Epic EHR Integration
Expert Epic Bridges HL7, FHIR R4 API integration, SMART on FHIR app development, and Epic App Orchard certification — delivered by experienced Epic integration engineers.
Epic Integration Services
From Epic Bridges HL7 interfaces to FHIR R4 APIs and App Orchard certification — we cover every layer of Epic EHR integration.
Epic Bridges HL7 Interface Development
Custom Epic Bridges HL7 v2 interface development — ADT, ORM, ORU, SIU, MDM, DFT, and VXU message types with Epic-specific segment handling and ACK management.
- ✓Epic Bridges ADT (A01–A60) patient data feed configuration
- ✓ORM/ORU lab order and result interfaces via Epic Bridges
- ✓SIU scheduling event interfaces for appointment systems
- ✓MDM document management for clinical document exchange
- ✓VXU immunization data feeds from Epic to registries
- ✓Epic-specific Z-segment and non-standard field handling
Epic FHIR R4 API Integration
Connect your applications to Epic's FHIR R4 APIs — all US Core resources, Epic-specific extensions, SMART on FHIR authorization, and Epic's open.epic.com sandbox.
- ✓Epic FHIR R4 read/write API integration (all supported resources)
- ✓SMART on FHIR OAuth 2.0 for Epic (EHR-launch and standalone)
- ✓US Core profile compliance for Epic FHIR resources
- ✓Epic-specific extensions (Coverage, CareTeam, Appointment)
- ✓Sandbox testing via open.epic.com and Epic's MyChart sandbox
- ✓Production API promotion and post-launch monitoring
Epic App Orchard Certification
End-to-end Epic App Orchard submission support — application development, technical review preparation, Epic validation testing, and marketplace listing.
- ✓Epic App Orchard application registration and profile setup
- ✓Technical architecture review aligned with Epic's requirements
- ✓Epic validation testing across all supported API categories
- ✓Security review preparation (SMART scopes, data minimization)
- ✓Epic reviewer coordination and issue resolution support
- ✓App Orchard listing optimization and post-approval monitoring
Epic CDS Hooks Development
Clinical Decision Support Hooks for Epic — custom CDS services that surface alerts, recommendations, and order sets natively inside Epic workflows via the CDS Hooks framework.
- ✓CDS Hooks service development for Epic (patient-view, order-select, order-sign)
- ✓Epic CDS Hooks sandbox registration and testing
- ✓FHIR prefetch design for low-latency Epic CDS responses
- ✓Evidence-based card authoring aligned with clinical workflows
- ✓Integration with Epic's BPA (Best Practice Advisory) framework
- ✓Card analytics and clinician acceptance rate monitoring
Epic MyChart Patient-Facing Integration
Integrate patient-facing applications with Epic MyChart — FHIR Patient Access APIs, SMART standalone launch from MyChart, and patient consent management.
- ✓SMART standalone launch from Epic MyChart patient portal
- ✓FHIR Patient Access API (claims, clinical data, immunizations)
- ✓Epic Share Everywhere integration for patient-directed sharing
- ✓Patient consent and authorization flow implementation
- ✓Epic's patient-facing FHIR R4 resource access
- ✓MyChart open.epic.com sandbox testing for patient apps
Bidirectional Epic Integration
Two-way data exchange with Epic — write-back of orders, results, documents, and external data into Epic while pulling clinical data for downstream applications.
- ✓Bidirectional ADT patient data synchronization with Epic
- ✓External lab result write-back into Epic via ORU messages
- ✓CDA / C-CDA document import into Epic's chart
- ✓External order routing from Epic to downstream systems
- ✓MPI (Master Patient Index) patient matching and merging
- ✓Epic Identity (EMPI) cross-referencing for patient lookup
Frequently Asked Questions
Do we need to be an Epic customer to work with you on Epic integration?
No. We work with third-party vendors, health tech companies, and digital health startups integrating with Epic-hosted health systems. You don't need to be an Epic customer yourself — your client's health system runs Epic and you need to connect to it.
How long does Epic App Orchard review take?
Epic App Orchard review typically takes 8–20 weeks depending on application category, API usage, and Epic's current queue. We help you prepare a strong submission to minimize review cycles.
Can you help us test in Epic's sandbox before we go live?
Yes. We use Epic's open.epic.com sandbox for FHIR API development and Epic's dedicated sandbox environments for Bridges HL7 interfaces. We manage the full sandbox-to-production promotion process.
What Epic APIs support write-back (not just read)?
Epic supports FHIR write for several resource types including Appointment (booking), QuestionnaireResponse, Communication, and others depending on the Epic version and configuration. We assess your specific use case and Epic's capabilities to determine the right approach.
Related Services & Reading
Ready to integrate with Epic?
Free Epic integration assessment — our engineers will review your use case and map the fastest path to a successful Epic connection.