Home/Systems/Epic
System · Healthcare

Let any AI agent take governed actions in Epic

Epic is the electronic health record system at the core of most health systems. Upware lets your agents act in it safely — deterministic, policy-bounded, and fully audited, without changing the system.

Request a demoSee the platform
Governed by policy & RBAC Full audit trail Outbound-only on-prem bridge No rip-and-replace
The problem

Why agents stall at Epic

Epic sits at the center of most health systems — the single source of truth for patient records, orders, clinical notes, scheduling, and billing. Reading from it is tractable; an AI agent can pull a patient summary or surface a prior authorization status without much friction. But acting in Epic is a different matter entirely. Every write touches protected health information, every documentation post lands in a clinical record that affects care, and every access must be attributed, scoped to minimum-necessary, and preserved in an audit trail that survives a compliance review. An unharnessed agent operating in Epic is not a productivity problem waiting to happen — it is a HIPAA exposure and a patient safety risk. Upware wraps Epic interactions in governed execution: RBAC-gated skills, deterministic replay of verified workflows, and a full audit trail, so AI agents can take real actions in Epic without operating outside the access controls your compliance and clinical teams require.

PHI is strictly regulated
Every read and write touches protected health information under HIPAA; broad access is never acceptable.
Clinical safety
Orders, results, and documentation affect patient care; a wrong write is a safety event, not a bug.
Constrained interfaces
Epic integrates via FHIR, HL7, and Interconnect with tight governance; automation must stay inside the rails.
What you unlock

Actions Upware makes safe in Epic

Read patient context within authorization
Update demographics and scheduling within policy
Post documentation to approved encounters
Sync status to billing and ops systems
Log every access for audit
The harness

AI to learn. Deterministic to execute.

Upware learns the process once and encodes it as a mostly-deterministic workflow: system interactions replay exactly, and any LLM steps are wrapped in policy, verification, and audit — so execution stays governed and drift-proof.

O
Observe & Learn
Records the real workflow once, across every system it touches.
G
Generate
Builds the API, data flow, and logic automatically — no integration project.
E
Encapsulate
Wraps it as a governed AI skill over secure MCP or API.
R
Run
Executes deterministically — RBAC, audit, and scale built in.
FAQ

Common questions

How does Upware ensure an AI agent only accesses the patient data it is authorized to see in Epic?
Authorization in Epic is scoped at the role level, and Upware enforces that scoping at the skill level before any action runs. Each encapsulated Epic skill is configured with the minimum-necessary access its function requires — a scheduling skill does not carry the permissions of a clinical documentation skill. When an AI agent calls a skill, it operates within those bounds; it cannot expand its own access or call a different skill to reach data outside its authorization. Every access is logged with attribution so your compliance team has a complete record of what was read or written, by which agent, and under whose authority.
Epic has FHIR and Interconnect interfaces, but some of our workflows live entirely in the UI. Can Upware learn those?
Yes. Upware's Action Model learns workflows from observation — screen state, UI events, web requests — rather than from a formal API spec. Many high-value Epic workflows happen in Hyperspace or through custom-built templates that have no programmatic interface, and Upware can learn and encapsulate those alongside FHIR-backed actions. The integration Upware generates is deterministic: it replays the exact interaction it recorded, so the clinical or operational logic embedded in your staff's existing workflow is preserved precisely.
What happens if an AI agent tries to post documentation to an encounter it is not authorized to touch?
The action does not run. Upware's governed execution layer evaluates policy before any system interaction occurs — if the agent's request falls outside the configured permissions for that skill, it is blocked and the attempt is logged. The agent does not receive a silent failure or a partial write; the skill returns a governed rejection that the agent can surface to the user or escalate through whatever review process you define. Clinical safety is treated as a hard constraint, not a soft preference, because a wrong write in Epic is a patient safety event, not a recoverable bug.

Put your agents to work in Epic

See how Upware turns a recorded workflow into a governed action in days.

Request a demo