Ancillary Systems

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

Laboratory and Results

These interfaces address how orders are resulted and how those results are communicated among systems.

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

Incoming Ancillary Results read the specRead the technical specs

The Epic EMR receives test results from a laboratory, cardiology, or similar information system for use in Epic. These results include general lab, microbiology, pathology, and blood bank results, results with a narrative/impression, and hyperlinks to results that are stored elsewhere. These results can include LIS data, RIS data, pacemaker data, ECG records, and hemodynamic data. The interface can accept incoming order messages that request order numbers, replace procedures, or cancel existing orders. This HL7v2 interface is specific to a clinical order and uses TCP/IP to exchange messages. Current integrations include...
  • AMICAS Vision Series RIS
  • ARUP Reference Lab
  • AS Software AS-ObGyn
  • Abbott Diagnostics CELL-DYN, Abbott Diagnostics PXP Glucose Meter, Abbott Diagnostics PrecisionWeb
  • Agfa HeartStation, Agfa Heartlab Encompass, Agfa ICIS, Agfa IMPAX PACS, Agfa IMPAX RIS, Agfa TalkStation
  • Alere Informatics AVL Blood Gas Analyzer, Alere Informatics RALS-Plus, Alere Wellbeing, Alere epoc Blood Analysis System
  • Alverno Lab
  • Ameripath Anatomic Pathology
  • Aspyra CyberLAB II (CCA)
  • Atlas Ion, Atlas LabWorks
  • BRIT
  • Bio-Reference Laboratories, Inc
  • C/NET Solutions CNExT
  • CPSI System
  • Calloway Labs
  • Cardea Technology BoneStation
  • Cardinal Health Syntrac Integration Tools
  • CardioNet MCOT
  • CareFusion Pulmonary System, CareFusion Transfusion Verification
  • Carestream Vue PACS
  • Cerner Classic Lab, Cerner MARS, Cerner Millenium Micro, Cerner Millennium Anatomic Pathology, Cerner Millennium Blood Bank, Cerner Millennium FirstNet, Cerner Millennium PathNet, Cerner Millennium PharmNet, Cerner Millennium PowerChart Office, Cerner Millennium PowerChart/PowerOrders/CareNet, Cerner Millennium ProFile, Cerner Millennium RadNet, Cerner Millennium SurgiNet, Cerner PharmNet, Cerner QuadRIS, Cerner RadPlus, Cerner Scheduling Management
  • ClinLab LIS
  • CoPath, CoPathPlus
  • Commissure RadWhere
  • CompuGroup Medical LabDAQ
  • Computer Trust Corporation WinSURGE
  • Consensus Medical Systems VascuBase, Consensus Medical Systems VascuPro
  • Continuum Health Partners Continuum Clinical Laboratories
  • Cortex Medical Management Systems Cortex Pathology
  • DR Systems Systems Dominator, DR Systems Unity RIS/CVIS/PACS
  • DVI VoiceWave Transcribe
  • Diagnostic Lab Services, Inc. Reference Lab
  • Dianon Uropathology
  • Digisonics DigiNet Pro, Digisonics DigiView, Digisonics OB-View
  • Direct Connect Optima/Sentara
  • Dolbey Fusion Text
  • Draeger Innovian Anesthesia
  • Dynamic Imaging IntegradWeb
  • EMMI Solutions
  • Eclipsys eLink
  • Elekta DermPath, Elekta IntelliLab, Elekta PowerPath Anatomic Pathology
  • Emageon CardioIMS, Emageon EchoIMS, Emageon Enterprise Visual Medical System, Emageon Vericis (Camtronics)
  • Embla
  • Emdeon RIS
  • EndoSoft LLC
  • Epiphany Cardio Server ECG Management System
  • eScription
  • Extract Systems LabDE
  • Fort Wayne Medical Laboratory Reference Lab
  • Fuji Synapse
  • G2 Speech
  • GE CardioLab, GE Catalyst MUSE, GE Centricity EMR, GE Centricity PACS, GE Centricity RIS-IC, GE EchoPAC, GE Image Vault, GE Mac-Lab, GE MAC2000 Resting ECG, GE ViewPoint
  • General Medical Laboratories Reference Lab
  • Genzyme Corporation Genzyme Genetic Testing
  • GetWellNetwork Education Library
  • gMed gGastro+
  • Haemonetics SafeTrace Tx
  • HMI HealthMedia
  • HMS Monitor
  • HealthBridge Information Exchange
  • HealthCare Clinical Laboratories Lab
  • HealthLand Inpatient EHR
  • Heart Imaging Technologies WebPAX
  • Hologic Discovery
  • Hyland Software OnBase
  • ITxM Blood Bank
  • Iatric Systems Iatrics Engine
  • InStar Systems
  • Instrumentation Laboratory GemWeb
  • Intelligent Business Solutions CardioPulse
  • InterSystems Ensemble
  • J&S Medical Associates LabTrak
  • Keane InSight
  • Kodak DirectView
  • LUMEDX Apollo Advance, LUMEDX CardioDoc
  • LabCorp Reference Lab
  • LabSoft Inc. LabNet
  • Lanier Scanning System
  • LifeWatch LifeWatch Connect
  • M*Modal Cquence Medical Transcription, M*Modal DocQment Enterprise Platform, M*Modal SpeechQ
