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EdgeMED

HIPAA-compliant clinical operations platform designed to prioritize patient care while automating administrative workflows and ensuring comprehensive regulatory compliance.

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Platform Overview

Published: December 2025

Introduction

EdgeMED is a clinical operations platform designed to streamline patient care workflows while maintaining comprehensive regulatory compliance. Built with a HIPAA compliance framework at its core, EdgeMED supports emergency departments, urgent care facilities, and hospital systems in delivering efficient, compliant patient care.

EdgeMED replaces legacy EHR/EMR software while maintaining mandatory provider oversight for all clinical decisions. The platform delivers comprehensive clinical decision support through certified EHR workflows, ensuring clinical judgment remains central to patient care while automating documentation burden. Every AI-assisted suggestion requires explicit provider review and approval, maintaining the critical human element in healthcare.

Intended Use

EdgeMED is intended for use by licensed healthcare providers and clinical staff in emergency departments, urgent care facilities, and hospital systems as a complete electronic health record system. The platform manages comprehensive clinical workflows including patient intake, longitudinal patient records, orders management (laboratory, imaging, medications, procedures), results management, vital signs monitoring, care team coordination, clinical documentation, billing and revenue cycle, care summaries, and continuity of care records.

Intended users: Physicians, nurse practitioners, physician assistants, registered nurses, medical assistants, and authorized clinical support staff operating under appropriate clinical supervision and licensure.

Not intended for: Autonomous clinical decision-making without provider oversight, diagnostic determinations without clinician review, direct patient-facing care without provider supervision, or use by unlicensed individuals for clinical decision support. All AI-generated suggestions require explicit review and approval by a licensed healthcare provider before clinical use.

Regulatory Foundation

EdgeMED implements enterprise-grade security architecture with comprehensive HIPAA compliance features including encrypted data storage, role-based access controls, and complete audit logging with 6-year retention meeting federal requirements. The platform's design ensures that protected health information remains secure throughout all clinical workflows.

EMTALA compliance is fundamental to EdgeMED's emergency intake workflow. The platform requires only essential patient identifiers (first name, last name, date of birth) before initiating medical screening, ensuring that administrative processes never delay emergency care. Insurance verification, consent forms, and other paperwork are collected after clinical assessment, maintaining full compliance with federal emergency treatment requirements.

Platform Philosophy

EdgeMED replaces legacy EHR/EMR systems that burden healthcare providers with outdated interfaces, inflexible workflows, and compliance frameworks retrofitted onto aging infrastructure. Built from the ground up with HIPAA compliance, EMTALA requirements, and real-world clinical workflows integrated at the architectural level, EdgeMED eliminates the technical debt and usability challenges that plague traditional healthcare software.

EdgeMED functions as a standalone electronic health record system. Support for HL7 v2.x and FHIR R4 data standards enables migration of historical patient data from legacy systems into EdgeMED, allowing healthcare facilities to fully transition away from outdated platforms while preserving critical clinical history.

The platform emphasizes data sovereignty and portability, ensuring that healthcare organizations maintain full control and ownership of their patient data. Clinical workflows are designed around real-world emergency department and urgent care needs, informed by direct collaboration with healthcare providers to ensure practical utility in high-pressure clinical environments. At its foundation, EdgeMED embodies a patient-first design philosophy where clinical care takes precedence over administrative requirements, regulatory compliance is built-in rather than retrofitted, and provider autonomy is preserved throughout all automated processes.

Core Platform Capabilities

Published: December 2025

Patient Intake & Triage

EdgeMED's emergency intake system implements EMTALA-compliant zero-barrier patient registration, capturing only the minimal required fields—first name, last name, and date of birth—before initiating medical screening. This design ensures that emergency care is never delayed by administrative processes, insurance verification, or consent documentation.

The platform's 5-level severity classification system (Critical, Urgent, Semi-Urgent, Standard, Non-Urgent) provides automated triage assessment based on presenting symptoms, vital signs, and clinical indicators. This severity-based routing ensures that critical patients receive immediate attention while efficiently managing patient flow during peak volumes.

