Epic EHR Integration Services
Arkenea builds and maintains Epic EHR integrations for healthcare providers, health tech companies, and medical device manufacturers. We have worked exclusively in healthcare for 15 years, which means your integration is scoped, built, and validated by a team that already knows FHIR, HL7, and the way Epic behaves at each individual health system.
Request a QuoteWhat Our Epic EHR Integration Services Include
Epic EHR integration services cover the design, development, validation, and maintenance of connections between your software and Epic's electronic health record platform. That includes reading and writing clinical data through FHIR APIs, exchanging messages over HL7 v2 interfaces, embedding applications inside Epic workflows with SMART on FHIR, and getting your product listed and approved through Epic's developer programs.
Arkenea handles the full scope as part of our broader EHR software integration services, whether you are a hospital connecting a new system or a health tech company that needs your product working inside Epic environments.
Epic FHIR API Integration
Read and exchange patient demographics, problems, medications, allergies, lab results, and encounter data through Epic's FHIR R4 APIs, with correct handling of the version differences you will meet across health systems.
HL7 v2 Interface Development
ADT, ORM, ORU, and SIU interfaces for admissions, orders, results, and scheduling, built and tested against the interface engines health systems actually run.
SMART on FHIR Applications
Applications that launch inside the Epic clinician workflow with OAuth 2.0 authentication, so users get your product's functionality without leaving their charting screen.
MyChart and Patient Engagement
Patient facing integrations that connect your application with MyChart data access, appointment scheduling, and patient reported data collection.
Telehealth Integration
Video visit workflows connected to Epic scheduling, documentation, and billing so virtual care runs through the same operational pipeline as in person care.
Device, Lab and Imaging Connectivity
Medical device data feeds, lab orders and results, and imaging workflows connected to Epic using HL7, FHIR, and DICOM standards.
Revenue Cycle and Billing Integration
Charge capture, eligibility checks, and claims data flowing between Epic and your billing or practice management systems without duplicate entry.
Legacy System Migration
Data mapping and migration from legacy EHRs and homegrown systems into Epic connected environments, with clinical data integrity checks at every stage.
Epic Connection Hub Listing Support
Guidance through open.epic registration, security attestation, and Connection Hub listing so your product clears Epic's review process the first time.
How Integrating With Epic Actually Works
Integrating with Epic starts at open.epic, Epic's developer program, where your application is registered and given access to a FHIR sandbox for development and testing. From there, the path depends on what you are building and who will use it.
Health tech companies distributing a product to multiple Epic customers typically list on Epic Connection Hub, part of the Epic Showroom that replaced the retired App Orchard marketplace. Listing requires security documentation and a review process, and each health system that adopts your product then approves and configures the connection in its own Epic environment. Provider organizations integrating internal systems work directly with their Epic instance and interface team instead.
The detail that catches most teams off guard is that there is no single Epic endpoint. Every health system configures Epic differently: which FHIR resources are exposed, which FHIR version is running, what data filtering applies, and how patient matching behaves all vary site by site. An integration that works perfectly in the sandbox can still fail at a specific hospital if it was not built to absorb that variance. This is exactly the kind of knowledge that comes from 15 years of healthcare only development, and it is why we scope every integration against your actual target environments rather than the sandbox alone.
Our Epic Integration Process
Every Arkenea engagement starts with discovery, not a quote pulled from thin air. We write a functional specification first, so the fixed price you receive is based on what will actually be built. Underscoping is the single biggest reason EHR integration projects blow past their budgets, and the discovery phase is how we prevent it.
Discovery and Functional Specification
We document your data flows, target Epic environments, FHIR and HL7 requirements, and compliance obligations, then deliver a functional specification you own regardless of who builds it.
Fixed Price Proposal
With the specification agreed, you receive a fixed price and timeline. No hourly meters, no scope surprises midway through the build.
Architecture and HIPAA Review
Integration architecture is designed with PHI handling, encryption, audit logging, and access controls decided before the first line of code, not patched in later.
Development Against the Epic Sandbox
APIs, interfaces, and application logic are built and continuously tested against Epic's sandbox environments and your interface specifications.
Validation and Site Testing
We test against each target health system's configuration, covering FHIR version differences, data filtering, and patient matching before anything touches production.
