Case Study

Fhir Data Ingestion At Scale

Millions of FHIR resources arriving daily — and none of them usable. Until now.

The Situation

A large payer was receiving millions of FHIR resources from contracted providers but couldn’t ingest them meaningfully. Data quality issues were pervasive — duplicates, orphaned resources, incomplete records — and they were blocking both analytics workflows and value-based care reporting.

The consequence wasn’t just inefficiency. Every hour of delayed data access was an hour that care management, quality, and payment teams were operating on an incomplete picture. The data existed. The infrastructure to make it usable didn’t. 

What We Built

Multi-Threaded ETL Pipeline

Built a real-time FHIR ingestion pipeline with automated dependency resolution and deduplication — capable of processing millions of resources without manual intervention or quality degradation.  

Analytics-Ready Gold Model

Transformed raw FHIR data into a structured, analytics-ready gold model with full lineage tracking, access controls, and audit capabilities — so downstream teams could trust what they were working with.  

Real-Time Data Quality Dashboard

Deployed a live data quality dashboard delivering immediate feedback to data providers — closing the loop between ingestion and source correction faster than any batch-based approach could.

80% — Data Quality
Reduction in reliability and quality issues
60hrs — Faster Access
Earlier data availability for analytics teams
$20K+ — Cost Savings
Direct savings in the first quarter of reporting

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Is your FHIR data arriving — but not landing?

Talk to an Onyx expert about building the ingestion infrastructure that turns raw data into something your teams can actually use.