All EHR integrations
Embedded chart sidebar

eClinicalWorks integration

MedScrub runs as an embedded sidebar app inside the eClinicalWorks chart. Patient context — active problems, current medications, allergies, recent vitals — is provided by eClinicalWorks to the embedded panel, and MedScrub’s clinical skills operate on the loaded patient without an independent FHIR connection.

Integration model

How eCW and MedScrub connect

MedScrub is loaded as an embedded panel inside the eClinicalWorks chart view. The host EHR supplies the active patient context; MedScrub does not pull or sync data from eClinicalWorks independently. PHI handled inside MedScrub still passes through the self-hosted de-identification proxy before reaching any large language model.

Capabilities

What MedScrub does with eCW

SOAP note generation

Drafts a structured SOAP note from the patient context handed in by the EHR. Physician reviews, edits, and signs before copying into the EHR or using the EHR’s native document import flow.

Chart-context chat

Ask clinical questions grounded in the loaded patient’s data — differential diagnosis, drug interactions, evidence-based protocols.

Pre-visit summary for the loaded patient

On-demand summary of the active patient’s history, problems, and medications, generated when the chart is opened.

Screening surface for the loaded patient

Per-patient HEDIS / USPSTF screening recommendations based on the chart data the EHR provides.

Patient messages and care-gap nudges

Drafts patient messages (pre-visit prep, post-visit follow-up, care-gap reminders) with clinical context from the loaded chart.

Data scope

Patient context provided by the host EHR

  • Active problem list
  • Current medications
  • Allergies and intolerances
  • Recent vitals
  • Patient demographics
  • Loaded encounter context

Setup

How a eCW customer onboards

01

Embedded app configuration

The eClinicalWorks administrator configures MedScrub as an embedded application inside the chart workflow.

02

Account provisioning

Each clinician signs into MedScrub from the embedded panel using their MedScrub account; the MedScrub session inherits the patient context from the EHR.

03

LLM key configuration

Clinicians configure their own LLM API key in the MedScrub settings; keys are stored locally and never sent to MedScrub-operated servers.

Tier limitations

What requires the native FHIR tier

The embedded sidebar integration is the EHR vendor’s third-party app pattern. Some MedScrub workflows require deeper FHIR connectivity that this tier does not provide.

  • Population-level workflows (Daily Briefing across panels, HEDIS season chart review, batch screening gap analysis) require the native FHIR integration tier and are not available with the embedded sidebar pattern alone.
  • Automated EHR write-back at scale requires the native FHIR integration. In the embedded sidebar pattern, reviewed clinical content is copied into the EHR using its native document import flow.
  • Longitudinal patient context across visits requires syncing data into the MedScrub clinical data repository via native FHIR.

Ready to connect eCW?

MedScrub onboards eCW customers sales-led, with deployment engineering, EHR registration, and compliance review running in parallel. Most deployments are live in four to eight weeks.