Flatiron Health
by Flatiron Health, Inc. (Roche affiliate)
Dominant oncology-specific EHR platform (OncoEMR) serving 4,500+ providers and over 1,000 care sites, with deep clinical trial and real-world data analytics.
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- 4,500+
- Providers
- 1,000+
- Care Sites
- 5M+
- Patient Journeys
- Roche (2018)
- Parent Company
Founder & CEO
Flatiron Health is an entity. Dominant oncology-specific EHR platform (OncoEMR) serving 4,500+ providers and over 1,000 care sites, with deep clinical trial and real-world data analytics.
Providers
Care Sites
Patient Journeys
Parent Company
Platform Overview
What is Flatiron Health?
Flatiron Health is the leading oncology-specific technology company, providing the OncoEMR platform to community oncology practices. A Roche affiliate since 2018, Flatiron serves over 4,500 providers across more than 1,000 care sites, with over 5 million patient journeys documented in its system.
OncoEMR is purpose-built for oncology workflows including chemotherapy protocol management, treatment planning, infusion scheduling, and clinical trial eligibility screening. The platform is unique in combining EHR functionality with a mature real-world data (RWD) analytics platform.
Flatiron's real-world evidence capabilities enable oncology practices to contribute to cancer research while providing clinical care, making it particularly attractive for practices participating in clinical trials and value-based oncology programs.
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Capabilities
Flatiron Health Features
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Ecosystem
Products & Solutions
OncoEMR
Oncology-specific EHR
Flatiron Assist
Clinical decision support
Real-World Data
Cancer research analytics
Clinical Trial Matching
Trial eligibility screening
Connectivity
Integrations
Lab
Pharmacy
Research
Implementation Timeline
Typical Flatiron Health implementation takes 3-6 months (13-26 weeks) across 4 phases.
Phase Details
1Planning & Assessment
Weeks 1-4 (~1 month)
Planning & Assessment
Weeks 1-4 (~1 month)
Oncology practice assessment and OncoEMR implementation planning.
Key Tasks
- Conduct oncology practice assessment with Flatiron team
- Define chemotherapy protocol and regimen library requirements
- Plan infusion scheduling and chair management configuration
- Assess clinical trial matching needs
- Establish project timeline and team
Pro Tips
- Flatiron assigns oncology-experienced implementation consultants
- Define your most-used chemotherapy protocols early for regimen library setup
- Discuss real-world data participation terms during planning
2Configuration & Build
Weeks 3-14 (~3 months)
Configuration & Build
Weeks 3-14 (~3 months)
Configure OncoEMR for oncology clinical workflows, chemotherapy, and billing.
Key Tasks
- Configure chemotherapy regimen library with protocols
- Set up infusion scheduling and chair management
- Configure tumor staging and cancer registry workflows
- Build clinical trial eligibility screening rules
- Set up oncology-specific billing and coding
- Configure patient-reported outcome collection
Pro Tips
- Flatiron provides extensive oncology-specific pre-built content
- Chemotherapy regimen configuration is safety-critical -- validate thoroughly
- Clinical trial matching rules should be reviewed by your research team
3Data Migration & Training
Weeks 10-20 (~3 months)
Data Migration & Training
Weeks 10-20 (~3 months)
Import patient data and train oncology staff on OncoEMR.
Key Tasks
- Import patient demographics and cancer history data
- Import active treatment regimens and medication lists
- Train oncologists on clinical documentation
- Train infusion nurses on chemotherapy administration workflow
- Train scheduling staff on infusion scheduling
- Train billing staff on oncology coding
Pro Tips
- Oncology data migration includes complex treatment histories -- validate carefully
- Chemotherapy administration training is safety-critical
- Train on clinical trial matching to maximize patient enrollment
4Go-Live & Optimization
Weeks 18-26 (~2 months)
Go-Live & Optimization
Weeks 18-26 (~2 months)
Go-live with Flatiron support and optimization for oncology workflows.
