There’s an infinite amount of medical data recorded across different healthcare organizations. It’s like a gold mine scattered in different caves under impenetrable rock. 

Accessing and using this data is an enormous effort. You may have figured out how to extract data from one cave, but your efforts and methods are no help in excavating others. This is the problem with medical data today. Transferring and making sense of data is a colossal project. Integrating new apps or technologies is a never-ending effort. Reviewing a patient’s entire medical record is nearly impossible. It’s overwhelming. Daunting. Disheartening. But it doesn’t have to be that way. 

HL7’s Fast Healthcare Interoperability Resources (FHIR®) standard provides a clear solution. With smart practices and strategic thinking, healthcare organizations can implement data-driven methodology that will save time, effort, and ensure better sharing and access of healthcare data. Implementing interoperability will revolutionize healthcare and make it personalized, proactive, value-based  and patient-centric. 

Today, many countries are starting to regulate FHIR compliance. It’s imperative for organizations to implement this practice. Not only for compliance, but to unlock the true value it brings. Outburn is Israel’s pioneer of FHIR implementation. We help organizations, start-ups, and healthcare providers successfully adopt FHIR and ignite their data sharing. 

An Interview with Our Founders

How did you come up with the idea for Outburn?


Both of us have been working in information technology in the healthcare sector. We worked together and separately to implement different systems and extensions to EMRs. Designing these projects included analyzing potential risks. There were two risks that we constantly identified, and they always came to fruition: interfaces implementation and integration usually didn’t meet the deadlines, and the quality of the transferred data was low. Why did this keep happening? Bridging the gap between data structures and the semantics of different systems that needed to connect proved challenging, despite the focus on resources devoted to it. Every new project and integration required starting from scratch.
Recently organizations began realizing the importance of data to improve and accelerate medical care. The need for data became more urgent when the COVID-19 pandemic began. And thus, a digital transformation truly began throughout the healthcare ecosystem.


The Fast Healthcare Interoperability Resources (FHIR) standard is being rapidly implemented around the world. The United States is even mandating compliance by the end of 2022. For companies to keep up, they need a sound FHIR strategy and the right tools to implement it.
This is where we come in. We have in-depth knowledge of health and data organizations in Israel and we are driven to improve ROI and TTM for integration processes using FHIR. We’re motivated and know how to drive change.
We strive to improve health in Israel and pave the way for digital health. To do this, we want to help organizations implement interoperability in a way that is beneficial for them. When the Israeli Ministry of Health set up their FHIR team, we knew it was time to join and even lead the revolution.

Why Outburn? How are you different from other integration or consulting companies?


There are tons of IT service providers specializing in products related to data. Actually, today many companies focus on being data-driven. However, there were not any companies focused on both digital health and interoperability. While there are products that provide integration and data sharing solutions and companies providing healthcare solutions, there were none that provided an overall solution.


Adopting interoperability isn’t just a technological issue. FHIR requires a huge change in several processes, including the way practitioners treat patients, how clinics are run, and how patients are received. To use connected devices, organizations need to adjust their information security policies and their decision-making processes. Organizations must evaluate if they even have the right data infrastructure and ESB solutions to make this paradigm shift possible. A service provider with knowledge and experience can help healthcare organizations evaluate their needs and implement the required changes so that the organization reaps the optimal benefits.
There was no company that could provide this service while understanding the business processes in the Digital Health space. As the Israeli, U.S., and leading European markets adopt FHIR, companies need a strategy for improving and personalizing medical services. They need an innovation accelerator.

What was missing in the market before Outburn?


Outburn is not a typical consulting or implementation company. We have a unique ability to work hands-on with a customer to create business processes that can be implemented across a wide variety of technologies and platforms.
We can provide strategic-level advice on data strategy and interoperability for C-level management, as well as provide technical services such as designing and developing interfaces for ESB platforms and other systems.


We understand the digital health aspects of data and the technological aspects. Most integration and consulting companies specialize in one or the other, but not both. We focus on being a one-stop shop for organizations going through this process.

What are your goals for the next two years?


