Ancillary Systems

Exchange information about lab results, pharmacy, and other ancillary clinical systems

Pharmacy

These interfaces address how Epic integrates with external pharmacies, how Epic's pharmacy integrates with other systems, and how electronic prescriptions are communicated. Epic provides software for both inpatient and outpatient pharmacies, and the types of integrations and interfaces available vary by setting.

Outgoing interfaces refer to interfaces in which the Epic system sends the message. Incoming interfaces refer to interfaces in which the Epic system receives the message.

Outgoing Real Time Prescription Benefit Inquiry and Response

Supports real-time prescription benefits checking (RTPB) during the prescriber ordering process. This feature lets prescribers see expected out-of-pocket costs, lower-cost medication suggestions, and whether additional approvals from the insurance company are needed before the prescription can be filled. Providers can share this information with patients before sending the order to the pharmacy, saving time and money for patients, and help improve medication adherence.
Payers/vendors who are interested in joining the RTPB network, please please reach out for more information.
Current integrations include
  • CenterX
  • CoverMyMeds
  • DrFirst
  • Humana
  • RxRevu
  • Surescripts

Outgoing Medication History for Populations Request and Response read the specOutgoing Medication History for Populations Request and Response technical specification

Performs queries to get the medication dispense history for registries of patients to assist in tracking patients' medication adherence.

Outgoing Fills to Automated Fill System from Willow Ambulatory read the specOutgoing Fills to Automated Fill System from Willow Ambulatory technical specification

Transmits verified pharmacy fills to automated prescription fill systems.
Current integrations include
  • ARX
  • ARxIUM
  • Avery Weigh-Tronix
  • BD
  • Innovation
  • Kirby Lester
  • McKesson
  • Omnicell
  • Parata
  • ScriptPro
  • Surescripts

Incoming Fill Status Updates and Load/Unload from Automated Fill System read the specIncoming Fill Status Updates and Load/Unload from Automated Fill System technical specification

Updates the status of the prescription fill in Willow Ambulatory Pharmacy when an automated prescriptoin fill system fills, dispenses, or cancels a prescription.
Current integrations include
  • ARxIUM
  • Avery Weigh-Tronix
  • Innovation
  • Kirby Lester
  • McKesson
  • Omnicell
  • Parata
  • ScriptPro
  • Surescripts

Incoming External Outpatient Medication Orders Interface read the specIncoming External Outpatient Medication Orders Interface technical specification

Receives outpatient medication orders from outside sources such as other EHR systems. They are not filed directly to the chart, but instead are filed as a medication waiting to be reconciled in the Reconcile Outside Information activity. This interface is generally used for conversion purposes, and is recommended in place of the Incoming Medication Orders to EpicCare Ambulatory interface.

Outgoing Medication Verification Queue Update Notification from Willow Inpatient Interface read the specOutgoing Medication Verification Queue Update Notification from Willow Inpatient Interface technical specification

Informs external systems when an inpatient medication order is added or removed from the pharmacist verification queue.

Incoming External Paid Pharmacy Claims Interface read the specIncoming External Paid Pharmacy Claims Interface technical specification

Loads external paid pharmacy claims messages into Epic Payer Platform or Tapestry, Epic's managed care application, using flag files in the NCPDP Post-Adjudication format.

Incoming Pharmacy Price Sales Catalog to Willow Inventory Interface read the specIncoming Pharmacy Price Sales Catalog to Willow Inventory Interface technical specification

Updates purchase contract records with up-to-date pricing and supplier item ID information.

