AJ FHIR Platform - 14 products - Apache 2.0 open source core

Open FHIR infrastructure
for your hospital.

From HL7v2 integration to AI-powered clinical intelligence. SMART on FHIR, consent management, master patient index, interoperability gateway, and population health. Open source foundation, commercial platform built on top.

Read the docs -> Get in touch ->
Works with EpicCernerHL7v2 / MLLPAzure ADHAPI FHIR
HOSPITAL SYSTEMS Epic / Cerner HL7v2 / MLLP SMART Apps JamBridge HL7v2 to FHIR R4/R5 / MLLP / ATNA audit JB COORDINATION JamConnect Identity / Consent / CDS AJ Auth Server SMART v2.2 / PKCE S256 DATA & REGISTRY HAPI FHIR R4/R5 Store AJ MPI Patient Index AJ FR / JamTS Registry CLINICAL APPS JamSHR JamPHR JamGuard coming soon JamInsights JamDHIW IHE ATNA Audit / FHIR AuditEvent / HIPAA 14+ products
14+
Platform products
500+
Automated tests
FHIR R4/R5
Data standard
< 6 wks
Typical go-live
Apache 2
OSS core licence
24 hr
Security patches
The interoperability gap

The infrastructure problems we solve.

Most health systems are not missing clinical capability. They are missing the infrastructure layer underneath - the one that connects systems, resolves patient identity, enforces consent, and makes data flow reliably across every facility.

Problem
Without
With AJ FHIR + Jam
Legacy HL7v2 systems
✕ No FHIR translation layer. Messages pile up in a proprietary engine or get lost.
✓
JamBridge: native MLLP reception, 7 message types, FHIR R4/R5 output - zero mediator code. JamBridge
Multi-facility patient identity
✕ Same patient in five systems with five different IDs. No deduplication, no golden record.
✓
AJ MPI: probabilistic matching, golden records, IHE PDQm/PIXm/PMIR conformant. AJ MPI
SMART on FHIR integration
✕ Custom extensions that break on every EHR major release. SMART v1 only in most deployments.
✓
AJ FHIR Auth Server: native SMART v2.2, PKCE S256, no extensions, survives every upgrade. Auth Server
Patient consent enforcement
✕ Consent captured on paper or in a separate system. Not enforced at the data layer.
✓
AJ FHIR Consent Manager: deny-by-default at the FHIR layer, patient portal, full audit trail. Consent Mgr
Integration infrastructure cost
✕ Proprietary integration engine: $50K-500K/year, closed source, vendor lock-in.
✓
Apache 2.0 core. No licence cost. Auditable. Commercial support available without lock-in. Apache 2.0
Cross-facility clinical data
✕ Shared Health Record impossible without a common patient identity anchor.
✓
JamSHR: IPS summaries across all connected facilities once MPI and Bridge are live. JamSHR
SMART on FHIR layer demo

The auth and data access layer, live.

This simulation walks through the SMART App Launch v2.2 flow in detail - EHR launch token, PKCE S256 exchange, consent enforcement, FHIR data access, and IHE ATNA audit. 34 annotated steps.

This demo covers the AJ FHIR SMART layer. For a walkthrough of JamBridge (HL7v2 pipeline), AJ MPI (patient matching), or the full Jam HIE stack - book a technical call and we will walk you through a live environment.

Full 34-step annotated demo -> Book a JamBridge / HIE walkthrough ->
Commercial services

How to work with us

Not a SaaS vendor. A services company built around open source infrastructure.

01
AJ FHIR Support
OSS commercial support
Named engineer, guaranteed SLA, 24-hour security patches, HIPAA BAA. Standard, Enterprise, and Government tiers. Full support for all AJ FHIR Apache 2.0 components. Contact us for pricing.
Annual contract / All AJ FHIR components
Recommended
02
Jam Commercial Licence
Annual licence per deployment
JamBridge licensed per hospital connection. JamConnect per platform deployment. JamGuard and JamCare on per-patient subscription. Volume discounts for national HIE deployments.
Annual / Per-connection or per-patient model
03
Implementation Support
Go-live in weeks, not months
We deploy into your infrastructure - HL7v2 gateway setup, IdP federation, MPI configuration, Epic or Cerner integration. Fixed-scope engagement with go-live guarantee.
Fixed-scope / On-site or remote
04
Compliance Assessment
Fixed-fee / 2-3 weeks
Formal written report mapping your architecture against HTI-1, HIPAA, SMART v2.2, IHE ATNA. Covers both AJ FHIR and Jam deployments. Your legal team can sign off.
Deliverable document / PDF report
Discuss your requirements ->
Regulatory compliance

