Now onboarding pilot clinics across Canada

The EMR that runs on FHIR and thinks ahead.

Lyra charts your visits, automates your forms, sends your prescriptions, tracks your labs and referrals, and drafts your messages. Fully hosted, AI-powered, and every record is a standard FHIR resource you own.

Hosted in Canada · No servers to manage · Migration included

Lyra EMR calendar view showing a clinician's day: telemedicine appointments, follow-ups, a monthly mini-calendar, pending tasks, and the Ask Lyra assistant toolbar.
Built for PIPEDA & provincial privacy law HL7® FHIR® R4 native Canadian data residency Encrypted at rest & in transit SOC 2 Type II in progress

Most EMRs are databases with a login page. Lyra is a colleague. It structures every record, moves every workflow forward, and hands you the chart already done.

The platform

Natively FHIR. Not just FHIR-compatible.

Most systems keep a proprietary database and bolt a FHIR export on top. Lyra is different: every chart, note, order, and message is born as an HL7® FHIR® R4 resource, the moment it's created. Your data is standard, structured, and yours from day one, and still yours the day you leave.

Every record is a resource

Patients, encounters, medications, labs, questionnaires, referrals, messages: all native FHIR R4 resources, never a lossy after-the-fact export.

An open API, not a portal

A full REST API against the same resources Lyra itself runs on. Connect analytics, research, or the next great tool, with granular, audited scopes.

SMART on FHIR apps

Launch third-party clinical apps inside the chart with standards-based authorization. Your EMR becomes a platform, not a dead end.

Leave whenever you want

One-click bulk export of your entire clinic as standard FHIR bundles. We'd rather earn your renewal than hold your data hostage.

GET /fhir/Observation/hba1c-2481 200 OK
{
  "resourceType": "Observation",
  "id": "hba1c-2481",
  "status": "final",
  "code": {
    "coding": [{
      "system": "http://loinc.org",
      "code": "4548-4",
      "display": "Hemoglobin A1c"
    }]
  },
  "subject": { "reference": "Patient/2481" },
  "effectiveDateTime": "2026-07-24T09:14:00-04:00",
  "valueQuantity": {
    "value": 6.8,
    "unit": "%",
    "system": "http://unitsofmeasure.org",
    "code": "%"
  }
}
Intelligence

You see the patient. Lyra does the rest.

Because every record is structured FHIR, Lyra's AI doesn't guess from free text. It reasons over your actual clinical data, cites what it used, and files its work back into the chart for your sign-off.

Ambient scribe

Lyra listens to the visit, in person or virtual, and drafts a structured SOAP note with problems, medications, and orders as coded FHIR entries. You review, edit, sign.

Ask Lyra anything

"When did we last check her renal function?" "Summarize this chart before I walk in." Answers arrive with citations to the exact resources behind them.

Inbox that triages itself

Results, messages, and documents arrive sorted by urgency with a suggested next action. Normal result letters come pre-drafted. Abnormal ones are flagged with the trend attached.

Coding & billing, drafted

Visit codes proposed from what actually happened in the encounter, ready for review. Fewer rejected claims, fewer Sunday-night billing sessions.

Under your control

Every AI action is a draft until a clinician signs it. The audit trail shows what was suggested, what was accepted, and what was changed, in line with emerging provincial standards for AI accuracy, bias, and safety.

Anything I should know before Mrs. Okafor's follow-up?
Her A1c came back this morning at 6.8%, down from 7.4% in March. She requested a metformin renewal Tuesday, and the cardiology referral you sent has been booked for Aug 12.Sources: Observation/hba1c-2481 · MedicationRequest/8812 · ServiceRequest/n204
Ask Lyra…
Workflows

Every workflow. Zero busywork.

The work between visits is where clinics drown. Lyra automates it end to end, and because it's all FHIR underneath, every step stays structured and auditable.

Automated forms

Intake, consents, screeners, and questionnaires sent automatically before the visit. Responses are scored, summarized, and filed to the chart as FHIR QuestionnaireResponses. No scanning, no transcribing.

PHQ-9 · GAD-7 · Intake · Consents

Medications

Prescribe in two clicks with interaction and allergy checks against the live chart. Renewal requests arrive pre-verified against the medication list, so you can approve a month of renewals in minutes.

Prescriptions · Renewals · Interaction checks

Labs

Order sets in one click, results flowing straight into the chart as coded observations. Abnormals are flagged with the trend attached, and every result is tracked until someone signs off.