Outgoing Pharmacy Purchase Order from Willow Inventory read the specOutgoing Pharmacy Purchase Order from Willow Inventory technical specification

Sends medication purchase order requests to a supplier. The interface uses the ANSI X12 850 transaction set or GS1 for the request.
Current integrations include
  • Alliance Healthcare
  • AmerisourceBergen
  • Anda
  • AutoMed
  • BD
  • Cardinal Health
  • CenterX
  • CuraScript
  • ESI
  • McKesson
  • Mediq
  • Morris & Dickson
  • Oracle
  • Parata
  • Parmed
  • River City Pharma
  • Thrifty White

Incoming Pharmacy Purchase Order Invoice to Willow Inventory read the specIncoming Pharmacy Purchase Order Invoice to Willow Inventory technical specification

Receives invoices from a supplier for purchase orders placed in Willow Inventory, Epic's medication inventory management system. The interface uses the ANSI X12 810 transaction set for the response.
Current integrations include
  • Alliance Healthcare
  • AmerisourceBergen
  • Anda
  • Cardinal Health
  • CenterX
  • Macro Helix
  • McKesson
  • Morris & Dickson
  • Parmed

Outgoing Prescription Prior Authorization Request and Reponse read the specOutgoing Prescription Prior Authorization Request and Reponse technical specification

Supports message events necessary for a prescribing provider to request an electronic prior authorization for a medication order and receive either approval or denial from a Pharmacy Benefits Manager, and supports messages to cancel requests. These interfaces for electronic prior authorization support a subset of the NCPDP 2013101 standard.
Current integrations include
  • CenterX
  • CoverMyMeds
  • Surescripts

Incoming Medication Orders to EpicCare Ambulatory read the specIncoming Medication Orders to EpicCare Ambulatory technical specification

Receives medication order information from an external pharmacy system other than Willow Ambulatory. In the past, this interface was used only by an organization that maintained its own ambulatory pharmacy system and interfaced it with EpicCare Ambulatory EHR. In its original implementation mode, this interface encodes and cancels orders, tracks and cancels dispenses, and requests the originator of a refill order. However, since external pharmacy systems have now moved to NCPDP/e-prescribing workflows, this interface is no longer implemented in real time, and is sparingly used for certain types of electrnoic conversions (see Patient Abstractor for preferred method of converting at home medications). Note that this interface cannot be used to receive medications from an external Hospital Information System and file them for use with Willow Inpatient, nor can it file medication administration information discretely to the electronic MAR.
Current integrations include
  • Abbott Diagnostics
  • Cybernius Medical Ltd.
  • McKesson
  • NCS
  • Optum
  • ScriptPro

Outgoing Medication Orders from EpicCare Ambulatory read the specOutgoing Medication Orders from EpicCare Ambulatory technical specification

Sends ambulatory medication orders that are placed in Order Entry to an external pharmacy system internal to the organization other than Willow Ambulatory Pharmacy. Messages are triggered as a user orders, discontinues, or reorders a medication.
Current integrations include
  • Allscripts
  • AmerisourceBergen
  • CareEvolution
  • CarePoint
  • Deep Lens
  • Enclara
  • Glytec
  • IntelliDose
  • Kansas Health Information Network
  • Medicom Health
  • Medicomp
  • Medline
  • NCS
  • Optum
  • Philips
  • Premier
  • ScriptPro
  • Therigy
  • Transaction Data Systems
  • Velos

Incoming Medication Dispenses and Load/Unload from ADS to Willow Inpatient read the specIncoming Medication Dispenses and Load/Unload from ADS to Willow Inpatient technical specification

Processes dispense, return, and waste information from medication cabinet systems (automated dispense systems), dispensing workflow engines, and robots. Also processes "load/unload" messages received when a drawer, pocket, or bin is emptied or stocked.
Current integrations include
  • Allscripts
  • AmerisourceBergen
  • ARX
  • ARxIUM
  • AutoMed
  • Baxter
  • BD
  • Cato Software Solutions GmbH
  • CGI
  • DXC Technology
  • Loccioni
  • McKesson
  • MedKeeper
  • National Committee for Quality Assurance
  • Omnicell
  • PhACTs
  • PlusDelta Technologies
  • Swisslog
  • TouchPoint Medical
  • WellSky

Outgoing Verified Medication Orders from Willow Inpatient read the specOutgoing Verified Medication Orders from Willow Inpatient technical specification

