Epic Integration: The Software Developer’s Guide
If you’re developing healthcare software, chances are you’ll eventually be asked whether your software supports Epic integration. There are a variety of methods to integrate software with the Epic EHR, including using native Epic APIs and modules like Epic Bridges. You can also use the Epic App Orchard “app store” or find specialized middleware to exchange data between Epic systems and your app or system.
That said, Epic EHRs also present a unique challenge for would-be software integrators. This guide will present an overview of the challenges of Epic integration, along with a variety of possible solutions. If you still have questions, you may want to explore working with an experienced EHR integration partner.
Introduction to Epic Integration
Why integrate with Epic EHR?
Integrating with the Epic EHR is a major milestone for many pieces of digital health software. This is especially true if your product or service relies on patient, clinical, or billing data. 50% of all patient data in the United States is managed by Epic’s software. That means if you need to access data about health outcomes, appointments, treatments, or healthcare billing, there’s a good chance Epic holds the keys to that data.
Epic integration is challenging for a reason
Protected health information (PHI) is among the most sensitive types of data, with enormous privacy consequences (and financial penalties) when it’s not handled correctly. This is one of several reasons that EHR vendors have been hesitant to grant direct access to this data in the past. However, regulations like the 21st Century Cures Act are placing new demands on EHR vendors to share that info responsibly and safely.
In the future, safe integration with EHRs will be much more common, and an important part of improving the patient experience.
Are there Epic certified integration partners?
Unlike Salesforce or Microsoft, Epic does not currently offer a developer certification program. They do offer a variety of certifications for Epic users and implementors, but these are available exclusively to Epic customers, not third parties. The closest thing to an Epic certified integration partner program is the Epic App Orchard.
Epic Integration APIs
Epic EHR provides a variety of built-in modules and services for sharing data with other EHRs and software systems, including Epic Bridges, Epic Community Connect, and Care Everywhere. However, these services are primarily designed for health systems and their internal developers, as well as vendors who have already partnered directly with an Epic customer. As an outside developer, you will likely need to have an established relationship with an Epic customer or join a program like the Epic App Orchard.
Arcweb has partnered with a variety of Epic customers. Let us know if you have questions about Epic software development.
Epic App Orchard
The App Orchard is Epic’s third-party developer program. Patterned after an “app store” concept like the Salesforce AppExchange, it gives third-party developers limited access to Epic APIs and documentation. The marketplace also provides a mechanism for developers to list their integrations in a central location where they can be reviewed by Epic customers.
The App Orchard still requires an extensive review and approval process, and is quite different from the “one-click installation” of a consumer app store. However, it does provide a way to begin Epic software development as a third party.
For more info, you can visit the official App Orchard site, read our notes from the official App Orchard conferences, or contact us to learn more about App Orchard development.
Epic Integration Middleware
Middleware is a piece of software that sits between two systems and allows data to be exchanged between them. There are a variety of Epic integration services that provide pathways to pass healthcare data between Epic systems and third-party apps and services. Here is a list of some of the most popular Epic integration middleware, many of which are also compatible with other EHR platforms.
Redox is a scalable data platform designed to integrate with most major EHR systems, including Epic, Cerner, and Athenahealth. It also allows companies to develop their own internal and external integration APIs and provides change management functionality for updates and modifications.
The company was founded in 2014 by several former Epic employees, and now supports integrations with more than 40 different EHR platforms. Redox boasts a variety of high-profile customers, including UPMC, Seattle Children’s Hospital, the Rothman Institute, and Jefferson Health.
Epic’s ASAP module helps nurses and clinicians manage an emergency room environment, with an emphasis on tracking occupied beds, room management, and patient status.
UPMC, Seattle Children’s Hospital, Rothman Institute, Jefferson Health, Healthify.
Clarity Connect uses back-office systems to provide a number of software services including EHR platform integrations with Epic APIs. They’re able to collaborate with other dominant EHR platforms such as eClinicalWorks and TIMS Software, as well. The company specializes in configuring cloud-based environments and connecting B2B e-commerce platforms with any external applications to fit your company’s needs.
Clarity Ventures has been developing in Austin, Texas since 2006. Their team of experts includes developers who can assist with HIPAA-compliant website optimization services and develop custom APIs. Some of their clients in the medical tech industry include Valisure, Zimmer Biomet, and BHPI.
Clarity Ventures integrates with Epic and eClinicalWorks.
Coflex, BHPi, Newton, Valisure, Zimmer Biomet
Datica can mobilize your digital health data by integrating your platform with any major EHR. Datica Integrate is an application programming interface (API) solution that can ensure HIPAA regulation compliance. Their team of cloud engineers can FHIR-proof your app and enable your project to scale from any format. They collaborate with all major EHR platforms such as EPIC, eClinicalWorks, and Cerner.
Founded in 2013, Datica has completed over 300 live integrations. Datica has worked with Johnson & Johnson, Healthloop, Stony Brook Medicine, and more.
Datica integrates with Epic, Allscripts, Cerner, eClinicalWorks, McKesson, NextGen, Greenway Health, and GE Healthcare.
Johnson & Johnson, Healthloop, Stony Brook Medicine, Cirrus MD, Methodist Healthcare, Propeller, Zipnosis, Healthfinch
Bridge Connector manages integrations for digital health vendors and launches compatible platforms within a speedy timeframe. They guarantee compliance will all interoperability standards and HIPAA regulations. Bridge Connector integrates systems with all major EHR platforms such as Epic, Athenahealth, and Allscripts.
Bridge Connector was founded in 2017 by the current CEO, David Wenger to serve as an integrated platform as a service (iPaaS). They offer turnkey solutions and lifetime support for all integration projects. Some major companies they have worked with include Higi, Ambrosia Treatment Center, and Saint Thomas Health.
