A FHIR R4 partner feed in production, and a surgical referral concept built with Kaiser’s team.
Living Depot, designed with Kaiser Permanente’s surgical scheduling team, turns the surgical referral backlog into a prioritized queue, contacts patients automatically when the scheduling window is missed, and nudges each patient through condition-specific readiness steps before surgery.
In production today, Kaiser sends encrypted infusion-scheduling files over SFTP. Excelsior decrypts, validates and converts each row into FHIR R4 bundles delivered to the WRAPT partner application.
See it running
Living Depot: surgical referral to readiness
One patient’s path from an Epic referral to a prioritized queue, automated outreach when the scheduling window is missed, booking, and condition-specific readiness nudges before surgery.
FHIR R4 bundle builder
The tool used to define the FHIR R4 bundles Excelsior produces from Kaiser’s infusion-scheduling files for delivery to the WRAPT partner app.
What Kaiser Permanente runs on
HL7 v2, FHIR R4, SFTP files, signed webhooks and partner APIs, normalized into one canonical event contract.
Slots, suggested clinicians and times, continuity of care, clash detection and prioritization.
Bilingual two-way SMS and voice, reply understanding, reminders, consent and opt-out handling.
Checklists, eligibility and guardrail rules, auto-invites and readiness gating per case.
Anything automation can’t resolve becomes a task, routed and balanced across the team.