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Wearable Integrations

Healthcare wearable integration specialists

Wearable Device Integration Services for Connected Healthcare

We connect smartwatches, rings, CGMs and connected medical devices to the systems your clinicians and products depend on: RPM platforms, patient apps, FHIR servers and EHRs. Each project starts by checking what every platform actually exposes and what approvals it needs.

Discuss Your Integration Project Explore supported platforms
  • Wearable API and SDK integration
  • Remote patient monitoring data
  • HL7 FHIR and EHR delivery
  • HIPAA-aligned security controls
Platforms we coverApple HealthKitGoogle Health ConnectFitbitGarmin HealthOura RingSamsung HealthWithingsPolarCGMBluetooth Devices

Services

Wearable Device Integration Services

End-to-end work on wearable health data integration: from vendor access and data collection to normalization, security and delivery into clinical systems.
All services

Wearable Device Integration

Design and build of the pipelines that move wearable health data from devices and vendor platforms into your apps, care workflows and EHR.

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Healthcare Wearables

Integrating wearable health data into hospital and care-team workflows with attention to consent, data quality, clinical review and EHR delivery.

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Wearable API Integration

Server-side integration with wearable vendor APIs, covering OAuth, webhooks, rate limits, backfill and a normalized data model across vendors.

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RPM Integration

Connecting RPM devices, vendor clouds and gateways to clinician dashboards and EHRs, with the data capture billing and clinical teams depend on.

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Smartwatch Data

Reading heart rate, HRV, SpO2, ECG, sleep and activity data from Apple Watch, Wear OS, Galaxy Watch, Garmin and Fitbit into your health platform.

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Medical Devices

Connecting blood pressure monitors, pulse oximeters, scales, glucometers, CGMs and ECG patches to your platform over BLE, gateways and vendor clouds.

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IoT Healthcare

Gateways, device identity, MQTT and HTTPS ingestion, and cloud pipelines for healthcare device fleets running at scale.

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EHR Integration

Getting wearable and home device data into the EHR through FHIR, SMART on FHIR, HL7 v2 or vendor APIs, without flooding clinicians.

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FHIR Integration

Modeling wearable and home device data as FHIR R4 Observations with correct LOINC codes, UCUM units, device references and provenance.

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HIPAA-Aligned Integration

Wearable data pipelines designed to support HIPAA Security Rule requirements, with compliance resting on your own program and agreements.

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Devices & platforms

Supported Wearable Devices and Platforms

Integration paths differ sharply: some platforms are on-device only, some are cloud APIs, and some need partner approval or a commercial agreement. Each guide below spells out methods, data types, authorization and known limits. We do not hold official partnerships with these vendors.

Apple HealthKit

On-device · iOS app

User permission per data type; App Store review

Integration guide

Google Health Connect

On-device · Android app

Play Console health permissions declaration

Integration guide

Fitbit API

Cloud API · OAuth 2.0

Intraday data requires Fitbit approval

Integration guide

Garmin Health API

Cloud API · push/pull

Approved business developers only

Integration guide

Oura Ring API

Cloud API · OAuth 2.0

Data can depend on member status

Integration guide

Samsung Health

Android SDK / Health Connect

Partner approval for SDK distribution

Integration guide

Withings API

Cloud API · webhooks

Clinical services by commercial agreement

Integration guide

Polar API

Cloud API · BLE SDK

AccessLink client registration

Integration guide

CGM Integration

Vendor APIs · partnerships

Production access typically gated

Integration guide

Bluetooth Devices

BLE GATT · gateways

Proprietary protocols need vendor docs

Integration guide

APIs & SDKs

Healthcare Wearable API Integration

Most failures in wearable API integration happen after launch: expired tokens, missed webhooks, silent rate limiting, or a vendor deprecating an endpoint. We build connectors with those failure modes in mind.

Consent and OAuth 2.0

Per-user authorization, scope minimization, encrypted token storage and refresh handling.

Webhooks and polling

Verified notification receivers, idempotent processing and scheduled backfill.

Mobile SDKs

HealthKit and Health Connect apps with incremental sync and background delivery limits.

Change management

Monitoring for vendor API changes, deprecations and new permission requirements.

Notification handling (simplified)
POST /webhooks/vendor
  → verify signature / subscriber token
  → enqueue { userId, dataType, window }
  → 204 No Content            // acknowledge fast

worker:
  token  = vault.get(userId)   // refresh if expired
  data   = vendor.fetch(window, rateLimiter)
  record = normalize(data)     // UCUM units, UTC + offset
  dedupe(record, sourcePriority)
  store.raw(data); store.normalized(record)
  fhir.upsert(Observation(record))

Step 1

Device assigned to patient

Serial number, enrollment date and program linked to the patient record.

