Behind the scenes of Epic’s robust electronic health record (EHR) system lies a powerful and unique database management system known as Epic Chronicles.

This article explores the significance of Epic Chronicles, highlighting its role in supporting the efficient storage, retrieval, and management of healthcare data across critical EHR operations.

What is Epic Chronicles?

Epic Chronicles is the database management system that powers Epic’s electronic health record (EHR) platform. Designed specifically for healthcare, Epic Chronicles efficiently stores, retrieves, and manages complex data such as patient records, clinical documentation, and billing information.

Unlike traditional relational databases, Chronicles uses a hierarchical structure built on InterSystems’ Caché technology to handle dynamic healthcare data. This unique architecture supports real-time access and updates for patient visits, episodes, and encounters, making it essential to the speed and success of Epic EHR operations.

Key Features

  • Hierarchical data structure: Uses a hierarchical structure that allows for efficient data storage and retrieval and is well-suited for managing the nested and interrelated data types found in healthcare records.
  • Scalable features: Scales efficiently to accommodate the data needs of small clinics to large, multi-hospital health systems as organizations grow or accumulate more data.
  • Data retrieval: Facilitates fast data retrieval, ensuring clinicians and administrative staff can quickly access required information, which is vital in time-sensitive healthcare settings.
  • Historical data support: Stores and manages historical data, essential for tracking patient progress and meeting legal and regulatory requirements for record retention.
  • Data exchange: Supports interoperability with other systems and databases, enabling data exchange across platforms and different healthcare providers and systems.
  • Seamless integrations: Integrates with all Epic applications, ensuring seamless communication, data sharing, and real-time insights across the entire EHR system.

Connection to Epic Clarity

Epic Chronicles and Epic Clarity are two integral components of the Epic EHR system, each serving distinct but complementary purposes in healthcare data management. On one hand, Chronicles is optimized for speed and efficiency in processing these live transactions. On the other, Clarity is specifically designed for complex queries, data analysis, and generating detailed reports.

Epic Chronicles is a non-relational database that exchanges data with Epic Clarity, a relational database, for advanced reporting and analysis. As much of the data stored in the Chronicles database gets sent to the Clarity system, analysts have the right data to create detailed, complex reports.

This relationship allows healthcare system administrators and providers to efficiently manage their clinical workflows while also leveraging data to improve outcomes, enhance operational efficiency, and drive strategic initiatives.

How Can We Help?

From outlining plans for the implementation of new Epic modules to navigating data connections across the Epic Hyperspace ecosystem, facilitating integrations between Epic systems and other applications, or maintaining effective communication across project teams, Surety Systems can help.

Our senior-level Epic consultants have the skills and experience to understand your critical Epic software needs and prepare your internal teams for continuous improvement and innovation.

Contact Us

For more information about our Epic consulting services or to get started on a project with our team of expert consultants, contact us today.