Nineteen modules.
One record underneath.

FHIR-native data core, identity, consent, and event backbone every module shares.

• FHIR R4 record store: every module reads and writes the same resources, no per-module database
• Live FHIR REST API with a published capability statement at /fhir/metadata
• Consent engine evaluating 42 CFR Part 2 segment labels on every read
• Identity and SSO with OIDC, role-based and attribute-based access, and break-glass
• Immutable audit ledger recording every access and every write as FHIR AuditEvent
• Multi-tenant isolation with per-tenant schemas and per-tenant encryption keys
• Terminology service across SNOMED, LOINC, RxNorm, ICD, CPT and CVX
• Data-quality worklist with point-in-time snapshots and acknowledgement tracking
• Event backbone with durable publish and subscribe for cross-module workflow
• Census and roster exports for reconciliation against external systems

Scheduling, charting, and orders for outpatient practices of every specialty.

• Full chart: problems, allergies, medications, vitals, immunizations, demographics and social history
• Clinical notes with the complete draft, sign, addendum, amend and delete lifecycle
• Problem list with resolve and reactivate, and allergy refutation with reason
• Orders and results: lab ordering, specimen tracking, result entry, completion and cancellation
• Scheduling with assignment, cancellation and rescheduling across providers and sites
• Preventive care and health maintenance with generated, patient-specific task lists
• Care plans and care team membership maintained as FHIR resources
• Specialty workspaces with per-specialty conditions, measures and procedures
• Dental charting with tooth-level findings, depth capture and procedures
• Unified patient timeline, chart summary and full record export

Therapy notes, measurement-based care, and 42 CFR Part 2 consent built in.

• 42 CFR Part 2 consent captured and enforced at the data layer, segment by segment
• Audited break-glass and consent revocation, with every disclosure recorded
• Disclosure accounting: who received what, when, and under which authorisation
• C-SSRS suicide-risk screening wired into the clinical workflow
• PHQ-9, GAD-7 and AUDIT-C measurement-based care instruments
• CRAFFT and DAST-10 substance-use screening
• HITS intimate-partner-violence screening
• M-CHAT and developmental milestone screening for paediatrics
• Mini-Cog and STEADI for cognition and falls risk
• Vanderbilt ADHD assessment and ADL/IADL functional scoring

Admissions, bed management, MAR, and inpatient workflows on the same record.

• Inpatient admission, discharge and transfer against the shared record
• Ward and bed configuration with live census on FHIR Location and Encounter
• Medication administration recording at the bedside
• Admission and discharge driven from the chart, so nothing is re-keyed
• Downtime chart packages generated per unit for read-only continuity
• Shared flow board with the ambulatory and emergency views

Track-board, triage, and throughput tuned for emergency department pace.

• Pre-arrival EMS intake with arrival and cancellation handling
• ESI triage with a quick-triage path for high-acuity arrivals
• Track board with zone assignment and live zone capacity
• Zone telemetry published as JSON for wall displays and dashboards
• Provider assignment and unassignment with time-stamped see events
• Protocol ordering from triage before a provider is assigned
• Disposition recording that flows straight into the encounter
• Structured shift handoff with CSV export for review

e-Prescribing with EPCS, PDMP checks, and pharmacy workflows.

• Medication ordering, renewal and discontinuation on the chart
• Controlled-substance gap enforcement that can require a PDMP check before proceeding
• PDMP gap resolution workflow with documented justification
• DEA audit export for controlled-substance review
• Prescriber flagging for follow-up on prescribing patterns
• Formulary checking at the point of ordering
• Medication administration recording with time and administering clinician
• Prescribing compliance export and point-in-time snapshots

Referrals, transitions, and task routing across teams and settings.

• Live flow board built on FHIR Location and Encounter resources
• Patient check-in that places the arrival directly on the board
• Stage advance, step back, move and cancel with a full event log
• Priority escalation visible to the whole care team
• Bed and unit configuration maintained in the product, not by support ticket
• Team task queue built on FHIR Task with start, complete and cancel
• Stale-encounter clearing so the board reflects reality at shift change
• Flow state exposed as an API for displays and downstream automation

Charge capture through remittance, with agentic claim follow-up.

• Charge capture and coverage recorded on the encounter
• Claim scrubbing before submission
• Claim submission, adjudication and void
• ERA posting against outstanding claims
• Denial worklist with CSV export
• Appeals workflow attached to the original claim
• Accounts-receivable export for finance reconciliation

TEFCA, HL7v2, and payer APIs, connections as product, not projects.

• FHIR R4 API with a live, inspectable capability statement
• Exchange preview and commit, so imported data is reviewed before it lands
• Outbound and inbound referral management with accept, decline and complete
• US Core and USCDI v3 conformance at write rather than on export
• TEFCA-ready architecture for facilitated FHIR exchange
• HL7v2 interfacing for labs, devices and registration feeds
• CMS-0057-F payer API surface for patient and provider access

Portal, intake, reminders, and messaging patients actually use.

