Interoperable healthcare ecosystems through middleware integration: Enabling connected care with cloud-native architecture and integration standards

Avireneni, Ravi Teja (2025) Interoperable healthcare ecosystems through middleware integration: Enabling connected care with cloud-native architecture and integration standards. World Journal of Advanced Engineering Technology and Sciences, 15 (2). pp. 3000-3008. ISSN 2582-8266

Healthcare organizations today face significant challenges in achieving interoperability across diverse clinical and administrative systems. This article demonstrates the transformative role of enterprise middleware architecture in creating unified healthcare ecosystems that facilitate seamless data exchange. By leveraging Cloud Fusion technologies alongside established standards like HL7 and emerging protocols such as FHIR, healthcare providers can implement a cohesive integration strategy that transcends traditional siloed approaches. The middleware layer serves as an intelligent mediator, enabling service orchestration, API management, and event-driven communication patterns essential for connected care delivery. Through strategic implementation of these integration technologies, healthcare organizations can reduce technical debt, improve clinical decision-making, enhance patient experiences, and adapt more readily to evolving regulatory requirements while maintaining data integrity across previously disconnected systems.