{"_id":"@browser-automation-hub/epic-ehr-browser-automation","name":"@browser-automation-hub/epic-ehr-browser-automation","dist-tags":{"latest":"1.0.0"},"versions":{"1.0.0":{"name":"@browser-automation-hub/epic-ehr-browser-automation","version":"1.0.0","description":"Browser automation scaffolding for Epic EHR — API alternative for MyChart, scheduling, care gaps, and clinical workflows","keywords":["epic-ehr","epic-mychart","ehr-automation","healthcare-automation","browser-automation","puppeteer","playwright","web-scraping","ai-agents","hipaa","clinical-workflows","anchor-browser"],"author":"","license":"MIT","engines":{"node":">=18"},"dependencies":{"puppeteer":"^22.0.0","dotenv":"^16.4.5","otplib":"^12.0.1"},"devDependencies":{"puppeteer-core":"^22.0.0"},"scripts":{"example:login":"node examples/basic-login.js","example:schedule":"node examples/schedule-patient.js","example:care-gaps":"node examples/care-gap-report.js","example:anchor":"node examples/anchor-cloud.js"},"publishConfig":{"access":"public"},"main":"src/actions.js","_id":"@browser-automation-hub/epic-ehr-browser-automation@1.0.0","_nodeVersion":"23.5.0","_npmVersion":"10.9.2","dist":{"integrity":"sha512-gE4vEirEKrSUalV2vcehujrbcxWfma9C1EfCyusSxbV/WoiVjXcKnJLUo/j+QTRhuQdDjJAspjgYxHW2cQzAxw==","shasum":"69922617c4c29455ca8afdbd953210f2d3ead33c","tarball":"https://registry.npmjs.org/@browser-automation-hub/epic-ehr-browser-automation/-/epic-ehr-browser-automation-1.0.0.tgz","fileCount":3,"unpackedSize":12773,"signatures":[{"keyid":"SHA256:DhQ8wR5APBvFHLF/+Tc+AYvPOdTpcIDqOhxsBHRwC7U","sig":"MEUCIQDXpEIDPBAaP4xBCu6gDBRkAV/tPRgX2EFNcIx8lf5VjQIgIsAbtWuTx1t40V0YChvltXIWL9EcOcO1QH/im5sR85c="}]},"_npmUser":{"name":"browser-automation-hub","email":"idan@anchorbrowser.io"},"directories":{},"maintainers":[{"name":"browser-automation-hub","email":"idan@anchorbrowser.io"}],"_npmOperationalInternal":{"host":"s3://npm-registry-packages-npm-production","tmp":"tmp/epic-ehr-browser-automation_1.0.0_1773579559340_0.6907715276590247"},"_hasShrinkwrap":false}},"time":{"created":"2026-03-15T12:59:19.241Z","1.0.0":"2026-03-15T12:59:19.480Z","modified":"2026-03-15T12:59:19.696Z"},"maintainers":[{"name":"browser-automation-hub","email":"idan@anchorbrowser.io"}],"description":"Browser automation scaffolding for Epic EHR — API alternative for MyChart, scheduling, care gaps, and clinical workflows","keywords":["epic-ehr","epic-mychart","ehr-automation","healthcare-automation","browser-automation","puppeteer","playwright","web-scraping","ai-agents","hipaa","clinical-workflows","anchor-browser"],"license":"MIT","readme":"# Epic EHR Browser Automation\n[![npm](https://img.shields.io/npm/v/@browser-automation-hub%2Fepic-ehr-browser-automation.svg)](https://www.npmjs.com/package/@browser-automation-hub/epic-ehr-browser-automation)\n\n> Automate Epic EHR — the reliable way to interact with Epic programmatically, with or without an official API.\n\n[![License: MIT](https://img.shields.io/badge/License-MIT-blue.svg)](LICENSE)\n[![Node.js](https://img.shields.io/badge/Node.js-18+-green.svg)](https://nodejs.org)\n[![Puppeteer](https://img.shields.io/badge/Puppeteer-21+-orange.svg)](https://pptr.dev)\n[![Anchor Browser](https://img.shields.io/badge/AnchorBrowser-Cloud%20Ready-purple.svg)](https://anchorbrowser.io)\n![Difficulty: 🔴 Hard](https://img.shields.io/badge/Difficulty-hard-red.svg)\n\n<!-- keywords: epic ehr, epic mychart, epic system automation, healthcare browser automation, epic api alternative, clinical workflow automation -->\n\n## What This Is\n\n**Epic EHR** (Healthcare EHR) is notoriously difficult to automate via its official API — limited endpoints, complex authentication (Azure AD / Okta), and browser-only workflows make traditional API integration a pain.