📋Integrate with Epic

Overview

This tip sheet is so you can summarize records from your local EHR of Epic. You will also be able to perform workflows such as reviewing a quick summary before a visit, generating emergency medicine handoff notes, building a discharge summary automatically, asking medical research questions on records, or automating care notifications for CHF, AKI, or sepsis indicators.

1. Authorization of Our SMART on FHIR Application

The organization administrator of Epic Apps will need to approve the “Abstractive Health” app from the Epic Connection Hub. For an additional back-end application that provides note-sign integration and other functionalities for enterprise clients, there is an additional application called "Abstractive Health - Enterprise". The "Abstractive Health - Enterprise" enhances the "Abstractive Health" app experience with note sign integration and pulling patient schedules in advance.

Please work with the Abstractive Health team to enable the latest version of our application in your Epic environment.

Abstractive Health: Non-PRD Client ID: 0bc7efac-2536-4d66-998d-d4a718f45303 PRD Client ID: 5878ab1f-bafd-4d64-85f6-5c29ac3d4337

Abstractive Health - Enterprise: Non-PRD Client ID: 0eabf6a1-182c-4355-bb15-1dcc299b4334 PRD Client ID: ea9c47e4-f99b-47a5-bd2b-cafe09bf2aa3

2. Embedding Abstractive Health in Epic

These changes must be implemented by your customer IT team, but we have created a step-by-step instructional guide to help you quickly deploy it within Epic. These steps are also covered in the Galaxy guide titled "Active Guidelines Setup and Support Guide". If you run into issues, we can pull in your Epic TS to also help with the build if needed.

Step 1: FDI Record

This defines our launch URL, that we are a SMART on FHIR application, our client-ID for TST and PRD, and that the launch will be embedded in Epic.

Parameters:

● Launch URL: https://app.abstractive.ai/launch

● Context: SMART on FHIR

● Non-PRD Client ID: 0bc7efac-2536-4d66-998d-d4a718f45303

● PRD Client ID: 5878ab1f-bafd-4d64-85f6-5c29ac3d4337

● Embedded window

Step 2: Activity Records

For the embedded window launch, this provides the iframe where the application will appear and defines whether it’s a main pane or sidebar view.

Parameters:

● Main pane view

Step 3: Navigator Section

Set a navigator section and a navigator configuration record to link the activity record with the FDI record.

Examples of Navigator options include:

● ED Arrival Navigator

● ED Provider Note Navigator

● ED Discharge Navigator

● Inpatient Handoff Navigator

● Inpatient Discharge Note Navigator

● Outpatient Office Visit Navigator

Step 4 (Optional): Menu/Toolbar Button

A menu record that points to the FDI that was built. Please contact the Abstractive Health team for the logo button to display in Epic.

3. Additional HL7 v.2 workflows supported (optional)

We can provide a faster experience with our product through pulling the clinical records at the time of patient check-in or admission. We do this through back-end system integration with APIs via an HL7 interface. We limit access to your data by only requesting data from the locations where we will be summarizing the medical chart for clinicians.

Once we receive the patient demographics and IDs for our target patients, we use FHIR integration and our internal HIE interconnections to pull the following content to build our summaries. The full flow might look like the following:

Diagram - Visualization of the Integration between Epic and Abstractive Health

HL7 v.2 integrations supported are ADT and SIU inbound feeds via our interface engine with Mirth. We will establish a VPN endpoint and TCP listener of your port to receive inbound HL7 messages. Please request the "Abstractive - Epic Implementation Handbook" by emailing [email protected] for more information.

4. Abstractive Health will now be available as an icon in your instance of Epic. Upon clicking the icon, you will be prompted to login or create your account in Abstractive Health.

Your Epic account login will be linked to Abstractive Health, so you will not need to log-in again in the future.

[insert example image]

5. Once you login or create your account. The app will begin summarizing the notes and a summary will be available to review alongside your navigator workflow in Epic.