is an innovator in direct-to-patient pediatrics, with a focus on messaging and mobile access for parents via SMS. Their fast growing practice is available nationwide and is known for excellent patient engagement.

## Medplum Solutions Used

- [Custom EHR](/content/solutions/custom-ehr/index.html) \- The Summer Health custom EHR allows providers to respond to patient messages, enables task management and automation, and has AI-assisted encounter documentation.
- [Patient Portal](/content/solutions/patient-portal/index.html) \- The patient experience includes the ability to reach pediatricians via messaging, and to view information across web and mobile devices.
- [FHIR API](/content/solutions/provider-portal#api-access/index.html) \- with all data being natively stored as FHIR, enabling synchronization through a FHIR API to Google BigQuery allows robust analytics and visibility into operations.

## Challenges Faced

The unique nature of the Summer Health offering necessitated custom software development, specifically:

- **Messaging-based workflows** are convenient for users, but [require aggregation](/content/docs/communications/async-encounters/index.html), careful data extraction and synthesis to be actionable for providers.
- **Pediatrics requires complex access control patterns** because [patients are children](/content/docs/fhir-datastore/family-relationships/index.html) and multiple caregivers are creating and accessing data on their behalf.
- **Timeliness and [tasking](/content/docs/careplans/tasks/index.html) are crucial** and providers and staff respond in a timely manner to patient inquiries.
- **Mobile access with single sign on for clinicians** who primarily administer care through mobile devices. This was a key pain point with other solutions.

## Why Medplum?

Medplum stood out for the following reasons:

- **Complete control over the user experience**, reducing burden for the providers.
- **Identity management and access control** allows caregivers to access records.
- **Unlimited and flexible integrations**, and ability to build them as needed without restriction, including streamlined incorporation of _**cutting edge technologies like LLMs**_.

The team completed their initial build in 16 weeks.

## Features Used

The following Medplum features were used to build this product.

- [Integrations](/content/products/integration/index.html) \- notably Medplum's integration framework and tools made it easy to integrate [BigQuery](https://cloud.google.com/architecture/analyzing-fhir-data-in-bigquery) and LLMs.
- [Google Authentication](/content/docs/auth/google-auth/index.html) and [External authentication](/content/docs/auth/external-identity-providers/index.html) \- Summer Health uses multiple identity providers for practitioners and patients respectively.
- [Access policies](/content/docs/access/access-policies/index.html) \- Patients are children, so parametrized access policies support parent and caregiver access.
- [Subscriptions](/content/docs/subscriptions/index.html) \- integrations to data warehousing and other applications are powered by event driven notifications.
- [FHIR Datastore](/content/docs/fhir-datastore/index.html), specifically family relationships and GraphQL allow for medical records that incorporate sibling and family member context.
- [Charting](/content/docs/charting/index.html) and [Task Management](/content/docs/careplans/tasks/index.html) \- encounter documentation and tasks are featured in the application and major drivers of the workflow.
- [Bulk FHIR API](/content/docs/api/fhir/operations/bulk-fhir/index.html) to support reporting and interoperability with other systems.

## Related Resources

- [Summer Health](https://www.summerhealth.com/) Website
- [Analyze FHIR in Bigquery](https://cloud.google.com/architecture/analyzing-fhir-data-in-bigquery)
- [Open AI Blog features Summer Health](https://openai.com/customer-stories/summer-health)
- [Real Gen AI Use Cases in Healthcare](https://www.youtube.com/watch?v=A5GIMwhOVmk) talk by Matthew Woo on YouTube.