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Integrations

Connects to the clinical stack you already run

Health1st AI is not a rip-and-replace platform. Its agents read from and write back to your EDC, randomization, document, and reporting systems — with bidirectional sync and a complete audit trail — so the tools your team already trusts keep working.

Sound familiar?

You’ve spent years wiring your EDC, randomization, and Vault into workflows that finally work — and now every new tool wants you to rip it all out and start over.

  • The last “platform” meant a migration project, months of re-validation, and a team that had to relearn how to do their jobs.
  • Data ends up re-keyed between systems, and every hand-off is a place for a discrepancy to hide.
  • You're told a tool is “integrated,” then discover it's a one-way export that quietly drifts out of sync with your system of record.

And the part no one says out loud:

  • That adopting AI means another year of IT projects before anyone sees value.
  • That your system of record and the new tool disagree — and no one can prove which is right.

It doesn't have to be this way

Works with the stack you already run

Health1st AI meets your data where it lives. Its agents read from and write back to the systems you already trust — with true bidirectional sync and a field-level audit trail — so you add intelligence without ripping anything out.

  • No rip-and-replace: your systems of record stay authoritative
  • Bidirectional sync keeps EDC and randomization reconciled, not drifting
  • Every exchange authenticated, permissioned, and logged for inspection

Interoperability by design

Every agent meets your data where it lives

From protocol digitization to a submission-ready eTMF, each Health1st AI agent draws on the same connected data layer. Values captured in your EDC, randomization from your IWRS/RTSM, and documents in your Vault are all available to the agents that need them — and results are written back so your systems of record stay authoritative.

Integrations are configured per study during validated setup. Every connection is authenticated, permissioned by role, and logged, so data movement between Health1st AI and an external system is fully traceable for inspection under 21 CFR Part 11 and ICH E6(R3).

Bidirectional sync

For EDC and randomization systems, sync runs in both directions. Health1st AI ingests source data and randomization events, then writes reconciled values, resolved queries, and generated forms back to your system of record — with conflict handling and a versioned audit trail on every field.

  • Read source data & randomization
  • Write back reconciled values & queries
  • Field-level audit trail
  • Role-based, authenticated connections

How integration works

Connected once, reconciled continuously

Integrations are set up per study during validated configuration, then run quietly in the background. Here is what happens from first connection to a value written back to your system of record.

  1. 1

    Connect under validation

    Each connector is configured per study with scoped credentials and verified through IQ/OQ/PQ, so the connection is qualified before any data moves.

  2. 2

    Ingest source & events

    Agents read source values from your EDC, randomization and supply events from IWRS/RTSM, and documents from your Vault — permissioned by role and de-identified where identifiers aren't needed.

  3. 3

    Work with people in the loop

    Agents reconcile, generate, and flag against that live data. A qualified reviewer approves regulated outputs with a 21 CFR Part 11 signature before anything is committed.

  4. 4

    Write back & reconcile

    For EDC and randomization, reconciled values, resolved queries, and generated forms are written back to your system of record with conflict handling and a field-level audit trail — so both systems stay in agreement.

By category

Integrations grouped by what they do

Each connector shows the agents that use it and whether it runs bidirectional sync.

Electronic Data Capture (EDC)

Bidirectional sync

Bidirectional sync with the industry-standard EDC platforms so eCRFs, edit checks, source values, and queries stay reconciled between Health1st AI and your system of record.

Randomization & Trial Supply (IWRS / RTSM)

Bidirectional sync

Randomization, treatment assignment, and investigational-product accountability sync so dosing and supply data flow straight into oversight and analysis.

IWRS / RTSM

Randomization and trial-supply sync, including IP accountability.

Document OCR

Multi-language optical character recognition turns scanned protocols, source documents, and consent into structured, searchable text for downstream agents.

Clinical LLMs

Grounded generation on a fine-tuned clinical model with Gemini and Anthropic, wrapped in retrieval, prompt controls, and human-in-the-loop review.

CDISC Validation

Conformance checks run through Pinnacle 21 so SDTM, ADaM, and Define.xml deliverables validate clean before they leave the platform.

Pinnacle 21

CDISC conformance validation of SDTM/ADaM datasets and Define.xml.

Email

Action-item extraction, auto-filing, and site communications flow through your email so nothing is lost between meetings and the eTMF.

Meetings

Auto-generated minutes and action items from study meetings, filed and tracked to closure.

Meeting Notetaker

Auto-generated minutes and action-item extraction from meetings.

Agents that use it (1)

Messaging

Consented, non-PHI two-way physician and site messaging with a complete, exportable audit trail.

WhatsApp Business

Consented, non-PHI two-way physician and site messaging with a full audit trail.

Agents that use it (1)

Governed connections

Every integration is secure, permissioned, and logged

Integrations inherit the platform's security posture — encryption in transit and at rest, role-based access, and PHI de-identification where the destination does not require identifiers.

Authenticated & encrypted

Connections use scoped credentials over TLS, with data encrypted in transit and at rest (AES-256). No integration bypasses platform access controls.

Audit trail on every exchange

Reads and writes are recorded with who, what, when, and why — a 21 CFR Part 11 audit trail that follows data across system boundaries.

Configured under CSV

Each connector is set up and verified as part of computerized-system validation (IQ/OQ/PQ), so interoperability is qualified, not ad hoc.

Frequently asked questions

Connect Health1st AI to your stack

Tell us which EDC, randomization, and document systems you run, and we'll show the agents working end-to-end on your study.