Data Integration
Your Data Is Already Exportable. We Just Use It.
Every major EHR system is required by the 21st Century Cures Act to export your clinical and operational data on demand. Vizier reads those exports. No integration contract. No API negotiation. No waiting.
The Problem
EHR Vendors Sell You Analytics Access to Data You Already Own
Epic's native analytics module — Epic Cogito — carries implementation costs that routinely reach $150,000 to $400,000 for mid-size health systems, plus ongoing licensing. Cerner's HealtheAnalytics follows a similar model. Allscripts charges separately for reporting modules that should be considered basic functionality.
These are not analytics tools built for clinical quality teams. They are revenue streams built for IT departments. The result: a 12-to-18-month implementation timeline before a quality director can ask their first question, followed by a recurring fee for every additional report.
Meanwhile, the underlying data — patient encounters, claims, diagnoses, A1C values — has been yours all along. HIPAA's right of access provisions and the 21st Century Cures Act mandate that your EHR export it to you in a usable format. Most organizations have never exercised this right at scale.
Epic Cogito Analytics
Requires dedicated Epic-certified analysts
Oracle Health (Cerner) HealtheAnalytics
Additional cost per reporting domain
Allscripts / Veradigm Analytics
Report customization billed separately
AthenaHealth Analytics Plus
Limited to Athena-native data only
Cost estimates based on publicly available RFP responses and health system procurement disclosures, 2022–2024.
Legal Context
The Law Is On Your Side
The 21st Century Cures Act (Pub.L. 114-255, enacted December 2016) and the ONC's Information Blocking Rule (45 CFR Part 171, effective April 2021) prohibit EHR vendors from restricting access to your clinical data through technical or contractual barriers. Practices that prevent data portability are explicitly defined as information blocking and carry civil monetary penalties of up to $1 million per violation for developers.
Under HIPAA 45 CFR §164.524, covered entities have the right to access their designated record sets in electronic format. This includes the operational and clinical data your EHR holds about your patients and encounters. You do not need a vendor's permission to export and analyze your own records.
What this means in practice
Your EHR administrator can generate a CSV or Excel export of your encounter data, claims data, or patient roster today — without a new contract, without an IT ticket to the vendor, and without additional cost. That file, uploaded to Vizier, is sufficient to answer most operational and quality questions your team asks in a given month.
System-by-System Export Guide
How to Get Your Data from Each Major EHR
The exact pathway differs by system and version. These are the standard routes your EHR administrator can use today. Vizier accepts the output of each without modification.
Epic
August 2023+ recommended
Reporting Workbench → Custom Report → Export to CSV
SlicerDicer can also export patient-level data as CSV. My Reports stores saved exports for recurring downloads.
CSV, Excel (.xlsx)
Oracle Health (Cerner)
Millennium
DiscernReporter → Schedule & Export → CSV Download
PowerChart's CCL (Cerner Command Language) reports can be scheduled for automatic CSV delivery. HealtheIntent exports are also accepted.
CSV, Excel, fixed-width text
Allscripts / Veradigm
Professional EHR, TouchWorks
Report Center → Custom Reports → Export
The Insights module exports standard encounter and claims summaries. SQL access via Allscripts PM is available for enterprise customers.
CSV, Excel
AthenaHealth
athenaClinicals, athenaCollector
Reports → Custom → Download as CSV
AthenaHealth's Benchmark Reporting section exports payer, provider, and diagnosis-level summaries. The athenaOne API also supports FHIR R4 bulk export.
CSV
NextGen
NextGen Enterprise, Office
Custom Reports Module → Export to Excel
NextGen Analytics (NGA) supports scheduled report exports. The Practice Management module exports claims and ERA data directly.
Excel (.xls, .xlsx), CSV
eClinicalWorks
V12, Cloud
Reports → Custom Reports → Export
eClinicalWorks healow Insights can export population health data. The Practice Analyzer exports quality measure performance.
CSV, Excel
Meditech
Expanse, 6.x
Report Library → User-Defined Reports → CSV Export
Meditech's Magic and Client/Server platforms use an older report format; Vizier accepts all variants. Expanse supports Excel export natively.
CSV, fixed-width
SystmOne (TPP)
UK Primary Care
Reports → Report Designer → Export
SystmOne's SNOMED CT-coded data exports cleanly to CSV. Vizier maps SNOMED codes to clinical concepts automatically.
CSV, Excel
EMIS Health
EMIS Web
Reporting → Population Reporting → Export
EMIS Population Reporting exports Read-coded and SNOMED-coded data. Vizier's schema mapping handles EMIS column conventions.
CSV
The Anti-Gatekeeping Approach
No Middleware. No Vendor Agreement. No IT Project.
Traditional analytics integrations require a signed data sharing agreement with your EHR vendor, a middleware layer (HL7 FHIR feeds, HL7 v2 pipes, or proprietary APIs), an internal IT project to configure and maintain the connection, and an ongoing licensing fee.
Vizier bypasses all of it. The data goes directly from your EHR export to Vizier's encrypted storage — no third-party middleware touches it, no vendor agreement is required, and your IT team does not need to be involved in ongoing operations.
Traditional Integration Path
Total: 12–18 months. $50K–$200K+.
Vizier Path
Total: under 20 minutes. No IT required.
Honest Scope
What Vizier Requires, and What It Does Not
We are transparent about what the export-based approach means for your workflow. These are the realities.
What you do need
An EHR administrator who can run and export a report (15 minutes/month)
Agreement on which data fields to include in each export
A Vizier account with appropriate access controls for your team
A Business Associate Agreement — Vizier provides a standard BAA
What you do not need
A vendor contract or data sharing agreement with your EHR company
HL7 FHIR API access or custom API development
A data warehouse, ETL pipeline, or middleware system
SQL knowledge or a dedicated data analyst
An IT project or change management process
Start with an Export You Already Have
Book a demo and bring an export file from your EHR. We will show you what Vizier finds in it within the first ten minutes of the session.