v1.0.0
JamReferral

Cross-branch referral state machine. FHIR ServiceRequest + Task. 48-hour accept timeout with auto-escalation.

Docs →
Commercial
v1.0.0
JamDHIW

Analytics warehouse. FHIR $export to DHIS2. Real-time notifiable disease surveillance. Population health dashboards.

Docs →
Commercial
v1.0.0
JamPHR

Patient-facing health record portal. Cross-branch IPS view. SMART on FHIR launch. Consent management.

Docs →
Apache 2.0Open source · Free to use · Community + commercial support

AJ FHIR Platform

9 independently deployable components for FHIR-based clinical infrastructure. Apache 2.0 — auditable, self-hostable, no vendor lock-in.

open.akhester.com ↗
SMART on FHIR
Identity & Consent
Clinical Applications
Deployment guides
🏥Most common
Hospital chain deployment
Connect 3–50 branches. Patient identity with JamMPI, cross-branch DDI safety with JamGuard, go-live in 9 weeks.
⚙️JamBridge
7-stage pipeline deep-dive
How every HL7v2 message flows through all 7 stages — class names, SQL queries, HTTP examples, timing.
⚖️Evaluation
JamBridge vs OpenHIM vs Mirth
Side-by-side feature comparison and migration paths from the three most common HL7v2 integration tools.
🔐AJ Consent
GDPR, HIPAA & DISHA compliance
How AJ Consent Manager maps regulatory requirements to FHIR R4 Consent provision fields. Deny-by-default.
🧑‍⚕️JamMPI
Patient identity across branches
Golden records, Jaro-Winkler matching, grade thresholds, and manual merge/unmerge admin workflow.
📋Reference
IHE profiles implemented
Every IHE profile — ITI-20, ITI-78, ITI-83, ITI-90, ITI-119, MHD, PMIR, BALP — and which component implements it.
Akhester Technologies LLP · Apache 2.0 core · FHIR® is a registered trademark of HL7
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