Data Integration

EHR Integration on Your Terms.

Vizier supports three integration patterns: direct read-only connectors to the major EHRs, scheduled CSV/SFTP feeds from your existing reporting environment, or manual file upload. Pick what fits your environment and your IT timeline.

See It in ActionHow It Works

Three Ways Into Vizier

Direct Connector. Scheduled Feed. Or Upload.

Most healthcare-analytics vendors force one integration path. Vizier supports three. Customers commonly start with upload for proof-of-value and move to a direct connector or scheduled feed within 30 days.

01 — RECOMMENDED

Direct Connector

Live read-only API connection to your EHR. Scheduled refresh on the cadence your team chooses. No middleware vendor in the chain. BAA in place before any PHI flows.

Live for: Epic (FHIR R4 and Clarity), Oracle Health / Cerner (Millennium and HealtheIntent), AthenaHealth (athenaOne APIs), Allscripts / Veradigm (Professional, Touchworks, Sunrise), MEDITECH (Magic, Client/Server, Expanse), SystmOne (TPP), EMIS Health.

02 — COMMON

Scheduled Feed

If your team prefers to control the data extract: your existing reporting environment writes a CSV to SFTP or secure cloud storage on the schedule you set. Vizier picks it up and refreshes the analytics layer.

Most common path for organizations with internal data warehouses or EHR-vendor restrictions on external API access. Works with any EHR that supports scheduled report exports.

03 — FASTEST

Direct Upload

When you need an answer this hour, drag the file in. Most useful for ad-hoc analysis, data outside your EHR (payer files, registry exports, survey data), or initial proof-of-value before IT approves a connector.

Same-day onboarding. CSV or Excel. Vizier auto-maps columns to healthcare concepts (ICD-10, CPT, LOINC, RxNorm, SNOMED).

See the full EHR connector catalog →

The Problem

EHR Vendors Sell You Analytics Access to Data You Already Own

Epic's native analytics module — Epic Cogito — carries implementation costs that routinely reach $150,000 to $400,000 for mid-size health systems, plus ongoing licensing. Cerner's HealtheAnalytics follows a similar model. Allscripts charges separately for reporting modules that should be considered basic functionality.

These are not analytics tools built for clinical quality teams. They are revenue streams built for IT departments. The result: a 12-to-18-month implementation timeline before a quality director can ask their first question, followed by a recurring fee for every additional report.

Meanwhile, the underlying data — patient encounters, claims, diagnoses, A1C values — has been yours all along. HIPAA's right of access provisions and the 21st Century Cures Act mandate that your EHR export it to you in a usable format. Most organizations have never exercised this right at scale.

Epic Cogito Analytics

$150K – $400K12–18 months to go-live

Requires dedicated Epic-certified analysts

Oracle Health (Cerner) HealtheAnalytics

$80K – $200K9–15 months to go-live

Additional cost per reporting domain

Allscripts / Veradigm Analytics

$50K – $150K6–12 months to go-live

Report customization billed separately

AthenaHealth Analytics Plus

$30K – $80K/yr3–6 months to go-live

Limited to Athena-native data only

Cost estimates based on publicly available RFP responses and health system procurement disclosures, 2022–2024.

Legal Context

The Law Is On Your Side

The 21st Century Cures Act (Pub.L. 114-255, enacted December 2016) and the ONC's Information Blocking Rule (45 CFR Part 171, effective April 2021) prohibit EHR vendors from restricting access to your clinical data through technical or contractual barriers. Practices that prevent data portability are explicitly defined as information blocking and carry civil monetary penalties of up to $1 million per violation for developers.

Under HIPAA 45 CFR §164.524, covered entities have the right to access their designated record sets in electronic format. This includes the operational and clinical data your EHR holds about your patients and encounters. You do not need a vendor's permission to export and analyze your own records.

What this means in practice

Your EHR administrator can generate a CSV or Excel export of your encounter data, claims data, or patient roster today — without a new contract, without an IT ticket to the vendor, and without additional cost. That file, uploaded to Vizier, is sufficient to answer most operational and quality questions your team asks in a given month.

Connector Status by EHR

Direct Connector, Scheduled Feed, or Upload — by EHR

Each EHR below shows the integration patterns Vizier supports today. Where a direct connector exists, that's the recommended path. Scheduled feeds and uploads are always available as alternatives or fallbacks.

Epic

All current versions

Connector live

Direct Connector

FHIR R4 + Bulk FHIR ($export) + Clarity database read where customer provisions. SMART on FHIR / OAuth 2.0.

Refresh: Real-time, scheduled, or on-demand.

Scheduled feed / Export fallback

Reporting Workbench / SlicerDicer CSV exports, scheduled to SFTP.

Oracle Health (Cerner)

Millennium

Connector live

Direct Connector

Millennium FHIR R4 + HealtheIntent APIs + CCL report scheduling. OAuth 2.0.