Vital Signs Monitoring

Real-time vital sign tracking provides continuous monitoring of essential clinical parameters including blood pressure, heart rate, respiratory rate, temperature, and oxygen saturation. The platform maintains historical trend visualization, enabling providers to quickly identify deteriorating conditions or response to treatment interventions.

Automated alert thresholds notify clinical staff when vital signs exceed predefined limits, supporting early intervention in emergency situations. Multi-parameter monitoring aggregates data from various sources, presenting a comprehensive view of patient stability within the clinical dashboard.

Care Team Management

Role-based access controls enforce the minimum necessary principle, limiting data exposure to only what each provider requires for their specific clinical role. The platform supports nine distinct roles including physician, nurse, medical assistant, billing, front desk, laboratory, radiology, administrative, and emergency access, each with carefully scoped permissions.

Patient-specific care team assignments enable dynamic access control, where providers are granted access to individual patients based on their active involvement in care. Emergency "break-glass" access provides overriding capability for critical situations, with comprehensive audit trails documenting the access reason, duration, and all data viewed during emergency access sessions.

Clinical Documentation

SOAP note automation generates structured clinical documentation templates that require mandatory provider review and approval before finalization. This approach reduces documentation time while maintaining provider responsibility for all clinical content. The platform never auto-approves generated content; all AI-suggested documentation must be explicitly reviewed, edited as needed, and approved by a licensed provider.

Clinical decision support provides suggestions drawn from medical research databases, including direct integration with PubMed for access to peer-reviewed literature. These research-backed recommendations support evidence-based care while preserving provider judgment in final treatment decisions.

Security & Compliance

Data encryption at rest implements X25519 + AES-256-GCM hybrid encryption for all protected health information. Perfect forward secrecy through ephemeral key generation ensures that historical data remains protected even in the event of future key compromise, matching the security architecture used by Signal, WhatsApp, and modern TLS implementations.

Comprehensive audit logging captures every access to protected health information with 6-year retention meeting HIPAA requirements. Each log entry documents the accessing user, timestamp, resource accessed, access reason, and whether the access involved protected health information. Suspicious access detection monitors for anomalous behavior patterns including excessive volume, after-hours access, and unrelated patient access, providing real-time alerts for potential security incidents.

Consent management ensures patient authorization for data access with granular controls supporting treatment, payment, research, and data sharing purposes. Patients maintain the ability to grant and revoke consent, with the platform enforcing these preferences across all access pathways.

Data Migration

HL7 v2.x support enables import of historical patient data from legacy healthcare systems, parsing and transforming traditional message formats into EdgeMED's native data structures. Modern FHIR R4 data exchange provides standards-based import capabilities from contemporary electronic health record systems, facilitating complete migration of patient histories.

The platform's data transformation capabilities support flexible import from diverse source systems while maintaining data integrity throughout the migration process. This dual-standard approach ensures that healthcare facilities can migrate from any legacy platform—whether decades-old HL7-based systems or modern FHIR-enabled platforms—preserving complete patient histories as they transition to EdgeMED as their standalone electronic health record.

Longitudinal Patient Records

Complete patient medical history across all encounters provides clinicians with comprehensive context for treatment decisions. Timeline visualization of clinical events enables rapid identification of disease progression, treatment responses, and recurring patterns. Historical encounter retrieval with visit summaries allows providers to review past diagnoses, treatment plans, and clinical notes without navigating multiple disconnected systems.

Chronic condition tracking monitors ongoing health issues across multiple visits, supporting continuity of care for patients with diabetes, hypertension, asthma, and other long-term conditions. Historical vitals and lab trends display graphical representations of patient data over time, making it easy to spot deteriorating conditions or validate treatment effectiveness. This longitudinal view transforms disconnected episodic care into coherent patient narratives that support better clinical outcomes.

Orders Management

Computerized Physician Order Entry (CPOE) streamlines ordering workflows for laboratory tests, imaging studies, medications, and clinical procedures. Order transmission to ancillary services—laboratory, radiology, and pharmacy systems—eliminates manual transcription errors and accelerates order fulfillment. Real-time order status tracking provides visibility into order completion, with fulfillment confirmation ensuring providers know exactly when results become available.

