Coexistence

Keep what works.
Support what’s missing.

EHRPulse agents are designed to carry out selected workflows alongside Epic and other healthcare platforms. Start with a defined need and assess the connections available in your environment. Coexistence can be the long-term model.

Semantic Digital Twin (SDT) runtime

Different systems.
One connected workflow.

Available contextAgent-prepared workHuman reviewApproved updates

Your existing environment

Your existing EHR

System of record for the agreed data scope.

The connecting layer

SDT runtime

Maps meaning across authorized connections.

Your next capability

EHRPulse workflows

Agents prepare and coordinate work. Your team reviews and decides.

Exchange paths depend on the source system, enabled interfaces, permissions, and the workflow being deployed.

How coexistence works

Every system has
a defined role.

Coexistence starts by deciding where work happens and which system owns each record. The exchange model follows those decisions.

01

Connect the relevant context

Bring together the information needed for the selected workflow using available EHR interfaces and source feeds.

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  • FHIR, HL7 v2, and supported export paths
  • Patient and encounter context carried into the workflow
  • Source information retained for review
02

Execute the work in EHRPulse

EHR events or authorized users initiate the workflow. EHRPulse agents assemble context, prepare outputs, and route the necessary review.

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  • Documentation, authorizations, reconciliation, and coordination
  • Work inside supported embedded experiences or EHRPulse workspaces
  • Defined approval roles before regulated outputs are committed
03

Return approved information

Use the write-back path enabled for the organization and the specific record type. Keep failed exchanges visible for resolution.

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  • Supported FHIR and HL7 write-back paths
  • Assisted transfer where direct write-back is unavailable
  • Execution evidence across review and exchange
04

Review future options

Additional capabilities are optional. If you are considering a migration, first assess source-data access, contractual permissions, costs, and operational dependencies.

View integration details
  • A documented transition scope and validation criteria
  • SDT migration for the data move
  • SDT runtime for continued exchange after the transition

Working alongside Epic

Start with an
additional capability.

Your organization can keep Epic as its system of record while EHRPulse takes on selected work. Any additional scope follows a separate assessment of your priorities, access, and investment.

Patient context & workflow access

Supported SMART on FHIR experiences bring patient context into EHRPulse. Available events and interfaces connect the selected workflow to your Epic environment.

Migration & approved updates

Historical-data access and approved updates are assessed for your environment. Available source access, permissions, and configured interfaces determine the supported scope.

Capabilities depend on the EHR version, enabled interfaces, granted permissions, and record types. Integration scope is confirmed before deployment. Product names do not imply vendor endorsement.

Common questions

Coexistence on your terms.

Do we have to replace our EHR?

No. EHRPulse can remain alongside your existing EHR as a long-term arrangement. There is no requirement to migrate to benefit from a supported workflow.

Does every integration work in exactly the same way?

No. Read access, embedded workflows, triggers, and write-back vary by system and configuration. We define those paths for the workflow you want to deploy, including any assisted steps.

How do we avoid competing records?

The deployment defines an authoritative system for each record or functional area, along with the direction of exchange and required approvals. That ownership is revisited when a function transitions.

What is the difference between SDT migration and SDT runtime?

Migration maps and moves data for a defined transition. Runtime supports the ongoing semantic model and exchange between systems that continue operating together.

Your next step

Map a gap in your current environment.

Bring your EHR, the workflow you want to improve, and the systems it touches. We’ll identify a practical coexistence scope.

Request a working session