Refresh: Real-time, scheduled, or on-demand.

Scheduled feed / Export fallback

DiscernReporter CSV / fixed-width exports to SFTP.

Allscripts / Veradigm

Professional, TouchWorks, Sunrise

Connector live

Direct Connector

Allscripts Unity API + FHIR R4 + dbMotion for population data.

Refresh: Real-time, scheduled, or on-demand.

Scheduled feed / Export fallback

Report Center / Insights module CSV exports.

AthenaHealth

athenaClinicals, athenaCollector, athenaOne

Connector live

Direct Connector

athenaOne API + FHIR R4 Bulk Export. OAuth 2.0.

Refresh: Real-time, scheduled, or on-demand.

Scheduled feed / Export fallback

Custom Reports / Benchmark Reporting CSV exports.

NextGen

Enterprise, Office

Connector live

Direct Connector

NextGen API + FHIR R4 + NGA scheduled extracts.

Refresh: Scheduled or on-demand.

Scheduled feed / Export fallback

Custom Reports Module Excel / CSV exports.

eClinicalWorks

V12, Cloud

Connector live

Direct Connector

eCW FHIR R4 API + healow Insights.

Refresh: Scheduled or on-demand.

Scheduled feed / Export fallback

Practice Analyzer / eBO CSV exports.

MEDITECH

Expanse, Client/Server, Magic

Connector live

Direct Connector

Expanse FHIR R4 + Data Repository (DR) read for Magic / C/S.

Refresh: Scheduled or on-demand.

Scheduled feed / Export fallback

NPR / DR CSV exports.

SystmOne (TPP)

UK Primary Care

Connector live

Direct Connector

TPP SystmOne API with SNOMED CT-coded extracts.

Refresh: Scheduled or on-demand.

Scheduled feed / Export fallback

Report Designer CSV / Excel exports.

EMIS Health

EMIS Web

Connector live

Direct Connector

EMIS Web API + Population Reporting feeds with SNOMED CT and Read code mapping.

Refresh: Scheduled or on-demand.

Scheduled feed / Export fallback

Population Reporting CSV exports.

The Anti-Gatekeeping Approach

No Middleware Vendor. No Six-Month Project.

Traditional analytics integrations bury you in middleware: a third-party vendor sitting between your EHR and your analytics, a signed data-sharing agreement with your EHR vendor, a six-month IT project to stand up an ETL pipeline, and an ongoing license for every reporting domain.

Vizier removes the middleware layer, not the integration. We connect directly to your EHR via FHIR R4 and HL7 v2 — read-only, BAA-backed, OAuth-authenticated — and pull the data into your Vizier dataset on the cadence you set or on demand when a question requires it. No third-party vendor in the chain. No data-sharing agreement with your EHR company. No multi-month IT project to bring up.

Traditional Integration Path

1.Vendor contract negotiation (4–8 weeks)
2.IT scoping and project approval (4–12 weeks)
3.Middleware configuration (8–16 weeks)
4.Data validation and testing (4–8 weeks)
5.Report development (8–16 weeks)
6.Training and go-live (2–4 weeks)

Total: 12–18 months. $50K–$200K+.

The Connector Path (Recommended)

1.Vizier IT engages your EHR administrator (1 day)
2.OAuth / API credentials configured, BAA executed (1 day)
3.Schema auto-mapped on first pull (15 minutes)
4.Ask your first question (30 seconds)

Total: under 3 business days. Ongoing: zero IT involvement.

The Export Path (Fastest)

1.Export your data from your EHR (10 minutes)
2.Upload to Vizier (2 minutes)
3.Confirm schema mapping (3 minutes)
4.Ask your first question (30 seconds)

Total: under 20 minutes. No IT required.

Honest Scope

What Vizier Requires, and What It Does Not

What each integration path actually requires — and the long list of things you never need under either one.

What you do need

Connector path

✓

An EHR administrator to grant Vizier read-only API credentials (one-time, ~1 hour)

✓

A signed BAA — Vizier provides a standard template

✓

Agreement on which FHIR resources, HL7 message types, or report domains to include

 

Export path

✓

An EHR administrator who can run and export a report (15 minutes per refresh)

✓

A signed BAA — Vizier provides a standard template

✓

Agreement on which data fields to include in each export

What you never need

Under either path

✕

A middleware vendor in the chain

✕

A separate data-sharing agreement with your EHR vendor

✕

A data warehouse, ETL pipeline, or custom API development project

✕

SQL knowledge or a dedicated data analyst

✕

A six-month integration project

Start with a Live Connection — or an Export

Book a demo and either connect your EHR live during the session, or bring an export file. We'll show you what Vizier finds within the first ten minutes either way.

Ask Your Vizier →Talk to Sales