— CASE STUDY

Moving public health data across jurisdictions with less friction

Supporting ReportStream so public health data can move between jurisdictions

theta. delivered FHIR-based services and last-mile integrations that enabled ReportStream to receive, process, and route public health data across organizations with different technical capacities. The work strengthened an adaptable, observable exchange used for COVID-19 reporting and other public health needs.

— CASE STUDY

Moving public health data across jurisdictions with less friction

theta. delivered FHIR-based services and last-mile integrations that enabled ReportStream to receive, process, and route public health data across organizations with different technical capacities. The work strengthened an adaptable, observable exchange used for COVID-19 reporting and other public health needs.

customer

Centers for Disease Control and Prevention (CDC)

Contract Role

Subcontractor

Mission

Public health data exchange

Delivery Focus

Interoperability, last-mile integration, and cloud deliverynt

Capabilities

Build & Integrate | Data & Intelligence | Secure, Test & Release

Mission Context

Public health reporting depends on data moving quickly between laboratories, healthcare organizations, and federal, state, local, tribal, and territorial partners. Those participants operate at very different levels of technical maturity. theta. delivered interoperability and integration capabilities for ReportStream, a cloud-based exchange designed to accept data in varied forms, transform it into usable formats, and route it to the right public health destination.

Why it mattered

During a public health event, every manual conversion and disconnected handoff slows situational awareness.

During a public health event, every manual conversion and disconnected handoff slows situational awareness. The platform needed to serve sophisticated partners and resource-constrained jurisdictions alike while protecting sensitive health data and making the exchange observable to operators.

The Challenge

Connect a public-health ecosystem with uneven technical capacity
1

Many sources and formats

Reporting partners produced data through different systems, standards, and levels of completeness.

2

Uneven technical capacity

Jurisdictions needed integration paths that matched their current infrastructure without excluding them from the exchange.

3

Security and operational visibility

Sensitive health data required protected transport, traceability, and dependable monitoring.

How theta. Delivered

Interoperability built for real-world public health conditions
1

Built standards-based services

theta. developed FHIR-based components that transformed and routed health data through a common exchange model.

2

Closed last-mile gaps

theta. created integrations that connected ReportStream to partners whose local systems could not adopt a single modern interface.

3

Designed for varied maturity

theta. supported multiple onboarding and exchange patterns so organizations could participate without first replacing their technology stack.

4

Made delivery observable

theta. used cloud monitoring, containerization, and collaborative delivery practices to improve operational insight and release confidence.

Outcomes

More partners could participate in one supportable exchange
theta. expanded ReportStream’s ability to connect diverse reporting partners and move public health data through a common, supportable exchange.

Broader interoperability

Standards-based services gave more organizations a workable path into the exchange.

Practical last-mile connectivity

Partner-specific integrations reduced barriers created by older or less flexible local systems.

A more adaptable exchange

Cloud-native delivery and monitoring supported continued response to changing public health reporting needs.

Built for What Comes Next

An exchange designed to grow with public-health needs
The reusable integration patterns make it easier to extend ReportStream to new data types, partners, and public health priorities without rebuilding the exchange for every jurisdiction.

Technical environment

Technology and delivery practices

Microsoft Azure, Java, Kotlin, FHIR, Zenhub, GitHub, Docker, and Azure Monitor

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