SMART on FHIR is the integration layer. Burna runs inside Epic, Oracle Health (Cerner), Athenahealth, Allscripts, eClinicalWorks, MEDITECH, Dedalus Orbis (France, Italy, Spain), AGFA Orbis (Germany, Benelux), and regional APAC systems. If your EHR supports FHIR R4, Burna runs inside it.