Orders · Results · Trends · Recalls

Referrals

Send a referral with the relevant history, meds, and results attached automatically. Track its status from sent to booked to consult letter received. The loop closes itself, or tells you when it can't.

e-Referral · Tracking · Loop closure

Messaging

Secure patient messaging and team chat in the chart, not beside it. Lyra drafts routine replies, routes questions to the right person, and turns "please book a follow-up" into an actual booking.

Patients · Team · AI-drafted replies

Scheduling

The calendar you saw above: online booking, automated reminders, wait-list backfill, and telemedicine built in. Appointment types carry their own forms, so prep happens before the patient arrives.

Online booking · Reminders · Telemedicine
Specialist modules

One chart. Every specialty.

Specialist modules, designed with our pilot partners, snap into the same FHIR chart: templates, order sets, flowsheets, and billing tuned to how each specialty actually works. No add-on products, no second login.

Family medicine

Periodic health templates, chronic-disease flowsheets, and preventive-care recalls that fire themselves.

Pediatrics

WHO growth charts, provincial immunization schedules, and weight-based dosing checks built in.

Cardiology

Structured echo and ECG reporting, device follow-up tracking, and guideline-aware medication titration.

Mental health

Auto-scored PHQ-9 and GAD-7, therapy note templates, safety plans, and outcome tracking over time.

Dermatology

Body maps, lesion photo documentation with change tracking, and biopsy result follow-through.

Endocrinology

A1c and thyroid trend panels, insulin titration flows, and structured diabetes review templates.

Women's health

Prenatal flowsheets, screening schedules, and recall programs for cervical and breast screening.

Your specialty next

Modules are built with our pilot partners. Tell us how your clinic works and we'll build the module with you.

Every module writes to the same chart, the same API, the same export. Multi-specialty clinics finally share one source of truth.

Interoperability

Fluent in the language of Canadian health data.

Interoperability starts with terminology. Because every record is FHIR, Lyra codes each clinical fact in the standard the rest of the system already speaks. Your data is legible to a lab, a registry, a specialist's EMR, and the next tool you plug in.

Clinical dataCoded in
Problems & findings
SNOMED CT (international standard)
Diagnoses & reporting
ICD-10-CA (Canadian standard)
Procedures & interventions
CCI (Canadian standard)
Labs & observations
pCLOCD (Canadian standard)LOINC (international standard)
Medications
DIN (Canadian standard)CCDD (Canadian standard)
Allergies & intolerances
SNOMED CT (international standard)
Immunizations
SNOMED CT (international standard)
Vitals & units
UCUM (international standard)
Physician billing
OHIP (Canadian standard)RAMQ (Canadian standard)MSP (Canadian standard)+ more

Where it counts, Lyra codes twice: SNOMED CT so clinicians and the AI reason over the concept, ICD-10-CA so it reports cleanly. One record, both audiences, nothing lost in translation.

GET /fhir/Condition/dm2-2481 200 OK
{
  "resourceType": "Condition",
  "clinicalStatus": { "coding": [{ "code": "active" }] },
  "code": {
    "coding": [
      { "system": "http://snomed.info/sct",
        "code": "44054006",
        "display": "Type 2 diabetes mellitus" },
      { "system": "…/CodeSystem/icd10ca",
        "code": "E11",
        "display": "Type 2 diabetes mellitus" }
    ]
  },
  "subject": { "reference": "Patient/2481" }
}

Terminology is only half of it.

Lyra speaks the same open standards the connected health system runs on, so an integration is a configuration, not a custom project.

HL7 FHIR R4 HL7 v2 CDA R2 SMART on FHIR Bulk Data ($export) CDS Hooks FHIR Subscriptions OAuth 2.0 / OIDC

Built to Canadian standards

Lyra is built to conform to the Canadian Baseline FHIR profiles from HL7 Canada and Canada Health Infoway, and for where the system is heading: Infoway's pan-Canadian interoperability roadmap and Ontario's Primary Care Medical Record (PCMR) program. Shared records, patient access, accountable AI, and data that never leaves Canada. Lyra started there. Nothing needs retrofitting.

CA Baseline profiles Provincial lab feeds Hospital reports eReferral & eConsult eForms Immunization registries Drug information systems Patient summaries
Beyond the chart

Where EMRs stop, Lyra keeps going.

A record system should do more than store visits. Lyra ships the layer clinics were promised for twenty years: insight, access, and connection, with no add-on products and no learning cliff.

Population & quality dashboards

Your whole roster at a glance, not one chart at a time: preventive-care gaps, chronic-disease control, and follow-up backlogs on live dashboards. The same measures provincial quality programs track, no data analyst required.

