▣ Article · 7 min read
Kill the Clipboard: enable paperless intake and data sharing
CMS-Aligned Networks make paperless intake possible by combining digital identity verification and secure record sharing at the point of care.
CMS Interoperability Enablement
From the clipboard era to CMS interoperability
We set up digital intake and FHIR-first flows to surface complete records and cut patient paperwork.
Interoperability gaps hurt care and revenue ---------------------
Care suffers when providers lack complete medical records, face growing admin load and reimbursement drags. Against this backdrop, leaders wonder what value they can capture from the new CMS Interoperability Framework and where the tech gaps are. Time is short to prove readiness or lose ground in funding.
Your fastest path to Kill the Clipboard
Turn CMS Interoperability Framework into shipped features: deploy digital intake where you are today, validate EHR capabilities, and invest only in high-impact custom work.
Step 1
CMS Interoperability Assessment
We map your product and workflows to the CMS Interoperability Framework, verify your system’s capabilities (FHIR resources, auth/identity), surface gaps, and deliver a pragmatic roadmap.
Step 2
In-app SMART Health Links
Powered by Vinta's open-source kill-the-clipboard it enables point-of-care data entry from patient FHIR bundles. It's EHR-agnostic and compatible with Medplum.
Step 3
In-app SMART Health Cards
Enable intake via QR codes and SHCs with Vinta’s open-source kill-the-clipboard library, bringing verified identity, insurance, and clinical information into your app as structured data (FHIR).
Step 4
Real-Time AI Post-Visit Summaries
Pull data via SMART on FHIR to generate AI-assisted, FHIR-compliant summaries for immediate patient and care-team sharing, using Vinta’s topology-mobile demo app.
Trusted integration across the CMS Health Tech Ecosystem
From data networks to care coordination tools and EHRs, we work with platforms to deliver interoperability that streamlines care.
Engineering notes on FHIR-first interoperability
Our team's takes on navigating CMS Interoperability requirements and building compliant solutions.
▣ Article · 7 min read
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▣ Article · 7 min read
Medplum and FHIR Essentials for Interoperability
This article breaks down FHIR, US Core and profiles in real-world use and shows how Medplum helps developers build compliant, interoperable apps faster.
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Awell and Medplum integration: building automated healthcare workflows
Healthcare providers face a significant administrative burden, with physicians spending an average of 15.5 hours per week on paperwork and administrative tasks
Frequently asked questions
What are the CMS Health Tech Ecosystem, Interoperability Framework, and CMS-Aligned Networks—and why do they matter?
In July 2025, CMS launched the Health Tech Ecosystem, a voluntary program to make data exchange work consistently across networks, EHRs, payers, and apps. At its core is the Interoperability Framework, a playbook of standards for real-time, patient-directed data exchange. Organizations that self-attest to meeting these criteria can be recognized as CMS-Aligned Networks. Together, these initiatives create a unified environment where patients, providers, and innovators share data securely and without friction.
How does 'Kill the Clipboard' work?
Patients verify identity, retrieve their health record from a CMS-Aligned Network, and share it with providers at check-in using Smart Health Links or Smart Health Cards—replacing paper forms with digital intake.
Why is Vinta the right partner for this initiative?
Vinta is a healthtech engineering partner with deep expertise in FHIR and CMS-aligned interoperability. We’ve built production systems for U.S. healthcare, maintain open-source projects like kill-the-clipboard, and integrate with networks, EHRs, and tools like Epic, Medplum and Topology. Our standards-first, platform-agnostic approach delivers delivers digital intake and interoperability solutions that providers, payers, and investors can trust.
What are SMART Health Cards and how do they differ from SMART Health Links?
SMART Health Cards are signed, QR-based credentials that carry compact, verifiable slices of health data (like vaccinations or labs) and can be verified offline. Smart Health Links are consented URLs that deliver richer FHIR bundles in real time, ideal for complete up-to-date patient histories.
How secure are SMART Health Cards and Links?
Cards use signed, tamper-proof payloads that verifiers check against trusted issuers. Links use time-bounded, consent-based tokens delivered over HTTPS. Both approaches follow open standards and add audit trails to protect PHI.
What types of health data can be shared via SMART Health Cards?
Depending on the profile, cards can carry identity/demographics, insurance coverage, immunizations, medications, conditions, lab results, or test reports. They are designed to align with US Core and other international standards.
How does this integrate with existing EHR systems?
Integration uses SMART on FHIR and US Core profiles. That means one app can connect with many EHRs that support these standards. Patient-mediated intake complements existing portals without replacing them.
