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EMR Integration

Connecting VitaraVox to Electronic Medical Record systems

Status: OSCAR Family -- Production | Accuro, TELUS -- Planned


In This Section

Page Description
OSCAR API Protocol Analysis NEW Three API surfaces, Cloudflare WAF behavior, REST extension plan
OSCAR SOAP API Reference Complete reference for all 14 OSCAR SOAP web services
OSCAR Data Architecture Entity relationships, REST API reference, known bugs
OSCAR Schedule Deep Dive 4-table schedule chain, availability resolution, booking risks
Adapter Implementations OscarSoapAdapter (production), OscarBridgeAdapter (dev/fallback)
OSCAR Demo Data Test environment, providers, patients, templates
Canadian EMR Landscape Market analysis: Juno, Accuro, Med Access
Integration Roadmap Phase 1 COMPLETE, Phase 2-4 planned

Architecture

All EMR operations flow through a canonical IEmrAdapter interface:

BookingEngine -> IEmrAdapter -> {OscarSoapAdapter, AccuroRestAdapter, ...}

Production path (self-hosted): oscar-soap via OscarSoapAdapter -> OSCAR CXF SOAP directly (no middleman) Production path (Kai-hosted): oscar-soap with preferRest=true -> OAuth 1.0a REST to /ws/services/* (bypasses Cloudflare WAF) Dev/fallback path: oscar-universal via OscarBridgeAdapter -> REST Bridge

Three OSCAR API Surfaces

OSCAR exposes SOAP (/ws/{Service}), Cookie REST (/ws/rs/*), and OAuth REST (/ws/services/*). For Kai-hosted instances behind Cloudflare, only OAuth REST works. See OSCAR API Protocol Analysis for the full breakdown.

Current Adapter Status

EMR Type Adapter Status
OSCAR Family (McMaster, Juno, OSCAR Pro, MedAccess) OscarSoapAdapter Production
OSCAR (dev/test) OscarBridgeAdapter Dev/Fallback
Accuro (QHR) AccuroRestAdapter Planned (Q2 2026)
TELUS PS Suite TelusPsSuiteAdapter Future

Market Coverage

  • OSCAR Family: ~25% of Canadian physicians (one adapter covers 4 EMR forks)
  • + Accuro: ~42% cumulative
  • + Med Access: ~47% cumulative

Start here: OSCAR API Protocol Analysis -- understand the three API surfaces before diving into specifics. Then see OSCAR SOAP API Reference for the detailed SOAP service reference.