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Answers for IT and clinical leads

Security, interoperability, and clinical workflow, for teams taking the waiting-on list out of memory.

Every physician keeps a waiting-on list

It lives in their head or on paper. We asked more than 30 clinicians how they track what they're waiting on, and not one physician named the EHR.

Semblance holds that list for the whole team, with four facts for every item: what is pending, who has it, how old it is, and whether it moved.

What we are waiting on for GarciaIllustrative patient
  • Coordinate discharge with care teamIn someone's headUnknownUnknown
  • Consult recommendationIn someone's headUnknownUnknown
  • Outside MRI reportIn someone's headUnknownUnknown

Security and compliance

Semblance is built for HIPAA-regulated environments. These are the questions a compliance review asks first.

Clinical readiness
  • HIPAA
    HIPAA
    Healthcare readiness
  • SOC 2 Type II
    SOC 2 Type II
    Controls readiness · audit on roadmap
  • BAA Available on request
    BAA
    Available on request

How does Semblance protect patient health information?

Semblance is built for HIPAA-regulated environments, with HIPAA-ready architecture and safeguards. Data is encrypted end to end, in transit and at rest.

Access is role-based, and activity is kept in an audit trail on a FHIR R4 data model.

Will Semblance sign a business associate agreement?

Yes. A BAA is available on request. Semblance is built on Google Cloud infrastructure that is covered under a BAA.

Does Semblance have a SOC 2 Type II report?

Not yet. Our controls are aligned to SOC 2 and we are in controls readiness. A formal SOC 2 Type II audit is on our roadmap.

A Type II report covers how controls operate over a period of time, so readiness comes first. Until the report exists, we share our security overview for your review.

Is our clinical data used to train AI models?

No. Clinical data is never used to train models.

Can we see who did what, and when?

Yes. Access is role-based and activity is recorded in an audit trail on a FHIR R4 data model.

Every commitment also exports as FHIR Provenance and AuditEvent records, so its history can sit with your EHR's own record.

What can our security team review first?

Start with the security overview and the BAA. Both are available on request from our team.

Request the security overview

Interoperability

Semblance reads from the systems you already use and hands closure back in standard FHIR. No rip and replace.

Reads from your EHR through SMART on FHIR
OrdersResultsSchedules
Semblance holds each commitment
One accepted ownerDue timeStatus and blockersEvidence of closure
Exports to your EHR's record as FHIR R4
TaskProvenanceAuditEvent

Do we have to replace our EHR or task tools?

No. Semblance works alongside the systems you already use. Your EHR keeps doing its job.

Semblance adds what it doesn't track: one accepted owner, a due time, live status, escalation, and evidence that the work closed.

What is SMART on FHIR?

SMART on FHIR is an open HL7 standard for connecting an app to an EHR. The app reads data through the EHR's FHIR API, and access is authorized through OAuth 2.0 with scopes your organization approves.

Source: HL7 SMART App Launch specification

How does Semblance use SMART on FHIR?

To read orders, results, and schedules. That context ties each commitment to the patient, keeps ownership visible over time, and shows when work moves, such as a result landing.

What does Semblance send back to the record?

Every commitment exports as a FHIR Task, Provenance, and AuditEvent, so closure is anchored to your EHR's own record.

In FHIR R4, a Task tracks an activity and its status, Provenance records who and what produced a record, and an AuditEvent logs the events around it.

Source: HL7 FHIR R4 resource list

Which EHRs and tools does it work with?

Semblance is designed to work with your existing tools, including Epic, Cerner, MEDITECH Expanse, OpenMRS, and Amion for scheduling. Tell us what you run and we'll confirm how Semblance fits it.

Which FHIR version does Semblance use?

FHIR R4. The audit trail and the exported Task, Provenance, and AuditEvent records use the R4 data model.

What about work that leaves our EHR?

That is where follow-up goes quiet. Epic tracks what Epic ordered. It doesn't track what you're waiting on from a contracted group, an outside facility, or an insurer.

Semblance watches for signals that already exist, like a result landing, a note appearing, or a call coming back. It asks nothing new of the other side.

Read why the list keeps growing

Clinical workflow

State a request once. Semblance turns it into one accepted commitment and keeps it visible until there is evidence it closed.

"Coordinate Garcia's discharge with care team"
Patient
Garcia
Action
Coordinate discharge with care team
Due
Today 2:00 PM
Owner
Case manager, accepted
Exported commitmentFHIR R4
"resourceType": "Task"
"status": "accepted"
"description": "Coordinate discharge with care team"
"for": { "reference": "Patient/…" }
"owner": { "display": "Case manager" }
Provenance
AuditEvent
Illustrative example

How does a spoken or typed request become a commitment?

A clinician speaks, types, or forwards the request once. Semblance structures it into patient, action, and urgency, and the clinician confirms it before it routes.

The right owner accepts it. From there, Semblance tracks status and blockers until closure.

How do requests become FHIR Tasks and AuditEvents?

Each confirmed commitment is held on a FHIR R4 data model and exports as a FHIR Task with its owner and status, plus Provenance and AuditEvent records.

The record then shows what was asked, who owned it, and how it closed.

Who confirms what the AI captured?

The clinician. Semblance structures what was said, and the clinician confirms the patient, action, and urgency before anything routes. Ownership is accepted by a person, never assumed.

Is Semblance an AI scribe or another inbox?

No. Semblance is not a scribe, not another inbox, and not a task manager. It holds what was asked for, with one owner and evidence of closure.

What if the owner can't take the work?

Accept, decline, and delegate are built in. Each commitment carries one accepted owner, so it is clear who has it instead of two teams each assuming the other does.

How are blockers and escalations handled?

Semblance tracks status and blockers on every commitment and escalates by your team's rules. A patient's related commitments are grouped into one workflow, so the full picture for that patient sits in one place.

What counts as closed?

A commitment closes only when the completing evidence exists, such as a result reviewed, a callback documented, or an order signed. A ticked checkbox isn't enough.

Who on the care team uses it?

Physicians who carry the waiting-on list in their head, and the nurses, APPs, case managers, MAs, and front-desk staff who finish the work with them. It adds no new heavyweight workflow.

Bring your questions to the team

From the BAA to how Semblance connects to your EHR, we'll walk your IT and clinical leads through it.