Embedding Clinical Documentation Queries Directly Into Epic, So Providers Never Leave the Chart

Providers used to leave Epic, log into a separate portal, and hunt down their assigned documentation queries while managing a full patient load. Mindbowser built a SMART on FHIR app that launches inside Epic itself, backed by a dual-architecture sync that keeps every query current in real time.

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Customer Focus

AI-powered clinical intelligence for mid-revenue cycle performance at hospitals and health systems, catching documentation gaps and coding inaccuracies before claims go out.

Scope

A SMART on FHIR app embedded directly inside Epic, with a dual-architecture backend syncing clinical data between Epic and the client's analytics engine.

Stack

SMART on FHIR, HL7v2 ADT, HL7 MDM, Node.js, React.js, AWS, OAuth2 + JWT

Status

Backend validated directly with the EHR vendor and confirmed production-ready.

Outcomes

Providers Respond Without Leaving the Chart

Every part of the app was built to Epic's iframe constraints and to close the loop on documentation gaps automatically.

30s

Target response time for a provider query inside Epic's chart interface

0

Manual steps to file a response. Every query auto-files to the record with a full audit trail

The Problem

Clinical Queries Lived Outside the Workflow Providers Actually Used

A separate portal meant every query cost a login, a context switch, and time providers did not have.

01
A Separate Portal Broke the Workflow

Providers had to leave Epic, log into another system, locate their assigned queries, and respond, all while carrying a full patient load.

02
Queries Arrived Too Late

By the time a provider saw a query, they had already moved on to the next patient.

03
Upstream Gaps Became Downstream Denials

Documentation gaps that should have been caught before submission turned into claim denials after the fact.

04
No Real-Time Collaboration

CDI teams and providers had no shared, real-time channel to resolve a query together.

The Tech Stack

The integration layer connecting Epic to the client's analytics engine in real time.

  • SMART on FHIR
  • FHIR (Patient, Encounter, DocumentReference)
  • HL7v2 ADT
  • HL7 MDM
  • Node.js
  • React.js
  • RESTful APIs
  • AWS
  • OAuth2 + JWT
  • HTTPS/TLS
  • CI/CD
  • HIPAA audit logging
What We Built

A SMART on FHIR App Built Into Epic's Workflow, Not Bolted Onto It

A SMART on FHIR App That Launches Inside the Chart

The application launches securely inside Epic through OAuth2 single sign-on, so providers never leave the chart or manage a second login. It was built inside Epic's iframe constraints: compact and native-feeling.

  • SMART on FHIR launch via OAuth2 SSO, no separate login
  • Context-aware query interface embedded in the patient chart
  • Consolidated "My Queries" view across all patients
  • Built to Epic's iframe constraints for a native, compact interface

Ready to Bring Clinical Queries Inside Your EHR?

We build SMART on FHIR applications that meet Epic's constraints and your compliance requirements.

Get in Touch

Let’s #Transform Healthcare,# Together.

Partner with us to design, build, and scale digital solutions that drive better outcomes.

Location

Global Tech Teams LLC, 525 Washington Blvd, Industrious at Newport Tower, Jersey City, NJ 07310, United States.

Contact

+1 408 786 5974
contact@mindbowser.com
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