abridge-reference-architecture

Implement Abridge reference architecture for clinical AI integration. Use when designing a new Abridge deployment, reviewing project structure, or planning multi-site health system rollouts with EHR integration. Trigger: "abridge architecture", "abridge project structure", "abridge system design", "abridge multi-site".

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Repository: ComeOnOliver/skillshub
Last source activity: March 23, 2026 at 17:43
Detected SKILL.md language: English
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Forks: 20

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Abridge Reference Architecture

Overview

Reference architecture for Abridge clinical AI integration in a multi-site health system. Covers data flow, component design, EHR integration patterns, and HIPAA-compliant infrastructure.

System Architecture

Health System Network ┌──────────────────────────────────────────────────────┐ │ │ │ ┌─────────┐ ┌──────────────┐ ┌──────────────┐ │ │ │ Provider │───▶│ Abridge App │───▶│ Integration │ │ │ │ Device │ │ (Ambient AI) │ │ Service │ │ │ │ (mobile/ │ │ │ │ (your code) │ │ │ │ desktop) │ └──────┬───────┘ └──────┬───────┘ │ │ └─────────┘ │ │ │ │ │ │ │ │ ┌─────────▼─────────┐ │ │ │ │ Abridge Cloud API │ │ │ │ │ (Partner API) │ │ │ │ │ - Session mgmt │ │ │ │ │ - Note generation │ │ │ │ │ - Patient summary │ │ │ │ └─────────┬─────────┘ │ │ │ │ │ │ │ ┌─────────▼─────────┐ ┌──────▼───────┐ │ │ │ Webhook Events │ │ EHR System │ │ │ │ - Note completed │──│ (Epic/Athena)│ │ │ │ - Quality alerts │ │ FHIR R4 API │ │ │ └───────────────────┘ └──────────────┘ │ │ │ └──────────────────────────────────────────────────────┘

Project Structure

abridge-integration/ ├── src/ │ ├── config/ │ │ ├── abridge.ts # Abridge API configuration │ │ ├── ehr.ts # EHR/FHIR endpoint config │ │ └── index.ts # Environment-based config loader │ ├── abridge/ │ │ ├── client.ts # API client singleton │ │ ├── errors.ts # HIPAA-safe error handling │ │ ├── retry.ts # Retry with backoff │ │ └── session-manager.ts # Encounter session lifecycle │ ├── ehr/ │ │ ├── fhir-client.ts # FHIR R4 API wrapper │ │ ├── epic-adapter.ts # Epic-specific mappings │ │ ├── athena-adapter.ts # Athena-specific mappings │ │ └── note-pusher.ts # DocumentReference creation │ ├── webhooks/ │ │ ├── handler.ts # Express webhook endpoint │ │ ├── signature.ts # HMAC signature verification │ │ ├── event-router.ts # Event type → handler mapping │ │ └── idempotency.ts # Duplicate event prevention │ ├── security/ │ │ ├── audit-logger.ts # HIPAA audit trail │ │ ├── phi-redactor.ts # PHI detection and redaction │ │ ├── rbac.ts # Role-based access control │ │ └── tls-config.ts # TLS 1.3 enforcement │ ├── monitoring/ │ │ ├── health.ts # Health check endpoint │ │ ├── metrics.ts # Performance metrics collector │ │ └── alerts.ts # Quality and latency alerts │ └── server.ts # Express server entry point ├── tests/ │ ├── unit/ # Unit tests (no API calls) │ ├── integration/ # Sandbox API tests │ └── fhir-validation/ # FHIR resource schema tests ├── fixtures/ │ └── transcripts/ # Synthetic encounter transcripts ├── scripts/ │ ├── deploy-cloud-run.sh # GCP Cloud Run deployment │ ├── readiness-check.ts # Production readiness validation │ └── diagnostic.sh # Debug data collection ├── Dockerfile # HIPAA-compliant container ├── .env.example # Environment template (no secrets) └── package.json