MedScrub integrates with Oracle Health (formerly Cerner Millennium) using FHIR R4 endpoints registered through the Oracle Health developer program. Patient records flow into the MedScrub clinical data repository, and reviewed clinical content writes back to the Oracle Health chart as a FHIR DocumentReference.
Integration model
OAuth 2.0 with Oracle Health’s authorization server. MedScrub configures the FHIR base URL per tenant and uses Oracle-issued client credentials. PHI flows into the customer-hosted proxy and is de-identified before any request reaches a large language model.
Capabilities
MedScrub pulls the patient record from the EHR before the appointment and surfaces care gaps, screening recommendations, and overdue chronic-disease milestones for the loaded patient.
Drafts a structured SOAP note from the patient chart, with ICD-10 coding and E/M level analysis. After physician review and sign-off, the note writes back to the EHR as a FHIR DocumentReference.
Runs HEDIS / USPSTF / MIPS quality-measure gap analysis across patient panels — breast, cervical, colorectal, diabetes, blood pressure, and depression screening.
Batch pre-visit intelligence for the full clinic day, run overnight against the CDR, with delivery to mobile.
Automates payer chart-request response by searching the longitudinal record for measure-specific evidence.
Drafts prior-auth requests and denial appeals grounded in the patient chart, including evidence pulled from prior diagnostic reports and procedures.
Monthly chronic care management documentation for CPT 99490 / 99491 billing, generated from the longitudinal record.
2021-AMA MDM framework analysis flags under-coding opportunities with revenue-at-risk surfaced in the UI.
Data scope
Setup
01
Register MedScrub on the Oracle Health developer portal and obtain client credentials for the customer tenant.
02
Customer IT provides the FHIR base URL and configures MedScrub’s ORACLE_FHIR_BASE_URL environment variable along with the issued OAuth credentials.
03
Required FHIR R4 read scopes plus DocumentReference write scopes are approved by Oracle Health for the production tenant.