A common way to exchange records
FHIR gives healthcare systems a shared structure for information such as medications, allergies and observations, along with a standard way for software to request it.

Connected healthcare · SMART on FHIR
A patient’s history often lives in more than one health system. Common standards help bring that information together with permission.
How Akashic uses itA shared language, with permission
FHIR gives healthcare systems a shared structure for information such as medications, allergies and observations, along with a standard way for software to request it.
SMART adds an authorization framework so a health system can grant an app specific access. It helps define who is connecting and which information the app may request.
How Akashic uses it
Our Epic and athenahealth integration work uses SMART on FHIR to retrieve outside records for the Records workspace.
Sign in with the health system and approve the access it offers. Your health-system password stays with that system.
Use the authorized patient context or confirm the patient match before retrieving records.
Review the retrieved information and its source in Akashic. Retrieving a record does not automatically file every item in the chart.
Choose supported information to add to the patient’s Akashic record, retaining its source. These connections read from the source system; they do not write changes back.
Why it matters
Information from different organizations can support a more informed review of a patient’s history.
Structured information can reduce copying and retyping when supported records are imported.
Access depends on authorization and the permissions granted by the source health system. Not every system exposes the same records.
For app developers
Our own outward-facing SMART on FHIR API is planned. App registration and external access are not available yet.