Roster health · Care gaps · Trends

Patient access & self-booking

Patients book their own visits, complete forms before they arrive, message the clinic securely, and see their results with plain-language explanations. All of it consented, logged, and in their language.

Self-booking · Results · Reminders

Document intelligence

Every inbound fax, PDF, and consult letter is classified, matched to the right patient, summarized, and filed as structured data. The unfiled-document pile stops existing.

Auto-classify · Summarize · File

Designed to disappear

Two-click paths for the twenty things you do every day, keyboard-first navigation, and an interface your team learns in an afternoon. If a workflow needs a training manual, we treat that as a design bug.

Learn in an afternoon · Two clicks · No manual
Hosted & secured

Zero servers. Zero shortcuts.

Lyra is fully hosted and managed. You get a login, we handle everything behind it, to a standard your privacy officer will actually enjoy reading about.

Fully hosted

  • Nothing to install or maintain. No servers in the closet, no upgrade weekends. Updates ship continuously without downtime.
  • Canadian data residency. Clinical data lives in Canadian data centres and stays there.
  • Continuous, tested backups. Point-in-time recovery with restores we actually rehearse.
  • Built to stay up. Redundant infrastructure, monitored around the clock, with honest incident communication.

Security & privacy

  • Encrypted everywhere. TLS in transit, AES-256 at rest, with per-tenant encryption keys.
  • Designed for privacy law across Canada. Built to meet PIPEDA and provincial health-privacy laws, including PHIPA, Quebec's Law 25, and Alberta's HIA, with PIA documentation ready for your privacy officer.
  • Every access logged. Complete audit trails for humans and for AI, exportable on demand.
  • Role-based access with MFA. Granular permissions per role, per module, per patient population.
PIPEDA-ready PHIPA-ready Law 25-ready SOC 2 Type II in progress HL7 FHIR R4 AES-256 · TLS 1.3 Canadian residency
Getting started

Switching EMRs without the horror story.

Migration is the reason clinics stay on software they hate. We've made it our problem, not yours.

STEP 01

Export from your current EMR

Whatever you're on, if it can export, we can take it: charts, demographics, documents, schedules. We handle the extraction with your current vendor so you don't have to.

STEP 02

We map everything to FHIR

Your data is cleaned, coded, and converted into structured FHIR resources, so it arrives in Lyra more usable than it left. You review a full migration report before go-live.

STEP 03

Go live with a human beside you

Training for your whole team, templates tuned to your clinic, and a named onboarding lead through your first weeks instead of a ticket queue.

Questions

Asked and answered.

What does "FHIR-native" actually mean?
It means HL7 FHIR R4 is Lyra's actual data model, not an export format. Every patient, note, medication, lab, form, referral, and message is stored as a FHIR resource from the moment it's created. The practical difference: your data is structured and portable by default, integrations are straightforward, and the AI reasons over coded clinical data instead of scraping free text.
Is my data locked in?
No. That is the whole point of building on FHIR. You can bulk-export your entire clinic as standard FHIR bundles at any time, from a button, without asking us. We believe an EMR should keep customers with a good product, not with an exit fee.
Where is our data hosted?
In Canadian data centres, with Canadian data residency, encrypted at rest and in transit. Lyra is fully hosted and managed, so there's nothing to install and no server in your clinic to maintain.
How does Lyra fit initiatives like Ontario's PCMR?
Provincial initiatives like Ontario's Primary Care Medical Record (PCMR) and the pan-Canadian interoperability roadmap all call for the same things: standards-based records, real information sharing, accountable AI, and data that never leaves Canada. Those are Lyra's founding constraints, not roadmap items. Every record is already a FHIR resource, integrations speak standard APIs, and AI features are auditable by design. As provinces connect their systems, Lyra is built to plug in rather than be rebuilt.
Does the AI act on its own?
No. Every AI output, whether notes, codes, replies, or orders, is a draft until a clinician reviews and signs it. Every suggestion is logged with what it was based on, what was accepted, and what was edited, so oversight is real and auditable.
What if my specialty isn't listed?
Specialist modules are built alongside our pilot partners: templates, order sets, flowsheets, and billing shaped by clinicians who do the work daily. If your specialty isn't covered yet, that's an invitation. Reach out and we'll build it with you.
How long does migration take?
It depends on your current system and data volume, but we scope every migration to go live in weeks, not months. Extraction, FHIR mapping, and verification are done by us; you review the migration report and train with a named onboarding lead before switching over.

Your clinic, on a better instrument.

We're onboarding a small group of pilot clinics across Canada. Reach out for a demo, pricing, and a migration plan for your practice.

pireyatharsan@synapticai.ca