Interoperability Request

Legal Name of party seeking access

(Include Inc., LLC, Corp., etc.; if you are not representing an organization or are an independent contractor, list your full legal name.)

Principal business address

If you are not representing an organization, list your primary mailing address. Spell out the state.

Website (optional)

Corporate contact name

Corporate contact title (optional)

Corporate contact phone

Corporate contact email

This form will let you select specific technologies that you need access to. If you aren't sure where to start or want to research available technologies, check out the Interoperability Guide on open.epic.

Select technologies

Select the technologies you want to use to interoperate with an Epic customer. We will direct you to the right documentation based on your selection.

Describe your app and how you would like it to interoperate with Epic software at a high level

What data elements does your app need to read from Epic software?

What data elements does your app need to write to Epic software?

Who are the users of your app?

Patients Non-Patient Users Administrative Users

Describe the end user workflow related to your app

Will your app be launched from Epic software?

Yes No

If you have an existing product you plan to integrate with Epic software, describe it or provide a link to a description of how it works

Do you have a current or prospective client who uses Epic software and is interested in using this integration?

Yes No

Name of client

Client contact name

Client contact title (optional)

Client contact phone

Client contact email

If you are developing this integration on behalf of a client, will the client retain all ownership of the development work upon project completion?

Yes No N/A

Closed

I'm not quite sure what I need to get started

I need something not listed here