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

Outgoing Results and Orders read the specOutgoing Results and Orders technical specification

You can configure each copy of this interface one of the following ways:
  • This interface can send result messages in the LRI format. LRI format results follow the HL7 version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface, Release 1. It can send both order status and result messages from Beaker to external systems, when Beaker is the reference lab for another LIS or clinical system.
  • This interface can send result messages in the ELR format. ELR format results follow the HL7 version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1. This format is often used to notify public health agencies of tests which must be reported for disease tracking, and meet Meaningful Use (MU) or Promoting Interoperability (PI) measures in the U.S.
  • This interface can send messages for pathology reports that contain electronic cancer checklists. These messages conform to the North American Association of Central Cancer Registries (NAACCR) Standards for Cancer Registries Volume V rules for constructing HL7 messages for CAP electronic cancer checklist synoptic reporting.
Use the LRI format unless you have a specific need to use the ELR or NAACCR formatted results. Note: Performing labs which are active participants in the Orders and Results Anywhere network use an interface that adheres to the same guidelines but has context aware connectivity to its consistituent ordering organizations without the need for a VPN or TCP/IP connection. These specifications are located in "Orders and Results Anywhere".
Current integrations include
  • 3M
  • 4medica
  • 4S Informational Systems
  • Abbott Diagnostics
  • Accumen
  • Advanced ICU Care
  • AdvantEdge Healthcare Solutions
  • Advarra
  • Agfa
  • Alabama - Public Health Agencies
  • Alaska - Public Health Agencies
  • AlertMD
  • Allscripts
  • APHL
  • Apollo
  • APS
  • Arizona - Public Health Agencies
  • Arkansas - Public Health Agencies
  • Arkansas Office of Health Information Technology
  • Artificial Intelligence in Medicine
  • ARUP Laboratories
  • Ascend Clinical
  • athenahealth
  • Atlas
  • Avatar Solutions
  • Azalea
  • BD
  • Bio-Reference Laboratories, Inc
  • Blue Cross/Blue Shield
  • Blue Nine
  • Bódegro
  • Bronx Regional Health Information Organization
  • C/NET Solutions
  • California - Public Health Agencies
  • Caradigm
  • CareEvolution
  • Carolina eHealth Alliance
  • Center for Disease Control
  • CentriHealth
  • Cerner
  • Change Healthcare
  • Chesapeake Regional Information System for Our Patients
  • CIS Oncology
  • CliniSync
  • CliniWorks
  • Colorado - Public Health Agencies
  • CompuGroup Medical
  • Conceptual Mindworks, Inc.
  • Connecticut - Public Health Agencies
  • CoPath
  • Core Clinical Partners
  • CORHIO
  • Corista
  • Cority
  • CorrecTek, Inc.
  • Cortex Medical Management Systems
  • CVS Pharmacy
  • Data Innovations
  • Databyrån AB
  • Decisio Health
  • Deep Lens
  • Delaware Health Information Network
  • Denver County (CO) - Public Health Agencies
  • District of Columbia - Public Health Agencies
  • Dolbey
  • Dynacare
  • E.Novation
  • eClinicalWorks
  • Eclipsys
  • E-Health
  • Elekta
  • ELLKAY
  • Elsevier
  • eMDs
  • EndoSoft
  • Eon
  • ePath Logic, Inc.
  • Epiphany
  • ESO
  • Etiometry
  • Evolent Health
  • Falcon
  • Flatiron
  • Florida - Public Health Agencies
  • Foundation Medicine
  • Fresenius Medical Care
  • Fulgent Genetics
  • Gaia
  • GE
  • Georgia - Public Health Agencies
  • Glytec
  • Greenway Health
  • Haemonetics
  • HalfPenny
  • Harris
  • Hawaii - Public Health Agencies
  • Healogics
  • Health Catalyst
  • Health Monitoring Systems
  • Health Resources and Services Administration
  • HealthBridge
  • HealtheConnections
  • HEALTHeLINK
  • HealthHIE Nevada
  • Healthmap Solutions
  • Houston - Public Health Agencies
  • Hyland
  • ICNet
  • Idaho - Public Health Agencies
  • Idaho Health Data Exchange
  • Illinois - Public Health Agencies
  • Illinois Office of Health Information Technology
  • In-Common Laboratories
  • Indiana - Public Health Agencies
  • Indigo 4 Systems
  • Infian
  • Infor Global Solutions
  • Informatics Corporation of America
  • Inland Empire Health Plan
  • IntelliDose
  • Iodine Software
  • Iowa - Public Health Agencies
  • Iron Bridge
  • Isoprime
  • It Starts With Me Health
  • Joint Venture Hospital Laboratories
  • Kansas - Public Health Agencies
  • Kansas Health Information Network
  • KaZee
  • Kentucky - Public Health Agencies
  • Kentucky Health Information Exchange
  • Keystone Therapeutics, Inc.
