Elysium Exchange is a sophisticated suite of applications that clinically connects all health care providers and organizations in a medical trading area, region or state. Elysium applications layer seamlessly into the Framework enabling interoperability between disparate systems. Axolotl's solutions are offered as a service (SaaS), providing customers with an affordable, secure HIE solution that is easily implemented and maintained. Existing and new critical applications easily connect to an HIE via exposed web services offered through Elysium Open Access - Axolotl's service-oriented architecture (SOA), bringing speed to value while simplifying implementation and reducing associated costs.