EPIC Landscape
Overview of Modules
and Data Stores
Sam Martin – Research Informatics Architect
Spectrum Health – Grand Rapids, MI
[email protected] Confusion – Making Sense of it
• Name Game – Applications, Clinical and Operational Modules
• Show me the Data – Data Stores and Reporting
• Play Well With Others – Wider Reach
Hyperspace
The integrated platform that hosts most Epic applications.
Provides a graphical user interface used by most Epic applications,
including EpicCare Ambulatory; the platform upon which all Epic
products sit.
Applications and Modules
Core ASAP Ancillary Anesthesia
EpicCare Ambulatory Beacon
Clinicals Clin Doc
Clinicals Beaker
Orders Clinical Case Management
Cupid
Home Health
Infection Control
Access Grand Central OpTime
Cadence Phoenix
Prelude Radiant
Health Information Management Research
Identity Stork
Willow Ambulatory
Willow Inpatient
Revenue Hospital Billing
Professional Billing
Tapestry
Claims
Core Clinical
• ASAP = Emergency Department
• EpicCare Ambulatory = Outpatient Clinical Care
• Clin Doc = Inpatient Clinical Documentation
• Orders = Inpatient Orders
ASAP = Emergency Department
• Care and clinical documentation in the emergency department
• Users include:
• ED physicians
• ED nurses and managers
• ED techs
• ED clerks
• ED charge reviewers
Ancillary Clinical
• Anesthesia = Anesthesia • OpTime = Surgery
• Beacon = Oncology • Phoenix = Transplant
• Beaker = Lab • Radiant = Radiology
• Clinical Case Management = • Research = Clinical Research
Case Management • Stork = OBGYN, L&D
• Cupid = Cardiology • Willow = Inpatient and
• Home Health = Home Health Outpatient Pharmacy
Care
Research
• Used for research and clinical trial related needs:
• Patient recruitment
• Flag research patients, encounters, and orders
• Support for research billing
• Used By:
• Study coordinators
• Principal investigators
• Research billers
• Release of information clerks
• Scheduling/registration
• Providers
Research – Additional Details
• Considered an Integrated Area (spans many modules)
• Creation of RSH records to manage studies and associations
• Creates a Person-level flag – Research: Active
• Creates Reportable objects
Access Applications
• Grand Central = Patient Movement
• Cadence = Scheduling
• Prelude = Patient Registration
• HIM = Health Information Management
• Identity = Patient Database (EMPI)
Revenue
• Claims = Insurance Claims
• Hospital Billing = Non-Physician Charges
• Professional Billing = Physician Charges
• Tapestry = Managed Care
Data Stores and Reporting
• Chronicles – Cache database supports main EHR activity
• Clarity – Operational reporting and custom datasets (Certification)
• Caboodle – Star schema reporting environment
• Business Objects Universes for reporting
• Extensible schema (Local data added via ETL)
• AKA: Star, Cogito
• Cognitive – Cloud-based Data Store
• Data for machine learning experts
• Cosmos – largest repository of patient data, contributions from the entire Epic
community, Cosmos will include nearly 200 million patients
• ADP – Aggregated, de-idenfied research dataset (currently Asthma)
Data Stores and Reporting
Reporting Tools
• Radar – Dashboard tool specific to role
• Reporting Workbench – Cache database supports main EHR activity
• Business Objects – Business Intelligence tool
• Epic supplied universes
• Locally created universes
• Crystal Reports– Developer created data extracts (Clarity)
• SlicerDicer – Identifies de-identified populations with ability to export
to Reporting Workbench
Reporting Maturity
Play Well With Others - Interoperability
• Care Everywhere – Epic-based HIE (Health Information Exchange)
provides access at the point of care to the patient's medical records from
other organizations that use Epic
• EpicCare Link – Web-based extension of Epic for outside use
• FHIR – Fast Healthcare Interoperability Resources, provides a lightweight
REST-based access layer for standard HL7-defined data models (OpenEpic)
• Epic Interconnect – Data exchange and interface methods
• Cosmos – largest repository of patient data, contributions from the entire
Epic community, Cosmos will include nearly 200 million patients
• ADP – Aggregated, de-idenfied research dataset (currently Asthma)
UserWeb
• Current Epic customers have access to www.userweb.epic.com
• Contains product documentation, training material, course schedules,
discussion forums and slides/audio from Epic conferences (XGM/UGM)