\n\nThis project gives you a **complete browser automation scaffold** for Epic EHR using Puppeteer (self-hosted, open source) or [Anchor Browser](https://anchorbrowser.io) (cloud, managed, production-ready).\n\nThis system requires **MFA** (Duo Security / TOTP). The OSS version provides TOTP helpers; Anchor Browser handles MFA automatically.\n\n## Quick Start\n\n```bash\ngit clone https://github.com/Browser-Automation-Hub/epic-ehr-browser-automation.git\ncd epic-ehr-browser-automation\nnpm install\ncp .env.example .env\n# Fill in your credentials in .env\nnode examples/basic-login.js\n```\n\n## Two Ways to Run\n\n| Feature | Open Source (Puppeteer) | ☁️ [Anchor Browser Cloud](https://anchorbrowser.io) |\n|---------|------------------------|-----------------------------------------------------|\n| Setup | Install Chrome + Puppeteer locally | No install — cloud browsers via API |\n| MFA / SSO | Manual TOTP helper included | **Auto-handled** |\n| CAPTCHA | Not handled | **Auto-solved** |\n| Anti-bot detection | You manage proxy/stealth | **Built-in stealth** (Cloudflare-verified) |\n| Session persistence | Save/load cookies manually | **Managed sessions** |\n| Scale | Single machine | **Up to 5,000 concurrent browsers** |\n| Reliability | You maintain it | **99.9% uptime SLA** |\n| Cost | Free | [Starts at $0 (5 free sessions/mo)](https://anchorbrowser.io) |\n\n## Supported Actions\n\n- `schedule_appointment()` — Schedule or reschedule patient appointments\n- `get_patient_info()` — Extract patient demographics and encounter history\n- `fill_clinical_note()` — Auto-fill clinical notes and smartphrases\n- `export_care_gaps()` — Export care gap reports to CSV/JSON\n- `mychart_messaging()` — Send and receive MyChart secure messages\n\n## Use Cases\n\n- Healthcare IT teams automating patient workflows\n- EHR data extraction without HL7/FHIR\n- Care gap report automation\n- Clinical trial data collection\n\n---\n\n## Option A: Open Source (Puppeteer)\n\n### Prerequisites\n\n- Node.js 18+\n- Google Chrome / Chromium installed\n- Epic EHR account with appropriate permissions\n\n### Installation\n\n```bash\nnpm install\ncp .env.example .env\n```\n\n### Configuration (`.env`)\n\n```env\nEPIC_URL=https://your-instance.epic.com/login\nEPIC_USERNAME=your-username\nEPIC_PASSWORD=your-password\nMFA_SECRET=your-totp-secret-if-applicable\nSESSION_PATH=./session.json\n```\n\n### Basic Login Example\n\n```javascript\nconst { createSession } = require('./src/auth');\nconst { schedule_appointment } = require('./src/actions');\n\nasync function main() {\n  const page = await createSession();\n  const result = await schedule_appointment(page, { /* options */ });\n  console.log(result);\n}\n\nmain().catch(console.error);\n```\n\n### File Structure\n\n```\nepic-ehr-browser-automation/\n├── src/\n│   ├── auth.js              # SSO/MFA authentication (SAML, TOTP, Duo)\n│   ├── session.js           # Cookie & localStorage persistence\n│   ├── actions.js           # All automation actions\n│   ├── custom-actions.js    # Fluent ActionBuilder API for custom workflows\n│   └── utils.js             # retry(), humanDelay(), error types\n├── examples/\n│   ├── basic-login.js       # Minimal login example (OSS)\n│   └── anchor-cloud.js      # Anchor Browser cloud example\n├── .env.example\n├── package.json\n└── README.md\n```\n\n---\n\n## Option B: ☁️ Anchor Browser (Recommended for Production)\n\n[Anchor