Turn Medplum Appointments Into Confirmed Visits
Two‑way SMS and AI voice confirmations that write back to Medplum as native FHIR resources, so your staff stops chasing no‑shows. Setup is one command.
npx @visitconfirmed/medplumRead the five‑minute setup walkthrough → View on GitHub →
Medplum Handles the Data. VisitConfirmed Handles the Follow-Through.
Medplum gives modern health tech teams a powerful FHIR-native backend. But appointment engagement still often happens through manual calls, fragmented reminder tools, or workflows that aren't tightly connected to the patient record. We've written more about why appointment reminders aren't appointment confirmations and what it takes to close the loop.
- FHIR source of truth
- Patient and appointment data
- Workflows and infrastructure
- Outreach automation
- Two-way SMS confirmations
- AI voice fallback
- Rescheduling workflows
- Human escalation
Built to Fit the Way Medplum Teams Already Work
Four steps from appointment creation to confirmed visit.
Medplum detects an upcoming appointment
A FHIR Subscription installed by npx notifies VisitConfirmed when an Appointment is created or updated.
VisitConfirmed reaches out automatically
VisitConfirmed reaches each patient over SMS and AI voice to confirm the visit, reschedule if needed, or flag at-risk patients before the slot is lost.
The workflow adapts in real time
No answer? Retry. Needs help? Escalate. Wants to reschedule? Route into the right next step.
Results sync back to Medplum
Confirmations, reschedules, and escalations land in Medplum as Appointment updates, Communication records, and Tasks. Your team always has the latest state.
SMS and voice work together. Patients who don't reply to a text get a follow-up phone call. The AI speaks naturally.
Built on FHIR Subscriptions
VisitConfirmed runs alongside Medplum, not in place of it. Medplum stays the source of truth; VisitConfirmed handles the outreach.
WHAT npx @visitconfirmed/medplum INSTALLS
ClientApplication
Scoped credentials VisitConfirmed uses to read appointments and write back outcomes.
AccessPolicy
Least-privilege scope: only the FHIR resources needed for confirmation workflows.
Subscription
Notifies VisitConfirmed when Appointments are created or updated, so outreach fires on real events.
Subscription fires → VisitConfirmed reaches out → results write back as FHIR resources
VisitConfirmed reads appointment and patient context from Medplum, runs the outreach over SMS and AI voice, and writes results back as Communication, Appointment, and Task resources.
Setup Is One Command. The Iceberg Underneath Is Not.
Run one command. Get a full engagement engine underneath.
One command provisions a ClientApplication, AccessPolicy, and Subscription in your Medplum project.
- AI voice conversations that handle real patient responses
- Retry logic across channels (SMS → voice → escalation)
- No-answer vs. wrong number vs. voicemail vs. partial confirmation
- Timezone-aware quiet hours and consent management
- Idempotent FHIR write-back that respects human overrides
- Reschedules, cancellations, language preferences, caregiver routing
What Your Team Gets
Higher Show Rates
AI-driven confirmations help recover visits that would otherwise become no-shows.
Less Manual Work
Free operations staff from repetitive reminder calls and routine follow-up.
Early Risk Detection
Identify patients who are unresponsive or likely to miss before the slot is lost.
FHIR-Aligned Workflow
Keep Medplum as the source of truth while syncing outcomes back into the patient workflow.
Faster Implementation
Use lightweight integration patterns instead of rebuilding engagement tools in-house.
Human-in-the-Loop
Automation handles routine work while your staff stays in control of exceptions.
Built for Medplum-Based Health Tech Teams
If your team uses Medplum and missed appointments hurt revenue, utilization, or patient outcomes, VisitConfirmed is designed for you.
Care coordination platforms
Teams managing multi-step care journeys where every appointment matters.
Virtual care & telehealth companies
Providers running high-volume video visits who need reliable attendance.
Operations teams managing high-value appointments
Where a missed visit means lost revenue, delayed care, or wasted capacity.
Make Medplum More Actionable
One command turns appointment data into completed visits.
npx @visitconfirmed/medplumFrequently Asked Questions
npx @visitconfirmed/medplum installs a ClientApplication, an AccessPolicy, and a FHIR Subscription in your Medplum project. The Subscription notifies VisitConfirmed when Appointments are created or updated; outcomes write back as Communication, Appointment, and Task resources.