Certified Epic Integrations That Survive Real Hospital Environments.
Epic's App Orchard requires months of review, specific security requirements, and deep knowledge of their custom FHIR extensions and sandbox behaviors. We navigate the process so you do not spend 6 months in review cycles.
Why Epic Integration Is Harder Than It Looks
Epic's sandbox passes do not guarantee production stability. Custom extensions differ from the FHIR specification. Performance in a live 500-provider Epic environment behaves differently than sandbox testing. Most teams underestimate the Epic App Orchard timeline by 6 or more months and the technical depth required for a stable production integration.
What We Build for Epic Customers
Epic FHIR R4 API Integration
Full implementation of Epic FHIR R4 resources including Patient, Encounter, Observation, Condition, MedicationRequest, DocumentReference, and custom Epic extensions. US Core profile compliance included.
SMART on FHIR Launch
EHR-embedded app launch with Epic's SMART on FHIR OAuth implementation. Handles patient and provider context, scopes, and token refresh.
App Orchard Submission and Certification
We manage the complete App Orchard submission process: technical documentation, security review responses, testing script execution, and Epic liaison communication.
CDS Hooks Integration
Clinical Decision Support Hooks that surface your AI or analytics within the Epic clinical workflow at relevant care moments without disrupting provider workflow.
MyChart Patient-Facing Integration
Integration with Epic's MyChart patient portal APIs for patient scheduling, messaging, questionnaires, and care plan delivery.
Production Monitoring
24/7 monitoring of your Epic integration. Alerts on API failures, automatic retry logic, and Epic version upgrade testing to prevent production breaks.
Our Epic Integration Process
Epic Environment Assessment
We document your Epic version, available APIs, App Orchard requirements, and organization-specific configurations before writing a line of code.
Integration Architecture
We design the FHIR resource map, SMART launch flow, authentication model, and monitoring strategy. Written spec before development begins.
Build and Sandbox Testing
We build against Epic's sandbox with comprehensive FHIR resource testing, App Orchard test script execution, and performance benchmarking.
Certification and Production Launch
We manage App Orchard submission, respond to Epic review feedback, and deploy to production with a monitored cutover.
Epic APIs and Standards We Work With
Who We Build Epic Integrations For
Health Tech Startups
Get your product connected to Epic and through App Orchard before your enterprise sales cycle stalls on integration proof.
Medical Practices on Epic
Connect your AI agents, billing tools, and analytics platforms directly to your Epic environment.
Analytics Vendors
Pull structured clinical data from Epic via FHIR Bulk Export for your analytics and population health platform.
Telehealth Platforms
Bi-directional Epic integration for virtual visit documentation, patient context, and scheduling.
Often paired with
Need integrations with Cerner, Athenahealth, or other EHRs in addition to Epic?
Build a FHIR-native application on top of your Epic integration.
Deploy AI agents that use your Epic connection to automate documentation and billing.
Questions About Futureaiit Epic Integration Services
- What is Epic App Orchard and how does Futureaiit navigate it?
- Epic App Orchard is Epic's certified application marketplace. Futureaiit manages the complete submission process — technical documentation, security reviews, sandbox testing, and Epic liaison communication — so you don't spend months in review cycles.
- What is SMART on FHIR and does Futureaiit support it?
- SMART on FHIR is Epic's OAuth-based authorization framework for third-party apps launching inside Epic. Futureaiit builds and certifies SMART launches for applications that need to open within the Epic clinical workflow.
- How long does a Futureaiit Epic integration take?
- Most Futureaiit Epic integrations are live within 8–16 weeks. The App Orchard review process is the primary variable — Futureaiit manages that process to minimize delays.
- Can Futureaiit build integrations that work across different Epic installations?
- Yes. Futureaiit designs Epic integrations against standard FHIR R4 resources and Epic's SMART launch framework, which work across Epic installations while accounting for site-specific configuration differences.