Clinical Architecture
Clinical Architecture is a privately held healthcare IT company that provides vendor-neutral terminology management, semantic interoperability, and patient data quality software to health systems, payers, government agencies, and HIEs, including four of the top five US health systems.
- Company typePrivate
- Founded2007
- HeadquartersCarmel, United States
- Headcount101–250
- GTM typeB2B
- OfferingSoftware
What Clinical Architecture does
Clinical Architecture is a privately held healthcare information technology company founded in 2007 and headquartered in Carmel, Indiana. The company builds vendor-neutral data quality and terminology management software for healthcare enterprises, with core products including Symedical (terminology management and semantic interoperability), Pivot (data transformation, normalization, and validation), and PIQXL Gateway (patient data quality scoring built on the open-source PIQI Framework). Its technology stack supports US and international healthcare terminologies (SNOMED, LOINC, ICD, RxNorm, HL7 standards) and serves health systems, payers, government agencies, HIEs, life sciences companies, and EHR vendors — including four of the top five US health systems, the CDC, the Defense Health Agency, and the Joint Commission.
The company operates an enterprise SaaS model with quote-based annual licensing, complemented by professional services for implementation, terminology mapping, and content development. Distribution occurs through direct enterprise field sales as well as marketplace listings on CommonWell Health Alliance, AWS Marketplace (via Amazon HealthLake partnership), and Epic Showroom. The company maintains a UK office in Okehampton, Devon to serve international customers. It has approximately 101-250 employees and a leadership team of around 26 senior executives with deep healthcare informatics backgrounds, including the HL7 Board Chair-Elect and AMIA Fellows.
Clinical Architecture is founder-led by CEO Charlie Harp, creator of the PIQI Framework and Co-Chair of the PIQI Alliance. The company emphasizes thought leadership through the Informonster Podcast, annual Healthcare Data Quality Reports, and presence at HIMSS, ViVE, HLTH, and AMIA conferences. No external funding rounds are documented in available sources, and revenue is not publicly disclosed. The company holds HIMSS Certified Education Partner status at the Platinum level and displays HIPAA Compliance Verification.
Clinical Architecture firmographics
Firmographics- Name
- Clinical Architecture
- Legal name
- Clinical Architecture, LLC
- Website
- https://clinicalarchitecture.com
- Company type
- Private
- Founded year
- 2007
- Operating status
- Operating
- Headcount range
- 101–250 employees
- Short description
- Clinical Architecture is a privately held healthcare IT company that provides vendor-neutral terminology management, semantic interoperability, and patient data quality software to health systems, payers, government agencies, and HIEs, including four of the top five US health systems.
- Ownership category
- akta.pro rank
Clinical Architecture industry classification
Industry- Product category
- Healthcare Data Quality Software
- NAICS
- Software Publishers (5132), Computer Systems Design and Related Services (5415), Computer Systems Design Services (541512), Custom Computer Programming Services (541511)
- SIC
- Services-Prepackaged Software (7372), Services-Computer Integrated Systems Design (7373), Services-Computer Programming, Data Processing, Etc. (7370), Services-Health Services (8000)
- akta.pro primary industry
- Healthcare Terminology, Ontology & Code Set Management (SNOMED/LOINC/ICD/RxNorm) (HLACAIAF)
- akta.pro secondary industry
- Terminology Services & Semantic Interoperability (SNOMED/LOINC/RxNorm mapping) (HLACABAJ)
Keywords
Where Clinical Architecture is headquartered
LocationHeadquarters
- HQ city
- Carmel
- HQ country
- United States
- HQ region
- North America
Offices2 records
Markets served
Clinical Architecture business model
Business model- GTM type
- B2B
- Offering type
- Software
- Cost components
- Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure
Revenue model
- Software Licenses (Symedical, Pivot, PIQXL Gateway): Enterprise software licensing model providing access to terminology management, data quality, and interoperability solutions. Delivered as cloud-based applications with enterprise configurations tailored to client needs.
- Professional Services: Implementation acceleration, terminology mapping services, content development, and data harmonization outsourcing. Complements software licensing with consulting and support services.
- Education & Training: Clinical Architecture University offers training curricula including flexible training options, in-person and virtual sessions led by product experts, basic and advanced classes, and role-based training paths.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Annual | Enterprise software licensing with customized configurations |
Go-to-market motion1 record
Distribution channels4 records
Marketing channels11 records
Clinical Architecture product offering
Product offeringCore offering
Clinical Architecture develops and licenses a cloud-based healthcare data quality and terminology management platform that enables health systems, payers, government agencies, and HIEs to normalize clinical data, achieve semantic interoperability, and measure patient information quality. Core offerings include Symedical (terminology management and semantic interoperability), Pivot (message format transformation and terminology normalization), and PIQXL Gateway (patient data quality scoring built on the PIQI Framework), supported by Clinical Content subscriptions and Professional Services.
