AI SCRIBE · INTEGRATION
AI Scribe Integration: Structured Notes,
Written Directly Into Your EHR
No new window for clinicians to work in, no manual copy-paste, no rip-and-replace of your existing systems. AI Scribe connects to the EHR you already run and writes structured notes back automatically.
INTEGRATES WITH THE SYSTEMS YOU ALREADY RUN
Built to fit into clinical workflow, not around it
The value of an AI scribe collapses the moment a clinician has to leave their EHR to use it. Integration is the difference between a tool that gets adopted and one that gets abandoned after week two.
Native EHR write-back
Structured SOAP notes are written directly into the patient chart as a draft encounter note, ready for clinician review and sign-off — no separate portal, no copy-paste.
Standards-first architecture
Built on FHIR R4/R5 and HL7v2, so integration work is largely configuration against a known standard rather than a custom build for every deployment.
SMART on FHIR launch
Clinicians can launch AI Scribe from inside the EHR session itself, with patient and encounter context passed automatically — no re-authentication, no manual patient lookup.
How the integration works
From encounter to chart, the integration layer handles authentication, context, mapping, and write-back without clinician intervention.
Context launch
AI Scribe is launched from within the EHR (SMART on FHIR) or a companion app, automatically receiving the patient ID, encounter ID, and clinician identity — no manual entry required.
Ambient capture and structured note generation
The encounter is captured and processed into a structured SOAP note, with each field mapped against the target EHR's data model before write-back.
FHIR resource mapping
Structured fields are mapped to the relevant FHIR resources — DocumentReference, Observation, Condition, MedicationStatement — so the note integrates with the rest of the patient's structured chart data, not just as an attached PDF.
Draft write-back for clinician review
The note is written back as a draft in the clinician's normal documentation workflow, where it's reviewed, edited if needed, and signed — the same sign-off step already built into their EHR.
Audit and sync confirmation
A write-back confirmation and audit trail are logged, giving IT and compliance teams visibility into what was written, when, and by which encounter — without relying on the clinician to confirm manually.
Integration paths, by system type
Not every EHR exposes the same interfaces. The right integration path depends on what your system supports today.
| EHR Capability | Integration Approach | Typical Timeline |
|---|---|---|
| Modern FHIR R4/R5 API + SMART on FHIR | Direct API integration with in-context launch | 2–4 weeks |
| HL7v2 interface engine (legacy systems) | Interface engine mapping for ADT / ORU / MDM message types | 4–8 weeks |
| No standard API (fully custom/in-house EHR) | Custom connector built against Peerbits' general-purpose integration API | 6–10 weeks |
| Multi-site / multi-EHR environment | Phased rollout, one interface standardized at a time | Scoped per site during discovery |
Security and compliance, built into the integration layer
Integration touches PHI at every step, so the connection itself is held to the same bar as the rest of the platform.
Data in transit and at rest
All data exchanged with the EHR is encrypted end-to-end (TLS 1.2+ in transit, AES-256 at rest), with no PHI persisted outside the scope required for note generation and write-back.
Access and audit controls
OAuth 2.0 / SMART on FHIR authorization scopes limit access to only the resources required, and every read and write action is logged for HIPAA-compliant audit trails.
What implementation actually looks like
A rough view of how a standards-based integration typically progresses from kickoff to go-live.
Discovery and access scoping
EHR system, version, and available interfaces are confirmed; sandbox/test environment access is provisioned.
Connection and field mapping
Authentication is configured, and structured note fields are mapped to your EHR's specific data model and documentation templates.
Pilot with a small clinician group
A limited rollout validates write-back accuracy, workflow fit, and note formatting in real encounters before wider deployment.
Full rollout and monitoring
Expansion across additional clinicians or sites, with integration health and write-back success rates monitored on an ongoing basis.
FOR TECHNICAL EVALUATORS
If your team wants to review the integration in technical detail before committing — API documentation, FHIR resource mappings, sandbox access, or a working session with our integration engineers — that can be arranged directly. Most technical evaluations are completed within a single working session.
Frequently asked questions
AI Scribe integrates with major EHR platforms including Epic, Oracle Health (Cerner), athenahealth, eClinicalWorks, NextGen, and Meditech, using standards-based FHIR and HL7v2 interfaces, along with a general-purpose API for custom or less common systems.
For EHRs with SMART on FHIR or standard FHIR APIs, integration typically requires configuration rather than custom development. Legacy HL7v2-only systems or heavily customized EHR instances usually need some interface engine work, which is scoped during discovery.
Standards-based integrations with modern EHR APIs are typically live within 2 to 4 weeks. Integrations involving legacy interface engines or complex multi-site deployments generally take 6 to 10 weeks depending on scope.
Structured chart data. Fields are mapped to FHIR resources like Observation, Condition, and MedicationStatement rather than dropped in as an attached document, so the information stays usable by the rest of your clinical data model.
Yes. Using SMART on FHIR, AI Scribe can be launched directly from within the clinician's EHR session with patient and encounter context passed automatically — no separate login, no manual patient lookup.
All PHI exchanged during integration is encrypted in transit (TLS 1.2+) and at rest (AES-256). OAuth 2.0 scopes limit access to only the FHIR resources required for note write-back. No PHI is persisted outside the scope required for note generation.
Have more questions?
Ask our expertsLet's scope your integration
Tell us which EHR you're running and we'll map out the fastest realistic path to go-live — including where a standards-based connection is possible and where it isn't.
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