# Whole-Person Care for Community Health Centers | CLARYS Medical Memory by ESPEIR

> One longitudinal view of clinical and social information, with social drivers of health and clinical concepts structured from social work notes, every detail traceable to its source.

Web version: https://espeir.com/en/solutions/community-health-centers
Languages: [fr](https://espeir.com/md/fr/solutions/community-health-centers) · [en](https://espeir.com/md/en/solutions/community-health-centers) · [de](https://espeir.com/md/de/solutions/community-health-centers)

## Whole-Person Care for Community Health Centers · See the whole person. Across clinical and social care.

A person’s story goes far beyond a single encounter.

Hospital records, CHC visits, social work notes, PRAPARE screenings, community referrals: CLARYS Medical Memory brings them into one longitudinal view.

Social drivers of health (SDOH) and clinical concepts are structured, even in social work notes, and every detail stays traceable to its source.

## The challenge · Care is connected. Information often isn’t.

Maria returns to your health center after a hospital stay.

- **At the hospital.** Her treatment changed before discharge.
- **At the CHC.** Her team follows her diabetes and hypertension.
- **With her social worker.** Housing and transportation issues are documented.
- **With a community organization.** A housing referral is underway.

Each team knows part of her story. Who sees all of it?

Better care starts with understanding the whole person.

## The solution · One medical and social memory, across systems

- **Structure SDOH and clinical concepts, even in social work notes.** Social work notes
- **Follow the full journey.** Journey
- **Keep the evidence one click away.** Evidence

## For care teams · Designed for the people delivering whole-person care

- **Clinical care teams.** History, recent hospital stays, treatments and social context, before each decision.
- **Care managers and community health workers.** The context behind missed visits, care transitions and social needs.
- **Social workers and care coordinators.** Their notes become structured data, shared according to permissions.

## Product demo · See CLARYS Medical Memory in action

- **01 · Explore the journey.** The person’s history across care settings, on one timeline.
- **02 · Understand the notes.** Clinical concepts and SDOH found in documents and social work notes, linked to their source.
- **03 · Share the essential context.** A traceable, standards-based summary for continuity of care.

Product demonstration using fictional data.

## Programs and institutions · Built for the U.S. health center ecosystem.

- **people served by HRSA-funded health centers in 2025.** 32.7M
- **health center organizations funded by HRSA (2025).** 1,356
- **of the people served are covered by Medicaid or CHIP.** 48%
- **Community Health Center Fund, fiscal year 2026.** $4.6B

Sources: HRSA Uniform Data System 2025; Consolidated Appropriations Act, 2026.

- **Health Center Program.** HRSA · Funds and oversees community health centers under Section 330, with annual reporting through the Uniform Data System (UDS).
- **UDS+.** HRSA · HRSA is moving UDS reporting to person-level data, submitted in FHIR R4.
- **USCDI v3.** ASTP/ONC · Since January 1, 2026, certified health IT must support USCDI v3, including SDOH assessments, goals, problems and interventions.
- **Gravity Project.** HL7 · Defines how social drivers of health are coded and exchanged in FHIR R4. CLARYS Medical Memory follows its approach.
- **PRAPARE.** NACHC · The national association of health centers co-developed PRAPARE, the standardized screening tool for social needs.
- **Medicaid and CHIP.** CMS · They cover nearly half of the people health centers serve: coordination across settings is a daily priority.

## Pilot projects · Start with one care pathway. Build from there.

We are working with U.S. Community Health Centers on focused proof-of-concept projects.

Start with one workflow, such as post-discharge follow-up or complex care coordination. Together, we map the data sources, check the connections and measure what a shared view brings your teams.

## FAQ · Frequently asked questions

- **Can CLARYS Medical Memory work with our EHR and other systems?.** CLARYS Medical Memory is built on an interoperable, FHIR-based foundation. The integration approach depends on your systems, interfaces and data-sharing agreements.
- **How does it relate to the HL7 Gravity Project?.** CLARYS Medical Memory is built on FHIR R4 and follows the HL7 Gravity Project approach to social drivers of health: PRAPARE screenings as Observations, identified needs as Conditions, coded in LOINC, SNOMED CT and ICD-10-CM.
- **What about PRAPARE, social work notes and referrals?.** PRAPARE responses are used as structured data. In social work notes, CLARYS Intelligence structures SDOH and clinical concepts, each linked to its source. Referral data depends on what partner systems share.
- **How is sensitive information handled?.** Access follows your authorization, consent and data-governance rules. Security and deployment are reviewed with you during the project.

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## Site pages

- [Home](https://espeir.com/md/en)
- [CLARYS Medical Memory](https://espeir.com/md/en/clarys/medical-memory)
- [CLARYS Intelligence](https://espeir.com/md/en/clarys/intelligence)
- [IT convergence and modernization](https://espeir.com/md/en/solutions/modernisation)
- [Archives and medical heritage](https://espeir.com/md/en/solutions/archives)
- [Clinical data warehouses](https://espeir.com/md/en/solutions/clinical-data-warehouse)
- [Health and social care continuity](https://espeir.com/md/en/solutions/care-continuity)
- [Community Health Centers (U.S.)](https://espeir.com/md/en/solutions/community-health-centers)
- [Software vendors and integrators](https://espeir.com/md/en/solutions/software-vendors)
- [Trajectories and populations](https://espeir.com/md/en/solutions/trajectories-populations)
- [Technology and science](https://espeir.com/md/en/technology)
- [Partners](https://espeir.com/md/en/partners)
- [ESPEIR](https://espeir.com/md/en/espeir)
- [Contact](https://espeir.com/md/en/contact)
- [Legal notice](https://espeir.com/md/en/legals)
- [Privacy policy](https://espeir.com/md/en/confidentiality)

## Contact

ESPEIR, 66 avenue des Champs-Élysées, 75008 Paris, France
contact@espeir.com