• Patient portal on the shared record, read-only by design
• Enrollment invitations issued from the chart with one-time codes
• Geofenced lobby pre-check that flags arrivals straight onto the flow board
• Secure two-way messaging with reply and handled states
• Queued appointment notifications with delivery tracking
• Patient request queue for approvals and declines
• Campaign launch for outreach against a defined patient panel
• Staff-facing engagement queue so nothing sits unanswered

Ambient documentation that drafts the note while you see the patient.

• Ambient dictation captured during the visit
• AI-drafted notes written into DocumentReference on the shared record
• Clinician review screen with side-by-side edit before anything is signed
• Attested signature: the note enters the legal record only on human sign-off
• Every AI action attributed and recorded in the audit ledger
• Grammar and clarity checking available in the note editor

Device data and biomarker streams, native to the chart.

• Remote patient monitoring enrollment tied to a care plan
• Per-patient threshold configuration with clinical alerting
• Alert acknowledgement with attribution and timestamp
• Device readings written to FHIR Observation on the shared record
• Native SmartCemic QESA Pro biomarker ingestion, not a third-party bridge
• RPM time logging and setup billing tracking
• Suspend, resume, discharge and unenroll lifecycle management
• Billing export for RPM reimbursement

Access governance, anomaly detection, and a defensible audit trail.

• Every chart open and every clinical write recorded as FHIR AuditEvent
• Audit trail search and CSV export built for real investigations
• Chart-level locking with request, grant and deny between clinicians
• Audited takeover with heartbeat, so no edit is silently overwritten
• SSN reveal gated, reason-captured and separately logged
• Role-based access with granular grant and revoke per user
• Staff invitation and onboarding with scoped permissions
• Per-tenant user administration across sites

Electronic prior auth on CMS-0057-F payer rails, inside the order flow.

• Prior authorisation created directly from the order or claim
• Submission tracking through to payer decision
• Decision recording attached to the originating encounter
• Da Vinci CRD, DTR and PAS aligned architecture

Acute-level care delivered in the home, monitored in real time.

• Hospital-at-home admission with explicit eligibility gating
• Clinical stability, home environment and patient consent recorded at admission
• Active episode census with RPM enrollment status per patient
• Device-enrollment tracking so unmonitored episodes are visible
• Discharge from the home episode back to the shared record
• CMS Acute Hospital Care at Home waiver status treated as an external determination, not assumed

Interpretation and translation woven into every encounter, not bolted on.

• Preferred language and interpreter-need flag recorded in the chart
• Interpreter session logging by patient, modality and note
• Language-access worklist showing who needs an interpreter and who is flagged
• Session history retained for Section 1557 and Joint Commission review
• Language panel reporting across the active patient population
• Live video-remote interpreting connects through an external vendor in a later release

Comfort-focused care planning for hospice and palliative teams.

• Hospice election with election statement and addendum request and furnish
• Certification of terminal illness and face-to-face encounter documentation
• Recertification and revocation with benefit-period tracking
• Notice of Election generation and submission
• Levels of care recorded against the episode
• Interdisciplinary group documentation and scheduled IDG meetings
• HOPE assessment capture with validation before submission
• HOPE fixed-width export and submission to CMS
• ESAS symptom assessment and significant-family-visit recording
• Bereavement risk assessment and bereavement plan of care
• CAHPS hospice survey tracking and volunteer activity recording
• Agency configuration and reporting exports

Resident-centered records for assisted living and residential senior care.

• Resident admission and move-out lifecycle
• Standardised resident assessment on intake and on change of condition
• Service plans maintained against assessed need
• Care-level assignment driving staffing and billing
• Community eMAR with medication administration events
• Incident capture with structured incident reporting
• Resident billing aligned to care level and services delivered
• Community configuration per agency

Quality measures, SDOH, and population analytics for risk contracts.

• Real CMS eCQMs computed live from the record, not from a reporting export
• Full population flow: initial population, denominator, exclusions, numerator and exceptions
• Controlling High Blood Pressure, CMS165v11 and NQF 0018
• Diabetes HbA1c Poor Control, CMS122v11 and NQF 0059
• Colorectal and breast cancer screening, CMS130v11 and CMS125v11
• Tobacco screening and cessation, CMS138v11, and influenza immunisation, CMS147v12
• Heart failure weight monitoring for the at-risk panel
• Care-gap drill-down from measure to named patient, with gap closure and exceptions
• Benchmark comparison and panel-level performance
• Measure export for quality programme submission; certified CQL and QRDA submission requires ONC-certified tooling and full VSAC value sets