  • KONZA
  • LabCorp
  • Laitek
  • Leica
  • LifeLabs
  • LifePoint Health
  • Louisiana - Public Health Agencies
  • M*Modal
  • MagView
  • Manifest Medex
  • Maryland - Public Health Agencies
  • Massachusetts - Public Health Agencies
  • Massachusetts Health Information Highway
  • McKesson
  • MEDENT
  • Meditech
  • MEDNAX
  • Mellowood Medical
  • MercuryMD
  • Merge Healthcare
  • Michigan - Public Health Agencies
  • Michigan Health Connect
  • Microsoft
  • Minnesota - Public Health Agencies
  • Mississippi - Public Health Agencies
  • Missouri - Public Health Agencies
  • Mitem
  • MobileMD
  • Modernizing Medicine
  • Molina Healthcare
  • Monarch Medical Technologies
  • Montana - Public Health Agencies
  • Mountain Star Clinical Laboratories
  • MyHealth Access Network
  • NABIDH
  • NaphCare
  • National Health Service
  • Nebraska - Public Health Agencies
  • Nebraska Health Information Initiative
  • Net Health Systems
  • Netsmart
  • New Hampshire - Public Health Agencies
  • New Jersey - Public Health Agencies
  • New Mexico - Public Health Agencies
  • New York - Public Health Agencies
  • New York City - Public Health Agencies
  • NextGen
  • North Carolina - Public Health Agencies
  • North Carolina Health Information Exchange Authority
  • Nuance Communications
  • Occupational Health Research
  • Ohio - Public Health Agencies
  • Oklahoma - Public Health Agencies
  • Olympus Endoworks
  • OneHealthPort
  • Ontario Ministry of Health
  • Ontario Patient Data Reporting
  • OntarioMD
  • OpenText
  • Optum
  • Orchard Software
  • Oregon - Public Health Agencies
  • Orion Health
  • OTTR Chronic Care Solutions
  • Pascal Metrics
  • PathGroup
  • Pathology Associates Medical Laboratories
  • Patient Engagement Advisors
  • Pediatrix
  • Pennslyvania - Public Health Agencies
  • Perahealth
  • Philadelphia - Public Health Agencies
  • Philips
  • PHLEBIO
  • PierianDx
  • PLATOCODE
  • Practice
  • Premier
  • ProStar Technologies
  • ProVation Medical
  • Q-Centrix
  • Quality Health Network (QHN)
  • Quest Diagnostics
  • Quovadx
  • Qventus
  • Radiology Associates of Hawaii
  • Real-Time Outbreak Disease Surveillance Lab (RODS at University of Pittsburgh)
  • Redox
  • Relay Health
  • RLDatix
  • Rochester Regional Health Information Organization
  • Royal Devon and Exeter
  • SCC Soft Computer
  • Sectra
  • Select Medical
  • Singapore Ministry of Health Holdings
  • Softek Solutions, Inc.
