Capture
AGIMINION records the room
The AGIMINION device captures the visit audio and sends it to the AGIMAN appliance on your network. Transcription runs locally, with no internet connection required.
Hospital EHR integration
AGIMAN captures the visit on an appliance inside your network and drafts the note, the ICD and CPT codes, and the visit documents in the clinician's style. After the clinician reviews and signs, AGIMAN maps the approved record to the right Altera fields and syncs it to the chart.

The connection
What Altera Digital Health is
Altera Digital Health builds and runs hospital and health-system EHRs, including Sunrise for acute and ambulatory care, Paragon for community and critical access hospitals, TouchWorks for larger physician practices, and dbMotion for cross-organization data aggregation. It is the former Allscripts hospital and large-practice business, acquired by Harris in 2022 and relaunched as Altera. The systems are run by hospital IT and clinical informatics teams, not by individual providers.
Who runs it
Hospitals, health systems, and larger physician practices
The access path
AGIMAN registers as a FHIR app through the Altera Developer Program and reads patient and encounter context from your Sunrise, Paragon, or TouchWorks instance over FHIR R4 with SMART on FHIR and OAuth 2.0, scoped to USCDI. Altera's FHIR API is read-only, so the signed note and accepted codes are written back through the access path your IT team approves for that instance, the bidirectional Unity API or an HL7v2 interface depending on your version. Your team activates the app for your organization and points it at the right endpoints before anyone uses it. The export path is scoped to your fields and tested against your own instance before go-live, never turned on blind.
The Altera export path is scoped to your fields and tested against your own Sunrise, Paragon, or TouchWorks instance before it is turned on at go-live.
The workflow
Capture
The AGIMINION device captures the visit audio and sends it to the AGIMAN appliance on your network. Transcription runs locally, with no internet connection required.
Draft
AGIMAN drafts the chart note in the clinician's style and suggests the ICD and CPT codes for the encounter, plus any referral letters, intake forms, and the follow-up task. It pulls patient and visit context from Altera over FHIR R4 to ground the draft.
Review and sign
The clinician reviews every line, edits what is wrong, and signs. Nothing reaches the chart until a human approves it, and the codes stay suggestions until accepted.
Sync
AGIMAN maps the signed note and accepted codes to the matching fields in Sunrise, Paragon, or TouchWorks and writes them back through the Unity API or HL7v2 path your IT team approved. A review log records what was sent.
After sign-off
The reviewed and signed encounter note, drafted in the clinician's style, mapped to the note fields in your Sunrise, Paragon, or TouchWorks instance.
Suggested ICD and CPT codes the clinician accepted during review, attached to the visit so coding and billing start from a clean record.
Referral letters, patient handouts, and intake or visit forms prepared from the visit, saved against the encounter for the clinician to send or finalize.
On your network
Questions
Room audio, transcripts, and drafts stay on the AGIMAN appliance on your practice network. Transcription and drafting run locally, so no internet connection is needed to produce the note. Only the approved record leaves the appliance, through the export path your IT team approves.
AGIMAN reads patient and encounter context over Altera's read-only FHIR R4 API. Because that API does not accept write-backs, the signed note and accepted codes are sent through the path your version supports, the bidirectional Unity API or an HL7v2 interface, scoped and tested against your own instance before go-live.
No. AGIMAN drafts, and the clinician reviews, edits, and signs. Nothing syncs to Altera until a human approves it, and the suggested ICD and CPT codes are accepted by the clinician before they are attached. A review log records what was sent.
Get started
Buy the appliance and room devices, then scope the Altera Digital Health export path with us. We test it against your instance before it is turned on.