Step 2

Reading transmitted

Via cellular hub, phone app or vendor cloud, with the original device timestamp.

Step 3

Validated and normalized

Units, plausibility ranges, duplicates and late-arriving data handled.

Step 4

Rules evaluated

Thresholds set by your clinicians route exceptions to a review queue.

Step 5

Review documented

Device days and review time recorded so billing can verify eligibility.

Remote patient monitoring

Remote Patient Monitoring Integration

Remote patient monitoring integration is more than moving readings. Care teams need to know which patient a device belongs to, when it last transmitted, and whether a reading is new or a resend.

We integrate cellular and Bluetooth devices, vendor clouds and consumer wearables into your RPM platform, keeping consumer data and FDA-cleared device data clearly separated. CMS billing rules change through annual fee schedule updates, so we capture the timestamps and review records your billing team needs rather than encoding assumptions.

Interoperability

EHR/EMR and FHIR Integration

Getting wearable data into the chart depends on what the EHR and the health system allow. We design EHR wearable integration around summaries and exceptions, and model data as FHIR R4 resources with standard codes so it stays usable beyond one system.

FHIR R4 APIs

Observation, Device and Provenance resources aligned with US Core and vital-signs profiles where write access is supported.

HL7 v2 results interfaces

ORU^R01 messages through the health system's interface engine into flowsheets.

SMART on FHIR apps

In-context review apps launched from the EHR, showing trends without flooding the chart.

Bulk and research exports

FHIR Bulk Data or flat-file exports for analytics and study teams.

Common wearable mappings

LOINC codes and UCUM units used in FHIR Observations

Wearable measurements mapped to LOINC codes and UCUM units
MeasurementLOINCUnit
Heart rate8867-4/min
Oxygen saturation (pulse ox)59408-5%
Blood pressure panel85354-9mm[Hg]
Body weight29463-7kg
Body temperature8310-5Cel
Respiratory rate9279-1/min

Architecture

Wearable Data Integration Architecture

A layered design keeps vendor-specific code at the edges, preserves raw data for reprocessing, and gives every value a traceable origin.
  1. 01

    Devices

    • Smartwatches and rings
    • CGMs
    • BP cuffs, scales, oximeters
    • Research-grade sensors
  2. 02

    Collection

    • HealthKit / Health Connect apps
    • Vendor cloud APIs
    • BLE mobile SDKs
    • Cellular gateways
  3. 03

    Integration layer

    • Consent and token vault
    • Webhook receivers and pollers
    • Normalization and validation
    • De-duplication and provenance
  4. 04

    Clinical data layer

    • FHIR R4 resources
    • Raw and normalized stores
    • Audit logs
    • Rules and summaries
  5. 05

    Destinations

    • EHR / EMR
    • RPM and care-management tools
    • Patient apps
    • Analytics and research

Technical expertise

Use cases

Healthcare Wearable Integration Use Cases

Where integrated wearable and device data is put to work, and what each use case needs from the integration.
All use cases

Remote Patient Monitoring

Bring readings from home devices into a clinical review workflow with clear provenance and timestamps.

Chronic Disease Management

Longitudinal trends for hypertension, heart failure, COPD and other conditions managed between visits.

Cardiac Monitoring

Heart rate, HRV, ECG recordings and rhythm notifications from consumer and medical-grade devices.

Diabetes Management

CGM and glucometer data merged with activity, sleep and meals for care teams and coaching programs.

Fitness and Wellness Applications

Multi-brand activity, workout and recovery data for wellness, coaching and employer health programs.

Sleep Monitoring

Sleep sessions, stages and overnight physiology from rings, watches and under-mattress sensors.

Elderly Care Monitoring

Low-friction home monitoring for older adults, with gateways that do not depend on a smartphone.

Post-Discharge Patient Monitoring

Time-boxed monitoring after discharge, enrolled from the EHR and reported back to the care team.

Clinical Research and Wearable Data Collection

Participant-level wearable data collection with audit trails for decentralized and hybrid studies.

Security & privacy

Security, Privacy, and HIPAA Considerations

No software product or vendor is "HIPAA certified". Compliance comes from your organization's risk analysis, policies and agreements. We build the technical safeguards that support it and document them for your security review.

Read more on HIPAA-aligned wearable integration.

When wearable data becomes PHI

Data on a consumer's own device or app is generally outside HIPAA. Once a covered entity or business associate receives it, it is PHI and must be protected accordingly.

