Interoperability
The doctors' records, next to what you see at home.
Six places the chart can come from: Epic (MyChart) and Oracle Health (Cerner) connect today; eClinicalWorks (healow), athenahealth, Medicare (Blue Button 2.0) and VA (Lighthouse) are built; ask us about yours. The hospital tracks the patient during a stay; the family tracks things at home. ExpressAgain puts the two side by side — and the family sends a doctor-ready home summary back through the patient portal.
Works with
Epic (MyChart)eClinicalWorks (healow)Oracle Health (Cerner)athenahealthMedicare (Blue Button 2.0)VA (Lighthouse)HL7 FHIR R4SMART on FHIRHL7 v2
ExpressAgain connects through their published APIs. Epic and Oracle Health connect today; eClinicalWorks, athenahealth, Medicare and VA are built; ask us about yours. Epic and MyChart are trademarks of Epic Systems Corporation; eClinicalWorks and healow are trademarks of eClinicalWorks, LLC; other names are trademarks of their respective owners. No endorsement or partnership is implied.
How it connects
The patient's chart, on the patient's terms.
The Epic (MyChart) connection is live at more than 500 organizations. Oracle Health (Cerner) connects today. eClinicalWorks (healow), athenahealth, Medicare (Blue Button 2.0) and VA (Lighthouse) are built; ask us about yours. Medicare brings its claims record (prescriptions filled, visits, and the providers behind them); for VA, the Veteran signs in personally. Every connection is read-only into the family's app, with the patient's or proxy's authorization.
Back to the doctor, the family sends the home summary through the patient portal in a few taps, so it lands in the chart. Because the portal connections only read, ExpressAgain never posts into MyChart or healow on its own; the family attaches the PDF and presses Send.
Epic (MyChart)
Connects today at 500+ organizations
Hospitals and health systems on Epic. The patient, or a proxy, signs in on MyChart and approves the app.
eClinicalWorks (healow)
Built. Ask us.
Doctors' offices on eClinicalWorks. The practice opts the app in on its side; the patient signs in on healow.
Oracle Health (Cerner)
Connects today
Hospitals on Oracle Health, through the hospital's own patient portal.
athenahealth
Built. Ask us.
Practices on athenahealth. The patient signs in with the practice's patient-portal account.
Medicare (Blue Button 2.0)
Built. Ask us.
Medicare's claims record: prescriptions filled, visits and stays, and who provided them. The beneficiary signs in with Medicare.gov.
VA (Lighthouse)
Built. Ask us.
VA health records. The Veteran signs in personally with Login.gov or ID.me.
Patient-authorized
The patient — or the family member with proxy access, where the portal allows it — signs in on the source's own screen (MyChart, healow, the hospital's or practice's portal, Medicare.gov) and approves ExpressAgain there. For VA, the Veteran signs in personally. We never ask for 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 your loved one 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
The doctor-ready home summary
It opens with what changed since the last visit: the doctor's medication list next to the home list, side by side (families often update a medication before the chart does), new symptoms, falls and ER visits, and appointment changes. Then the readings outside the targets the family entered, as counts and dates. Then the days in detail: glucose, blood pressure, weight, meals, symptoms, home-care visit notes and every dose given. Records only, never a judgment.
Send to the doctor: one tap saves the PDF (on a phone, the share sheet) and opens the patient portal, such as MyChart or healow. The family attaches the PDF, chooses the doctor and sends it, so it lands in the chart, and the summary notes when it was sent. A reminder comes a day or two before each doctor's visit on the schedule. It is never emailed in plain text; delivery to a practice's Direct inbox is on the roadmap.
For health systems: a provider-installed app that writes home vitals into the chart's patient-entered area can be built with your organization — ask us.
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 the 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. Set up with our team on request.
C-CDA
Structured clinical documents. The app reads the documents a chart exposes and writes the weekly home summary as a Continuity of Care Document a practice can import. Ask us about delivering it into your practice's chart.
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.
Important papers
Notary, e-signature and document services
Families fill in the state's own forms in the app and get them signed by the state's rules. These services plug into the same page, each available on request: once it is set up with that service it appears on the family's page; until then the page keeps its plain resource lines.
OneNotary
Available on request
Requests an in-person mobile notary (a travel notarization on paper) for the signing.
Proof
Available on request
Remote online notarization, used only where the state allows it for the paper. No South Carolina or North Carolina paper allows it today.
Rocket Lawyer
Available on request
Starts a Rocket Lawyer document interview, then keeps the finished document with the paper.
LegalZoom
Available on request
LegalZoom's estate-planning page. Its partner flow has no public documentation; the app is ready for it when a partnership gives credentials.
FreeWill
A plain link
Free online will, financial power of attorney and advance directive. Free for families; no money changes hands.
ExpressAgain receives nothing from these services and joins no referral program. Remote online notarization is used only where the state allows it for the paper; South Carolina and North Carolina papers are notarized in person.
Security & privacy
Plainly: what we do with the chart.
- We pull data only after the patient or a proxy consents on the vendor's own screen, and only the read-only scopes for the core clinical data set (USCDI).
- The chart is stored under the family's own account like the rest of the 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.
- The patient's data is never sold. Ever.
Read more on our Security & HIPAA and Privacy Policy pages.
Questions
Frequently asked
Pulling a patient's chart into their own app, after the patient or a proxy authorizes it on the portal, is the individual right of access that the 21st Century Cures Act and ONC's information-blocking rules protect. The data is then held the way the rest of the record is: encrypted, walled per family, visible only to the roles the family allows.
Business Associate Agreement: we sign a BAA with partner organizations once our vendor agreements are complete — in progress now; ask us for the timeline. See our security page for what is in place today and what is still on the roadmap.
The patient, or the family member who holds proxy access on the portal. Inside ExpressAgain, only the owner and caregiver accounts can connect, refresh or disconnect a place; family accounts and joined care-team logins can read; friends never see the chart at all.
Six places a chart can come from, each read-only with the patient's authorization.
- Epic (MyChart): connects today at 500+ organizations. Hospitals and health systems on Epic. The patient, or a proxy, signs in on MyChart and approves the app. Hospitals and health systems are picked from Epic's own public list.
- eClinicalWorks (healow): built. Ask us. Doctors' offices on eClinicalWorks. The practice opts the app in on its side; the patient signs in on healow.
- Oracle Health (Cerner): connects today. Hospitals on Oracle Health, through the hospital's own patient portal.
- athenahealth: built. Ask us. Practices on athenahealth. The patient signs in with the practice's patient-portal account.
- Medicare (Blue Button 2.0): built. Ask us. Medicare's claims record: prescriptions filled, visits and stays, and who provided them. The beneficiary signs in with Medicare.gov.
- VA (Lighthouse): built. Ask us. VA health records. The Veteran signs in personally with Login.gov or ID.me.
Any EHR that meets the Cures Act FHIR requirement can connect the same way, including MEDITECH, NextGen and Veradigm. Tell us which one you are on and we will add it in the order families ask.
Yes, as a doctor-ready home summary: what changed since the last visit, the readings outside the family's own targets, then the detail. The family sends it through the patient portal in a few taps (Send to the doctor saves the PDF and opens the portal), so it lands in the chart; it can also be printed. It is never emailed in plain text. For health systems, a provider-installed app that writes home vitals into the chart's patient-entered area can be built with your organization — ask us.
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: each place the chart can come from appears in the app under Doctor's Records as it opens — no form needed.