Epic applications, acronyms, and environments

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This guide provides a brief introduction to applications and some of their general keywords. It’s meant to link your knowledge of hospital and clinic terminology and workflows to the relevant areas of Epic. It’s not intended to teach clinical terms or specific terminology. View the Epic Glossary.

Core Clinical Applications

Learn about the core applications used for patient care.

Epic ApplicationService LineDescription
ASAPEmergency DepartmentASAP is used by staff to document clinical care in the Emergency Department (ED).
EpicCare AmbulatoryOutpatient clinical careEpicCare Ambulatory is Epic’s outpatient clinical application. It’s used by physicians, nurses, and other clinical staff to document and manage outpatient care, including office visits, telephone calls, e-visits, and refill requests.
EpicCare Inpatient – Clin DocInpatient clinical documentationEpicCare Inpatient – Clin Doc is used for documentation on admitted patients, usually in hospitals. It is one half of EpicCare Inpatient.
EpicCare Inpatient – OrdersInpatient ordersEpicCare Inpatient – Orders covers providers’ orders for admitted patients. It is the other half of EpicCare Inpatient.

Ancillary Clinical Applications

Learn about more specific areas within patient care.

Epic ApplicationService LineDescription
AnesthesiaAnesthesiaAnesthesia is used with any patient/procedure requiring anesthesia.
BeaconOncologyBeacon is Epic’s application for clinical care of patients with cancer, in both the hospital and clinic settings.
BeakerLabBeaker is Epic’s laboratory application used to document the reviewing, processing, and results of clinical and anatomic pathology tests and cases.
BeansDialysis & NephrologyBeans is Epic’s dialysis application for managing outpatient dialysis care.
Behavioral HealthBehavioral HealthBehavioral Health helps clinicians treat patients with mental health disorders, developmental disorders, behavioral disorders, substance use disorders, and addiction.
BonesOrthopaedicsBones is designed specifically for orthopaedic surgeons, providers, and their support staff, including podiatrists and sports medicine providers.
BugsyInfection ControlBugsy is used for infection control to monitor and report certain types of infections (i.e. MRSA, sepsis) in inpatient settings.
Clinical Case ManagementCase ManagementClinical Case Management is used to support inpatient case management workflows, including utilization management and discharge planning.
Compass RoseCoordinated Care ManagementCompass Rose helps support care coordination needs, including population health, social care, medication therapy management, health plan case management, and community programs.
CupidCardiologyCupid is used to order, document, and share results of non-invasive and invasive cardiology care.
DermatologyDermatologyDermatology is Epic’s dermatology module for managing conditions of the skin, hair, and nails. It centralizes biopsy and treatment documentation, simplifying the tracking of conditions over time.
Dorothy and ComfortHome healthcare and hospice home healthcareDorothy and Comfort are used for care provided outside of the hospital. Dorothy is for general home health, and Comfort is the hospice application.
EndocrinologyEndocrinologyThe Endocrinology application is related to care for the endocrine system, which is produces and regulates hormones. The largest area of study within this specialty is diabetes.
FertilityReproductive Endocrinology & EmbryologyThe Fertility application is used for reproductive endocrinology treatment and includes features for embryology labs. 
Genetics and GenomicsGenetics and GenomicsGenetics and Genomics tools in Epic assist with documenting family history, genetic testing, pharmacogenomic indicators, and somatic and germline conditions.
Healthy PlanetPopulation HealthHealthy Planet is Epic’s population health module and is used to define and understand populations, engage populations through outreach and care management, and track populations with outreach tracking and analytics.
KaleidoscopeOphthalmologyKaleidoscope is Epic’s ophthalmology application, providing subspecialty eye exam layouts, imaging and procedure documentation with one-step medications injections, and cataract planning capabilities.
Long-Term CareLong-term careLong-Term Care is designed for U.S. skilled nursing and long-term care facilities, providing clinical, regulatory, and billing features to support resident care and MDS workflows.
LumensEndoscopyLumens is used to order, document, and share results of endoscopic care.
Nurse TriageClinical call triageNurse Triage is used to document and triage telephone calls from patients. Questionnaires called protocols are used to determine the next steps a patient should take (i.e. go to urgent care, schedule an appointment, home care).
OpTimeSurgeryOpTime is used to prepare, schedule, and document information related to surgery and the operating room.
PhoenixTransplantationPhoenix is used in transplant units and centers for transplant-specific documentation.
RadiantRadiologyRadiant is used to order, schedule, and perform non-invasive and interventional radiology imaging procedures.
RehabRehab and therapyRehab covers therapy services, including physical, occupational, and speech therapy. It provides therapy-specific documentation, time tracking, and workflows for both inpatient and outpatient therapy teams.
ResearchClinical researchThe Research application assists with tracking patients, encounters, orders, tasks, and other documentation to support clinical trials and research studies.
StorkObstetrics and Labor & DeliveryStork is used to document a patient’s entire pregnancy, from the first prenatal visit to the hospital for delivery to the postpartum visit.
Willow AmbulatoryOutpatient pharmacyWillow Ambulatory is used in outpatient pharmacies to fill and dispense prescriptions. It can also refer to the software client used by Willow Ambulatory users.
Willow Home InfusionHome infusionWillow Home Infusion is the application that manages home infusion pharmacy workflows, including patient outreach and monitoring, shipping medications to patients, and triggering pharmacy charges.
Willow InpatientInpatient pharmacyWillow Inpatient is used for the ordering, verifying, preparing, dispensing, and charging of medications in the hospital setting for admitted patients.
Willow InventoryPharmacy inventoryWillow Inventory is the application that supports medication inventory tracking and replenishment across outpatient and inpatient settings.
Willow Specialty PharmacySpecialty pharmacyWillow Specialty Pharmacy is the application that coordinates and manages high-cost and high-risk medications.
WisdomDental and OrthodonticsWisdom provides tools and workflows for dentistry and orthodontics.
Wound CareWound careUsed alongside EpicCare Inpatient and EpicCare Ambulatory, Wound Care provides clinicians with additional tools to track and document healing.

