A healthcare information exchange system for exchange of healthcare information, the system comprising: an electronic medical record system; a platform interface module, configured to execute on one or more processors; and a dose fulfillment client for fulfillment of a dose order, wherein the platform interface module: receives a healthcare information data stream comprising information related to the dose order, parses dose order metadata for the dose order from the healthcare information data stream, wherein the dose order metadata comprises one or more dose characteristics associated with the dose order, and populates a staging table with the dose order metadata for the dose order, wherein the staging table comprises a plurality of dose order data fields populated with corresponding respective portions of the dose order metadata, and transforms the dose order metadata into a predefined format corresponding to a particular dose fulfillment client to generate transformed dose order metadata, wherein the transforming is at least in part based on the respective predefined input format of the identified dose fulfillment client, and wherein transforming includes mapping the plurality of dose order data fields of the staging table to corresponding respective ones of a plurality of dose fulfillment client input fields, wherein the staging table may be independent of any of the plurality of dose fulfillment clients, wherein the platform interface module is configured to identify the dose fulfillment client from a plurality of dose fulfillment clients for fulfillment of the dose order at least in part based on dose order metadata, such that the particular dose fulfillment client accesses the transformed dose order metadata, to fulfill the dose order based on the transformed dose order metadata. an electronic medical record system; a platform interface module, configured to execute on one or more processors; and a dose fulfillment client for fulfillment of a dose order, wherein the platform interface module: receives a healthcare information data stream comprising information related to the dose order, parses dose order metadata for the dose order from the healthcare information data stream, wherein the dose order metadata comprises one or more dose characteristics associated with the dose order, and populates a staging table with the dose order metadata for the dose order, wherein the staging table comprises a plurality of dose order data fields populated with corresponding respective portions of the dose order metadata, and transforms the dose order metadata into a predefined format corresponding to a particular dose fulfillment client to generate transformed dose order metadata, wherein the transforming is at least in part based on the respective predefined input format of the identified dose fulfillment client, and wherein transforming includes mapping the plurality of dose order data fields of the staging table to corresponding respective ones of a plurality of dose fulfillment client input fields, wherein the staging table may be independent of any of the plurality of dose fulfillment clients, wherein the platform interface module is configured to identify the dose fulfillment client from a plurality of dose fulfillment clients for fulfillment of the dose order at least in part based on dose order metadata, such that the particular dose fulfillment client accesses the transformed dose order metadata, to fulfill the dose order based on the transformed dose order metadata. receives a healthcare information data stream comprising information related to the dose order, parses dose order metadata for the dose order from the healthcare information data stream, wherein the dose order metadata comprises one or more dose characteristics associated with the dose order, and populates a staging table with the dose order metadata for the dose order, wherein the staging table comprises a plurality of dose order data fields populated with corresponding respective portions of the dose order metadata, and transforms the dose order metadata into a predefined format corresponding to a particular dose fulfillment client to generate transformed dose order metadata, wherein the transforming is at least in part based on the respective predefined input format of the identified dose fulfillment client, and wherein transforming includes mapping the plurality of dose order data fields of the staging table to corresponding respective ones of a plurality of dose fulfillment client input fields, wherein the staging table may be independent of any of the plurality of dose fulfillment clients, wherein the platform interface module is configured to identify the dose fulfillment client from a plurality of dose fulfillment clients for fulfillment of the dose order at least in part based on dose order metadata, such that the particular dose fulfillment client accesses the transformed dose order metadata, to fulfill the dose order based on the transformed dose order metadata.