  • MEDCOM Information Systems MEDCOM Lab Manager
  • MIPS Glims
  • MagView Mammography Results
  • Mammography Reporting System MRS
  • Mayo Clinic - LSI
  • McKesson Horizon CPACS, McKesson Horizon Cardiovascular Information System, McKesson Horizon Clinicals, McKesson Horizon Lab, McKesson Horizon Medical Imaging, McKesson Horizon Radiology, McKesson Horizon Surgical Manager, McKesson McKesson Radiology Manager, McKesson Paragon, McKesson Series, McKesson Star
  • MedMined Hospital Infection Management
  • Medgraphics BreezeSuite
  • MediServe MediLinks
  • Medical Genetics Information System Medgis
  • Medicity Novo Grid
  • Medicus Medlynx
  • Meditech C/S Anatomic Pathology, Meditech C/S Blood Bank, Meditech C/S Enterprise Medical Record, Meditech C/S Lab, Meditech MAGIC Lab, Meditech MAGIC Radiology
  • Mediware HCLL, Mediware Hemocare/Lifeline
  • Mednet Services
  • Medstreaming Cardiovascular Medical Office, Medstreaming Medical Office
  • Medtronic Paceart
  • Merge Cardio, Merge Eye Care PACS, Merge LIS, Merge PACS, Merge eMed FUSION Matrix, Merge eMed RISLogic, Merge iConnect
  • Metropolitan Medical Laboratories Reference Lab
  • Microsoft Amalga
  • Monogram
  • Morgan Scientific ComPAS Freedom
  • Mortara
  • Mountain Star Clinical Laboratories Reference Lab
  • Multidata MultiTech
  • Natus XLTEK NeuroMax
  • NDCHealth TechRx
  • ndd Medical Technologies
  • Net Health Systems WoundExpert
  • Netsoft, Inc. IntelliPath
  • NextGen EMR
  • Nihon Kohden NeuroWorkbench, Nihon Kohden Polysmith Sleep
  • Northern Software eLab.Sys
  • NovoPath
  • nSpire Raptor, nSpire nSight
  • Nuance Dictaphone Enterprise Express, Nuance Dictaphone Enterprise Workstation, Nuance Dictaphone PowerScribe Workstation, Nuance Dictaphone ichart, Nuance EXText (Dictaphone), Nuance EXVoice (Dictaphone), Nuance Powerscribe 360 Critical Results, Nuance Powerscribe 360 Reporting, Nuance eScription / Dragon Medical 360 - eScription
  • Nuclear Medicine Information Systems LLC
  • O&M Solutions QSight
  • Olympus Endoworks
  • Orchard Harvest LIS
  • Palga U-DPS
  • Pangaea Information Technologies Guardian
  • PathView Systems Progeny Anatomic Pathology
  • Pathology Associates Medical Laboratories Reference Lab
  • Pathology, Inc. Reference Pathology Lab
  • PenRad MIS
  • Pentax Bronchoscopes, Pentax EndoPro, Pentax GI Endoscopes
  • Perceptive Software ImageNow
  • Philips Calysto Hemodynamics, Philips Labosys, Philips Tracemaster NT, Philips Tracemaster Vue, Philips Xcelera Cath Lab Management, Philips Xcelera Echo Lab Management, Philips Xper, Philips iSite
  • Picis
  • Primordial
  • ProSolv CardioVascular
  • ProVation Medical ProValent, ProVation Medical ProVation MD
  • Psyche WindoPath
  • QuadraMed Affinity
  • Quest Diagnostics Reference Lab
  • RadNet Imaging Services
  • Radiometer Radiance
  • Regional Medical Laboratory Reference Lab
  • SCC SoftA/R, SCC SoftBank, SCC SoftLab, SCC SoftPath
  • ScImage PICOMEnterprise
  • Schuyler House SchuyLab
  • Scientific Software Solutions PedCath
  • ScottCare TeleRehab VersaCare
  • Siemens Apollo Cardea, Siemens Axiom Sensis, Siemens Invision RCO and ICO, Siemens KinetDx, Siemens Lifetime Clinical Record (LCR), Siemens Novius Lab, Siemens Novius Radiology, Siemens OPENLink (Siemens), Siemens Radiology, Siemens RapidComm, Siemens syngo Dynamics, Siemens syngo Imaging, Siemens syngo Workflow
  • Skylight CareNavigator
  • SoftLink International CVI, SoftLink International Imagine
  • SoftMed ChartScript
  • Solstas Lab Partners
  • Spheris eChart
  • Summit Imaging EndoProse
  • Sunquest Blood Bank, Sunquest CoPathPlus, Sunquest Lab, Sunquest PowerPath Anatomic Pathology, Sunquest Radiology
  • Swearingen Software
  • SweetSpot Diabetes Care
  • Sybase e-Biz Impact
  • SystemLink HistoTrac
  • TELCOR QML
  • Tacoma Rdiology Associates TRA
  • Teramedica Evercore
  • Transaction Data Systems
  • Transcend BayScribe
  • Transolutions Transcription Services
  • USA RMS
  • UTECH EndoSoft
  • United Clinical Laboratories Reference Lab
  • VISUS JiveX
  • VantageMed
  • Varian Medical Systems ARIA
  • Veenstra Instruments IBC-606
  • Via Oncology Pathways
  • Viasys Healthcare Neurocare, Viasys Healthcare Respiratory Diagnostics, Viasys Healthcare Vmax Encore
  • Viracor-IBT Laboratories Reference Lab
  • Virtual Radiologic Radiology
  • Vision Chips Observer
  • Vision4Health Molis
  • WebMedX Outsourced Transcription Services