Access Applications

Learn about areas related to patient movement, registration, scheduling, and medical records.

Epic ApplicationService LineDescription
Grand CentralPatient movement/flowGrand Central is used for real-time management of patient movement and flow within healthcare facilities.
CadenceSchedulingCadence is used for scheduling appointments in outpatient areas, such as clinics and hospital-based outpatient departments, where patients are seen but not admitted.
PreludePatient registrationPrelude is the application for managing registration at the front desk or central registration station.
WelcomePatient self-check-inWelcome offers patients self-service options at the start of the care process and supplements staff-driven registration and check-in workflows.
Referrals and AuthorizationsReferrals and authorizationsReferrals are how providers can send their patient to receive care from another provider. Authorizations coordinates with payers to make sure the care is approved by insurance before starting the treatment.
Health Information Management (HIM)Health information managementHealth Information Management (HIM) is a group of modules used to help organizations ensure that health information and medical records are up to date and appropriately accessible.
IndentityPatient databaseIdentity is used to manage the patient database and ensure each patient has a single record with correct identifiers and documentation.
GalleryScanning and document managementGallery is a module for high-volume file acquisition and document management, including batch scanning, incoming fax integration, and ancillary imports. It helps index documents efficiently using barcode scanning, metadata reading, and optical character recognition.
CheersCampaigns and contact management/call managementCheers is Epic’s suite of customer relationship management and automated enterprise communication tools. It has two modules: Call Management is for customer contact and service, and Campaigns proactively engages with patients and attracts new patients.
Hello WorldPatient messaging or patient communicationHello World is Epic’s enterprise communication services application, which helps coordinate communication through a growing number of preferred communication methods, including text messages (SMS) and email.

Revenue Applications

Learn about areas related to billing, charging, and claims.

Epic ApplicationService LineDescription
Hospital BillingNon-physician (technical) chargesHospital Billing is used for collecting, reviewing, and billing facility (aka hospital) charges to insurance companies and patients.
Professional BillingPhysician chargesProfessional Billing is used in billing offices, clinics and practices, and hospitals for collecting, reviewing, and billing professional charges to insurance companies and patients.
Charge RouterCharges from clinical to billingThe Charge Router is the connection between clinical applications (both Epic and third-party interfaces) and the billing applications. With configuration, it allows for the creation and routing of charges, as well as review of and automated updates to those charges.
Claims & RemittanceInsurance claimsClaims relates closely to billing and is used to send professional billing and hospital billing claims to insurance companies and receive electronic remittance payments back.
TapestryManaged careTapestry is a set of modules that help manage health insurance operations within Epic. It is used to track enrollment, authorize services, manage high-risk members, pay claims and make capitation payments, respond to member and provider inquiries, collect premium or capitation payments, and engage members, providers, and employers.