Built for regulated environments

HIPAA BAA available / GDPR DPA available / IHE profiles implemented

SMART App Launch v2.2 Implemented
ONC HTI-1 mandated. PKCE S256 enforced. EHR + standalone launch. Auth Server v0.2.3.
HIPAA BAA Available
Access controls, audit trail, BAA available for Standard+ support customers.
FHIR R4/R5 Implemented
HL7 FHIR R4/R5 - all major EHR vendors. HAPI FHIR 7.4 upstream tracked.
IHE ATNA Implemented
Non-repudiation audit trail on every JamBridge message. FHIR AuditEvent + PostgreSQL.
IHE MHD Implemented
Mobile access to Health Documents. Document sharing via JamSHR. ITI-65/66/67/68.
IHE PDQm / PIXm Implemented
Patient identity cross-referencing and demographics. IHE PMIR. Powered by AJ MPI.
IHE mCSD Implemented
Mobile Care Services Discovery. ITI-90 facility lookup. Powered by AJ FR.
GDPR / EHDS Supported
Consent lifecycle, patient portal, audit log, DPA available. AJ FHIR Consent Manager.
TEFCA Supported
Trusted Exchange Framework - consent enforcement and audit trail for US health networks.
DISHA / ABDM Supported
Indian Digital Health Mission alignment via AJ FHIR Consent Manager.
Request HIPAA BAA -> Security docs ->
Complete platform portfolio

Every layer of the stack

Apache 2.0 open source core / Commercial products built on top / Independently deployable

Open source documentation at open.akhester.com ->
Integration & Coordination
JamBridge Commercial
HL7v2-to-FHIR integration engine. MLLP reception for ADT, ORU, ORM, OML, MDM. OpenHIM replacement. ATNA audit, consent enforcement, SMART token validation.
JamConnect Commercial
Clinical intelligence facade. Unified API coordinating identity resolution, consent enforcement, facility lookup, CDS Hooks, and clinical event routing.
Identity & Registry
AJ MPI v1.0.0
Master Patient Index. Probabilistic matching, golden records, IHE PDQm / PIXm / PMIR conformant. Every HL7v2 message enriched with a golden patient ID before HAPI write.
AJ FR v1.0.0
Facility Registry. mCSD-conformant ITI-90 hospital/clinic directory, admin portal, auto-provisioning from HL7v2 MSH-4 facility codes via JamBridge.
AJ FHIR HAPI Plugin v1.0.0
Drop-in JAR - SMART discovery proxy and scope enforcement interceptor on any HAPI FHIR JPA server. Apache 2.0 licensed.
12 tests
SMART on FHIR - Apache 2.0 Open Source
AJ FHIR Auth Server v0.2.3
Complete SMART App Launch v2.2 authorization server. PKCE S256, EHR launch tokens, RS256 id_token, JPA app registry, IdP federation.
90 tests
AJ FHIR SMART Client v0.1.0
Spring Boot 3 SMART App Launch v2.2 client. Dynamic discovery, full RS256 id_token verification, proactive token refresh, Thymeleaf clinical UI.
206 tests
AJ FHIR Consent Manager v1.0.0
FHIR R4/R5 Consent lifecycle, patient portal, deny-by-default enforcement. GDPR / HIPAA / HTI-1 compliant.
181 tests
AJ FHIR Immunisation App v1.0.0
Vaccination history, WHO schedule forecast, VDS-NC digital certificates with QR codes.
28 tests
AJ FHIR Referral Module v1.0.0
FHIR R4/R5 ServiceRequest + Task cross-facility referral workflow with state machine.
Clinical Data & Applications
JamSHR Commercial v1.0.0
Shared Health Record. IPS patient summaries across all connected facilities. IHE MHD document store. Cache invalidation via JamConnect. FHIR $summary operation.
JamPHR Commercial v1.0.0
Patient-facing health record portal. Full IPS view of cross-facility record. SMART on FHIR launch. Consent management. VDS-NC vaccination certificates.
JamDHIW Commercial v1.0.0
Analytics warehouse. FHIR bulk export, DHIS2 sync, surveillance pipeline. Population health dashboards. Every connected facility enriches the denominators.
JamTS Commercial v1.0.0
Terminology Service. LOINC, SNOMED CT, ICD-10 translation. Local code system mappings for country-specific lab codes. Snowstorm federation for full SNOMED CT.
JamEMR Commercial
Full FHIR-native EMR built on the Jam platform. Consent, referral, immunisation, and shared health record built in. The only EMR that runs on the same open FHIR stack you can deploy yourself.
Clinical Intelligence - Coming Soon
JamGuard Building next
Cross-facility clinical safety - drug-drug interactions, drug-allergy violations, missed follow-up detection. The only CDS that sees the patient's full cross-facility record.
JamCare Planned
Proactive chronic care management - care gap identification, risk stratification, and community health worker outreach. Per-patient-under-management subscription.
JamInsights Pipeline built
FHIR bulk export, DHIS2 sync, population health dashboards. Every connected facility enriches the denominators.
JamLM Planned
Cross-facility longitudinal patient summaries powered by an LLM. Reads structured FHIR data - not scraped text. The hardest part (data infrastructure) is already built.
JamCloud Coming soon
Fully managed multi-tenant HIE SaaS. Connect your HIS to JamBridge MLLP endpoints hosted by us. All products, no infrastructure to run.
Licensing

Open source core.
Commercial platform on top.