Test your implementation with our HL7 V2 Validator.

Incoming Lab Instrument Results read the specRead the technical specs

This HL7v2 interface integrates resulting instruments into Epic's lab software, typically through a middle tier. This interface is also used for point-of-care testing integration, such as with docked glucometer systems. Current integrations include...
  • Abbott Diagnostics PXP Glucose Meter, Abbott Diagnostics i-STAT
  • Alere Informatics RALS-Plus
  • Data Innovations Instrument Manager (DI)
  • Dawning JResultNet
  • Nanthealth DeviceConX
  • Siemens RapidComm
  • TELCOR QML

Outgoing Lab Instrument Orders read the specRead the technical specs

This HL7v2 interface is used with Beaker, Epic's lab software, to send lab orders to resulting instruments. This interface is also used for point-of-care testing integration, such as with docked glucometer systems. It can trigger messages when the lab receives a new specimen, a test is reordered, an add-on is added onto an existing specimen, or a test is canceled. Current integrations include...
  • Abbott Diagnostics i-STAT
  • Alere Informatics RALS-Plus
  • Data Innovations Instrument Manager (DI)
  • Dawning JResultNet
  • Nanthealth DeviceConX

Incoming Orders from CPOE read the specRead the technical specs

This HL7v2 interface is used to receive orders from an external order entry system, either to be performed within Epic (Beaker, Radiant, Cupid) or to pass on to external ancillary systems. It can create, update, or cancel orders. Current integrations include...
  • Allscripts EHR, Allscripts TouchWorks
  • CPSI System
  • CareEvolve
  • Cerner Millennium PathNet
  • Emdeon
  • GE Centricity EMR
  • Meditech MAGIC Lab
  • Mountain Star Clinical Laboratories Reference Lab
  • Orchard Harvest LIS
  • Pathology Associates Medical Laboratories Reference Lab
  • Sunquest Lab

