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Connecting the Healthcare Agent Orchestrator to your Electronic Health Record and Microsoft Fabric

Connecting the Healthcare Agent Orchestrator to your Electronic Health Record

The integration of the Healthcare Agent Orchestrator with Electronic Health Records was discussed in the context of HL7 FHIR adoption.

June 26, 2025

Summary

The healthcare agent orchestrator, available in Azure AI Foundry Agent Catalog, enables advanced AI workflows by connecting with Electronic Health Record (EHR) systems. It utilizes standards like HL7 FHIR to support multi-disciplinary coordination and data analysis in clinical settings.

Key Players

HL7Microsoft

Details

This article details the use of the healthcare agent orchestrator, available in Azure AI Foundry Agent Catalog. This orchestrator is designed to coordinate interdisciplinary multimodal healthcare workflows, such as tumor boards, with the goal of augmenting clinician specialists. Regarding data connectivity, two scenarios are considered: direct access from EHR systems using established healthcare standards, and accessing data from an institution's harmonized multimodal platform built in Microsoft Fabric. The article emphasizes HL7 FHIR for EHR integration due to its structured methodology. FHIR combines HL7 standards with modern web technologies, offering a flexible, resource-based approach. SMART on FHIR builds upon this foundation, providing secure and scalable extensions for seamless EHR integration. Multiple integration patterns are detailed—including user authorization (single/multi-patient access), backend service integration (for population health analytics), and patient-authorized app launch. Regardless of the pattern, an OAuth2 access token is obtained to query the EHR's FHIR API according to the US Core Implementation Guide (IG). This ensures structured, standards-compliant access to clinical data.

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: HL7

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