We’ve been working on developing a unique product that assists healthcare organizations make large-scale data accessible to external parties and therefore enabling population-level interoperability with analytics, machine-federated learning and AI solutions. This will also enable flexibility and simplicity in data preparation efforts for research and clinical trials. We are also working to help startups access data and create integrations with the click of a button. We want to ensure our solution is tailored to each organization’s needs while ensuring FHIR compatibility and interoperability. Our goal is to be ready to go to market by the end of 2022.
We can provide strategic-level advice on data strategy and interoperability for C-level management, as well as provide technical services such as designing and developing interfaces for ESB platforms and other systems.


Our second goal is to expand globally and provide our design, implementation, and consulting services in the field of medical data interoperability and FHIR adoption. We believe our unique knowledge in managing EMR and ADT data in Israel, a country with almost 30 years of digital clinical data of the entire population gives us a unique advantage that can be leveraged anywhere else. In addition, we plan to offer our large-scale FHIR data add-on to global research institutes.

Why are you so passionate about this topic?


We believe that we can truly make a difference and help transform healthcare. 
We believe that the path to interoperability is grounded in large scale co-opetition, where different parties that are usually in competition collaborate in the efforts to advance and mature FHIR®. We chose Outburn as our name since it means “to burn longer or brighter than the others” and conveys our vision of different organizations racing to implement FHIR (pronounced “fire”) as broadly and deeply as possible while paving the way for others to do the same. The name also conveys our mission to clear the fog that has settled over legacy systems and help organizations get a clear view of the outside world. This will improve their capacity tenfold. Once they see the benefits, their capabilities will spread like fire.


Organizations will see that it is possible to adopt solutions to provide more personalized and better healthcare, such as dedicated solutions for oncology and gastroenterology. Patient information will be accessible, allowing providers to make predictions and refine treatment. For example, providers can measure drug adherence via IoT devices.
Interoperability is a game-changer for medical data and we believe we can lead this revolution.

Sounds like you have a lot of work! What do you do when you need a break?


Before COVID, I used to work all day and live at night. I enjoyed nightlife and festivals as an attendee, a producer, and a DJ. Since COVID, I spend a lot of time with my partner and our two dogs at the dog park.


I enjoy writing, even if it is for my eyes only. I feel like I have cracked the code for a work/life balance. I continuously focus on my career while raising three kids who get the full attention they deserve.

The Team

Daniel’s background is in data management. He’s worked in data architecture, terminology, integration, ETL, and BI. He intricately understands all the data elements of EHR and the related technologies (AS400 / SAP / EMR / ADT / BI). He’s designed and implemented thousands of interfaces between systems and organizations in the healthcare ecosystem. He was the first person in Israel’s healthcare industry to study and understand FHIR in 2018.

Daniel Mechanik
Meirav Malkin

Meirav’s background is in project management and solution design for implementing work processes and integrations in healthcare organizations. She previously managed EMR software for Israeli hospitals and is an expert in telemedicine and remote medical solutions. She also served as the CIO of NTA, the Metropolitan Mass Transit System for Central Israel.

All our team members have rich backgrounds in integration processes and have worked in organizations with data-intensive systems. Many employees and service providers also come from the healthcare sector. We carefully select each employee to make sure they are ready to take part in the revolution and lead change. We specialize in both technological and human integrations. For our customers to implement new processes on a journey to the unknown, they need a partner they can rely on.

Our Culture

Sharing Is Caring​

The more people know about FHIR, the more medical care will improve. We share our knowledge with the FHIR community in Israel and globally in hopes that if everyone contributes, everyone will benefit.

We Serve Everyone

Our staff has diverse abilities to help all levels of an organization. Whether managers, project managers, practitioners, and even patients, we make sure we understand everyone before we start a project.

Enriching Capabilities

Every employee can add value beyond their stated skills set. We strive to involve all employees in all activities to both enrich them and create true synergies in our capabilities.


We work with customers for the long haul. That’s why it is important for us to establish personal relationships. We aren’t just robots coming to do a job.

Equal Opportunities

Outburn advocates for equal opportunity. We welcome employees and suppliers of all races, ages, religions, genders, and with disabilities or difficulties.


We’re always on the lookout for talented people to join our team.
We recruit talent and potential with a smile and good will.
There are always flexible positions at Outburn.
If you think you fit the bill, you are welcome to contact us  for open positions.