Stanford Med · Unit 5B Medicine·Day shift·Mon · 9:42 AM

Integration partners

External systems we read from, write to, and depend on
Switch role
MC
2 live13 pilot5 planned20 of 33 components shown
Honest depth (CLAUDE.md house rule)
0 live wire2 mock contract18 UI copy only
Ingestion
Mock contractPilot integration
Epic FHIR R4
Partner: Epic Systems

Patient, Encounter, Observation, MedicationRequest, ServiceRequest, Condition, AllergyIntolerance

Protocol
FHIR R4 + SMART-on-FHIR
Avg response
200–600ms per resource
Last sync
12s ago
BAA
Signed · HIPAA-safe
Data exchanged
PatientEncounterObservationMedicationRequestServiceRequestCondition
Partner / integrateEHR connectivity is commodity infrastructure. Building our own connector is an 18-month rabbit hole. We integrate via Epic's FHIR R4 API + SMART-on-FHIR launch.
Ingestion
UI copy onlyPlanned
Redox (multi-EHR connector)
Partner: Redox

Cerner, Athena, Meditech connectivity via Redox abstraction layer.

Protocol
Redox API (HL7 + FHIR normalized)
Avg response
300–800ms
Last sync
—
BAA
Signed · HIPAA-safe
Data exchanged
ADT eventsOrdersResults
Partner / integrateMulti-EHR support without per-vendor engineering. Redox handles auth, mapping, and rate-limits.
Ingestion
UI copy onlyPilot integration
Eligibility (X12 270/271)
Partner: Availity (primary), Change Healthcare (backup)

Real-time payer eligibility check via clearinghouse.

Protocol
X12 270 request → 271 response
Avg response
1–3s
Last sync
2 min ago
BAA
Signed · HIPAA-safe
Data exchanged
Coverage periodPlan benefitsNetwork status
Partner / integrateEDI clearinghouse is commodity. Availity is the largest; Change Healthcare and Waystar are alternatives.
Ingestion
UI copy onlyPilot integration
Surescripts (formulary + benefit)
Partner: Surescripts

Real-time medication formulary, benefit, and pharmacy stock lookup.

Protocol
NCPDP SCRIPT
Avg response
500ms–2s
Last sync
8 min ago
BAA
Signed · HIPAA-safe
Data exchanged
Formulary tierQuantity limitsPA flags
Partner / integrateDe-facto standard for ePrescribing infrastructure. We use the read side for formulary + the write side for ePrescriptions.
Ingestion
UI copy onlyPilot integration
Naviguide capacity feed
Partner: Naviguide (or WellSky CarePort / Aidin per hospital)

Real-time SNF / HH / Hospice / ARU bed + capacity from in-network facilities.

Protocol
Naviguide REST API
Avg response
1–4s
Last sync
5 min ago
BAA
Signed · HIPAA-safe
Data exchanged
Bed availabilityCapability filtersPayer acceptance
Partner / integratePost-acute capacity is the hardest signal to get without a vendor. Naviguide / WellSky CarePort / Aidin all aggregate it; pick by hospital preference.
Ingestion
UI copy onlyPlanned
DME partner capacity (Lincare, Apria, Inogen)
Partner: Lincare, Apria, Inogen, Parachute Health

Delivery slot availability + inventory from primary DME networks.

Protocol
Vendor REST / EDI / portal scrape
Avg response
2–8s
Last sync
—
BAA
Signed · HIPAA-safe
Data exchanged
Delivery windowsInventoryService area
Partner / integrateDirect vendor APIs where available; Parachute Health for aggregation. Voice agent fallback for vendors without APIs.
Ingestion
UI copy onlyPilot integration
ModivCare NEMT availability
Partner: ModivCare

Wheelchair van + stretcher availability across CA.

Protocol
ModivCare REST
Avg response
1–3s
Last sync
1 min ago
BAA
Signed · HIPAA-safe
Data exchanged
Slot availabilityService type
Partner / integrateLargest CA Medicaid NEMT broker. Direct API integration.
Ingestion
UI copy onlyPlanned
Voalte ack stream
Partner: Vocera/Voalte/Halo

Nurse/PT/Pharmacy task completion acks from existing messaging.

Protocol
Vocera/Voalte webhook
BAA
Signed · HIPAA-safe
Data exchanged
Message ackRead receipt
Partner / integrateMost hospitals already on Vocera/Voalte/Halo for nursing comms. We listen to their event stream rather than asking them to switch.
OpenBed Core
UI copy onlyLive in prototype
AI agent layer (Claude via runAgent)
Partner: Anthropic

Chart summarizer · CMA intake · prior-auth drafter · fallback booker · portal translator · voice-agent transcript follow-up.