Sends verified pharmacy orders. This interface is typically used with cabinet, robotic, TPN, or carousel dispensing systems. It is sometimes used to transmit medication orders to an external medical record or surgery system. Messages are triggered from Willow Inpatinet Pharmacy when a user verifies, re-verifies, discontinues, or modifies an order, reverses a discharge, changes a patient's location such that the dispense location changes, or loads a medication into a station that did not previously contain that medication. We recommend one interface for cabinets and a separate interface for robotic dispensing systems, since the requirements for message content varies between systems, as the robot is dispensing multiple doses of a given medication for a cart, whereas the cabinet order will be dispensed by a user.
Current integrations include
  • Aceso
  • Advanced ICU Care
  • Aethon Inc.
  • Allscripts
  • AmerisourceBergen
  • ARX
  • ARxIUM
  • AutoMed
  • Axians
  • Baxter
  • BD
  • CAPS Pharmacy
  • Cardinal Health
  • Cato Software Solutions GmbH
  • CBORD
  • CenterX
  • CGI
  • Computrition
  • Conduent
  • Decisio Health
  • DXC Technology
  • EMMI Solutions
  • Enclara
  • GE
  • GetWellNetwork
  • Harris
  • Health Robotics
  • IllumiCare
  • InfuSystem
  • Intellidot
  • Iodine Software
  • IQMax
  • Jvion
  • Kronos
  • Loccioni
  • Maxor
  • McCreadie Group
  • McKesson
  • MCR Technologies
  • MEDECS
  • MedKeeper
  • Microsoft
  • Morrisey
  • National Committee for Quality Assurance
  • NCS
  • Omnicell
  • Optum
  • Parlando
  • PhACTs
  • Pharmacy OneSource
  • Philips
  • PlusDelta Technologies
  • Premier
  • QuadraMed
  • Qventus
  • SoftMed
  • Stanford School of Medicine
  • SunRx
  • Surescripts
  • Swisslog
  • Tecsys
  • TheraDoc
  • Timeless Medical Systems
  • TouchPoint Medical
  • VigiLanz
  • WellSky
  • Wolters Kluwer

Outgoing Formulary Information to ADS from Willow Inpatient Interface read the specOutgoing Formulary Information to ADS from Willow Inpatient Interface technical specification

Also known as ADS Console Management. The interface can be used to populate the master medication list of an automated dispense system when a medication is added or removed from the Willow Inpatient Pharmacy formulary.
Current integrations include
  • ARxIUM
  • AutoMed
  • BD
  • GetWellNetwork
  • Health Robotics
  • Omnicell
  • RLDatix
  • Swisslog

Outgoing Medication Orders to Retail Pharmacies read the specOutgoing Medication Orders to Retail Pharmacies technical specification

Used for e-prescribing when the organization is the prescriber. Uses NCPDP SCRIPT 10.6 or 2017071 to send new prescriptions, renewal responses, cancel requests, and change responses with an external pharmacy.
Current integrations include
  • CarePoint
  • InstyMeds
  • McCreadie Group
  • McKesson
  • Surescripts

Incoming Refill Requests from Retail Pharmacies read the specIncoming Refill Requests from Retail Pharmacies technical specification

Uses NCPDP SCRIPT 10.6 or 2017071 to receive renewal requests, cancel responses, and change requests from external pharmacies.
Current integrations include
  • CarePoint
  • InstyMeds
  • McCreadie Group
  • McKesson
  • Surescripts

Outgoing Pharmacy Benefit Eligibility Query - 270/271 read the specOutgoing Pharmacy Benefit Eligibility Query - 270/271 technical specification

E-Prescribing functionality when Epic is the Prescriber. Initiates pharmacy benefit eligibility queries.
Current integrations include
  • Cardinal Health
  • Experian Health
  • Surescripts

Outgoing Medication Dispense History Query read the specOutgoing Medication Dispense History Query technical specification

E-prescribing functionality when Epic is the prescriber. Uses NCPDP SCRIPT 10.6 or 2017071 to receive medication history information from external sources.
Current integrations include
  • Appriss
  • California Department of Justice
  • Chesapeake Regional Information System for Our Patients
  • DrFirst
  • Illinois Office of Health Information Technology
  • LogiCoy
  • Nebraska Health Information Initiative
  • OneHealthPort
  • RxCheck
  • Surescripts