Bridge Connector integrates with Epic, Allscripts, Athenahealth, Salesforce, KIPU, NextGen, Brightree, Homecare Homebase, and PointClickCare
Higi, Ambrosia Treatment Center, Saint Thomas Health, Mimit healthcare, Graham Healthcare Group
Healthjump is a rapid deployment EHR integration and data management platform containing over 450 connections to healthcare facilities nationwide. Used together or independently, the Healthjump platform allows for both Healthcare systems and Digital Health vendors to manage, build, and scale products and operations around aggregated, normalized clinical data in both real-time and rest.
From EHR migrations to digital health applications and ACO data management, the Healthjump platform is a scalable integration partner to a wide variety of healthcare groups and organizations.
Healthjump integrates with Epic, Allscripts, Athenahealth, NextGen, Greenway Health, IDX systems, MacPractice, Praxis, Modernizing Medicine, OmniMD, and inSync Healthcare Solutions.
Virtua Health, Aledade, Sharecare, and Penn Medicine.
Voalte offers a secure health communication platform for each hospital organization’s unique setup. Their team will assess your needs and configure a complete mobile communication plan to optimize the patient and end-user experience. Voalte’s smartphone strategy provides seamless communication in alliance with the leading EHRs in the industry such as Epic, Cerner, and Allscripts.
Voalte has serviced major networks in the healthcare industry since 2008 such as Cedars Sinai, Texas Children’s Hospital, and the UCSF Medical Center.
Voalte integrates with Epic, Allscripts, Cerner, Aruba networks, Spacelabs healthcare, Siemens, Adtran, and more.
See a full list of Voalte’s integration partners here.
Cedars Sinai, Texas Children’s Hospital, UCSF Medical Center, Avera Nebraska Medicine.
See a full list of Voalte’s customer’s here.
Pilotfish is a middleware software solution that executes rapid Epic integration. They can build smart HL7 interfaces with any healthcare integration requirements needed and deploy interfaces in just a few simple steps. Pilotfish specializes in mobile health data and making cloud software “interoperability-ready” using their eiPlatform.
Pilotfish has been operating since 2001 and was founded by industrial designers from Germany. They operate with HL7 2.x and 3.x, FHIR, JSON, XML, CCD/CDA, EDI X, and any other data format that vendors may need to integrate with. You can find testimonials from integration clients on the PilotFish website.
PilotFish integrates with Epic, Allscripts, Cerner, Athenahealth, eClinicalWorks, McKesson, NextGen, PointClickCare, and OmniMD.
Brands not provided. A list of customer testimonials is available.
1upHealth provides a variety of services surrounding health data exchanges and API connectivity. Their integration services are applicable to hospital systems that use EPIC EHR, FHIR APIs, Epic’s own APIs, and HL7 feeds. Health tech developers, health care providers, and patients can all use 1upHealth’s products to support their business or personal needs. 1upHealth systems support the top EHR platforms such as Epic, Cerner, Allscripts.
1upHealth has been a leader in FHIR interoperability since 2017. Over 300 companies use 1upHealth’s APIs including Boston’s Children’s Hospital, Children’s Hospital of Philadelphia, and Lahey Health System.
1upHealth integrates with Epic, Cerner, Allscripts, AthenaHealth, Meditech, NextGen Healthcare, PointClickCare, eClinicalWorks, Aprima, SRSHealth, and Greenway.
Boston’s Children’s Hospital, Children’s Hospital of Pennsylvania, and Lahey Health System
Qvera’s Hl7 Interface engine, QIE 4.0, is a cloud-based platform built to help organizations integrate their healthcare data. They have an FHIR starter Kit which helps vendors configure FHIR-proof platforms and even offer training and certification to get QIE-certified. Qvera supports Epic integration, Allscripts, Cerner, eClinicalWorks, and other major HIT platforms. They work closely with the Epic Care Everywhere Network to ensure suitable interoperability.
QIE, the HL7 interface engine, was founded in 2008 while the entire company was founded in 1997 (originally named MedShape). They’ve worked with networks such as Quadmed, Oregon Clinic, Revere Health, and Alliance Chicago and provide case studies of their most recent projects.
Qvera integrates with Epic, Allscripts, Cerner, eClinicalWorks, GE Healthcare, McKesson, CPSI, Meditech, and more.
A full list of Qvera’s integration partners is available.
Quadmed, Oregon Clinic, Revere Health, Alliance Chicago
Lyniate is the home for two interoperability platforms, Corepoint and Rhapsody. Both systems are built to work with healthcare data and provide tools for successful integration projects. The company has experience building projects with Integration engine conversions, HL7, HER interfaces, and they assist with other common data types.
Lyniate was born in 2018 out of an acquisition, but has served the healthcare landscape for over two decades with interoperability services. They’ve worked with leading healthcare networks such as Penn State Health Milton S. Hershey Medical Center (MSHMC), Phoenix Children’s Hospital, and RWJBarnabas Health.
EMRHub is a free software solution that provides GDPR-compliant medical reports and patient records. The EMR platform produces ‘auto-redacted’ medical reports in less than 10 minutes and tracks instruction/fee payments through its smart dashboard.
Wrekton Medical Group, South Reddish Medical Centre. EMRHub also offers a variety of case studies on their site.
Convergence is a framework Moxe Health created to allow health technology vendors to exchange data into any EMR securely. The company even has a streamlined risk-assessment process using the clients unique data insights. All projects are HIPAA and SOC2 Type 2 compliant and guaranteed to adhere to the latest security practices.