The Dominant Hospital EHR
Over 300 major health systems run Epic — Mayo Clinic, Cleveland Clinic, Kaiser Permanente. Data-heavy clinical products connect here.
Trusted by startups and global leaders
What Is Epic Integration
Epic integration connects your app to Epic's EHR to exchange records, appointments, medications and labs through a compliant ecosystem.
An Ecosystem, Not One Endpoint
Epic exposes multiple frameworks — App Orchard, FHIR APIs, Bridges and MyChart — each built for a different level of data access.
Review & Certification First
Epic requires external apps to pass formal review and certification before touching production — plan for it early to save months.
Integration Pathways
How External Applications Connect to Epic
Epic offers several integration frameworks — we build to the pathway your product needs.
App Orchard
Epic's marketplace for certified third-party apps, so hospitals can activate your integration without custom work.
FHIR APIs
HL7 FHIR R4 REST endpoints for patient data, clinical documents and scheduling, secured through SMART on FHIR.
Bridges
Epic's framework for system-to-system exchange, routing HL7 v2 messages for admissions, lab results, and admit/discharge alerts.
MyChart Open Platform
Epic's patient portal and mobile app — the open platform lets third-party tools embed in or launch from MyChart.
The Epic Integration Process
From public sandbox to a live production connection at a customer health system. Tap a step to see what it involves.
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Step 1 — Sandbox Access
Step 1 — Sandbox Access
Test FHIR API calls against synthetic patient data on Epic's public sandbox at open.epic.com — no formal agreement required.
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Step 2 — App Orchard Application
Step 2 — App Orchard Application
Submit an application describing your app, its data use, and security practices; Epic reviews it before certification access.
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Step 3 — Certification Testing
Step 3 — Certification Testing
Epic tests your app against defined scenarios — resource queries, edge cases, error handling, and SMART on FHIR auth flows.
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Step 4 — Health System Activation
Step 4 — Health System Activation
Once certified, customer health systems can activate the app; each system's IT team reviews and configures the connection.
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Step 5 — Production Connection
Step 5 — Production Connection
The app connects to the health system's production Epic using issued credentials; monitor for FHIR version changes.
Understanding Epic's Role in U.S. and Canadian Healthcare
Epic's footprint in large hospitals makes it unavoidable for any product targeting hospital-based care.
Unavoidable Market Share in Large Hospitals
Over 250 million U.S. patients have an Epic record, most seen at large health systems and academic medical centers.
Rapid Expansion Across Canada
Ontario Health chose Epic for its provincial network — making integration increasingly relevant in Canada.
Certification as a Commercial Signal
Health system IT buyers treat App Orchard certification as proof an app is Epic-reviewed and safe to deploy.
Selling Into Hospitals Means Connecting to Epic. We Build That Connection.
App Orchard, FHIR R4, Bridges or MyChart, server- and client-side. Book a consultation to scope a certifiable Epic implementation.
Book an Epic Consult
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Frequently Asked Questions
[ 1 ]
How long does Epic integration typically take?
It depends on scope and App Orchard review speed. Basic FHIR work in the open sandbox takes a few weeks; certification and a production connection typically take three to six months.
[ 2 ]
Is Epic integration required for every digital health product?
Not necessarily — it matters most for products exchanging clinical data with large hospital systems. Anything selling into hospital markets usually needs it.
[ 3 ]
What data can an application access through Epic FHIR APIs?
Epic's FHIR R4 APIs expose demographics, conditions, medications, labs, vitals, notes and encounters — with availability set by authorized SMART on FHIR scopes under USCDI.
[ 4 ]
Does Epic work the same way in Canada as in the United States?
The core Epic platform and FHIR APIs work the same in both countries. Canadian implementations may differ in patient identifiers, provincial code sets and governance like Ontario's PHIPA.
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