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Unify Clinical Excellence with Financial Agility: Epic-Oracle Integration

Break down data silos between Epic EHR and Oracle ERP. Automate workflows, optimize revenue cycles, and enhance patient care with real-time, intelligent integration.

The Challenge

The Disconnect: Why Epic and Oracle Silos Hinder Healthcare Operations

Healthcare organizations often struggle with a critical divide between their clinical and administrative systems. Epic, while central to patient care, operates distinctly from Oracle's powerful financial, HR, and supply chain management capabilities. This separation leads to manual workarounds, delayed processes, and a fragmented view of patient and organizational health.

  • Manual data entry and reconciliation between Epic's clinical records and Oracle's financial/operational systems.
  • Delayed revenue cycles due to slow claims processing and payment application across disparate platforms.
  • Inaccurate or outdated inventory data impacting clinical supply availability and increasing operational costs.
  • Lack of a unified 'Patient 360' view, preventing holistic understanding of patient clinical history and financial standing.
  • Compliance risks and data quality issues arising from inconsistent data across systems.
  • Inefficient patient onboarding and appointment scheduling processes requiring redundant data capture.
  • Complex and time-consuming reporting that aggregates data from multiple, disconnected sources.
Integration Diagram
Solution Illustration
The Solution

The Unified Solution: Intelligent iPaaS for Epic and Oracle Integration

Our iPaaS solution provides a comprehensive, secure, and scalable platform to seamlessly integrate Epic EHR with your Oracle ERP ecosystem. By leveraging Epic's FHIR APIs and Oracle's extensive REST APIs and business events, we enable real-time, bi-directional data flow, automating critical clinical, administrative, and financial workflows. This transforms your operations from reactive and manual to proactive and intelligent.

  • Pre-built Connectors for Epic (FHIR) & Oracle (Fusion Cloud, EBS)
  • Visual, Low-Code Workflow Design & Orchestration
  • AI-Powered Data Mapping & Transformation
  • Real-time, Event-Driven Data Synchronization
  • Robust Error Handling & Data Reconciliation
Implementation Timeline

Go live with Epic + Oracle in as little as 2–4 weeks.

A proven, repeatable implementation approach that minimizes risk while getting your team to value quickly.

1

Access Enabled

Secure connections established to both Epic and Oracle, with credentials and environments confirmed.

2

Configuration & Mapping

Field mappings, business rules, and workflows configured using visual tools and pre-built templates.

3

Go Live

Launch production-ready integration with monitoring, alerting, and support in place—typically within 2–4 weeks.

Time to Value

2–4 weeks

Typical implementation window from access granted to production go-live for most Epic + Oracle deployments.

Project Phases

Discovery
Configure & Map
Validate
Launch

Engagement Model

Guided by Clarity experts with your team involved at key milestones.

Comprehensive Solution Details

  • Pre-built Connectors for Epic (FHIR) & Oracle (Fusion Cloud, EBS)
  • Visual, Low-Code Workflow Design & Orchestration
  • AI-Powered Data Mapping & Transformation
  • Real-time, Event-Driven Data Synchronization
  • Robust Error Handling & Data Reconciliation
  • End-to-End Security & HIPAA Compliance
  • Centralized Monitoring & Analytics Dashboards

Epic-Oracle Integration: Technical Implementation & Data Flow

Our iPaaS provides the robust middleware layer necessary to orchestrate complex data exchanges between Epic and Oracle. We leverage an API-first, event-driven architecture to ensure real-time data synchronization, high data integrity, and compliance with healthcare security standards. The integration focuses on harmonizing clinical and administrative data to power automated workflows.

Data Flow Steps

Connect & Authenticate: Establish secure connections to Epic's FHIR APIs (OAuth 2.0 via Open Epic) and Oracle's REST/SOAP APIs (OAuth 2.0, API keys, service accounts).