Other Applications and Concepts

Epic ApplicationService LineDescription
CogitoReporting and analytics toolsCogito is Epic’s reporting and analytics suite, which includes Clarity, Caboodle, Dashboards (Radar), Reporting Workbench, SlicerDicer, and the Analytics Catalog.
CosmosCosmosCosmos is a community collaboration system that allows its users to leverage data submitted by over 300 Epic organizations to improve health through research and clinical integration.
MyChartPatient portalMyChart is a patient portal that gives patients easy access to their medical record and helps them stay connected with their care team.
Care EverywhereSharing patient records among organizationsCare Everywhere is used to exchange patient information between healthcare organizations.
EpicCare LinkSharing information with outside cliniciansEpicCare Link is Epic’s tool for granting community access to an organization’s patient database through a web browser.
In BasketMessage-based task managementIn Basket is Epic’s message-based task management system, primarily used to provide patient care or follow-up. Users can take action on results, prescription refills, patient messages in MyChart, and more.
TelehealthVirtual careTelehealth focuses on improving efficiency and access to healthcare through video and messaging technology.

Administrator Applications and Concepts

Epic Application and ConceptsService LineDescription
BridgesInterfaces between Epic and other systemsBridges is the Epic toolkit for interfacing Epic applications with external systems, including interface profiles and utilities for configuring and maintaining interfaces.
Data Courier & Content ManagementData migration between Epic environmentsData Courier is how analysts move or copy their build from the build environments to the production environment that most users work in. Content Management is used to track builds that are ready, not ready, or already moved.
InterconnectEpic’s web services applicationInterconnect is a framework for communication between Epic’s Chronicles database and the rest of the world. This communication uses common data-sharing systems, like the Internet, to enable integrations across the Epic ecosystem.
BLOB ServicesServer for images and scanned documentsA secondary fileserver that communicates additional stored information with Epic’s main server. These servers normally store files that take up a lot of room, such as images or scanned documents. BLOB stands for binary large object.

Applications

Software to access Epic’s applications

ApplicationService LineDescription
HyperspaceCore software applicationMost users who log in will only use Hyperspace. This is the desktop version of the software and is installed on most workstations.
GuesthouseSoftware application for some contracted vendor usersGuesthouse is a version of Hyperspace with some modifications to allow access to offshore or onshore consultant vendors. 
TextSoftware application for some administrator or analyst buildsText helps analysts and administrators support workflows not currently in Hyperspace. It may also be referred to by the emulator name, typically Putty or Reflections.
Rover, Haiku, Canto, and LimerickMobile applications allowing users to complete certain workflows on mobile devicesRover: mobile application
Haiku: cell phone application
Canto: tablet application
Limerick: smartwatch application
Willow AmbulatorySoftware application for Willow Ambulatory usersWillow Ambulatory pharmacy users often log in to the Willow Ambulatory software instead of Hyperspace. All issues related to Willow Ambulatory (both the client and application) will go to the same team.
Remote ClientSoftware application for some Dorothy and Comfort usersHome health and hospice-related clinicians use Remote Client in patient homes to access offline documentation.

Epic Environments

NameAcronymDescription
ProductionPRDReal-life Epic; used to access all information after go-live. All patient care, billing, and scheduling should take place here.
Content ReviewCRETraining environment for users to practice realistic workflow scenarios (specifically the day-in-the-life/readiness activities) and mimics your organization’s Epic build. It refreshes nightly and is built and maintained by your Epic training team. It’s used when organizations have opted for Epic Lead training.
GuesthouseN/AGuesthouse is the Epic environment used for contracted vendors.
Willow AmbulatoryWAMUsed for accessing the Willow Ambulatory (outpatient pharmacy) module and environment
SupportSUPSupport environment, nightly copy down of PRD with real patient and user data. Used for login testing & Shadow Charting activities. Used by analysts after go-live if needed for support

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