Key Tasks
- Go live with Flatiron support team
- Monitor chemotherapy administration safety
- Verify billing accuracy for oncology codes
- Optimize infusion scheduling efficiency
- Validate clinical trial matching performance
- Transition to standard support
Pro Tips
- Chemotherapy safety monitoring is the top priority during go-live
- Monitor infusion chair utilization as a key efficiency metric
- Clinical trial enrollment rates should improve post-implementation
Estimated Cost Breakdown
| Category | Estimated Range | Notes |
|---|---|---|
| Software Subscription | Oncology enterprise pricing | Contact Flatiron for quote based on provider count |
| Implementation | $20,000 - $100,000 | Oncology-specific configuration and setup |
| Data Migration | $5,000 - $25,000 | Cancer treatment history migration |
| Training | $5,000 - $20,000 | Oncology-specific staff training |
| Hardware | $0 - $5,000 | Cloud-based; minimal hardware needed |
Common Pitfalls
- Rushing chemotherapy regimen configuration -- safety errors are unacceptable
- Not training infusion nurses thoroughly on administration workflows
- Underestimating the complexity of oncology billing and coding
- Not configuring clinical trial matching rules with research team input
Success Factors
- Prioritize chemotherapy safety in every phase of implementation
- Engage pharmacists in regimen library validation
- Train infusion nurses extensively on administration workflows
- Configure clinical trial matching to maximize patient access to trials
Evaluation
Flatiron Health Pros & Cons
Advantages
- Purpose-built for oncology with deep chemotherapy management
- Unique real-world data analytics for cancer research
- Clinical trial eligibility screening saves time finding trials for patients
- Roche backing provides financial stability and research access
- Strong community oncology expertise
- Patient-reported outcomes integrated into care
Limitations
- Only suitable for oncology -- not a general EHR
- Pricing is enterprise-level for oncology practices
- Data sharing model may raise concerns for some practices
- Less customizable than general EHR platforms
Community Sentiment: Flatiron Health
medium confidenceBest For
Dedicated oncology practices and cancer centers prioritizing specialized cancer care workflows, clinical trial integration, and participation in real-world evidence research networks
May Not Be Ideal For
Multi-specialty practices requiring strong non-oncology functionality, or practices seeking highly customizable workflows independent of pharmaceutical industry connections
What Users Praise
- +Oncology-specific workflows and treatment protocols are frequently praised as comprehensive and clinically relevant
- +Real-world data collection capabilities are noted as sophisticated, enabling practices to contribute to research efforts seamlessly
- +Integration with precision medicine and genomic testing platforms receives positive feedback from users
- +The platform's oncology-focused design is appreciated for reducing documentation burden specific to cancer care pathways
- +Users highlight strong chemotherapy ordering and management functionality with built-in safety checks
Common Concerns
- -The system is often described as less flexible for practices treating mixed patient populations beyond oncology
- -Some users report that the interface feels dated compared to newer EMR platforms entering the market
- -Customization options are limited, with users noting difficulty adapting workflows to their specific practice preferences
- -Reporting and analytics capabilities are sometimes cited as requiring significant manual effort to extract actionable insights
- -Smaller practices mention concerns about cost structure relative to their patient volumes
Specialty-Specific Insights
medical oncology
Medical oncologists appreciate the treatment plan templates and clinical trial matching features, though some desire more flexibility in protocol customization
radiation oncology
Radiation oncology users note that while the system handles medical oncology well, radiation-specific workflows require additional integration with dedicated radiation planning systems
Switching Patterns
Why practices switch TO Flatiron Health:
- Oncology practices switch to Flatiron Health primarily for its oncology-specific functionality and structured data collection that general EMRs lack
- Practices value the connection to Flatiron's research network and potential participation in real-world evidence studies
- The Roche/Genentech ownership provides appeal for practices seeking integration with pharmaceutical industry research initiatives
Why practices switch FROM Flatiron Health:
- Practices with diverse patient populations beyond oncology sometimes switch away due to limited primary care or multi-specialty capabilities
- Some users cite acquisition by Roche as a concern regarding data usage and independence from pharmaceutical influence
- Cost considerations drive switches among smaller community oncology practices seeking more budget-friendly alternatives
Based on analysis of: Healthcare IT industry publications, Oncology practice management forums, Published EMR review platforms, Healthcare technology news coverage. Last researched: February 2026. This is original editorial analysis by MedicalRecords.com, not reproduced content.
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Common Questions
Frequently Asked Questions
What is Flatiron Health OncoEMR?
OncoEMR is Flatiron Health's oncology-specific EHR platform. It provides chemotherapy protocol management, infusion scheduling, tumor staging, clinical trial matching, and oncology billing -- all purpose-built for the oncology care workflow.
Who owns Flatiron Health?
Flatiron Health is a Roche affiliate. Roche acquired a majority stake in 2018. Flatiron operates independently but benefits from Roche's research capabilities and financial backing.
What is Flatiron real-world data?
Flatiron maintains one of the largest oncology real-world data (RWD) platforms, derived from de-identified clinical data across its network. This data supports cancer research, drug development, and value-based care programs. Participating practices contribute to advancing oncology research.
Does Flatiron help with clinical trial enrollment?
Yes, Flatiron provides clinical trial eligibility screening that automatically matches patients to available trials based on their clinical profile. This saves significant time for oncology practices and helps more patients access experimental treatments.
Vendor Information
- Company
- Flatiron Health, Inc. (Roche affiliate)
- Website
- Visit Website →
- Pricing Model
- Subscription-based
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Security & Data Breach History
Breaches reported at facilities using Flatiron Health
No matched breaches found
No data breaches in the HHS breach portal have been matched to facilities tracked as using Flatiron Health (0 facilities tracked).
Source: HHS Breach Portal | Matched via hospital EMR records
HHS Breach PortalBreach matching is based on hospital-EMR assignments in our database. A breach at a facility using Flatiron Health does not imply the EMR system was the cause. Breaches can result from many factors including human error, phishing, and physical theft.
Recent Health IT Regulatory Updates
Federal healthcare regulation updates from eCFR
Updated ONC certification criteria for health IT systems including new interoperability requirements under the 21st Century Cures Act.
What this means for you: EHR vendors must meet updated certification criteria. Practices should verify their EMR vendor's compliance status.
Civil monetary penalties for information blocking by health IT developers, health information networks, and health information exchanges are now enforceable under the 21st Century Cures Act.
What this means for you: EHR vendors and health networks can no longer restrict patient access to health data without a qualifying exception. Patients can report suspected information blocking to ONC.
Source: eCFR (Electronic Code of Federal Regulations) | Last updated: 3/24/2026
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