Protocol
Anthropic API
Avg response
1.5–4s per call
Build on platformBuilt on Anthropic Claude (Sonnet 4.6 + Haiku 4.5). Every call routed through runAgent — writes AgentInference row with cost, latency, prompt hash, approval triple.
OpenBed Core
UI copy onlyPilot integration
Event bus (Inngest workflows)
Partner: Inngest

Durable workflow engine for event ingestion → recompute → routing → outbound.

Protocol
Inngest SDK
Partner / integrateDurable execution + retries + observability without building our own. Inngest is the right primitive for this shape of work.
Outbound action
UI copy onlyPilot integration
EHR writeback
Partner: Epic Systems

Writes ServiceRequest, MedicationRequest, DocumentReference (SNF packet) back to Epic.

Protocol
FHIR R4 (Epic)
Avg response
500ms–2s
BAA
Signed · HIPAA-safe
Partner / integrateCloses the loop. Every CM action that should live in the EHR is written via FHIR R4.
Outbound action
Mock contractPilot integration
CoverMyMeds (PBM prior auth)
Partner: CoverMyMeds (Surescripts)

AI drafts the PA packet; submits via CoverMyMeds for real-time PBM decision.

Protocol
CoverMyMeds API + ePA
Avg response
Real-time decision in ~40% of cases; <24h in rest
BAA
Signed · HIPAA-safe
Partner / integrateCoverMyMeds is the de-facto standard with PBM connections (CVS Caremark, Express Scripts, OptumRx). We automate the drafting; they own the pipe to the PBM.
Outbound action
UI copy onlyPilot integration
Availity (medical PA + EDI)
Partner: Availity

Medical prior auth submission + X12 278 transactions.

Protocol
X12 278 + Availity portal API
Avg response
24–72h decision
BAA
Signed · HIPAA-safe
Partner / integrateLargest provider portal + payer connectivity in US.
Outbound action
UI copy onlyPilot integration
Naviguide e-referral
Partner: Naviguide

Sends SNF / HH / Hospice referral packets to chosen facilities via Naviguide.

Protocol
Naviguide REST
Avg response
2h–24h vendor response
BAA
Signed · HIPAA-safe
Partner / integrateWe don't replace the SNF e-referral vendor — we automate the packet drafting and surface response in the CM workflow.
Outbound action
UI copy onlyPlanned
Parachute Health (DME orders)
Partner: Parachute Health

Multi-vendor DME ordering platform — one order, many vendors.

Protocol
Parachute REST
Avg response
Real-time order ack; vendor ETA 8–48h
BAA
Signed · HIPAA-safe
Partner / integrateParachute aggregates DME vendors; we send one order, they fan out.
Outbound action
UI copy onlyPilot integration
ModivCare NEMT booking
Partner: ModivCare

Books wheelchair van / stretcher transport.

Protocol
ModivCare REST
Avg response
Real-time confirm; ≥24h advance ideal
BAA
Signed · HIPAA-safe
Partner / integrateDirect broker booking.
Outbound action
UI copy onlyPilot integration
Twilio + Vapi/Retell (voice agents)
Partner: Twilio + Vapi

Voice agents for vendors without API (DME confirmations, SNF callbacks, pharmacy stock).

Protocol
Twilio + Vapi SDK
Avg response
Call duration 2–8 min
BAA
Signed · HIPAA-safe
Partner / integrateTwilio for telephony infra; Vapi/Retell for the voice-AI runtime. We compose prompts via runAgent.
Outbound action
UI copy onlyPilot integration
Documo (e-fax fallback)
Partner: Documo (or Phaxio)

Sends/receives fax for vendors with no API + no phone.

Protocol
Documo REST
BAA
Signed · HIPAA-safe
Partner / integrateUnfortunately required in healthcare. Documo is HIPAA-safe.
Outbound action
UI copy onlyLive in prototype
Notification bus
Partner: Twilio + SendGrid

Routes deltas to UI surfaces (CM, MD, RN), Voalte messaging, portal push, email/SMS.

Build (core IP)Custom routing logic per role / urgency / channel. Wraps Twilio for SMS, SendGrid for email.
UI surfaces
UI copy onlyPlanned
Voalte-style task feed
Partner: Vocera/Voalte/Halo

Per-role task channel for nurse/PT/pharmacy — embedded in existing comms tool.

Partner / integrateWe push tasks into Vocera/Voalte rather than asking nurses to switch apps.
⚙How this screen works
Single source of truth for who-talks-to-whom
Inputs
What this screen reads
  • src/lib/architecture/components.ts (typed registry)
  • Filter state (layer + internal toggle)
Engine
What it computes
  • Filters components by layer + external/internal toggle
  • Computes live/pilot/planned counts
  • No backend calls — read-only directory
Outputs
What it writes / routes
  • Per-partner detail surfaced to CM + investor audiences
  • Status indicators read by Architecture diagram component
Refresh trigger
When it updates
  • New partner contracts signed → add to components.ts
  • Status changes (PLANNED → PILOT → LIVE) per deployment
  • Protocol or BAA updates
Demo data · no PHI · mocked Epic + payer endpoints