Duplicate order detection prevents redundant testing by identifying recent identical orders, reducing unnecessary costs and patient burden. Drug-drug and drug-allergy interaction checking provides clinical decision support at the point of prescribing, alerting providers to potential adverse reactions before medication orders are transmitted to pharmacy systems. These safety features integrate seamlessly into clinical workflows, supporting provider decision-making without introducing unnecessary alerts or workflow interruptions.

Results Management

Laboratory and imaging result receipt, validation, and provider notification streamline the critical workflow from result arrival to clinical action. Critical value alerting with escalation protocols ensures that life-threatening laboratory findings receive immediate provider attention, with automated escalation to supervising physicians when initial notifications are not acknowledged within defined timeframes.

Result trending and longitudinal comparison enable providers to assess changes in patient condition over time, making subtle progressions or improvements immediately visible. Result normalization across different laboratory vendors ensures consistent interpretation regardless of which laboratory performed the testing. Provider acknowledgment and sign-off requirements create explicit documentation that critical results have been reviewed, providing both clinical safety and medicolegal protection.

Billing & Revenue Cycle

Automated ICD-10 and CPT coding assistance analyzes clinical documentation to suggest appropriate diagnosis and procedure codes, reducing coding errors and supporting proper reimbursement. Charge capture at point of service ensures that billable activities are documented as they occur, eliminating revenue leakage from missed charges and reducing the administrative burden of retrospective charge entry.

Claims generation and electronic submission streamline the revenue cycle from clinical encounter to payment receipt. Denial management and appeals workflow track rejected claims, identify patterns in denials, and facilitate efficient resubmission with corrected documentation. Patient financial services and payment processing support transparent cost estimates, payment plan arrangements, and secure payment collection, improving patient satisfaction while optimizing revenue capture.

Care Summaries & Continuity of Care

Discharge summary generation produces comprehensive documentation of hospital stays, surgical procedures, and emergency department visits, ensuring that receiving providers have complete information for follow-up care. Transfer summary documentation facilitates smooth handoffs between care settings, whether transferring from emergency department to inpatient unit or from hospital to skilled nursing facility.

Referral coordination documents support specialist consultations with relevant clinical context, imaging, and laboratory results. Problem list management maintains current awareness of active diagnoses, chronic conditions, and resolved issues across all patient encounters. Care plan and goals documentation enables collaborative treatment planning with defined clinical objectives, supporting coordinated care across multiple providers and care settings while ensuring patient preferences remain central to treatment decisions.

Clinical Use Cases & Workflows

Published: December 2025

Emergency Department Triage

Scenario: A high-volume emergency department manages 200+ patient visits daily, with peak periods seeing 30+ simultaneous arrivals. During these critical moments, every second counts for both patient outcomes and regulatory compliance.

Challenge: Traditional intake processes delay medical screening while collecting insurance information, signatures, and administrative paperwork. Under EMTALA, this delay is both unsafe and illegal. The department needs rapid patient assessment that maintains full federal compliance without sacrificing clinical accuracy.

Solution: EdgeMED's EMTALA-compliant intake system captures only the minimum required information—first name, last name, date of birth—before initiating clinical assessment. The 5-level severity classification system automatically prioritizes patients based on presenting symptoms, vital signs, and clinical indicators. Care team assignments happen automatically based on severity level and provider availability, with real-time notifications ensuring immediate attention for critical cases.

Outcome: The emergency department achieves faster patient flow through the triage process while maintaining complete regulatory compliance. Comprehensive audit logging documents every step of the intake process, eliminating manual documentation burden and providing complete defensibility for EMTALA compliance reviews. Clinical staff focus on patient care rather than paperwork, improving both patient satisfaction and provider efficiency.

Workflow: Patient arrives at ED → Registration captures minimal identifiers (name, DOB) → Automated severity assessment based on symptoms and vitals → Care team assignment with provider notification → Medical screening begins → Administrative details collected after stabilization.

Urgent Care Clinical Documentation

Scenario: A multi-provider urgent care facility operates with varying levels of clinical documentation experience across its medical staff. Some providers are recent graduates, others are experienced physicians, and locum tenens providers rotate regularly.

