FHIR Integration with EHR/EMR: Implementation Guide for Epic and Cerner
How to Implement FHIR with Epic, Cerner, and Other EHR/EMR
OSP Labs provided guidance on integrating FHIR standards with major Electronic Health Record (EHR) systems, including Epic and Cerner.
Summary
As of 2025, standardized data access is mandatory in healthcare, making FHIR integration increasingly critical. Major vendors (Epic, Cerner, etc.) are adopting FHIR R4 APIs to ensure seamless interoperability across EHR/EMR platforms, responding to regulations like TEFCA.
Key Players
Details
With 2025 marking a key moment for healthcare interoperability, federal mandates and updated CMS rules require standardized, secure access to clinical data. The rise of virtual care has increased the demand for reliable FHIR integration with EHR/EMR platforms. Major vendors like Epic utilize SMART on FHIR, while Cerner (Oracle Health) supports FHIR R4 APIs to ensure seamless interoperability. Meditech and NextGen are also adopting FHIR R3/R4 APIs. These shifts are driven by mandates such as TEFCA’s QHIN framework. Specifically with Epic, the Connection Hub publicly lists active integrations, allowing developers to register applications in App Orchard and access data via OAuth workflows (SMART App Launch). In addition to core FHIR resources (Patient, Observation), Bulk Data APIs support incremental queries. These technical advancements signify a move away from legacy DSTU2 interfaces, enabling scalable, compliant data exchange using modern R4 APIs that offer advanced authentication and cloud deployment options.
Technology Note
FHIR（Fast Healthcare Interoperability Resources）は医療データ交換の国際標準。このエントリの関連技術: FHIR
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