Health, Wellness, and BeautyClinical Management4HighClinician$ implied

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.

47
0
Opp. Score
47
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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