Event Listener/Polling: Configure iPaaS to listen for Epic FHIR events (e.g., new Patient, Appointment, Observation) or Oracle Business Events (e.g., new Sales Order, Invoice). For systems without robust eventing, secure polling mechanisms are deployed.

Data Extraction: Extract relevant data entities (e.g., Epic Patient, Claim; Oracle Customer, Invoice) from the source system.

Transformation & Harmonization: Apply visual data mapping and AI-assisted transformations to convert data schemas and vocabularies (e.g., FHIR to Oracle's internal structures, LOINC to service codes).

Business Logic & Validation: Implement conditional logic, data validation rules, and error handling within the iPaaS workflow. AI-driven validation flags anomalies.

Data Loading: Use the target system's APIs (POST, PUT) to create or update records in Oracle or Epic.

Confirmation & Audit: Log all transactions, confirm successful data delivery, and maintain comprehensive audit trails for compliance and troubleshooting.

Error Handling & Retries: Implement intelligent retry mechanisms with exponential backoff for transient failures and dead-letter queues for persistent issues.

Data Touchpoints

Epic: Patient, Appointment, Encounter, ServiceRequest, Observation, Practitioner, Organization, Claim, MedicationRequest, Location
Oracle: Customer, Sales Order, Product / Item Master, Inventory, Invoice (AR/AP), Payment, Supplier, Purchase Order, General Ledger (GL) Entry, Employee, Shipment, Project

"Epic EHR (FHIR APIs, Events) <--> iPaaS (Connectors, Transformation, Orchestration, AI) <--> Oracle ERP (REST/SOAP APIs, Business Events)"

Pricing

Simple, transparent pricing for Epic + Oracle.

Start with a single integration pair and scale as your business grows—without surprise fees or transaction penalties.

Connect™ Plan

Clarity Connect

$595 /mo

Billed annually • Includes one production integration pair

  • Unlimited transactions and API calls within fair-use limits.
  • Visual workflow designer and reusable mapping templates.
  • Monitoring, alerting, and access to Clarity’s support team.
View full pricing & options
Innovative & Robust

How Middleware Integration Works

Benefits of Integrating Epic

Integrating Epic fosters greater efficiency and data accuracy. Automate your critical business processes to deliver consistently outstanding results.

Hover over the steps on the right to see detailed integration points.
Data Mapping

Key Data Entities & Field-Level Mappings for Epic-Oracle Integration

Achieving seamless data flow relies on precise mapping and transformation of core entities between Epic's FHIR-based clinical data model and Oracle's structured enterprise data. Our iPaaS provides visual tools and AI assistance to manage this complexity, ensuring data integrity and consistency.

Patient (Epic) <=> Customer (Oracle)

Harmonizing patient demographic and identifier data from Epic with customer master records in Oracle is fundamental for billing, financial tracking, and a unified patient view.

Epic Fields

[field, id],[description, Epic internal ID] [field, identifier (MRN)],[description, Medical Record Number (primary identifier)] [field, identifier (SSN)],[description, Social Security Number (if applicable)] [field, name (given, family)],[description, Patient's full name] [field, gender],[description, Patient's gender] [field, birthDate],[description, Patient's date of birth] [field, address (line, city, state, postalCode)],[description, Patient's physical address] [field, telecom (phone, email)],[description, Contact information]

Oracle Fields

[field, CustomerID],[description, Oracle Customer ID (often auto-generated or mapped from MRN)] [field, CustomerName],[description, Customer's full name] [field, CustomerType],[description, e.g., 'Patient', 'Individual'] [field, Address (Bill-To, Ship-To)],[description, Customer's billing/shipping address] [field, ContactInfo (Phone, Email)],[description, Customer's contact details] [field, PaymentTerms],[description, Standard payment terms for patient accounts] [field, SourceReferenceID],[description, Mapped from Epic MRN to maintain linkage]

Mapping Notes

Epic's FHIR Patient resource attributes map to Oracle's Customer entity. 'identifier (MRN)' is critical for unique identification and conflict resolution. Special handling for PHI is required. Oracle's customer master can have multiple address types, requiring careful mapping of Epic's single address to appropriate Oracle types.

