
A unified EMR for a multi-site hospital network
Fourteen hospitals, four legacy EMRs, one clinical spine. 4.2M patient records migrated with zero downtime, and clinicians got hours back per shift.
- 1. The challenge
Northline had grown by acquisition. Fourteen hospitals inherited four different EMRs, three billing systems and a patchwork of manual reconciliations between them.
- 2. The approach
We built a FHIR-native clinical platform on Next.js and Postgres (the same technology stack Northline's own team could maintain) with Kubernetes for the deployment envelope and a hardened event bus for the write path.
- 3. The outcome
The whole network runs on one record now. Clinicians see the full patient history in a single view, orders route to the right department without a phone call, and billing closes in hours instead of weeks.
- Patient records migrated
- 4.2M
- Documentation time reclaimed
- 42%
- Downtime during cutover
- 0 min
- Next.js
- TypeScript
- Postgres
- FHIR
- Kubernetes



