Integration layer
Network on-ramp & EHR adapters
One swappable interface to Carequality, CommonWell, TEFCA, and direct EHR FHIR APIs. The single most important MVP decision lives here.
Records reachable
270M+
Via active aggregator
Aggregator uptime 30d
99.97%
Primary on-ramp
EHR adapters live
3 / 5
Epic · Oracle · athena
Avg query p95
1.4s
Patient/$everything
Aggregator on-ramps
Metriport
Active · primary
Carequality + CommonWell
270M+
Open-source / self-host
live
Adapter v1.2 · 99.97% success 30d
Health Gorilla
Standby · QHIN-grade
TEFCA QHIN + labs
300M+
Enterprise contract
standby
Sandbox creds · failover ready
Particle Health
Disabled
Carequality / CommonWell
270M+
Per-transaction
off
Watchlist · Epic dispute
Zus Health
Disabled
Direct EHR + networks
—
Platform fee
off
Reserved for pilot eval
Direct EHR FHIR adapters
- Epic on FHIRApp Market sandbox · US Core R4 · SMART v2
- Oracle Health IgniteFHIR R4 sandbox · DSTU2 deprecated 12/2025
- athenahealthPilot · Westside Clinic · Fastest ambulatory path
- eClinicalWorksSandbox · Throttling at 4 req/s
- MEDITECH ExpanseNot configured · Planned Q2 pilot
Top calls · last 30 days
| Endpoint | Calls | p99 | Error |
|---|---|---|---|
| Patient/$match | 18,402 | 412ms | 0.04% |
| Patient/{id}/$everything | 9,127 | 1.8s | 0.11% |
| DocumentReference (C-CDA) | 6,840 | 2.4s | 0.32% |
| MedicationStatement | 4,219 | 640ms | 0.05% |
| Observation (labs) | 12,553 | 780ms | 0.18% |