Product overview
Clinical Architecture offers a unified healthcare data quality and interoperability platform consisting of core products Symedical (terminology management and semantic normalization), Pivot (data transformation and validation), and PIQXL Gateway (patient data quality scoring). Supporting offerings include Clinical Content (curated terminology assets) and Professional Services (implementation and data quality outsourcing). The portfolio is anchored by the open-source PIQI Framework for measuring patient information quality. Symedical serves as the central terminology management platform, while Pivot handles format and content transformation, and PIQXL Gateway measures data quality at rest or in flight. These products work together to help healthcare organizations achieve semantic interoperability, data normalization, and improved data quality across their enterprise.
Differentiator
Problem solved
Functional benefit
Brands
- Symedical®: Comprehensive terminology management, enterprise semantic interoperability, and normalization solution.
- Pivot™
- PIQXL Gateway™
- Clinical Content
- Clinical Architecture University
- Informonster Podcast
Products and services
- Symedical Comprehensive terminology management, enterprise semantic interoperability, and normalization platform that serves as a single source of truth for enterprise clinical data. Automates semantic normalization, aggregates clinical data, and enriches data to make it meaningful and actionable for health systems, payers, government, and life sciences organizations.
- Pivot Terminology normalization, message format transformation, and data quality validation delivered in a single application. Orchestrates format harmonization, content (vocabulary) normalization, de-duplication, and data quality validation across inbound and outbound healthcare messages.
- PIQXL Gateway Patient data quality measurement tool that scores the quality of patient information in flight or at rest using the PIQI Framework. Evaluates patient messages across accuracy, completeness, conformity, and plausibility on a 1-100 scale, identifies where data quality breaks down, and provides actionable insights to healthcare organizations.
- Clinical Content Subscription-based access to thousands of curated content assets managed by clinicians and terminology experts, including clinically-curated value sets, terminology standards, and reference maps. Content portal provides automatic updates as standards organizations release new terms.
- Professional Services Data experts who accelerate implementation, streamline data on-boarding and migration, supplement internal resources, or assume complete outsourcing of data quality services. Scope includes implementation acceleration, terminology normalization services, and content development for healthcare organizations.
Quantifiable outcome
- 95-98% quality scores for discharge location data
- +3 more outcomes
Companies that use Clinical Architecture
Customer profileNamed customers14 records
Segments9 records
Ideal customer profiles5 records
Clinical Architecture technology and API
TechnologyTechnology focussed Yes
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration2 records
Feature5 records
Clinical Architecture partnerships and signals
Strategic signalPartnerships
Nine partnerships are on record, tiered core, strategic and minor.
- CommonWell Health AlliancecoreClinical Architecture was selected as the first participant in the CommonWell Marketplace and offers its Pivot software for improved data usability. The partnership integrates with the CommonWell Network to support data normalization and CCDA-to-FHIR conversion, advancing nationwide interoperability.
- AWS (Amazon Web Services)coreSelected as an Amazon HealthLake Partner. Clinical Architecture's Pivot solution is listed in AWS Marketplace for HIPAA-eligible health data storage, transformation, and analysis, enabling hospital systems, health insurers, and life sciences organizations to leverage their data.
- Epic ShowroomcoreAdaptybl, powered by Symedical, delivers advanced automation for enterprise terminology mapping and consolidation to common reference terms. Available through Epic's Connection Hub for seamless EHR integration.
- 4medicastrategicStrategic partnership to offer an innovative harmonized longitudinal whole-person care record solution. Combines Clinical Architecture's data quality solutions with 4medica's health and community care information exchange platform.
- Velox Health MetadatastrategicCollaboration bringing together Velox's data acquisition platform and Clinical Architecture's Pivot solution with PIQXL Gateway based on PIQI framework principles. Helps health plans navigate clinical data complexity and ensure they can measure data usability.
- Ready ComputingminorConnects healthcare and government organizations through secure and reliable data exchange, offering expert services for system integration, data management, cloud operations, and cross-team coordination.
- CHIME FoundationstrategicClinical Architecture joined CHIME Foundation to collaborate with top healthcare IT leaders on improving usability and management of patient data through the College of Healthcare Information Management Executives network.
- PIQI AlliancecoreClinical Architecture co-chairs the PIQI Alliance with CEO Charlie Harp serving as Co-Chair. The Alliance leads a community of healthcare leaders shaping the Patient Information Quality Improvement framework as an emerging standard.
- HL7 InternationalcoreClinical Architecture maintains active participation in HL7 with EVP Carol Macumber serving as Chair of the HL7 Board of Directors. PIQI framework is nearing completion of HL7 balloting process.