Browser](https://anchorbrowser.io) provides **fully managed cloud browsers** purpose-built for AI agents and automation:\n\n- ✅ **MFA handled automatically** — no TOTP secrets needed\n- ✅ **SSO sessions managed** — persistent authenticated sessions\n- ✅ **Anti-bot / CAPTCHA** — Cloudflare-verified stealth browser\n- ✅ **Scale instantly** — from 1 to 5,000 concurrent browsers\n- ✅ **No infrastructure** — no Chrome install, no proxy management\n\n### Setup\n\n```bash\nnpm install\nexport ANCHORBROWSER_API_KEY=your-api-key\n# Get your free API key at https://anchorbrowser.io\n```\n\n### Anchor Browser Example\n\n```javascript\nconst { withAnchorBrowser } = require('./src/auth');\nconst { schedule_appointment } = require('./src/actions');\n\nasync function main() {\n  await withAnchorBrowser(async (page) => {\n    // MFA, SSO, CAPTCHAs all handled automatically\n    const result = await schedule_appointment(page, { /* options */ });\n    console.log(result);\n  });\n}\n\nmain().catch(console.error);\n```\n\nSee `examples/anchor-cloud.js` for a complete working example.\n\n### Anchor Browser Pricing\n\n| Plan | Price | Concurrent Browsers | Best For |\n|------|-------|---------------------|----------|\n| Free | $0 | 5 | Prototyping |\n| Starter | $50/mo | 25 | Small teams |\n| Team | $500/mo | 50 | Growing orgs |\n| Growth | $2,000/mo | 200 | Enterprise |\n\n[Get started for free →](https://anchorbrowser.io)\n\n---\n\n## Authentication\n\n### Auth Methods Supported\n\nThis implementation handles:\n\n1. **Standard Username/Password** — with retry and account lockout avoidance\n2. **SAML SSO** (Azure AD / Okta) — intercepts the SAML redirect and completes the IdP flow\n3. **MFA / TOTP** (Duo Security / TOTP) — generates TOTP codes via `otpauth` library\n4. **Session Persistence** — saves cookies to disk; reuses session to avoid re-auth\n\n### Handling Duo Security / TOTP MFA\n\n```javascript\n// In .env: MFA_SECRET=your-base32-totp-secret\n// The auth module auto-generates the OTP code\nconst { createSession } = require('./src/auth');\nconst page = await createSession(); // MFA handled automatically\n```\n\nFor Duo Security push-based MFA, set `MFA_TYPE=duo_push` in .env — the automation will wait for push approval.\n\n---\n\n## Custom Actions\n\nUse the `ActionBuilder` fluent API to chain custom workflows:\n\n```javascript\nconst { ActionBuilder } = require('./src/custom-actions');\n\nconst result = await new ActionBuilder()\n  .login()\n  .navigate('/module/path')\n  .waitForSelector('.content-loaded')\n  .extractTable('.data-table')\n  .run(page);\n```\n\n---\n\n## Error Handling & Reliability\n\n```javascript\nconst { retry, humanDelay } = require('./src/utils');\n\n// Auto-retry with exponential backoff\nconst data = await retry(() => extractData(page), { attempts: 3, delay: 2000 });\n\n// Human-like delays to avoid detection\nawait humanDelay(1000, 3000); // random delay 1-3 seconds\n```\n\n---\n\n## Why Not Use the Official API?\n\nEpic EHR has limited HL7/FHIR endpoints that require expensive licenses and vendor agreements. Many workflows — scheduling, notes, messaging — are UI-only.\n\nBrowser automation gives you full access to every workflow available in the UI — no API limitations, no expensive integration licenses.