Outgoing Ancillary Orders read the specRead the technical specs

This HL7v2 interface sends a message to external ancillary systems for new orders and order cancellations. It also is used when the EMR responds to number assignment requests for externally initiated orders. It can be used to send clinician-placed orders to external lab, radiology, or cardiology systems for organizations that are not using those Epic applications. It can also send orders from Epic's lab system to a blood bank system or to an external LIS if a test needs to be resulted at another lab. Epic's inpatient documentation system can use this interface to communicate diet orders to external nutrition systems. Current integrations include...
  • 3M Codefinder (CAE)
  • AMICAS Vision Series RIS
  • ARUP Reference Lab
  • AS Software AS-ObGyn
  • Agfa Heartlab Encompass, Agfa IMPAX PACS, Agfa IMPAX RIS
  • Allscripts Premise
  • Alverno Lab
  • Aspyra
  • Atlas Ion, Atlas LabWorks
  • Bio-Reference Laboratories, Inc Laboratory
  • CBORD
  • CPSI System
  • CareFusion Pulmonary System, CareFusion Transfusion Verification
  • Cerner BeyondNow HomeWorks/RoadNotes, Cerner Classic Lab, Cerner Millenium Micro, Cerner Millennium Anatomic Pathology, Cerner Millennium Blood Bank, Cerner Millennium FirstNet, Cerner Millennium PathNet, Cerner Millennium PowerChart Office, Cerner Millennium PowerChart/PowerOrders/CareNet, Cerner Millennium RadNet, Cerner QuadRIS, Cerner RadPlus
  • ClinLab LIS
  • CoPath, CoPathPlus
  • Commissure
  • CompuGroup Medical LabDAQ
  • Computer Trust Corporation WinSURGE
  • Consensus Medical Systems VascuBase
  • Continuum Health Partners Continuum Clinical Laboratories
  • DR Systems Systems Dominator
  • Diagnostic Lab Services, Inc. Reference Lab
  • Digisonics DigiView, Digisonics OB-View
  • Direct Connect Optima/Sentara
  • Dolbey Fusion Text
  • EMMI Solutions
  • Elekta DermPath, Elekta IntelliLab, Elekta Mosaiq, Elekta PowerPath Anatomic Pathology
  • Emageon CardioIMS, Emageon Enterprise Visual Medical System, Emageon Vericis (Camtronics), Emageon Vericis PhysioLog (Camtronics)
  • Embla RemLogic
  • EndoSoft LLC
  • Epiphany Cardio Server ECG Management System
  • GE AgileTrac, GE Catalyst MUSE, GE Centricity CPACS, GE Centricity Cardiology Reporting, GE Centricity Laboratory, GE Centricity PACS, GE Centricity RIS-IC , GE Centricity Ultra Lab, GE EchoPAC, GE Image Vault, GE Imagecast (IDX), GE Lunar iDXA, GE Mac-Lab, GE ViewPoint
  • General Medical Laboratories Reference Lab
  • Genzyme Corporation Genzyme Genetic Testing
  • GetWellNetwork Education Library
  • Greenway Medical Technologies PrimeSUITE
  • Haemonetics SafeTrace Tx
  • HealthCare Clinical Laboratories Lab
  • Hyland Software OnBase
  • IDX IDXrad
  • J&S Medical Associates LabTrak
  • Kodak DirectView
  • LUMEDX Apollo Advance, LUMEDX CardioDoc
  • LabCorp Reference Lab
  • LabSoft Inc. LabNet
  • M*Modal DocQment Enterprise Platform, M*Modal SpeechQ
  • Mayo Clinic - LSI
  • MCR Technologies HealthTouch
  • MEDCOM Information Systems MEDCOM Lab Manager
  • MIPS Glims
  • MagView Mammography Results
  • Mammography Reporting System MRS
  • McKesson HealthQuest, McKesson Horizon CPACS, McKesson Horizon Cardiovascular Information System, McKesson Horizon Enterprise Visibility, McKesson Horizon Lab, McKesson Horizon Medical Imaging, McKesson Horizon Radiology, McKesson McKesson Radiology Manager, McKesson Paragon, McKesson Series, McKesson Star
  • MedMined Hospital Infection Management
  • Medgraphics BreezeSuite
  • MediServe MediLinks
  • Medical Genetics Information System Medgis
  • Medicity Novo Grid, Medicity emPOWERnet (Park City)
  • Meditech C/S Blood Bank, Meditech C/S Lab, Meditech Client Server Platform, Meditech MAGIC Lab, Meditech MAGIC Radiology
  • Mediware HCLL, Mediware Hemocare/Lifeline
  • Medstreaming Cardiovascular Medical Office, Medstreaming Medical Office
  • Medtronic Paceart
  • Merge eMed FUSION Matrix
  • Microsoft Amalga
  • MobileMD 4DX
  • Mortara
  • Mountain Star Clinical Laboratories Reference Lab
  • Multidata MultiTech
  • Natus
  • ndd Medical Technologies
  • Netsoft, Inc. IntelliPath
  • Nihon Kohden Polysmith Sleep
  • Northern Software eLab.Sys
  • NovoPath
  • nSpire Raptor, nSpire nSight
  • Nuance Dictaphone Enterprise Workstation, Nuance Dictaphone PowerScribe Workstation, Nuance EXText (Dictaphone), Nuance EXVoice (Dictaphone), Nuance Powerscribe 360 Critical Results, Nuance Powerscribe 360 Reporting, Nuance eScription / Dragon Medical 360 - eScription
  • OTTR Chronic Char Solutions OTTR
  • Olympus Endoworks Endobase, Olympus Endoworks
  • Orchard Harvest LIS
  • Palga U-DPS
  • Pangaea Information Technologies Guardian
  • PathView Systems Progeny Anatomic Pathology
  • Pathology Associates Medical Laboratories Reference Lab
  • Pathology, Inc. Reference Pathology Lab
  • PenRad MIS
  • Pentax EndoPro, Pentax GI Endoscopes
  • Philips Calysto Hemodynamics, Philips Labosys, Philips Tracemaster Vue, Philips Xcelera, Philips Xcelera Cath Lab Management, Philips Xcelera Echo Lab Management, Philips Xper, Philips iSite
  • Polaris Health STaRS
  • ProSolv CardioVascular
  • ProVation Medical ProVation MD
  • Psyche WindoPath
  • Puritan Bennett Clinivision
  • QuadraMed Affinity
  • Quest Diagnostics Reference Lab
  • RadNet Imaging Services
  • Regional Medical Laboratory Reference Lab
  • SCC SoftBank, SCC SoftLab, SCC SoftPath
  • ScImage PICOMEnterprise
  • Schuyler House SchuyLab
  • Scientific Software Solutions PedCath
  • Siemens Axiom Sensis, Siemens Lifetime Clinical Record (LCR), Siemens Novius Lab, Siemens Novius Radiology, Siemens OPENLink (Siemens), Siemens Radiology, Siemens RapidComm, Siemens syngo Dynamics, Siemens syngo Imaging, Siemens syngo Workflow
  • SoftLink International CVI
  • SoftMed ChartScript
  • Solstas Lab Partners
  • Sunquest Blood Bank, Sunquest Lab, Sunquest Radiology
  • SystemLink HistoTrac
  • TELCOR QML
  • TeleTracking Bed Managment Suite, TeleTracking BedTracking, TeleTracking XT
  • Teramedica Evercore
  • TheraDoc Expert System Platform
  • Transolutions Transcription Services
  • United Clinical Laboratories Reference Lab
  • VISUS JiveX
  • Veenstra Instruments IBC-606
  • Viasys Healthcare Vmax Encore
  • Vignette IDM
  • Viracor-IBT Laboratories Reference Lab
  • Virtual Radiologic Radiology
  • Vision Chips Observer
  • Vision4Health Molis

