In Epic EHR, the CAPD dialysis flowsheet incorrectly transfers net negative fluid balance to the I/O flowsheet, showing patients losing more fluid than reality.

Epic's CAPD flowsheet only transfers net positive fluid outputs to the I/O flowsheet, ignoring net negative outputs (which should appear as inputs). This leads to inaccurate fluid balance tracking for CAPD patients.

Severity

4High

Willingness to Pay

implied

Added

May 6, 2026

Workarounds Described

Manually adjusting I/O entries to correct CAPD fluid balance errors

Implied Software Gaps

Epic lacks a dedicated dialysis fluid balance module that properly handles net negative transfers

App Concept

FluidBalance Dialysis Module

An add-on module for Epic that corrects the bidirectional fluid transfer from CAPD to I/O flowsheets, ensuring net negative outputs are correctly logged as inputs. It provides real-time alerts for imbalance and customizable rules for dialysis-specific charting.

Key Features

Bidirectional net fluid calculation for CAPD cycles
Automatic correction of I/O transfer errors
Configurable alert thresholds for cumulative imbalance
Audit trail for regulatory compliance
Seamless integration with Epic flowsheets

Target Users: Nephrology nurses and dialysis clinic administrators at hospitals using Epic EHR

Revenue Model: $15,000 per hospital site license per year with optional premium support tier

Existing Solutions Mentioned

Epic CAPD FlowsheetEpic I/O Flowsheet

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