Source-linked, operation-specific evidence

Find the supported path into 19 EHRs and related systems.

Compare public APIs, FHIR and HL7 capabilities, partner requirements, sandbox access, documented write operations, and workflows that still end at the UI.

Compare 7 Canadian profiles, including the Ocean referral network

Evidence explorer

Compare public integration paths

Statuses describe the reviewed public evidence, not every contract, version, or local configuration.

Compare Canadian EMRs
19 of 19 profilesLatest review 2026-10-08

Epic

Site-specific

Start with the official interface catalog. Treat write-back as operation-specific, not as a platform-wide yes or no.

FHIR R4SMART on FHIRHL7Web services

Access path

Public developer docs and sandbox; production access depends on the organization and interface

Oracle Health Millennium

Site-specific

There is a credible direct API path for documented operations. Validate the exact method and authorization context before designing around it.

FHIR R4SMART on FHIRMillennium APIs

Access path

Public API catalog with SMART authorization; production use requires an authorized deployment context

athenaOne

Documented

Use the direct API first when the target operation appears in the catalog. Confirm customer authorization and workflow-specific requirements.

FHIR R4OAuth 2.0athena APIs

Access path

Public documentation; OAuth and customer authorization apply

MEDITECH Expanse

Not found publicly

Do not interpret public patient-access documentation as proof of operational writes. Escalate the exact workflow for vendor and customer review.

FHIR R4US CoreArgonaut R2

Access path

Public patient-access FHIR documentation; operational integration details require vendor or site review

eClinicalWorks

Partner-gated

Register in the developer program and verify the target operation before assuming either read or write behavior.

FHIR R4SMART on FHIRBackend servicesBulk data

Access path

Developer portal account and review; customer authorization may apply

NextGen Enterprise

Partner-gated

Use the public overview to identify the product family, then confirm the exact operation inside the portal.

FHIR R4FHIR DSTU2Developer portal

Access path

Public overview plus authenticated developer portal and onboarding

Veradigm EHR

Site-specific

The public path is unusually legible. Verify the target resource method and deployment tier before implementation.

FHIR R4SMART on FHIROAuth 2.0OpenID Connect

Access path

Public FHIR docs and sandbox credentials; EHR launch and production setup depend on tier and client configuration

Greenway Intergy / Prime Suite

Site-specific

A documented integration path exists, but production viability depends on app type, resource method, product, and client permission.

FHIR R4SMART on FHIRBackend services

Access path

Public docs and app registration; backend service access requires client permission

AdvancedMD

Partner-gated

The proprietary API is the primary path and appears broad, but access is gated. Verify the exact method after licensing.

RESTXML-RPCFHIR

Access path

Developer license request with a documented testing sandbox

PointClickCare

Partner-gated

Treat the partner program as the primary route. No broad public claim about write operations is justified from the reviewed pages.

Cures Act APIsProprietary APIsDeveloper tools

Access path

Marketplace or Amplify partner program access

Accuro EMR

Partner-gated

There's a documented write path for patients, documents, waitlists, referral orders, tasks, and appointments. It's agreement-gated, and each clinic may need its own approval.

REST APIOAuth 2.0Ocean eReferral

Access path

Email QHR, sign a Terms of Use, build in a 6-month sandbox, pass certification, then sign an agreement

PS Suite EMR

Partner-gated

Treat PS Suite as partner-gated. Ask TELUS what a partner add-on can write before you plan around one.

TELUS partner add-onsOcean eReferral

Access path

No public API reference found; partner add-ons go through TELUS, then a clinic administrator turns each one on

Med Access EMR

Partner-gated

Treat Med Access as partner-gated. Confirm with TELUS what an add-on can write.

TELUS partner add-onsOcean eReferral

Access path

No public API reference found; outside tools connect through TELUS's add-on program

Collaborative Health Record (CHR)

Partner-gated

There's a documented write path, including referral records. Access depends on the clinic's contract with TELUS.

GraphQLJWT (RS512)Ocean eReferral

Access path

Paid CHR Enterprise API, limited to a select few customers; needs a signed contract and TELUS enablement for each CHR domain

OSCAR Pro

Partner-gated

There's a documented route, but it runs through WELLSTAR's program and each clinic's setup.

WELLSTAR Developer ProgramREST (/ws/)OAuth 1.0Ocean eReferral

Access path

WELLSTAR Developer Program: apply with a pilot clinic's letter of support, sign a sandbox agreement, then pass a conformance review

Juno EMR

Partner-gated

Treat Juno as partner-gated. Ask WELLSTAR whether its program covers your exact operation on Juno.

WELLSTAR Developer ProgramOcean eReferral

Access path

WELLSTAR Developer Program; no public API reference found

Ocean eReferral network

Documented

There's a documented route for moving referrals and their status between systems. Getting a referral into the receiving clinic's chart still depends on that clinic's EMR.

HL7 FHIR eReferralFHIR R4OAuth 2.0

Access path

Email Ocean Support with your test email domain, company name, and a clinical or jurisdictional project sponsor, then build against Ocean's test site

Dentrix

Partner-gated

The supported route is a vendor partnership, not an anonymous public API. Product version and operation determine availability.

API ExchangeOAuth 2.0Dentrix API Program

Access path

Authorized vendor program or product-specific API program

Tebra / Kareo

Site-specific

A documented API path exists, but operation availability and commercial access should be verified for the exact account.

SOAP API

Access path

Customer key and security permissions; partner terms may apply

Workflow index

Start with the operation, not the vendor.

Each guide separates the system-of-record write, authorization path, verification step, and UI fallback.

A public research artifact

Inspect the method. Reuse the data. Challenge a record.

Every profile links to its evidence and carries a review date. Absence of evidence is never labeled proof of non-support.