Oracle Health has unveiled its next-generation electronic health record (EHR) system, built with advanced artificial intelligence and voice capabilities to make navigation easier for clinicians.
Developed from the ground up on Oracle Cloud Infrastructure — and not layered over the legacy Cerner framework — the new “AI-first” EHR represents the company’s first major upgrade since acquiring Cerner for \$28 billion in June 2022. The acquisition, which rebranded Cerner as Oracle Health, aimed to strengthen Oracle’s position in the healthcare sector while expanding its cloud business.
Initially, the new EHR will be available to U.S. ambulatory providers, pending final regulatory clearance. Oracle plans to introduce acute care functionality in 2026 to serve a broader range of clinical settings and needs.
In parallel with building the new system, Oracle has also added innovative health IT features to its existing platform, including a clinical AI agent that blends generative AI, clinical intelligence, multimodal voice capabilities, and screen-based assistance. First announced as generally available last year, this AI agent is now embedded directly into the new EHR.
Oracle is introducing its next-generation EHR just days ahead of competitor Epic’s annual User Group Meeting in Verona, Wisconsin, where Politico reports Epic plans to unveil its own AI-powered ambient clinical documentation tool.
The launch could strengthen Oracle’s position in the EHR space, where Epic has been steadily gaining ground. Oracle currently holds 22.9% of the acute care hospital EHR market, down from 23.4% last year, after losing a net 74 hospitals and 17,232 beds in 2024, according to KLAS Research.
Epic, meanwhile, has continued its growth, adding 176 multispecialty hospitals and 29,399 beds in 2024. This expansion has boosted its market share from 39.1% to 42.3% over the past year.
Oracle’s latest EHR platform features its clinical AI agent along with voice-activated navigation and search tools, delivering AI capabilities that are both “contextual and conversational,” according to the company.
Rather than sifting through numerous screens and clicks, clinicians can request information—such as recent lab results or current medications—using simple voice commands. Developed in collaboration with frontline healthcare providers, the secure, voice-first system is designed to streamline workflows and personalize the clinician experience.
“When Oracle committed to transforming the healthcare industry, we knew we had to start with the EHR,” said Seema Verma, executive vice president and general manager of Oracle Health and Life Sciences.
Verma noted that the company chose to build the platform entirely from scratch, rather than layering new tools onto “antiquated technology.”
“We took on the enormous and highly complex challenge of creating a cloud-native EHR for the Agentic AI era. Our AI agents act as intelligent assistants, surfacing critical insights, suggesting next steps, and empowering clinicians to remain in control. This is the future of intelligent care—freeing providers from technical burdens so they can focus on caring, connecting, healing, and preventing illness,” she said.
Oracle says its redesigned EHR has been trained on a broad range of clinical concepts—such as conditions, lab results, medications, and care pathways—allowing its AI agents to interpret medical context and deliver more precise insights.
For instance, the system can recognize which medications correspond to specific conditions, offering physicians clearer guidance and helping reduce potential risks.
Built on a semantic AI framework, the platform is designed as an open system, enabling customers to expand Oracle’s AI agents, create their own, or integrate third-party models. The company’s generative and open AI stack supports the rapid rollout of new agents while maintaining enterprise-level performance, scalability, and efficiency.
Oracle developed the new EHR with clinician feedback in mind, addressing long-standing complaints about traditional systems requiring excessive screen navigation and clicks. The updated platform delivers a consumer-grade interface with intuitive, automated workflows. AI is embedded directly into clinical processes, ensuring quick access to critical data, reducing context switching, and streamlining documentation, coding, and other routine tasks.
“The launch of this ambulatory EHR reflects Oracle’s core mission to deliver an immersive, AI-first, cloud-based solution that enhances clinical workflows and redefines both clinician and patient experiences,” said Mutaz Shegewi, senior research director for worldwide healthcare provider AI, platforms, and technologies at IDC.