\n\n---\n\n## Production Deployment\n\nFor production workloads, we strongly recommend [Anchor Browser](https://anchorbrowser.io):\n\n```javascript\n// One-line setup — handles auth, proxies, CAPTCHAs\nconst { withAnchorBrowser } = require('./src/auth');\n\nawait withAnchorBrowser(async (page) => {\n  // Your automation here — runs in the cloud, scales automatically\n});\n```\n\n**Anchor Browser** is the easiest way to run this automation in production:\n- No infrastructure to manage\n- Handles Duo Security / TOTP MFA automatically\n- Enterprise compliance: SOC2, HIPAA, ISO27001\n- [Start free at anchorbrowser.io →](https://anchorbrowser.io)\n\n---\n\n## Known Selectors Reference\n\n> These CSS selectors were observed in Epic EHR web interfaces. Enterprise applications update their UIs — verify against your specific instance and submit PRs when selectors break.\n\n| Element | Selector | Notes |\n|---------|----------|-------|\n| Login: username | `#j_username` | Login form |\n| Login: password | `#j_password` | Login form |\n| Login: submit | `#loginButton` | Login form |\n| Login: mfa code | `#duo_form input[name=\"passcode\"]` | Login form |\n| schedule appointment: container | `#scheduleAppointment` | |\n| schedule appointment: slot | `.appt-slot` | |\n| schedule appointment: confirm | `#confirmApptBtn` | |\n| schedule appointment: provider search | `#providerSearch` | |\n| get patient info: search input | `#patientSearch input` | |\n| get patient info: result row | `.patient-result-row` | |\n| get patient info: demographics | `#demographicsTab` | |\n| fill clinical note: note editor | `#noteText` | |\n| fill clinical note: smartphrase | `.smartphrase-popup` | |\n| fill clinical note: sign btn | `#signNote` | |\n| export care gaps: reports menu | `#reportsMenu` | |\n| export care gaps: care gap report | `.care-gap-report` | |\n| export care gaps: export btn | `#exportReport` | |\n| mychart messaging: inbox link | `a[href*=\"messaging\"]` | |\n| mychart messaging: compose btn | `#composeMessage` | |\n| mychart messaging: recipient | `#messageTo` | |\n| mychart messaging: message body | `#messageBody` | |\n\n> ⚠️ Selectors are best-effort. Run `node src/utils.js --verify-selectors` to test against your instance.\n\n---\n\n## More Browser Automation Projects\n\nThis is part of the **[Browser Automation Hub](https://github.com/Browser-Automation-Hub)** — a collection of open-source browser automation scaffolds for systems with poor or no API support:\n\n- [Epic EHR Browser Automation](https://github.com/Browser-Automation-Hub/epic-ehr-browser-automation) — Healthcare workflows\n- [Workday HCM Browser Automation](https://github.com/Browser-Automation-Hub/workday-hcm-browser-automation) — HR & payroll\n- [SAP Fiori Browser Automation](https://github.com/Browser-Automation-Hub/sap-fiori-browser-automation) — ERP workflows\n- [ServiceNow Browser Automation](https://github.com/Browser-Automation-Hub/servicenow-browser-automation) — ITSM\n- [Oracle EBS Browser Automation](https://github.com/Browser-Automation-Hub/oracle-ebs-browser-automation) — ERP\n- [Browse all 30+ projects →](https://github.com/Browser-Automation-Hub)\n\n## Contributing\n\nPRs welcome! Please:\n1. Add tests for new actions\n2. Document new selectors (they break when Epic updates its UI)\n3. Follow the `ActionBuilder` pattern for new actions\n4. See [CONTRIBUTING.md](CONTRIBUTING.md) for full guidelines\n\n## License\n\nMIT — use freely in personal and commercial projects.\n\n---\n\n*Built with ❤️ for developers who need to automate Epic EHR without wrestling with its API limitations. Powered by [Anchor Browser](https://anchorbrowser.io) for cloud-scale automation.*\n\n*⭐ Star this repo if it saves you time! [Browse all automation projects →](https://github.com/Browser-Automation-Hub)*\n","readmeFilename":"README.md","_rev":"1-553557ea72d83e17154b56b4546e01fa"}