Integration Strategy

Objective: Technical deep dive for CIO, IT, and EHR Interface teams.

TL;DR: Integration Approach

• Philosophy: "Read-Only First" to minimize risk.
• Standard: FHIR R4 / HL7 v2 via interface engine.
• Burden: Minimal IT lift; we provide the adapters.

1. Phase 1: Read-Only Surface

We request access only to specific FHIR resources needed for the CVD Agent:

• Patient (Demographics)
• Observation (Labs, Vitals)
• Condition (Problem List)
• MedicationRequest (Active Meds)

2. Pre-Production Testing Plan

• Synthetic Data: We validate against synthetic patients first.
• Connectivity Test: Verify auth flows (SMART on FHIR) without touching PHI.
• Data Mapping: Validate terminology codes (LOINC, RxNorm, SNOMED).

3. Phase 2: Write-Back Gates

Write-back (e.g., placing orders, updating notes) is strictly gated.

• Gate 1: Technical success in read-only phase.
• Gate 2: Clinical governance approval of autonomy boundaries.
• Gate 3: IRB approval for interventional study.

4. RACI Matrix

Last Updated: 2026-01-20