Go Live and Ongoing Support
Per site deployment, monitoring, and maintenance, including handling Epic version upgrades so the integration keeps working after launch day.
Epic Integration Timeline and Cost
Most Epic EHR integration projects take 3 to 9 months from kickoff to first production go live, and budgets typically range from $50,000 to $200,000 or more depending on scope. Anyone quoting a firm price before understanding your data flows and target environments is guessing, which is why we scope first.
What Moves the Timeline
Registration and sandbox access take days to a few weeks. Development runs 2 to 6 months depending on the number of interfaces. Epic's review for Connection Hub listing and each health system's own approval process add time you should plan for, since per site go lives typically take 2 to 4 weeks each.
What Moves the Cost
The number of FHIR resources and HL7 interfaces, whether you need read only access or bidirectional data flow, how many health systems you are deploying to, and the depth of compliance documentation required all drive the budget more than any single technology choice.
How We Keep Both Predictable
The discovery phase produces a functional specification and a fixed price before development begins. You know the cost and the delivery plan up front, and changes are handled as explicit decisions rather than silent budget creep.
Epic Integration Challenges We Solve
Most Epic integration projects that fail do not fail on the happy path. They fail on the edge cases that only show up in production, and each one costs weeks of rework when it is discovered late. These are the problems we design for from the start.
Configuration Variance Across Health Systems
An integration validated at one hospital can break at the next because exposed resources, FHIR versions, and data filters differ. We build version tolerant integrations and validate against each target site's configuration before go live.
Limited Write Back Access
Epic's public FHIR APIs are largely read focused, and teams that assume open write access discover the gap late in the project. We identify the correct pathway for writing data, whether through specific FHIR operations, HL7 interfaces, or Epic's partnership programs, during discovery rather than mid build.
Patient Matching
Matching records across systems without a shared identifier is where clinical data integrity is won or lost. We implement matching strategies with defined confidence thresholds and human review queues for ambiguous cases.
Version Drift and Upgrades
Epic environments upgrade on their own schedules. We build integrations that tolerate version differences and provide maintenance coverage so an upgrade at one health system does not become an outage for your product.
HIPAA Compliance Built Into the Architecture
Every Epic integration moves protected health information, which makes the integration layer itself subject to the HIPAA Security Rule. At Arkenea, compliance is an architectural decision made at the design stage, not a checkbox reviewed before launch.
In practice that means encryption of PHI in transit and at rest, OAuth 2.0 based authentication for API access, role based access controls, complete audit logging of every data access event, and business associate agreements in place before any PHI flows. Because we have built exclusively for healthcare since 2011, these controls are part of our standard engineering practice on every project, including the custom EMR and EHR software we develop from the ground up.
EHR Integration Outcomes We Have Delivered
Results from Arkenea integration and EHR projects for provider organizations, health tech companies, and device manufacturers.
Regional Healthcare Network
A regional network needed its systems exchanging data instead of relying on staff rekeying records between applications. Arkenea built the integration layer connecting its core clinical and operational systems.
60% reduction in manual processing and $200,000 in annual savings.
Health Tech Startup, Multi EHR Connectivity
A digital health startup needed its product exchanging data with the EHR systems its hospital customers already ran, including Epic. Arkenea built the connectivity layer that made the product deployable across customer environments.
Connected to 18+ EHR systems, supporting a $1.2M Series A raise.
Medical Device Manufacturer
A device company needed its readings flowing into hospital EHR workflows to make the product viable for clinical purchasing. Arkenea engineered the device to EHR data pipeline and supported the regulatory pathway.
FDA clearance achieved, with compatibility across 12 EHR platforms.
Hamilton Physical Therapy
An 8 location physical therapy practice in Montana was losing clinician hours to a commercial EHR with tedious workflows. Arkenea built a custom cloud based EHR integrated with the practice's existing billing software.
Documentation time cut significantly, with more clinician time returned to patient care.
Why Healthcare Companies Choose Arkenea for Epic EHR Integration Services
Arkenea has worked exclusively in healthcare software development since 2011. We do not split our attention across fintech, retail, and whatever else came through the door this quarter. Every engineer, designer, and analyst on our team works on healthcare projects, which is why the FHIR version quirks, HL7 message edge cases, and per site Epic behaviors that surprise generalist agencies are things we plan for on day one.
