SMART on FHIR · read integration

Connect to Epic once.
The chart prepares the visit.

InstantHPI plugs into Epic through the standard SMART on FHIR interface. It reads the chart, runs the pre-visit interview with the patient by web, chat, or a natural AI phone call, and hands the physician a ready set of documents to review and sign. Nothing is written into Epic without the doctor.

1 · Connect

Reads the chart

Problems, medications, allergies, vitals, labs, imaging, prior notes, and immunizations, pulled live over FHIR R4.

2 · Interview

Asks only the gaps

Because it already knows the chart, it never re-asks age, smoking, conditions, or medications. It asks only what is missing.

3 · Confirm

Reads it back

It restates the story in plain language for the patient to confirm, then asks ten focused follow-ups, the way a careful clinician would.

4 · Prepare

Hands you the work

A SOAP note, orders, lab and imaging requisitions, referrals, and a one-screen summary, each ready to review and sign.

For patients

Get seen prepared, not interrogated

For doctors

Walk in to a visit that is already done

The patient combo

Three things that used to take a front desk, a form, and a nurse, folded into one step that runs itself.

Get the appointment

The visit and its reason come straight from Epic, so the interview is tuned to why the patient is actually coming in.

Fill the questions

The same proven intake, gap-filtered against the chart, by web, chat, or voice, in the patient's language.

The AI fills the rest

From the chart plus the answers, the note and every requisition are drafted automatically for the physician to sign.

The same engine, everywhere care happens

One integration, read from Encounter.class, and the note format switches at runtime.

Clinic

Pre-consult before an outpatient visit. The doctor opens a chart that is already worked up.

Emergency

Intake while the patient waits, so the team reads a structured story instead of starting cold at the bedside.

Inpatient

Prerounds. Read the overnight chart, pre-synthesize each patient, and hand the hospitalist a ready progress note before rounds even start.

How the patient reaches it

Same interview, same compile. Pick the channel that fits the patient.

Web  a link, fill it in Chat  a conversation that talks back Voice  the AI calls and asks the same questions

Built on the safe path

Read-only to startStandard SMART on FHIR read scopes. The patient authorizes it themselves. Nothing is written into Epic without explicit physician sign-off.
PHI under a BAAClinical reasoning runs on AWS Bedrock under a Business Associate Agreement, never the open public AI APIs.
No data hoardingThe app reads the chart to do its job and does not retain the patient's record. The documents go to the doctor, not a database.

See it on your charts

A doctor built this for doctors. Start a trial, or ask about an Epic sandbox demo at your institution.

Request an Epic demo →