CPHIMS-Aligned Architecture for Integrated Specialty Pharmacy Data

Author(s)	Selvakumar Kalyanasundaram
Country	United States
Abstract	Specialty pharmacy operations generate complex, high-velocity data spanning prescribing, prior authorization, dispensing, clinical monitoring, and outcomes reporting. Fragmentation across electronic health records (EHRs), pharmacy benefit managers (PBMs), specialty hubs, and payer systems limits interoperability, analytics, and care coordination. This paper presents a CPHIMS-aligned reference architecture for integrated specialty pharmacy data management, grounded in healthcare information governance, interoperability standards, analytics enablement, and security best practices. The proposed architecture integrates FHIR-based clinical exchange, claims and fulfillment pipelines, semantic harmonization, and analytics layers to support real-time decision-making, regulatory compliance, and value-based specialty care. A use-case–driven evaluation demonstrates improvements in data timeliness, traceability, and clinical insight generation.
Keywords	Specialty Pharmacy, CPHIMS, Healthcare Architecture, Interoperability, FHIR, Data Governance, Analytics.
Field	Engineering
Published In	Volume 8, Issue 1, January-February 2026
Published On	2026-02-03
DOI	https://doi.org/10.36948/ijfmr.2026.v08i01.70408

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