Next Steps

See Epic + Oracle integration in action.

Explore a guided demo, start a sandbox integration, or speak directly with our solution architects about your specific use cases.

Real-World Applications

Integration Use Cases

Explore how the integration behaves in real business scenarios, with clearly defined steps, outcomes, and execution patterns.

Patient Onboarding & Billing Automation

When a new patient registers or schedules an appointment in Epic, their demographic and appointment data is automatically synchronized to Oracle. This creates a unified customer record and initiates the billing process, ensuring accurate financial tracking from the start.

Integration Steps:

  1. 0 Patient registers in Epic, creating 'Patient' and 'Appointment' records.
  2. 1 iPaaS detects new 'Patient' (FHIR: Patient POST) via Epic's eventing.
  3. 2 iPaaS transforms Epic 'Patient' data (MRN, Name, Address, Telecom) to Oracle 'Customer' master data structure.
  4. 3 iPaaS calls Oracle's '/customers' API (POST) to create a new customer or update an existing one.
  5. 4 iPaaS then creates an initial 'Sales Order' or 'Invoice' in Oracle (via '/receivablesInvoices' or '/salesOrders') linked to the new customer, based on appointment type or service request.
  6. 5 Confirmation sent to patient, and billing status updated in Epic's module.

Business Outcome

Reduced manual data entry, accelerated billing cycle, improved patient satisfaction with streamlined administrative processes, accurate customer 360 view.

Frequency

Real-time, event-driven

Business Value

Key Integration Benefits

Discover the strategic advantages and business value of seamless integration between your systems.

Streamlined Revenue Cycle
Automate claims submission from Epic to clearinghouses and reconcile payments in Oracle, drastically reducing manual effort and accelerating cash flow.
Enhanced Patient Experience
Provide a unified patient journey from scheduling and care delivery in Epic to billing and communication managed in Oracle, improving satisfaction.
Optimized Supply Chain
Synchronize Epic's clinical inventory needs with Oracle's procurement, automating reorders and ensuring critical supplies are always available.
Improved Data Accuracy
Eliminate manual data entry errors and ensure consistent, validated patient and financial data across both Epic and Oracle systems.
Accelerated Workflows
Automate routine administrative and clinical tasks, freeing up staff to focus on higher-value activities and direct patient care.
Robust Compliance & Security
Ensure end-to-end encryption, granular access controls, and detailed audit trails for all PHI and financial data, meeting HIPAA and GDPR standards.

Streamlined Revenue Cycle

30% Faster Claims Processing

📋 What You Get

Automate claims submission from Epic to clearinghouses and reconcile payments in Oracle, drastically reducing manual effort and accelerating cash flow.

💼 Business Impact

This benefit directly contributes to 30% improvement in Faster Claims Processing, enabling your team to focus on high-value strategic initiatives.

Implementation Timeline

Go live with Epic + Oracle in as little as 2–4 weeks.

A proven, repeatable implementation approach that minimizes risk while getting your team to value quickly.

1

Access Enabled

Secure connections established to both Epic and Oracle, with credentials and environments confirmed.

2

Configuration & Mapping

Field mappings, business rules, and workflows configured using visual tools and pre-built templates.

3

Go Live

Launch production-ready integration with monitoring, alerting, and support in place—typically within 2–4 weeks.

Time to Value

2–4 weeks

Typical implementation window from access granted to production go-live for most Epic + Oracle deployments.

Project Phases

Discovery
Configure & Map
Validate
Launch

Engagement Model

Guided by Clarity experts with your team involved at key milestones.

Technical Documentation

API Endpoints & Data Logic

Technical details for developers and architects.

