Integration Framework: Connecting to EHR/EMR Systems
By Dr Youssef Ghaly and Dr Mostafa Helmy · Published May 2025
Abstract
This white paper details how AI-generated clinical notes flow from ClinixSummary into existing EHR/EMR systems, covering technical specifications, supported standards, deployment options, and security considerations. It presents a three-tier integration architecture — from simple manual export to deep bidirectional data exchange — built on FHIR-compatible RESTful APIs. The paper concludes that this tiered approach lets integration complexity scale with organisational needs, from solo practitioners to health systems.
What the paper covers
Three integration tiers
Tier 1 is manual export (copy-paste or document download) with zero integration overhead; Tier 2 is a RESTful API with FHIR-compatible endpoints pushing notes as standard clinical document resources; Tier 3 is deep bidirectional exchange including patient context import (demographics, medication lists, problem lists) and note push-back, requiring EHR vendor cooperation or open API access.
FHIR R4 resources and terminology bindings
ClinixSummary generates and consumes FHIR R4 resources including DocumentReference, Composition, Encounter, Patient, Condition, MedicationStatement, and Procedure. Clinical entities are mapped to ICD-10-CM/PCS (diagnoses and procedures), SNOMED-CT (clinical findings), RxNorm (medications), and LOINC (laboratory observations), with mapping accuracy validated under the Clinix QM process.
RESTful API with OAuth 2.0
The API defines six endpoints covering the full documentation lifecycle: create a session, stream audio, retrieve the generated note, submit clinician edits, push the finalised note to a configured EHR endpoint, and list specialty-specific note templates. Full documentation with an interactive sandbox is stated to be at docs.clinixsummary.ai/api.
Three deployment models
Cloud (SaaS) is the default, with data processed in the customer's chosen region (US, EU, UK, or AU). Hybrid runs audio processing and ASR on-premises or in the customer's private cloud while NLP and document assembly stay in ClinixSummary's cloud, for strict data-residency needs. On-Premises deploys the full stack in the customer's data centre with signed model-update packages, available for Plan Enterprise customers.
Uniform security across all pathways
All integration tiers enforce TLS 1.2+ in transit, OAuth 2.0 with short-lived tokens and refresh rotation, and audit logging of all API calls with tamper-evident log storage. IP whitelisting and mutual TLS are available for Tier 2/3 integrations, and a BAA is executed for all US healthcare customers.
Figures and statements reflect the paper as published in May 2025.