EHR Integration Partnership
FHIR-Based Remote Monitoring for Enterprise Health Systems
CCN Health integrates with Epic — the EHR powering over 300 million patient records — through FHIR R4 APIs to deliver RPM, CCM, PCM, BHI, and RTM programs. Standards-based integration puts device readings in patient charts and clinical context into monitoring protocols.
Integration Overview
Standards-based, five programs.
FHIR R4 integration between Epic and CCN Health unlocks every Medicare remote care program for health systems and academic medical centers.
Platform Integration
The CCN Health platform.
Clinical data flows bidirectionally between Epic and CCN Health — vitals, alerts, and billing documentation sync automatically without leaving the EHR.
Epic
CCN Health Platform
Bidirectional Sync
Data flows both ways.
This isn't a one-way data dump. Epic shares clinical context with CCN Health to inform monitoring protocols, and CCN Health writes vitals, alerts, and billing documentation back — so caregivers never leave the EHR.
From Epic to CCN Health
Patient Resources
FHIR Patient, Coverage, and RelatedPerson resources via R4 API
Clinical Data
Conditions, CarePlans, MedicationRequests, Observations via FHIR resources
Encounter Data
Encounter resources, DiagnosticReports, DocumentReferences
Medication Records
MedicationRequest resources, allergy intolerances, prescription history
From CCN Health to Epic
Vital Observations
FHIR Observation resources — BP, weight, glucose, SpO2, temperature
Clinical Alerts
Flag resources for threshold breaches, trending changes, escalations
Billing Documentation
CPT-coded records, device transmission documentation, compliance audit trails
Program Enrollment
CarePlan and CareTeam resources for program status tracking
Programs Powered
Five programs, enterprise scale.
The Epic integration powers every Medicare-reimbursable remote care program — with the reliability and security expected by enterprise health systems.
Remote Patient Monitoring
Continuous vital sign collection from connected devices, trended in CCN Health and posted to Epic patient charts via FHIR.
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Chronic Care Management
Non-face-to-face care coordination for patients with 2+ chronic conditions. Care plans synchronized via FHIR CarePlan resources.
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Principal Care Management
Specialist-level management for a single high-complexity condition. FHIR-based coordination notes sync to Epic care plans.
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Behavioral Health Integration
Psychiatric collaborative care for patients with behavioral health conditions. Assessment observations posted via FHIR.
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Remote Therapeutic Monitoring
Non-physiological data monitoring — therapy adherence, respiratory device usage, medication compliance tracking.
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Across every supported environment
What This Enables
Enterprise-grade clinical workflows.
The Epic integration leverages FHIR R4 standards for robust, secure, and scalable data exchange between enterprise health systems and CCN Health.
FHIR Observation Posting
Device readings post to Epic as FHIR Observation resources — appearing in patient charts, Flowsheets, and the MyChart patient portal.
Real-Time Patient Context
Epic sends FHIR resources for conditions, medications, and care plans to CCN Health so monitoring protocols reflect the full clinical picture.
Compliant Billing Documentation
CPT-coded time logs and transmission records auto-generate — feeding into Epic's revenue cycle and satisfying CMS documentation requirements.
Workflow-Integrated Alerts
Vital sign threshold breaches generate Flag resources in Epic — surfacing in In Basket messages and BestPractice Alerts for clinical staff.
Unified Patient Record
RPM data, CCM notes, and billing records all accessible within Epic alongside the patient's full clinical history and treatment plans.
System-Wide Visibility
Health system administrators see aggregated program performance across all departments and locations — enrollment, compliance, and revenue metrics.
Connected Devices
Every reading, posted via FHIR.
Patients take a measurement. The device transmits to CCN Health. CCN Health posts a FHIR Observation to their Epic chart. Clinicians see it alongside all other clinical data.
| Device | Connectivity | Data Synced to Epic |
|---|---|---|
| Blood Pressure Cuff | Cellular-connected | Systolic, diastolic, pulse, irregular heartbeat flag |
| Weight Scale | Cellular-connected | Weight, BMI, trend alerts for fluid retention |
| Pulse Oximeter | Cellular-connected | SpO2, pulse rate, perfusion index |
| Blood Glucose Meter | Cellular-connected | Glucose level, pre/post meal tagging |
| Continuous Glucose Monitor | Bluetooth/cloud | 288 readings/day, trend arrows, time-in-range |
| Thermometer | Cellular-connected | Temperature, fever detection alerts |
| Sensorless Monitor | UWB radar | Heart rate, respiratory rate, sleep, presence |
| Sleep Tracker | Under-mattress | Sleep duration, efficiency, restlessness |
Integration Preview
Built into the platform.
CCN Health's clinical dashboard and mobile app integrate directly with Epic — vitals, alerts, trending, and billing documentation all flow through a single unified interface.
×CCN HealthCaregiver Mobile App
Staff use the CCN Health mobile app to take vitals at the bedside. Select a patient, choose a device, and the reading flows directly into Epic — no manual charting required.
Clinical Specialties
Specialty-specific protocols.
CCN Health's monitoring protocols are tuned per specialty — the Epic FHIR integration ensures the right data reaches the right clinicians at enterprise scale.
Cardiology
Blood pressure, heart rate, weight management for CHF and hypertension
Endocrinology
Glucose monitoring, CGM, metabolic tracking for diabetes programs
Pulmonology
SpO2, respiratory rate, sleep apnea screening for COPD management
Nephrology
Weight, blood pressure, fluid balance for CKD and dialysis
Behavioral Health
BHI programs, medication compliance, sleep for mental health conditions
Geriatrics
Fall risk, activity monitoring, comprehensive vitals for elderly patients
About Epic
The world's leading health records platform.
Epic Systems is the world's most widely used electronic health records platform, serving over 300 million patients across health systems, academic medical centers, and community hospitals. Epic's comprehensive platform covers the full continuum of care — from inpatient and ambulatory to home health and population health management — with a commitment to interoperability through FHIR and open APIs.