Method Endpoint Purpose
POST, GET, PUT /api/FHIR/R4/Patient Create, retrieve, or update patient demographic information and identifiers. Critical for Patient-to-Customer sync.
POST, GET, PUT /api/FHIR/R4/Appointment Manage patient appointments, including scheduling, rescheduling, and cancellations. Triggers for billing and resource allocation.
POST, GET /api/FHIR/R4/Observation Record and retrieve clinical observations, lab results, and vital signs. Essential for device data and lab result integration.
POST, GET /api/FHIR/R4/MedicationRequest Manage medication orders and prescriptions. Relevant for pharmaceutical supply chain and billing.
POST, GET /api/FHIR/R4/ServiceRequest Create and retrieve general service requests, including referrals and lab orders. Drives procurement workflows in Oracle.
POST, GET /api/FHIR/R4/Claim Submit and retrieve healthcare claims for billing purposes. Central to revenue cycle automation.
POST, GET, PUT /api/FHIR/R4/Practitioner Manage healthcare provider information. Used for sync with Oracle HCM.

Transformation Logic

  • FHIR Patient to Oracle Customer: Concatenate `name.given` and `name.family` to `CustomerName`. Map `identifier (MRN)` to a custom `SourceReferenceID` field in Oracle. Convert FHIR `address` to Oracle's specific address segments.
  • Epic Claim Line Items to Oracle AR Invoice Lines: Map `item.code` (CPT/HCPCS) to Oracle's `Product ID` or `GL Account Segment` using a lookup table. Calculate `net` amount for each line.
  • Epic ServiceRequest to Oracle Purchase Order: Identify `SupplierID` based on `ServiceRequest.code` via a master data lookup. Map `ServiceRequest.occurrence` to `OrderDate`.
  • LOINC/SNOMED to Internal Codes: Standardize clinical codes from Epic's Observations or ServiceRequests to Oracle's internal item/service identifiers for financial posting or supply chain management.

🛡️ Error Handling

  • API Rate Limit Exceeded: iPaaS intelligently throttles requests and retries with exponential backoff.
  • Data Validation Failure: Incorrect data format from Epic for Oracle, or vice versa. Data is routed to DLQ; AI may suggest fixes.
  • System Unavailability: Temporary outage of Epic or Oracle API. iPaaS retries based on policy; alerts on persistent issues.
  • Data Conflict: Patient MRN in Epic maps to multiple Oracle Customer IDs. Conflict resolution rules applied; manual review if ambiguous.
  • Authentication Failure: Expired token or incorrect credentials. iPaaS attempts re-authentication, alerts on persistent failure.
Pricing

Simple, transparent pricing for Epic + Oracle.

Start with a single integration pair and scale as your business grows—without surprise fees or transaction penalties.

Connect™ Plan

Clarity Connect

$595 /mo

Billed annually • Includes one production integration pair

  • Unlimited transactions and API calls within fair-use limits.
  • Visual workflow designer and reusable mapping templates.
  • Monitoring, alerting, and access to Clarity’s support team.
View full pricing & options
Support & Information

Frequently Asked Questions

Common questions about integration implementation, security, and best practices.

Technical FAQs

What is the primary method for integrating Epic EHR with Oracle ERP?
The primary method involves leveraging a modern iPaaS platform to orchestrate connections using Epic's comprehensive FHIR (Fast Healthcare Interoperability Resources) APIs via 'Open Epic' and Oracle's extensive REST APIs (for Fusion Cloud) or SOAP/legacy interfaces (for EBS). The iPaaS handles data transformation, workflow automation, and ensures secure, real-time data exchange.

iPaaS Benefits FAQs

How does iPaaS enhance Epic-Oracle integration capabilities?
An iPaaS acts as a centralized hub, providing pre-built connectors, visual mapping tools, and orchestration engines. This simplifies complex Epic-Oracle integrations, enables real-time, bi-directional data flow, facilitates low-code/no-code automation, ensures scalability, and enforces robust data governance and security beyond point-to-point solutions.

