Integration Guide

Connect Grey with your existing healthcare systems

Integration Overview

Grey seamlessly integrates with your existing healthcare infrastructure while maintaining complete data privacy. All integrations work locally without cloud connectivity.

Key Features

  • Offline Operation: All data processing happens locally
  • Direct Export: One-click export to major EHR systems
  • Standard Formats: HL7, FHIR, CDA support
  • Custom Mappings: Configure field mappings for your system
  • Batch Processing: Export multiple documents at once

EHR System Integration

Grey supports direct integration with all major Electronic Health Record systems.

Epic Integration

  1. Configure Epic credentials in Grey Settings
  2. Map Grey fields to Epic data model
  3. Enable auto-sync or manual export
  4. Verify data in Epic Chart Review

Supported Features: Patient notes, orders, medications, diagnoses

Cerner Integration

  1. Install Cerner MillenniumObjects connector
  2. Configure FHIR endpoint in Grey
  3. Set up field mappings
  4. Test with sample patient data

Supported Features: Clinical notes, lab orders, prescriptions

Athenahealth Integration

  1. Generate API credentials in athenaNet
  2. Configure in Grey Integration Settings
  3. Map speciality-specific templates
  4. Enable automatic document upload

Supported Features: Chart notes, billing codes, patient communications

Other EHR Systems

Grey supports 50+ EHR systems including:

  • Allscripts
  • eClinicalWorks
  • NextGen
  • Practice Fusion
  • DrChrono

Contact support for specific integration guides.

Export Formats

Export your documentation in industry-standard formats.

HL7 v2.x

Standard messaging format for healthcare data exchange.

MSH|^~\&|GREY|FACILITY|EHR|DEPT|202401151430||MDM^T02|...
PID|1||12345^^^MRN||DOE^JOHN^A||19800101|M|||...
TXA|1||TX|202401151430|||||||DOC123|...
OBX|1|TX|NOTE||Patient presents with...

FHIR R4

Modern healthcare data exchange standard.

{
  "resourceType": "DocumentReference",
  "status": "current",
  "type": {
    "coding": [{
      "system": "http://loinc.org",
      "code": "34133-9",
      "display": "Summarization of Episode Note"
    }]
  },
  "subject": { "reference": "Patient/12345" },
  "content": [{
    "attachment": {
      "contentType": "text/plain",
      "data": "..."
    }
  }]
}

CDA (Clinical Document Architecture)

XML-based markup for clinical documents.

  • C-CDA R2.1 compliant
  • Structured document templates
  • Semantic interoperability

Data Synchronization

Configure how Grey syncs with your systems.

Sync Options

  • Real-time: Export immediately after documentation
  • Batch: Queue and export at scheduled times
  • Manual: Review and export selected documents
  • Network Folder: Auto-save to shared drive

All sync operations happen locally within your network. No data passes through external servers.

Custom Templates

Create and share templates specific to your practice.

Template Types

  • SOAP Notes: Customizable by specialty
  • Procedure Notes: Pre-filled procedural documentation
  • Discharge Summaries: Comprehensive patient summaries
  • Referral Letters: Automated referral generation
  • Custom Forms: Build your own templates

Import/Export Templates

  1. Go to Settings → Templates
  2. Click Import/Export
  3. Choose .grey template file
  4. Share with colleagues via network drive

Billing Code Integration

Automatic billing code generation and validation.

Supported Coding Systems

  • ICD-10-CM: Diagnosis codes
  • ICD-11: Latest WHO classification
  • CPT: Procedure codes
  • HCPCS: Healthcare procedure codes
  • DRG: Diagnosis-related groups

Auto-Code Features

  • AI-suggested codes based on documentation
  • Real-time code validation
  • Compliance checking
  • Modifier recommendations
  • Direct export to billing systems

Integration Security

Maintain security while integrating with other systems.

Security Measures

  • Encryption: AES-256 for all data transfers
  • Authentication: OAuth 2.0 and SAML support
  • Audit Logs: Complete integration activity tracking
  • Access Control: Role-based permissions
  • Network Security: VPN and firewall compatible

Always use secure, encrypted connections when transferring patient data between systems.

Troubleshooting

Common Issues

Export fails with "Connection Error"
Check network connectivity and firewall settings. Ensure Grey has access to your EHR system's endpoint.
Field mapping errors
Review field mappings in Settings → Integration → Field Mappings. Ensure required fields are mapped.
Authentication failures
Verify credentials and API keys. Check token expiration and refresh if needed.
Data format incompatibility
Ensure export format matches EHR requirements. Update Grey to latest version for format updates.

Need help? Contact our integration support team at integrations@grey.health