Scale indicators4 records
Recent moves6 records
Expansion highlights6 records
Clinical Architecture competitors and assessment
Company assessmentEmerging players
- Particle Health: Particle Health provides a medical record retrieval and exchange API used by payers, providers, and digital health companies. It overlaps with Clinical Architecture's HIE/data quality positioning as an emerging API-first player serving payer and life sciences customers.
- 1upHealth: 1upHealth operates a FHIR-native clinical data API platform used by payers and providers for interoperability. It is an emerging player focused on FHIR data exchange that intersects with Clinical Architecture's normalization and CCDA-to-FHIR conversion capabilities enabled through the CommonWell Marketplace.
Direct peers
- Apelon: Apelon is a clinical informatics firm delivering terminology tools, content, and consulting for SNOMED, LOINC, ICD, and other code sets. It is both a listed Clinical Architecture integration partner and a direct competitor for terminology services engagements with HIEs, payers, and provider organizations.
- Intelligent Medical Objects (IMO): IMO provides clinical interface terminology, terminology mapping, and data normalization solutions to health systems, payers, and EHR vendors. It is the most direct competitor to Symedical in mapping and standardizing clinical terms, and serves an overlapping hospital customer base.
- Wolters Kluwer Health Language (Health Language / Medi-Span): Health Language is Wolters Kluwer's terminology management and data normalization suite, with deep presence in payer and provider markets. It directly competes with Clinical Architecture's Symedical and Pivot offerings for enterprise terminology mapping and content.
- Rhapsody (Rhapsody Health Solutions / Corepoint Health): Rhapsody provides health data integration engines (Corepoint) and interoperability platforms used by providers, payers, and HIEs. Its integration engine competes with Pivot for format transformation and message normalization workloads in enterprise healthcare environments.
- First Databank (FDB): FDB provides drug and clinical reference terminology, MedKnowledge, and clinical decision support content widely licensed to EHRs. Several Clinical Architecture executives (CRO, CTO, EVP Product) previously held senior roles at FDB, and the two companies compete in clinical content/terminology distribution to provider and EHR customers.
Broad incumbents
- InterSystems: InterSystems provides the HealthShare health information exchange platform and IRIS data fabric used by large health systems and national HIEs. It overlaps with Clinical Architecture's interoperability/data quality positioning as a broader incumbent that bundles terminology normalization with an enterprise data platform.
Market position
Strengths5 records
Weaknesses5 records
Competitive moat6 records
Key risks5 records
Key highlights6 records
Customer concentration
Clinical Architecture social profiles
Digital presenceClinical Architecture compliance and trust
Trust signalCompliance1 record
Clinical Architecture financial estimates
Financial estimateRevenue estimate
Valuation estimate
Clinical Architecture leadership team
Management profileNumber of profiles
Profiles16 records
Clinical Architecture funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Clinical Architecture M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Clinical Architecture
What does Clinical Architecture do?
Clinical Architecture develops and licenses a cloud-based healthcare data quality and terminology management platform that enables health systems, payers, government agencies, and HIEs to normalize clinical data, achieve semantic interoperability, and measure patient information quality. Core offerings include Symedical (terminology management and semantic interoperability), Pivot (message format transformation and terminology normalization), and PIQXL Gateway (patient data quality scoring built on the PIQI Framework), supported by Clinical Content subscriptions and Professional Services.
Is Clinical Architecture a public or private company?
Clinical Architecture is a private company. It is classified as founder individual operated bootstrapped and is currently operating.
When was Clinical Architecture founded?
Clinical Architecture was founded in 2007. It employs 101 to 250 people.
Where is Clinical Architecture based?
Clinical Architecture is headquartered in Carmel, United States, in the North America region.
How does Clinical Architecture make money?
Three revenue lines are on record. Software Licenses (Symedical, Pivot, PIQXL Gateway) is the primary driver. The others are professional Services and education & Training.
Who are Clinical Architecture's main competitors?
Emerging players on record are Particle Health and 1upHealth. Direct peers are Apelon, Intelligent Medical Objects (IMO), Wolters Kluwer Health Language (Health Language / Medi-Span), Rhapsody (Rhapsody Health Solutions / Corepoint Health) and First Databank (FDB). InterSystems is listed as a broad incumbent.
Does Clinical Architecture have an API?
No public API is recorded for Clinical Architecture.
What industry is Clinical Architecture in?
Clinical Architecture's product category is Healthcare Data Quality Software. Its primary akta.pro industry code is HLACAIAF, Healthcare Terminology, Ontology & Code Set Management (SNOMED/LOINC/ICD/RxNorm), with a secondary code of HLACABAJ, Terminology Services & Semantic Interoperability (SNOMED/LOINC/RxNorm mapping). Its NAICS code is 5132 and its SIC code is 7372.