Business Process FAQs

Can I automate revenue cycle management between Epic and Oracle?
Absolutely. Our integration solution automates workflows like claims submission from Epic to external clearinghouses, tracking adjudication status, and applying payments received in Oracle Financials. This accelerates cash flow, reduces manual reconciliation, and improves overall revenue cycle efficiency.

AI FAQs

What role does AI play in Epic-Oracle integration design?
AI significantly augments Epic-Oracle integration by enabling intelligent automation. This includes AI-driven data mapping suggestions, automated anomaly detection for data quality (e.g., suspicious transactions, clinical data discrepancies), predictive analytics for operational insights, and autonomous exception handling, leading to more resilient and efficient integration pipelines.

Security & Compliance FAQs

How do we ensure data security and HIPAA compliance with Epic-Oracle integrations?
Ensuring data security and HIPAA compliance requires end-to-end encryption (data in transit and at rest), strict access controls (OAuth 2.0, least privilege), comprehensive audit trails, and regular security assessments on the iPaaS platform and all integrated endpoints. A signed Business Associate Agreement (BAA) with your iPaaS vendor is also crucial for handling PHI.

Challenges & Solutions FAQs

What are common challenges when integrating Epic with Oracle, and how are they solved?
Common challenges include managing Epic's complex clinical data model vs. Oracle's financial/operational structures, harmonizing data using different terminologies (e.g., FHIR vs. Oracle's internal codes), ensuring real-time data consistency, adhering to strict security and compliance (HIPAA, GDPR), and maintaining scalable performance. Our iPaaS solves these with visual mapping, AI-driven transformations, event-driven architecture, robust security layers, and scalable infrastructure.

Use Case FAQs

Can I integrate Epic's supply item reorder workflow with Oracle's procurement?
Yes, absolutely. Our solution can automate the reordering process. When Epic's inventory module detects low stock for medical supplies, the iPaaS can trigger the creation of a Purchase Order in Oracle Procurement, ensuring seamless supply chain management and preventing stockouts of critical items.

Architecture FAQs

How does an event-driven architecture benefit Epic-Oracle integrations?
An event-driven architecture allows systems to react instantly to changes within Epic (e.g., new patient registration, updated lab result) or Oracle (e.g., new sales order, payment received). This enables real-time data synchronization, reduces latency, supports immediate alerts for critical events, and fosters a more responsive, interconnected healthcare ecosystem compared to traditional batch processing.
Implementation Timeline

Go live with Epic + Oracle in as little as 2–4 weeks.

A proven, repeatable implementation approach that minimizes risk while getting your team to value quickly.

1

Access Enabled

Secure connections established to both Epic and Oracle, with credentials and environments confirmed.

2

Configuration & Mapping

Field mappings, business rules, and workflows configured using visual tools and pre-built templates.

3

Go Live

Launch production-ready integration with monitoring, alerting, and support in place—typically within 2–4 weeks.

Time to Value

2–4 weeks

Typical implementation window from access granted to production go-live for most Epic + Oracle deployments.

Project Phases

Discovery
Configure & Map
Validate
Launch

Engagement Model

Guided by Clarity experts with your team involved at key milestones.

Pricing

Simple, transparent pricing for Epic + Oracle.

Start with a single integration pair and scale as your business grows—without surprise fees or transaction penalties.

Connect™ Plan

Clarity Connect

$595 /mo

Billed annually • Includes one production integration pair

  • Unlimited transactions and API calls within fair-use limits.
  • Visual workflow designer and reusable mapping templates.
  • Monitoring, alerting, and access to Clarity’s support team.
View full pricing & options
Next Steps

See Epic + Oracle integration in action.

Explore a guided demo, start a sandbox integration, or speak directly with our solution architects about your specific use cases.