FhirSync

Automated bidirectional sync for FHIR and legacy EHR data.

Score: 7.8/10BrazilMedium BuildReady to Spawn
Brand Colors

The Opportunity

Problem

Enterprise healthtech teams face frustration from poor FHIR interoperability between legacy EHR systems and new SaaS platforms, creating data silos that delay patient care.

Solution

FhirSync monitors legacy EHR changes via polling/webhooks and keeps new SaaS platforms in sync via FHIR APIs, handling conflicts and retries. Enterprise teams set up sync jobs in a dashboard, with scheduling and delta detection out-of-the-box. This breaks data silos without ETL engineers.

Target Audience

Enterprise healthtech teams integrating legacy EHR systems with new SaaS platforms

Differentiator

Delta-only syncs with conflict resolution rules, supporting 99.9% uptime SLAs at micro-SaaS prices.

Brand Voice

professional

Features

Sync Job Creator

must-have25h

Configure source/dest, polling intervals, filters.

Delta Detection

must-have22h

Only sync changes using timestamps/hashes.

Bidirectional Sync

must-have20h

Push changes both ways with merge rules.

Dashboard Monitoring

must-have15h

Real-time sync status, errors, throughput.

Webhook Support

must-have18h

Instant triggers from EHR webhooks.

Custom Conflict Rules

nice-to-have12h

IF/THEN for data merges.

Scheduled Reports

nice-to-have10h

Daily/weekly sync summaries.

Audit Trails

future15h

Full change history.

Total Build Time: 137 hours

Database Schema

organizations

ColumnTypeNullable
iduuidNo
nametextNo
created_attimestampNo

sync_jobs

ColumnTypeNullable
iduuidNo
org_iduuidNo
nametextNo
source_configtextNo
statustextNo

Relationships:

  • org_id references organizations(id)

sync_runs

ColumnTypeNullable
iduuidNo
job_iduuidNo
records_syncedintNo
errorstextYes
run_attimestampNo

Relationships:

  • job_id references sync_jobs(id)

API Endpoints

POST
/api/syncs

Create sync job

🔒 Auth Required
GET
/api/syncs/:id/runs

Get run history

🔒 Auth Required
POST
/api/syncs/:id/trigger

Manual run

🔒 Auth Required
PUT
/api/syncs/:id

Update config

🔒 Auth Required
POST
/api/webhook/:job_id

EHR webhook handler

Tech Stack

Frontend
Next.js 14 + Tailwind + shadcn
Backend
Supabase Edge Functions + Next.js cron
Database
Supabase Postgres
Auth
Supabase Auth
Payments
Stripe
Hosting
Vercel
Additional Tools
BullMQ for jobsFHIR client

Build Timeline

Week 1: Auth & dashboard

20h
  • User flows
  • Job list UI

Week 2: Sync engine

30h
  • Polling logic
  • Delta detect

Week 3: Bidirectional

28h
  • Push logic
  • Conflicts

Week 4: Webhooks & monitor

25h
  • Webhook endpoint
  • Runs UI

Week 5: Payments & reports

20h
  • Stripe
  • Schedules
Total Timeline: 5 weeks • 143 hours

Pricing Tiers

Free

$0/mo

Polling only

  • 1 sync
  • 1k records/mo

Pro

$30/mo
  • 5 syncs
  • 50k records/mo
  • Webhooks

Enterprise

$149/mo

High volume

  • Unlimited, Custom rules, SLA

Revenue Projections

MonthUsersConversionMRRARR
Month 1254%$30$360
Month 61807%$378$4,536

Unit Economics

$90
CAC
$1000
LTV
5%
Churn
88%
Margin
LTV:CAC Ratio: 11.1xExcellent!

Landing Page Copy

Sync FHIR with Legacy EHRs Automatically

Bidirectional, delta-sync keeps data fresh without silos or engineers.

Feature Highlights

Delta changes only
Webhook instant
Conflict resolution
Uptime dashboard

Social Proof (Placeholders)

"'Data always fresh' – Clinic Ops"
"'Reliable at scale' – Platform Team"

First Three Customers

Target via Hacker News healthtech, offer free Enterprise trial to 3 teams from HIMSS attendee lists, partner with SaaS health platforms for referrals.

Launch Channels

Product Huntr/healthITHacker NewsSaaS Growth

SEO Keywords

FHIR sync toolEHR FHIR synchronizationbidirectional FHIR syncautomated EHR data sync

Competitive Analysis

InterSystems

intersystems.com
Enterprise custom
Strength

Robust

Weakness

Heavyweight, costly

Our Advantage

Lightweight, self-serve

🏰 Moat Strategy

Sync history data improves over time; integrations lock-in.

⏰ Why Now?

USCDI v3 requires real-time data sharing starting 2024.

Risks & Mitigation

financialmedium severity

High compute for large syncs

Mitigation

Tiered pricing, optimize deltas

legalhigh severity

Data privacy in transit

Mitigation

Encrypt all, BAA

Validation Roadmap

pre-build7 days

Sync demo with dummy EHR

Success: 3 team validations

launch21 days

50 sync runs

Success: 95% success rate

Pivot Options

  • General ETL for APIs
  • Data monitoring service

Quick Stats

Build Time
143h
Target MRR (6 mo)
$4,500
Market Size
$400.0M
Features
8
Database Tables
3
API Endpoints
5