Incoming Medication Orders to Willow Ambulatory read the specIncoming Medication Orders to Willow Ambulatory technical specification

Uses NCPDP SCRIPT 10.6 or 2017071 to receive new prescriptions, renewal responses, and cancel requests from external providers into Epic's ambulatory pharmacy product.
Current integrations include
  • CenterX
  • Surescripts

Outgoing Refill Requests from Willow Ambulatory read the specOutgoing Refill Requests from Willow Ambulatory technical specification

E-prescribing functionality when Epic is the Pharmacy. Uses NCPDP SCRIPT 10.6 or 2017071 to send renewal requests and cancel responses to external providers from Willow Ambulatory.
Current integrations include
  • CenterX
  • Surescripts

Outgoing Pharmacy Updates from Willow Ambulatory to E-Prescribing System Interface read the specOutgoing Pharmacy Updates from Willow Ambulatory to E-Prescribing System Interface technical specification

Sends messages to an e-prescribing system to change e-prescribing related settings of an ambulatory pharmacy, such as service levels or operating mode.

Outgoing Provider Query to E-Prescribing System Interface read the specOutgoing Provider Query to E-Prescribing System Interface technical specification

Queries an external e-prescribing system for current and updated e-prescribing provider data.
Current integrations include
  • CenterX
  • Surescripts

Outgoing Medication Stock Transfer Request and Response read the specOutgoing Medication Stock Transfer Request and Response technical specification

Initiates a fill in a dispensing system-such as robotic arm or carousel-to assist in sending medications from the pharmacy to a hospital floor. This interface also receives acknowledgments from the dispensing system, which updates stock counts in Willow Inventory Management accordingly. For example, if a user requests five bottles of a certain medicine, but only four exist in stock, the interface updates the stock count being sent to the floor to four. Note that the purpose of messages sent by the interface is to request stock for a hospital floor. For that reason, the messages aren't patient-specific.

Outgoing Pharmacy Query to E-Prescribing System Interface read the specOutgoing Pharmacy Query to E-Prescribing System Interface technical specification

Queries an external e-prescribing system for current and updated e-prescribing pharmacy data.

Outgoing Provider Updates to E-Prescribing System Interface read the specOutgoing Provider Updates to E-Prescribing System Interface technical specification

Sends messages to an e-prescribing system when changes to e-prescribing related settings are made to provider's record, such as service levels or contact information.

Outgoing Formulary Query to e-Prescribing System read the specOutgoing Formulary Query to e-Prescribing System technical specification

Downloads NCPDP Formulary & Benefit files from an external source to provide formulary information to the provider during order entry.

Incoming Purchase Order Acknowledgement to Willow Inventory read the specIncoming Purchase Order Acknowledgement to Willow Inventory technical specification

Receives acknowledgements from a supplier for purchase orders placed in Willow Inventory. The interface uses the ANSI X12 855 transaction set for the response.
Current integrations include
  • Alliance Healthcare
  • AmerisourceBergen
  • Anda
  • Cardinal Health
  • CenterX
  • Macro Helix
  • McKesson
  • Morris & Dickson
  • Oracle
  • Parmed
  • Thrifty White

Incoming Shipment Notification to Willow Inventory read the specIncoming Shipment Notification to Willow Inventory technical specification

Receives information about items sent by a supplier to fill a purchase order from Willow Inventory medication inventory management. This interface uses the ANSI X12 856 transaction set or European GS1.
Current integrations include
  • AmerisourceBergen
  • Anda
  • BD
  • Cardinal Health
  • CenterX
  • CuraScript
  • McKesson
  • Morris & Dickson
  • Oracle

Incoming Medication Orders from Legacy Pharmacy to Willow Ambulatory read the specIncoming Medication Orders from Legacy Pharmacy to Willow Ambulatory technical specification

Receives medication orders from legacy pharmacy systems and files the medications orders to Willow Ambulatory Pharmacy. This interface is used only for conversions.