EHR Integration

Connect your app or AI assistant to the EHR — through the front door.

FHIR where the vendor supports it, HL7 or proprietary APIs where it doesn’t, partner programs when they’re required. We find the supported route for your exact EHR before you commit, and build it with BAA-grade controls.

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★★★★★ 5.0 on ClutchEpic & Oracle Health FHIR APIsBAA signed before any PHI

What does EHR integration involve?

Direct answer: EHR integration means reading and, where allowed, writing patient data between your EHR and another system through an interface the vendor supports: a FHIR API, a proprietary REST API, an HL7 v2 feed or a marketplace app. The hard parts are access approval, write permissions and data mapping, not the code. We confirm the supported route for your EHR in a short discovery, then build at a fixed price.

The integration routes, compared

Which route is available depends on your EHR vendor and your contract with them.

Route
When it fits
FHIR R4 API (read)
Most certified EHRs expose patient-facing and often system-level FHIR read access. Fastest route for schedules, demographics and clinical summaries.
FHIR or vendor API (write)
Write support varies a lot by vendor and resource. Usually needs a partner agreement or specific scopes; confirmed in discovery.
HL7 v2 interface
Common for labs, ADT and scheduling feeds in larger systems. Often involves an interface engine and a vendor interface fee.
Vendor marketplace app
Some EHRs require apps to be listed in their marketplace or partner program, with review and fees.
Screen automation (RPA)
Last resort only, when no API exists. Fragile and harder to secure; we tell you when it’s not worth it.

How we run an integration

1

Discovery

Confirm which APIs, scopes and partner terms your EHR offers, what can be written back, and any interface fees. Sign the BAA.
2

Data mapping

Map the fields you need (patients, appointments, authorizations, notes) and the minimum necessary set for each user role.
3

Build with approvals

Reads are automatic; writes go through a human approval step, with idempotent retries and a full audit trail.
4

Test against a sandbox

Vendor sandbox or test tenant first, then a pilot with real users and monitoring before full rollout.
5

Keep it working

Vendors change APIs. Support covers monitoring, version upgrades and fixes when a connection breaks.

Controls built into every integration

✓Signed BAA before any PHI flows
✓Least-privilege API scopes, no shared admin logins
✓Minimum-necessary data per role
✓Human approval before writes
✓Audit log of every read and write
✓Encryption in transit and at rest
✓Sandbox testing before production
✓Monitoring and alerting on failures
FREE

The HIPAA-Compliant AI Agent Blueprint

The architecture, controls and traps for an AI assistant that touches PHI and passes the security review.

→The 5-layer build order
→BAA, FHIR & HL7 in plain English
→The pre-launch HIPAA-for-AI checklist
→What compliance actually costs
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Frequently asked questions

It depends on the route and the vendor. A read-only FHIR integration is the cheapest; write access, HL7 interfaces and marketplace listings add work and sometimes vendor fees. We give a fixed price after a short paid discovery, credited to the build.
We work with any EHR that offers a supported interface. Before you commit, we verify the exact APIs, write permissions and fees for your vendor, such as Epic, Oracle Health, athenahealth, eClinicalWorks or NextGen. We don’t claim a certified integration until it exists.
Where the vendor allows it, yes, through approved APIs and always after a person confirms. Where writing back isn’t supported, the assistant prepares the update for staff to enter.
Yes, before any PHI is involved. Every subcontractor that touches PHI, such as the cloud or SMS provider, must also be covered by a BAA.
You do, from day one, including the repository and documentation.

Not sure what your EHR allows?

Tell us your EHR and what you need to read or write. We’ll tell you the supported route, the likely vendor requirements and a cost range in a 30-minute call.

Book a 30-min call
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