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HIPAA-Compliant · FHIR R4 · Purpose-Built

The EHR Built
for Sleep Medicine

Titan EHR is a HIPAA-compliant electronic health record designed from the ground up for accredited sleep laboratories — streamlining studies, scheduling, prior auth, DME, and billing in one secure platform.

15+ Workflow Modules
FHIR R4 Interoperability
100% Audit Trailed
🔒 titan-ehr.internal / dashboard
MD
Medical Director
Studies This Week
24
↑ 12% vs last week
Pending Auth
7
Needs review
DME Orders
11
Processing
Compliance Score
98%
Audit ready
Study Volume — Last 8 Weeks
Today's Study Queue
Study #2419 — In Progress
PSG Lab A
Study #2420 — Awaiting Setup
HSAT Lab B
Study #2421 — Scoring
PSG Lab A
Study #2422 — Scheduled
Prior Auth Lab C
🔒
HIPAA Compliant
FHIR R4 Native
Full Audit Trail
🛡
SOC 2 Ready
📋
AASM Workflow Aligned
🔑
SSO / MFA via Keycloak

Everything a Sleep Lab Needs.
Nothing it Doesn't.

Titan EHR covers the full clinical and administrative lifecycle — from the first referral to final claim — in one integrated, HIPAA-hardened platform.

👤
Patient Management
Comprehensive patient profiles with demographics, insurance, referral history, and complete encounter documentation. Integrated PHI scrubbing and audit logging on every access.
Demographics Insurance Referrals PHI Scrubber
🌙
Sleep Studies (PSG / HSAT)
Full polysomnography and home sleep apnea test workflows — study orders, technologist notes, scoring, physician interpretation, and automated report generation.
PSG HSAT Scoring Auto-Reports
📅
Scheduling & Appointments
Multi-room, multi-technologist scheduling with automated conflict detection, patient reminders, cancellation management, and real-time room utilization tracking.
Multi-Room Reminders Utilization
📝
Prior Authorization
Streamlined PA workflows with payer-specific criteria, real-time status tracking, auto-populating clinical documentation, and denial management with appeal templates.
Payer Rules Status Tracking Denials
💊
Prescribing & PDMP
Integrated e-prescribing via Surescripts with real-time drug interaction checks, PDMP query integration, and controlled substance safeguards built to CMS requirements.
Surescripts Drug Interactions PDMP
🩺
DME Management
End-to-end durable medical equipment workflow — CPAP/BiPAP orders, supplier routing, resupply tracking, compliance reporting, and patient adherence dashboards.
CPAP / BiPAP Resupply Adherence
💳
Billing & Claims
End-to-end RCM with claim generation, scrubbing, payer submission, EOB processing, denial resolution, and a real-time AR dashboard with aging buckets.
Claims EOB AR Dashboard RCM
🔗
FHIR R4 API & Interoperability
Full FHIR R4 REST API with subscriptions, bulk export, and Capability Statement. Enables seamless data exchange with referring physicians, payers, and health information exchanges.
FHIR R4 Bulk Export Subscriptions HIE
📊
Reporting & Analytics
Operational and clinical dashboards, AASM compliance reports, technologist productivity metrics, and custom report builder. Export to PDF, CSV, or FHIR Bundle.
AASM Reports Dashboards Export

From Referral to
Signed Report — Automated

Every step of the PSG and HSAT lifecycle is tracked, documented, and audit-logged. Titan EHR eliminates the paper-based gaps that cause compliance failures and reimbursement denials.

1
Intelligent Study Ordering
Order PSG, split-night, HSAT, or titration studies with payer-specific criteria pre-populated and prior auth initiated automatically.
2
Technologist Workflow
Structured tech notes, equipment checklists, hook-up documentation, and event logging — all time-stamped and tamper-evident.
3
Scoring & Physician Review
Stage and event scoring with AASM-aligned logic, followed by structured physician interpretation with auto-calculated AHI, RDI, and O₂ nadir metrics.
4
Report Generation & Delivery
Auto-generated PDF reports with electronic signature, direct messaging to referring providers, and FHIR DiagnosticReport resource creation.
Sleep Study Report — Scored Complete
Study Type In-Lab PSG (Type I)
Total Recording Time 7h 22m
Total Sleep Time 6h 48m
Sleep Efficiency 92.3%
AHI (Overall) 18.4 events/hr
O₂ Nadir 87%
Physician Signature ✓ Signed
FHIR DiagnosticReport ✓ Published
AHI Severity Distribution 18.4 events/hr — Moderate OSA
Normal (<5) Mild (5–14) Moderate (15–29) Severe (≥30)
Sample study metrics — no patient identifiers displayed

Built for HIPAA.
Designed for Peace of Mind.

Security is not a bolt-on. Every layer of Titan EHR — from the database to the API to the UI — was built with HIPAA technical safeguards as a first-class requirement.

📋
Full Audit Trail
Every PHI access, modification, and export is immutably logged with timestamp, user identity, IP address, and resource reference — meeting HIPAA Audit Controls (§ 164.312(b)).
  • Immutable audit log on all PHI access
  • User identity, timestamp, and action recorded
  • Security audit dashboard for compliance review
  • Log integrity verification
  • Exportable audit reports for investigators
FHIR R4 Interoperability
Full FHIR R4 Capability Statement implementation satisfying the CMS Interoperability and Patient Access Rule requirements for certified EHR technology.
  • FHIR R4 RESTful API with full Capability Statement
  • Patient Access API (SMART on FHIR)
  • Provider Directory support
  • Bulk FHIR data export (Group-level)
  • FHIR Subscriptions for real-time notifications
🛡
Identity & Access Management
Enterprise-grade SSO, MFA, and RBAC powered by Keycloak — supporting Active Directory federation, granular role assignment, and user lifecycle management.
  • Single Sign-On (SAML 2.0 / OIDC)
  • Multi-factor authentication (MFA) enforced
  • Granular RBAC: Physician, Tech, Billing, Admin
  • LDAP / Active Directory federation
  • User provisioning and deprovisioning workflows

The Complete Sleep Lab Lifecycle

From the first referral call to the final insurance payment — Titan EHR connects every step so nothing falls through the cracks.

📞
Referral & Intake
Capture referral, verify insurance, initiate prior authorization automatically.
📅
Scheduling
Book study room, assign technologist, send automated patient reminders.
🌙
Study Night
Tech documentation, equipment logging, real-time event capture.
📊
Scoring & Review
AASM scoring, physician interpretation, electronic signature, report delivery.
💳
Billing & DME
Auto-generate claim, route DME order, track adherence, close the loop.

Connects to Your Ecosystem

FHIR R4
💊 Surescripts ePrescribing
🏥 HL7 v2 ADT
🔑 Keycloak SSO / SAML
📋 PDMP Integration
📧 Direct Messaging
☁️ Terraform IaC
🐳 Docker / Kubernetes
🗄 PostgreSQL
⚙️ GitHub Actions CI/CD

Ready to Modernize
Your Sleep Lab?

See Titan EHR in action with a personalized demo from our team. We'll walk through your current workflow and show you exactly how Titan EHR fits in.

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