Outgoing Lab Orders and Results to External Providers read the specRead the technical specs

This HL7v2 interface is used to communicate lab test results from Beaker (Epic's laboratory information system) when Epic is the reference lab for another LIS or clinical system. It sends messages when the user accessions or cancels an order, or when a result is marked as preliminary or verified final. Current integrations include...
  • Allscripts ACM/Penchart (Amicore), Allscripts EHR
  • Atlas
  • CPSI System
  • CareEvolve
  • Cerner Millennium PathNet
  • Elekta Mosaiq
  • Emdeon
  • EndoSoft LLC
  • GE Centricity EMR
  • HealthBridge Information Exchange
  • Hyland Software OnBase
  • Infor Global Solutions Cloverleaf
  • McKesson Star
  • MedMined Hospital Infection Management
  • Medicity MediTrust, Medicity Novo Grid
  • Meditech C/S Lab, Meditech MAGIC Lab
  • Mediware HCLL
  • Mississippi State Department of Health MS-HIN (Mississippi)
  • Mountain Star Clinical Laboratories Reference Lab
  • National Committee for Quality Assurance Quality Compass
  • Orchard Harvest LIS
  • Oregon Health Authority Essence
  • Pathology Associates Medical Laboratories Reference Lab
  • Philips Calysto Hemodynamics, Philips Xper
  • Premier SafetySurveillor
  • Reference Lab - Community Mayo Clinic - LSI
  • Sunquest Lab
  • TheraDoc
  • Varian Medical Systems ARIA
  • VigiLanz Dynamic PharmacoVigilance
  • Visicu eICU