Challenge: Inconsistent documentation quality creates compliance risks, makes chart review difficult, and can lead to denied insurance claims. The facility needs to ensure consistent, thorough documentation across all providers without imposing rigid templates that constrain clinical judgment.

Solution: EdgeMED's SOAP note automation generates structured clinical documentation based on the patient encounter, suggesting comprehensive sections for Subjective findings, Objective measurements, Assessment, and Plan. Critically, these AI-suggested notes require mandatory provider review—the platform explicitly prevents auto-approval of generated content. Providers review, edit as clinically appropriate, and explicitly approve all documentation before it becomes part of the medical record.

Outcome: The urgent care facility achieves reduced documentation time without compromising quality. New providers benefit from structured guidance while experienced physicians appreciate the efficiency. Documentation consistency improves across all providers, reducing compliance risk and claim denials. Most importantly, the mandatory review requirement ensures that provider judgment remains central to all clinical documentation.

Workflow: Patient visit concludes → EdgeMED suggests SOAP note based on encounter data → Provider reviews suggested content → Provider edits and refines clinical documentation → Provider explicitly approves finalized note → Note becomes part of permanent medical record.

Hospital Compliance Management

Scenario: A large hospital system faces strict HIPAA requirements with hundreds of clinical staff across multiple departments accessing thousands of patient records daily. The compliance team struggles to maintain comprehensive audit trails and identify potential privacy breaches before they escalate into reportable incidents.

Challenge: Manual compliance monitoring is impossible at scale. By the time privacy violations are discovered through patient complaints, the damage is done and reporting requirements have been triggered. The hospital needs proactive detection of suspicious access patterns before they become breaches.

Solution: EdgeMED's comprehensive audit logging captures every access to protected health information, recording the accessing user, timestamp, resource accessed, access reason, and detailed interaction data. Suspicious access detection algorithms continuously monitor these logs for anomalous patterns including excessive volume, after-hours access, rapid access sequences, geographic anomalies, and unrelated patient access. When suspicious patterns are detected, real-time alerts notify the compliance team for immediate investigation.

Outcome: The hospital achieves 100% audit coverage across all clinical systems, with zero gaps in compliance documentation. Suspicious access detection provides proactive breach prevention, enabling the compliance team to intervene before privacy violations escalate. When audited by regulators or accreditation bodies, the hospital presents comprehensive, defensible documentation of all access controls and monitoring systems.

Workflow: Clinical staff accesses patient record → Automatic logging of access details → Real-time analysis against suspicious access patterns → Alert generated for anomalous behavior → Compliance team investigates → Appropriate action taken (staff education, access revocation, incident reporting).

Multi-Facility Care Coordination

Scenario: A hospital network operates multiple locations across a metropolitan area, with patients frequently transferring between facilities for specialized care. Providers at each location need appropriate access to patient records while maintaining minimum necessary access principles.

Challenge: Traditional access control systems either grant overly broad permissions (violating minimum necessary principles) or create administrative burden through manual access requests. Patients suffer when provider handoffs lack complete clinical context, while the organization faces compliance risk from excessive access permissions.

Solution: EdgeMED's care team management provides patient-specific access control, where providers are dynamically assigned to individual patients based on their active involvement in care. When a patient transfers between facilities, care team assignments update automatically—previous providers retain access for care continuity while new providers gain appropriate permissions. Emergency "break-glass" access handles unexpected urgent situations, with complete audit trails documenting the emergency access reason and all data viewed.

Outcome: The hospital network achieves seamless provider handoffs with maintained patient continuity. Transferred patients arrive at new facilities with complete clinical context available to receiving providers. Access permissions remain tightly scoped to actual care involvement, satisfying minimum necessary requirements while preserving clinical workflow efficiency. Comprehensive audit trails document all access, including justification for emergency access situations.

Workflow: Patient requires transfer to specialty facility → Transfer initiated in EdgeMED → Care team automatically updated with receiving providers → Previous care team access modified to historical access → Receiving providers access complete patient history → Emergency access available if unexpected urgent situations arise → All access comprehensively audited and logged.