How does Laravel handle FHIR and HL7 integration?

Laravel applications integrate cleanly with FHIR and HL7 healthcare data standards through dedicated packages and custom integration layers. We use packages like webklex/php-fhir for FHIR R4 resource handling, custom HL7 v2.x message parsers for legacy interfaces, and bidirectional sync layers that translate between FHIR JSON, HL7 messages, and the internal Laravel domain model. Integration touchpoints include EHR systems (Epic, Cerner, athenahealth), laboratory information systems (LIS), pharmacy benefit managers, claims processors, and prescription drug monitoring programmes. The integration architecture is agreed during discovery before any code is written.