Ricardo Puttini, Director
Through its work with healthcare providers, public agencies, and healthcare networks, the company enables information exchange across diverse technology environments using standards-based infrastructure. Its experience spans interoperability strategy, architecture, implementation, and large-scale digital health programs across public and private healthcare settings.
That expertise has led Core Consulting to contribute to several national-scale initiatives. The company has supported the development of digital health infrastructure for the Brazilian Ministry of Health and the National Health Data Network, while also participating in shared electronic health record strategies. Its work extends beyond Brazil to projects in Jamaica, providing experience across national, regional, and organizational healthcare networks.
Rather than replacing existing systems, Core Consulting focuses on connecting them. Using standards like HL7 FHIR and OpenEHR, the company deploys connectors and adapters that translate proprietary data into standardized formats. Once connected, organizations can exchange information through standardized APIs and participate in broader information-sharing initiatives. Depending on project requirements, integrations can often be completed in days or weeks instead of requiring extensive system replacement.
“Whenever one system is connected using one of our connectors or adapters, the system becomes able to exchange information with other systems using the standard,” says Ricardo Puttini, director.
This approach is supported by a digital health platform that combines integration services, API management, terminology services, clinical data repositories, master patient indexes, consent management, and other foundational components required for information exchange. Built on a service-oriented architecture, the platform allows Core Consulting to rapidly orchestrate new services and customize use cases for hospitals, clinics, healthcare networks, and public health organizations without redesigning the entire environment. This flexibility enables the company to respond quickly to evolving operational requirements while supporting cost-effective implementation.
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Whenever one system is connected using one of our connectors or adapters, the system becomes able to exchange information with other systems using the standard.
It also maintains an active role in healthcare standards through its participation in the HL7 Brazil community and a dedicated research group focused on emerging technologies and interoperability frameworks. In addition to supporting standards adoption, Core Consulting contributes to the ongoing development and implementation of healthcare interoperability standards in Brazil. This involvement helps ensure its solutions remain aligned with evolving requirements and industry practices.
The value of interoperability becomes most visible when information follows patients across care settings. Core Consulting’s platform supports information exchange across HU Brazil’s university hospital network of more than 50 hospitals serving over 20 million people. Through a federated network model, it connects regional infrastructures in Recife and Porto Alegre, serving 1.5 and 1.4 million people respectively, linking primary care providers, specialty services, laboratories, hospitals, and municipal healthcare organizations, enabling health information exchange while allowing independent organizations to maintain their own systems.
As patients move between providers, healthcare professionals gain access to more complete health information across the care journey. This helps reduce fragmentation, supports continuity of care, reduces unnecessary duplicate testing, and improves the availability of information used in clinical decisions. Through the platform's consent management capabilities, patients also retain control over how their information is shared across participating organizations.
Building on this interoperability foundation, the company continues to expand the services available through its platform. Current development efforts include a personalized EHR environment and AI-enabled capabilities for scheduling, clinical summarization, decision support, and population health analysis. Since these services leverage standardized healthcare data, they operate within the same framework that supports broader information exchange. These efforts have contributed to Core Consulting's recognition as the Top Digital Healthcare Interoperability Consulting, reflecting its role in helping healthcare organizations build the infrastructure required for connected care.
Through its combination of standards expertise, implementation experience, and large-scale deployments, Core Consulting continues to help healthcare organizations connect fragmented systems and exchange information more effectively across increasingly complex healthcare environments.
Digital Health Interoperability Consulting for Real Systems
Claims delays, duplicate exams, broken referrals and incomplete patient histories often begin when clinical data moves through systems that were never designed to understand one another. Digital healthcare interoperability consulting has to deal with that installed reality rather than promise a clean replacement of every record system. The buying problem is not whether HL7 FHIR appears in a proposal. It is whether a consulting partner can map local data, preserve clinical meaning, handle consent and make exchange useful at the point of care.
In fragmented health networks, the hardest work sits between policy ambition and installed software. EHRs, lab systems, imaging platforms and scheduling tools may carry patient data in proprietary structures that look manageable inside one institution and become unreliable once another provider needs the record. A useful advisor must build adapters that respect the source system while translating clinical events into standard resources. Speed matters only when the implementation path is explicit enough for IT teams to test, maintain and extend it after the first interface goes live. Procurement teams should ask how reusable mappings, connector ownership, testing routines and release support will be handled, because interface work that lacks stewardship tends to become a hidden maintenance burden.
Governance is where many integration programs get expensive after the first exchange works. Patient identity, terminology control, consent handling and audit documentation cannot be treated as finishing tasks. The shared record must know whether two records belong to the same person, which vocabulary is authoritative, who can view the data and how access is logged. For executives, this moves selection away from pure interface development. A stronger partner understands the data model, the privacy rules, the user workflow and the health system politics around shared information. Security review should reach the same depth. Access control has little value when consent rules and patient matching sit outside the design.
Architecture also has to leave room for new clinical use cases without forcing every change into a custom rebuild. An interoperability layer that handles encounters and lab results but struggles with messaging or patient-facing apps will become another partial system. Consulting fit improves when the team can connect core exchange services to scheduling, remote contact channels, decision support and population analysis without turning every request into a separate build. The practical test is how much can be added through service orchestration while keeping the underlying data model disciplined.
Core Consulting combines interoperability consulting with hands-on implementation experience. Its involvement in Brazil's national digital health infrastructure provides experience with large-scale healthcare data exchange initiatives, while its work supporting shared EHR strategies and HL7 FHIR-based interoperability reflects its focus on standards-based implementation. The company specializes in connecting proprietary health systems through adapters, standardized APIs, clinical data repositories, and consent management capabilities. These capabilities support hospitals, clinics, healthcare networks, and public-sector organizations seeking to improve data exchange without replacing existing systems. By combining interoperability expertise with a flexible service-oriented architecture, Core Consulting helps healthcare organizations build connected digital health environments across diverse care settings.
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