# How Awell connects to other systems
URL: https://docs.awellhealth.com/docs/connect-systems/healthcare-interoperability

> For the complete documentation index, see [llms.txt](https://docs.awellhealth.com/llms.txt).



Health Level Seven (HL7) and Fast Healthcare Interoperability Resources (FHIR) are the international
standards for moving health information between systems, whatever format each system uses internally.
Awell exchanges data in both, through an integration engine that translates at the boundary.

## Awell is not a FHIR server [#awell-is-not-a-fhir-server]

> **Awell does not store resources in HL7 or FHIR format.**

Because Awell resources are converted to those formats on the way out and back, a translation layer
always sits between Awell and anything speaking HL7 or FHIR. Querying Awell directly as if it were a
FHIR server won't work.

## The integration engine does the translating [#the-integration-engine-does-the-translating]

Awell handles interoperability through an integration engine, usually the open-source
[MirthConnect](https://www.nextgen.com/products-and-services/integration-engine).

Mirth is middleware between two health information systems, in this case Awell and the hospital's,
converting between HL7, FHIR, XML and JSON so each end sends and receives in the format it expects.

Awell's team has built dozens of Mirth integrations with electronic medical record (EMR), electronic
health record (EHR), lab and scheduling systems. A Mirth server can sit on the hospital side or the
Awell side.

## Common integrations built on Mirth [#common-integrations-built-on-mirth]

Integrations built so far include:

* Starting, updating or deleting a care flow based on messages from a hospital scheduling system, for
  example HL7 SIU. See
  [Patient creation with SIU messages](/docs/connect-systems/patient-creation-with-siu-messages).
* Pulling patient demographics from a hospital system. See
  [Patient Demographics Query](/docs/connect-systems/patient-demographics-query).
* Sending reports back to the hospital, for example as HL7 ORU messages.

## Next steps [#next-steps]

**Next:** [Ways to connect an EMR](/docs/connect-systems/getting-started-with-integrations) to choose a
mechanism.