Agile Leo helps healthcare organizations translate interoperability requirements into actionable business, data, integration and delivery work. Our approach connects policy and business requirements with technical workflows, APIs, data mapping, traceability, testing and implementation planning.
Turning Interoperability Requirements into Delivery
Healthcare interoperability initiatives require coordination across business requirements, data, APIs, security, testing and implementation teams.
Agile Leo supports that process by helping organizations define requirements, map data and workflows, coordinate system integrations, establish traceability and prepare for testing and implementation.
Healthcare Interoperability Capabilities
FHIR & API Integration
Support for requirements, workflows, data mapping and implementation planning for FHIR-based APIs and healthcare system integrations.
Prior Authorization Workflows
Business and technical analysis supporting electronic prior authorization workflows, including coordination across requirements, data, APIs and implementation teams.
X12 / EDI Integration
Requirements analysis, mapping and integration support for healthcare EDI transactions and workflows, including X12-based exchanges where applicable.
Requirements & Traceability
Translation of regulatory, business and technical requirements into structured requirements, user stories, acceptance criteria and traceability across design, development and testing.
Data Mapping & Validation
Source-to-target analysis, field mapping, data validation requirements and coordination across source systems, integration layers and consuming applications.
Testing & Readiness
Business test scenarios, expected results, test-data requirements, requirements validation and release-readiness support.
Standards and Technologies
Interoperability solutions may involve multiple healthcare standards, data formats and integration approaches depending on program and system requirements, including the HL7 FHIR R4 standard.
FHIRREST APIsX12 / EDIJSONXMLAPI integrationHealthcare data mappingRequirements traceabilityTesting and validation
CMS Interoperability & Prior Authorization
Agile Leo supports healthcare organizations in analyzing and preparing for interoperability and prior authorization requirements, including requirements associated with CMS interoperability initiatives such as CMS-0057-F.
Capabilities may include requirements analysis, workflow definition, FHIR and API planning, data mapping, traceability, testing preparation and implementation coordination.
Prior Authorization Integration
Electronic prior authorization may require coordination across clinical, administrative and technical workflows.
Depending on program requirements, implementation planning may involve FHIR-based approaches, such as the HL7 Da Vinci implementation guides for Coverage Requirements Discovery (CRD), Documentation Templates and Rules (DTR) and Prior Authorization Support (PAS), and healthcare transactions such as X12 278.
Agile Leo supports requirements analysis, workflow definition, data mapping, integration coordination, traceability and testing preparation across these workflows.
From Requirements to Implementation
1. Understand
Review business, regulatory, data and system requirements.
2. Define
Document workflows, requirements, interfaces, mappings and acceptance criteria.
3. Trace
Connect requirements to design decisions, user stories, development and testing.
4. Validate
Develop business scenarios, test-data needs and validation criteria.
5. Prepare
Support implementation planning, release readiness and stakeholder handoff.
A Practical, Requirements-Driven Approach
Healthcare interoperability is not only an API challenge. Successful delivery requires alignment across policy, business processes, data, systems, testing and implementation.
Agile Leo brings these workstreams together through structured requirements, traceability, integration analysis and delivery coordination.
Planning a Healthcare Interoperability Initiative?
Talk with Agile Leo about your interoperability, API, data integration and delivery requirements.