AJ FHIR components are Apache 2.0 - free to use, deploy, and modify. Jam products are commercially licensed. Both tracks are independent. You can run the full AJ FHIR stack without any Jam licence.

AJ FHIR Platform Apache 2.0 / Free to use / Commercial support available
Community
Standard
Enterprise
Government
Licence
Apache 2.0
Apache 2.0
Apache 2.0
Apache 2.0
Support channel
GitHub Issues
Email / 2-day SLA
Phone + email / 4hr SLA
24/7 / Custom SLA
Security patches
Community
7 days
24 hours
Custom
HIPAA BAA
No
Yes
Yes
Yes
GDPR DPA
No
No
Yes
Yes
On-premises
Self-managed
Self-managed
Assisted
Full support
Pricing
Free
Contact us
Contact us
Contact us
Documentation at open.akhester.com -> Contact us for support pricing ->
Jam Platform Commercial licence / Annual per-product or platform bundle / Contact us for pricing
JamBridge
HL7v2-to-FHIR gateway
Per hospital connection
JamConnect
Clinical coordination layer
Annual platform licence
JamSHR
Shared Health Record / IPS
Annual platform licence
JamPHR
Patient health record portal
Annual platform licence
JamDHIW
Analytics / DHIS2 / dashboards
Annual platform licence
JamTS
Terminology service
Annual platform licence
JamGuard
Cross-facility clinical safety
Per patient per year
JamCare
Chronic care management
Per patient under management
JamEMR
FHIR-native EMR
Site or enterprise licence
JamCloud
Fully managed / no infrastructure
Per facility SaaS
Contact us for Jam licensing ->
Frequently asked questions

Common questions from hospital IT teams

Yes. Tested against Epic's SMART launcher. Register in App Orchard, set the redirect URI, and the Auth Server handles the EHR launch flow including Epic-specific scope normalisation.
Yes. Cerner uses .read scope format instead of Epic's .rs format. The platform normalises both automatically, tested against Cerner's Code Console sandbox.
Yes. JamBridge receives HL7v2 MLLP feeds natively on seven ports - ADT, ORU, ORM, OML, MDM, RDE, SIU. It transforms to FHIR R4/R5, enriches with patient identity from AJ MPI, and routes to your HAPI FHIR server. No separate integration engine needed.
Yes. AJ MPI provides probabilistic patient matching with golden record management across all connected facilities. IHE PDQm and PIXm conformant. Every HL7v2 message processed by JamBridge is enriched with a golden patient ID before the FHIR write, so the same patient appears as one record regardless of which facility they attended.
AJ FHIR is the open source foundation - Apache 2.0, free to use, community maintained. The AJ prefix (Akriti Jamwal) marks all OSS components. Jam is the commercial product line built on top - JamBridge, JamConnect, JamGuard, JamCare, JamCloud. The Jam prefix marks everything commercial. You can use AJ FHIR components without any Jam product, or deploy Jam products knowing the infrastructure underneath is open and auditable.
JamBridge is licensed annually per hospital connection. Each connected facility (hospital or clinic sending HL7v2 feeds) counts as one connection. Volume discounts apply for national HIE deployments connecting 10 or more facilities. The licence includes the full JamBridge feature set - all 7 message types, admin portal, ATNA audit, and BridgeConfig country-agnostic configuration. Contact us for a quote.
Yes. Every AJ FHIR component - Auth Server, SMART Client, HAPI Plugin, Consent Manager, Immunisation App, Referral Module - is Apache 2.0 licensed and free to use in any environment, commercial or otherwise. Community support via GitHub Issues. Commercial support contracts (Standard, Enterprise, Government) are available if you need SLA guarantees, named engineers, or HIPAA BAA documentation.
No. The IdP federation layer connects directly to your Azure AD tenant via OAuth2 / OpenID Connect. Clinicians use their existing hospital credentials. No new password store, no directory sync.
No. The HAPI FHIR Plugin is a drop-in JAR. Add it to your classpath, configure two properties. Your data and configuration are untouched.
Yes. HIPAA BAA is available for Standard, Enterprise, and Government support customers. We have standard BAA templates ready.
Single-facility with Azure AD and Epic (SMART only): 3-6 weeks. Multi-facility with HL7v2 gateway and MPI: 6-12 weeks. Full national HIE deployment: 3-6 months. We provide a detailed project plan after the initial assessment call.
Get in touch

Talk to us about your requirements

Tell us your EHR, your identity provider, and your compliance deadline. We respond within 24 hours with a specific recommendation.

Email us directly
support@akhester.com Responds within 24 hours / Mon-Fri
Schedule a call
Schedule 30 minutes ->
Free / No commitment
Useful to include:
Your HIS / Number of facilities / Compliance requirements / Existing FHIR server?
Send us a message

Responds within 24 hours / Mon-Fri

Open source. Enterprise supported.

Start with one component.
Build the rest as you grow.

Apache 2.0 core. 14+ independently deployable products. Commercial support from the team that built it.

Get in touch -> Explore the docs ->