That focus shows up in three ways. First, the discovery first engagement model: you get a functional specification and a fixed price before committing to development, so the budget conversation happens at the start of the project instead of two thirds of the way through. Second, HIPAA compliance as an architectural practice on every project rather than an add on service. Third, depth beyond integration alone: if your roadmap extends past connecting to Epic, our EHR software development company team builds complete custom EMR and EHR platforms, and our EHR software integrations practice covers Cerner, athenahealth, Allscripts, NextGen, and multi EHR environments alongside Epic.
Arkenea received the GHP Global Excellence Award for Best Custom Healthcare Software Development Company (East Coast USA) three years running: 2024, 2025, and 2026.
Frequently Asked Questions About Epic EHR Integration
What are Epic EHR integration services?
Epic EHR integration services are professional services that connect third party software, devices, or internal hospital systems with Epic's electronic health record platform so clinical and operational data can flow between them. The work typically includes FHIR API integration, HL7 v2 interface development, SMART on FHIR application development, testing against each health system's Epic configuration, and ongoing maintenance after go live.
How much does Epic EHR integration cost?
Most Epic integration projects cost between $50,000 and $200,000 or more, depending on scope. The main cost drivers are the number of interfaces and FHIR resources involved, whether data flow is read only or bidirectional, how many health systems you are deploying to, and the compliance documentation required. Arkenea provides a fixed price after a discovery phase produces a functional specification, so the number you approve is based on the actual scope.
How long does it take to integrate with Epic?
A typical Epic integration takes 3 to 9 months from kickoff to first production go live. Developer registration and sandbox access take days to a few weeks, development runs roughly 2 to 6 months depending on scope, and each health system's own review and configuration adds 2 to 4 weeks per site. Connection Hub listing review adds additional calendar time for products distributed to multiple Epic customers.
What is the difference between FHIR and HL7 for Epic integration?
FHIR is a modern REST API standard for retrieving and exchanging structured clinical data on demand, while HL7 v2 is an older messaging standard that pushes event based messages such as admissions, orders, and results between systems in near real time. Most substantial Epic integrations use both: FHIR for application data access and HL7 v2 for the event feeds health systems already run. The right mix depends on your use case, which is what the discovery phase determines.
Is the Epic API free to use?
Registering at open.epic and developing against Epic's FHIR sandbox is free, and the USCDI FHIR APIs carry no per call licensing fee for standard use. The costs come from elsewhere: building and validating the integration, Connection Hub listing fees for commercial products, and the per site work of deploying at each health system. Budgeting only for API access and not for the engineering around it is a common early mistake.
Can you write data back to Epic?
Yes, but not through every pathway, and this is one of the most important things to establish during scoping. Epic's public FHIR APIs are largely read focused, so writing data back typically happens through specific supported FHIR operations, HL7 v2 interfaces, or deeper arrangements through Epic's partnership programs. Arkenea identifies the correct write pathway for your use case during discovery so it never becomes a mid project surprise.
What is Epic Connection Hub and do I need to be listed on it?
Connection Hub is Epic's listing program for third party applications that connect to Epic, part of the Epic Showroom that replaced the retired App Orchard marketplace. You need a listing if you are a vendor distributing a product to multiple Epic customer organizations, since health systems use it to verify your connection. A provider organization integrating its own internal systems does not need a listing and works directly with its Epic environment instead.
How do you keep an Epic integration HIPAA compliant?
By treating the integration layer as a system that handles protected health information from the first architecture decision. That means encryption in transit and at rest, OAuth 2.0 authentication, role based access controls, complete audit logging, and business associate agreements executed before any PHI flows, all mapped to the HIPAA Security Rule safeguards. Arkenea has applied these controls on every project since 2011 because healthcare is the only industry we build for.
Do you provide support after the integration goes live?
Yes. Epic environments upgrade on their own schedules, and an integration that is not maintained will eventually break at one of your sites. Arkenea provides ongoing monitoring, maintenance, and upgrade support so version changes at a health system are handled before they affect your users, and new site deployments reuse the validated integration rather than starting over.
Start With a Scoped Plan, Not a Guess
Tell us what you need connected to Epic. We will come back with a discovery plan, then a functional specification and a fixed price, from a team that has built healthcare software and nothing else for 15 years.
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