How a Pediatric Mental Health Assessment Went from Standalone Tool to Live Clinics and Production-Ready Epic Integration
A SMART on FHIR app launched directly inside Epic, in the workflow clinicians already use.
A validated pediatric mental health assessment is only useful at the point of care if it fits the clinician's workflow. The product needed to launch inside Epic with patient context, return results into the chart, route them to the right clinician, pass health-system compliance review, and still ship value to clinics while the hospital's integration timeline moved.
- SMART on FHIR embedded launch inside Epic with full patient, practitioner, and encounter context
- FHIR R4 Backend Services polling for appointment and practitioner data
- HL7 v2 results gateway: FHIR Bundle to SQS to ORU message to MLLP over TLS
- Self-hosted Medplum on AWS, with production migration
- SOC2 evidence base in Vanta built in parallel with the product work
- Epic Vendor Services registration and testing
- Standalone production launch at two pediatric clinics
The standalone version has been live in production at two pediatric clinics since May 2026. The Epic-integrated version is built, validated through end-to-end testing, and registered with Epic Vendor Services, ready for the hospital go-live when the health system's timeline opens.
Travis took on the Sapien work and ran it like an owner. He stabilized the platform, got the compliance posture right, and built the EHR integration to get it ready for clinicians at hospitals. That is exactly why I keep handing him the hard ones.
Travis was the engineer I trusted to take the Sapien cMHQ Epic integration from architecture to a working build. He owned the SMART on FHIR launch, the FHIR R4 backend queries, and the HL7 v2 results interface, and drove it through validation and Epic registration. He handles the hard interoperability details most engineers miss, and he does it cleanly.