ExpressAgainInteroperability
Her doctors' records, next to what you see at home.
Built to connect: Epic, eClinicalWorks, and the FHIR standard every certified EHR must support. The hospital tracks her when she is there; the family tracks her at home. ExpressAgain puts the two side by side — and sends a weekly home summary back to the doctor.
Works with
Epic (MyChart)eClinicalWorks (healow)HL7 FHIR R4SMART on FHIRHL7 v2Direct
ExpressAgain connects through their published APIs. Epic and MyChart are trademarks of Epic Systems Corporation; eClinicalWorks and healow are trademarks of eClinicalWorks, LLC. Vendor registrations are in progress; no endorsement or partnership is implied.
How it connects
Her chart, on her terms.
Epic (MyChart) and eClinicalWorks (healow) connections are built and registration with each vendor is in progress. Every connection is read-only into the family's app, with the patient's or proxy's authorization.
Patient-authorized
She — or the family member with proxy access — signs in on the hospital's own portal (MyChart, healow) and approves ExpressAgain there. We never ask for portal passwords.
Read-only
The chart flows into the family's app. Nothing the family types is written into the hospital's record without a separate agreement with that practice.
Encrypted
TLS on every connection; access tokens sealed at rest with AES-256-GCM under a key that lives only in our hosting environment. No PHI in logs or URLs.
Disconnect any time
One tap in the app drops the cached chart and the sealed tokens. Access can also be revoked on the portal itself (MyChart → Linked Apps; healow → Connected apps).
Two directions
The chart comes home. The week goes back to the doctor.
Chart → family app
Every place she gets care, in one list
Connect more than one hospital and more than one practice for the same person. A medication, allergy or problem that appears at two places is one line, marked “also at…”. Each row says where it came from and when it was last refreshed.
- Medications
- Allergies
- Problems and visit diagnoses
- Labs and vitals
- Visit notes and documents
- Appointments
- Care plans
Reconcile: one tap adds a chart medication or allergy to the family's own Medical Info, marked with its source, and a lab or vital into Health Tracking — so what the doctor has and what the family tracks stop drifting apart.
Home summary → doctor
“This week for her doctor”
One page the family hands to the practice: glucose readings against her own targets, blood pressure, weight, meals with sugar and carbs per day, symptoms and events, aide visit notes, and the medication list as the family actually gives it. Counts and averages — never a judgment.
Print it, save it as a PDF, or share it from the phone. It is never emailed in plain text. Delivery straight into the practice's inbox by Direct Secure Messaging is next.
The care team's dashboard shows the same chart, read-only, so a visiting nurse or therapist sees what the doctor sees.
Standards, by name
Open standards, not a private bridge.
HL7 FHIR R4
The API standard every ONC-certified EHR must expose. This is how her chart reaches the app.
SMART on FHIR
The sign-in-and-authorize flow on the portal's own screen (standalone launch, PKCE).
USCDI
The core data set — medications, allergies, problems, results, vitals, notes — that we read, and nothing broader.
HL7 v2
ADT, ORU and SIU feeds for facilities that exchange them, through an interface engine we run for you.
C-CDA
Structured clinical documents. Reading the documents a chart exposes is built; sending our own is on the roadmap.
Direct Secure Messaging
Roadmap: the weekly home summary delivered to a practice's Direct inbox, which every certified EHR can receive.
For facilities & agencies
HL7 v2 interface and Partner API — on request
For hospitals and practices that exchange ADT (admits, discharges, transfers), ORU (results) and SIU (scheduling) feeds, we run an HL7 v2 interface engine (Mirth Connect / Open Integration Engine) and map the feed into the family's circle. For home-health agencies and facilities that want their own systems talking to ExpressAgain, the Partner API is available on request.
Set up with our team, not self-serve. Pricing is by conversation.
For health plans
Early access
Families using ExpressAgain already keep the readings, meals, symptoms and visit notes a care-management team wishes it had. We are opening early-access conversations with health plans about outcomes data and a care-management workflow built on it — with the member's authorization, every time.
Nothing is sold; tell us what you would need.
Security & privacy
Plainly: what we do with her chart.
- We pull data only after she or her proxy consents on the vendor's own screen, and only the read-only USCDI scopes.
- Her chart is stored under the family's own account like the rest of her record; access tokens are sealed at rest; nothing from the chart appears in logs or web addresses.
- Friends in the circle never see the chart. Family reads; only the owner and caregiver accounts can connect or disconnect.
- Business Associate Agreement: we sign a BAA with partner organizations once our vendor agreements are complete — in progress now; ask us for the timeline.
- Her data is never sold. Ever.
Read more on our Security & HIPAA and Privacy Policy pages.
Questions
Frequently asked
Request access / Talk to us
Tell us what you need to connect.
A hospital feed, a practice's chart, the Partner API for your agency, or an early-access conversation as a health plan — this one form reaches the people who built it.
Families: connections open in the app under Her doctor's records as soon as each vendor registration is approved — no form needed.