Encryption and transmission security

TLS 1.2 or higher in transit, encryption at rest with managed keys, and encrypted storage for OAuth tokens and device credentials.

Access control and audit trails

Role-based access with least privilege, unique user identities, and audit logs for who viewed or changed patient data.

Minimum necessary data

Request only the scopes and data types your use case needs, and define retention and deletion rules before collection starts.

Business Associate Agreements

Cloud providers and subprocessors that touch PHI need BAAs. Not every service offered by a cloud vendor is covered, so we check service eligibility.

Outside HIPAA, still regulated

Direct-to-consumer health apps may fall under the FTC Health Breach Notification Rule and state health privacy laws.

How we work

Our Wearable Integration Process

Six stages, each ending in something you can review. Vendor approvals often set the critical path, so we start them early.
  1. 01

    Discovery and feasibility

    We confirm which devices your patients use, what data each platform actually exposes, which approvals or agreements are needed, and where the data must end up.

    Output: Feasibility notes per platform, access requirements, open risks

  2. 02

    Architecture and data model

    We design the consent model, token handling, ingestion path, normalized schema and FHIR mappings, and agree on how clinicians will see the data.

    Output: Architecture document, data dictionary, LOINC/UCUM mapping

  3. 03

    Vendor access and security review

    We prepare developer program applications, store submissions and health-system security questionnaires alongside your team, and set up environments under your cloud BAA.

    Output: Submitted applications, environment setup, security documentation

  4. 04

    Build and integration

    We implement connectors, mobile collection apps or BLE modules, the pipeline, and EHR or RPM delivery in short, demonstrable increments.

    Output: Working connectors in a test environment with sample data

  5. 05

    Validation and testing

    We test against real devices and vendor sandboxes: unit conversions, time zones, missing data, duplicate sources, token expiry and webhook replays.

    Output: Test reports, known-limitations list, clinical sign-off support

  6. 06

    Launch and ongoing support

    We monitor data freshness and connector health after go-live and track vendor API changes and deprecations, which happen regularly in this space.

    Output: Runbooks, monitoring dashboards, change log

FAQ

Frequently Asked Questions

Short answers to the questions we hear most from healthcare product and integration teams.

What does a wearable device integration service include?

Typically: confirming what data each device platform exposes, obtaining developer access, building the connectors (cloud APIs, mobile SDKs or Bluetooth), normalizing the data into one model, and delivering it to your EHR, RPM platform or analytics environment. Ongoing monitoring matters too, because vendor APIs change.

Can you integrate Apple Watch data without an iPhone app?

No. Apple Health data is stored on the user's iPhone and there is no Apple-hosted cloud API. Integration requires an iOS app that requests HealthKit permission and syncs the data your use case needs to your backend.

Do wearable platforms provide unrestricted API access?

No. Most platforms require user consent per data type, and many require a developer application, app review or commercial agreement. Garmin's Health API is limited to approved business developers, Fitbit intraday data needs approval for most app types, and CGM vendors typically gate production access. We confirm requirements against current vendor terms at the start of every project.

Can wearable data be written into Epic, Oracle Health or other EHRs?

Often, but the method depends on the EHR, the health system's configuration and what its integration team will approve. Options include FHIR APIs, HL7 v2 results interfaces and SMART on FHIR apps. Most programs send summaries or flagged readings to the chart rather than every sample.

Is consumer wearable data accurate enough for clinical use?

It depends on the metric, the device and the intended use. Consumer devices are useful for trends and engagement, but clinical decisions generally call for validated or FDA-cleared devices. We label data provenance clearly so your clinical team can decide how each source should be used.

Are your integrations HIPAA compliant?

HIPAA compliance belongs to an organization's whole program, not to a piece of software. We build with HIPAA-aligned technical safeguards and can work under a Business Associate Agreement, but your risk analysis, policies and vendor agreements determine compliance.

How long does a wearable integration project take?

It depends mostly on vendor approvals, the number of platforms and the EHR path. A single cloud API connector into an existing backend is a much smaller project than a multi-device RPM program with EHR write-back. We give a scoped estimate after discovery rather than a generic number.

Contact

Discuss Your Integration Project

Tell us what devices you need to support and where the data has to go. We reply with questions, feasibility notes and suggested next steps.

Device integration inquiry

Need to know whether a specific device or platform can be integrated? Select it in the form and describe your use case. We check current vendor documentation and access requirements before answering.

Already have requirements?

Use the detailed integration requirements form to share platforms, data types, destination systems and timelines in one go.

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