No. Coordinators can start grading on day one by pasting, uploading or recording notes, while your IT team reviews the EHR connection. That connection uses SMART on FHIR, a pattern IT teams already support for other applications: IT registers Burna AI as a SMART application against your FHIR endpoint, and the Burna AI team handles the rest of the integration work. A typical EHR integration is measured in weeks. Once connected, clinicians import encounters and notes from Epic or Oracle Health straight into grading, and a signed CTCAE grading summary can be filed back to Oracle Health as a chart document. For the security review, burna.ai/it sets out where protected health information lives, how access is controlled and how signatures work.