Pipelines
EHR-to-CVR pipeline health
V1 ships as a monthly flat-file pipeline (subrecipient runs an EHR export, uploads us a fixed-width file). V2 will progressively replace each EHR's flat-file leg with direct integration. This page tracks both the current flat-file health and V2 connector readiness.
Roadmap view · V1 = flat-file, V2 = direct integration
Athenahealth
Bulk Data Pull API + on-prem extract scripts. 5 of 12 subrecipients on Athena.
V1 method
athenaOne Bulk FHIR (R4) + custom CSV bridge
V2 readiness
Q2 2027 — pending Athena connector certification
On this vendor
PPGWNIPlanned Parenthood of Greater Washington and North Idaho
8,000CBHAColumbia Basin Health Association
2,500FHCFamily Health Centers
2,500PCHSPeninsula Community Health Services
4,000NEWNE Washington (NEW) Health
2,500Epic
Caboodle Reporting Workbench → CVR transform. 3 of 12 subrecipients on Epic.
V1 method
Reporting Workbench export, FHIR bridge
V2 readiness
Q3 2027 — pending Epic Vendor Services agreement
On this vendor
PPCWPlanned Parenthood Columbia Willamette
3,500PPGNHAIKPlanned Parenthood of the Great Northwest, Hawai'i, Alaska, Indiana, Kentucky
14,000PHSKCPublic Health Seattle & King County
6,000eClinicalWorks / NextGen
Cedar River uses one of these (TBC); both ship FHIR APIs. 1 subrecipient.
V1 method
FHIR R4 + manual export fallback
V2 readiness
Q4 2027 — depends on which platform Cedar River runs
On this vendor
CEDAR-RIVERCedar River Clinics
3,000Patagonia
Smaller LHJ-focused vendor; flat-file export only in current version. 2 subrecipients.
V1 method
CSV export → CVR mapper
V2 readiness
V2 will likely remain flat-file (no FHIR support)
On this vendor
GHCGrays Harbor County Public Health
1,500KLICKITATKlickitat County Health Department
1,000eMDs
Jefferson County Public Health. 1 subrecipient. Limited FHIR support.
V1 method
ODBC extract + CSV mapper
V2 readiness
Likely V2 = flat-file (FHIR coverage incomplete)
On this vendor
JEFFERSONJefferson County Public Health
1,500Per-subrecipient pipeline status
Sorted by reject rate (highest first)
| Org | Subrecipient | EHR | V1 export | Reject % | V2 status | |
|---|---|---|---|---|---|---|
| JEFFERSON | Jefferson County Public Health | eMDs | Flat-file (manual upload) | 3.8% | Roadmap | |
| PPGWNI | Planned Parenthood of Greater Washington and North Idaho | Athenahealth | Flat-file (manual upload) | 3.7% | Roadmap | |
| KLICKITAT | Klickitat County Health Department | Patagonia | Flat-file (manual upload) | 3.4% | Roadmap | |
| PHSKC | Public Health Seattle & King County | Epic | Flat-file (manual upload) | 2.7% | Roadmap | |
| NEW | NE Washington (NEW) Health | Athenahealth | Flat-file (manual upload) | 2.4% | Roadmap | |
| CEDAR-RIVER | Cedar River Clinics | eClinicalWorks / NextGen | Flat-file (manual upload) | 2.2% | Roadmap | |
| PCHS | Peninsula Community Health Services | Athenahealth | Flat-file (manual upload) | 2.2% | Roadmap | |
| PPGNHAIK | Planned Parenthood of the Great Northwest, Hawai'i, Alaska, Indiana, Kentucky | Epic | Flat-file (manual upload) | 1.0% | Roadmap | |
| GHC | Grays Harbor County Public Health | Patagonia | Flat-file (manual upload) | 1.0% | Roadmap | |
| FHC | Family Health Centers | Athenahealth | Flat-file (manual upload) | 0.9% | Roadmap | |
| PPCW | Planned Parenthood Columbia Willamette | Epic | Flat-file (manual upload) | 0.4% | Roadmap | |
| CBHA | Columbia Basin Health Association | Athenahealth | Flat-file (manual upload) | 0.0% | Roadmap |
V1 → V2 transition plan
Phased per the 2026-04-16 kickoff conversation
- Phase 1 (V1 launch, Jan 2027): All 12 subrecipients on the flat-file pipeline. Same operational shape as Ahlers today: monthly upload by the 15th, validation feedback, manual corrections via the portal.
- Phase 2 (Q3 2027): Direct connectors for the highest-volume vendors (Athena, Epic). Pilot with one subrecipient per vendor. Flat-file fallback stays available.
- Phase 3 (2028+): Smaller-vendor pilots (Patagonia, eMDs, eCW/NextGen). Some smaller subrecipients may stay on flat-file indefinitely; that's fine.