Contexture is the largest HIE in the western U.S., covering Arizona and Colorado with roughly 28 million patient records from hospitals, labs, and providers. The integration pulls ED visits, hospital admit/discharge/transfer (ADT) feeds, lab and imaging results, immunizations, problem lists, medications, and CCD/CCDA documents into Althea Smart EHR. Bi-directional, so encounter summaries from your practice flow back to Contexture, contributing to the regional record.