  • South Carolina - Public Health Agencies
  • South Dakota - Public Health Agencies
  • South Dakota Department of Health
  • Spectrum Medical
  • Spheris
  • Stanford School of Medicine
  • STEMSOFT
  • Stichting HIV Monitoring (SHM)
  • Sunquest
  • Sunrise Medical Laboratories
  • Symplr
  • TeamHealth
  • TELCOR
  • TeleResults
  • Telexy HealthCare
  • Tennessee - Public Health Agencies
  • Texas - Public Health Agencies
  • The Rehabilitation Hospital of Montana
  • TheraDoc
  • Tieto
  • TransChart
  • Truven Health
  • United Healthcare
  • Utah - Public Health Agencies
  • Valab
  • Varian Medical Systems
  • Vermont - Public Health Agencies
  • Vermont Information Technology Leaders
  • Vibra Healthcare
  • VigiLanz
  • Virginia - Public Health Agencies
  • virtuwell
  • Vision Software Technologies
  • Visonex
  • Vituity
  • Vocera
  • Washington - Public Health Agencies
  • WebReach, Inc
  • WellSky
  • West Virginia - Public Health Agencies
  • Wisconsin - Public Health Agencies
  • Wolters Kluwer
  • Wyoming - Public Health Agencies
  • XIFIN
  • XSOLIS

Outgoing Ancillary Orders read the specOutgoing Ancillary Orders technical specification

Sends orders placed by a clinical user in EpicCare to external ancillary systems - including messages for new orders, order cancellations, and number assignment responses to externally-initiated orders. Use cases include: Send physician placed orders to external laboratory, radiology or cardiology systems, when not using Epic equivalent product. Send orders from Beaker, Epic's LIS, to an external LIS if test needs to be performed at another lab. Send orders to blood bank system from Beaker. To send orders to both an external lab system (not to Beaker) and an external radiology system (not Radiant, Epic's RIS), two copies of the interface are needed, one for each purpose.
Current integrations include
  • 3M
  • Abaxis
  • Abbott Diagnostics
  • Accuhealth
  • ACL Laboratories
  • ActX
  • ADL
  • Aegis Sciences Corporation
  • Agfa
  • AgileMD
  • Agiliti
  • Alameda County (CA) - Public Health Agencies
  • AlertMD
  • Allscripts
  • Alverno
  • Ambra Health
  • Ambry Genetics
  • AMEDTEC
  • American Well
  • Ameripath
  • Ameritox
  • AMGA
  • Anatechnic
  • Apollo
  • Apollo Laboratories
  • Apria
  • APS
  • ARAMARK
  • Arthrex
  • ARUP Laboratories
  • AS Software
  • Ascend Clinical
  • Astraia
  • athenahealth
  • Atlas
  • Aurora Diagnostics
  • autonik ab
  • Axis Clinical
  • Babyscripts
  • BardyDx
  • Basys Data
  • BD
  • Benetech
  • Biocoustics Instruments
  • Bio-Reference Laboratories, Inc
  • Bioscientia
  • BioTelemetry
  • Bódegro
  • Braid Health
  • BREG
  • Brightree
  • Buhlmann Labs
  • Cadwell
  • California - Public Health Agencies
  • Capital Solution Design
  • Cardiac Science
  • Cardinal Health WaveMark
  • CareDx
  • CareLogistics
  • CareSignal
  • CBL Path
  • CBORD
  • CellCura
  • Center for Disease Detection
  • Cerner
  • CGI
  • Change Healthcare
  • Citadel
  • Cleveland HeartLab, Inc.
  • Clinical Labs of Hawaii (CLH)
  • CliniSys MIPS
  • CoActiv Medical
  • Compass Group
  • CompuGroup Medical
  • Compumedics
  • Computer Trust Corporation
  • Consensus Medical Systems
  • Continuum Health Partners
  • CoPath
  • Cortex Medical Management Systems
  • Counsyl
  • CPL
  • CPSI
  • Current Health
  • CVS Pharmacy
  • Data Management Systems
  • Databyrån AB
  • DataStar Systems
  • Delaware - Public Health Agencies
  • Delta
  • DeRoyal
  • Deutsche Telekom
  • DFM Technologies
  • Diagnostic Lab Services, Inc.
  • Digisonics
  • DJO Global
  • DMDC
  • Dolbey
  • Dorner
  • DR Systems
  • DRUGSCAN
  • DXC Technology
  • Dynacare
  • E.Novation
  • Echosens
  • EDCO
  • EHS
  • Elekta
  • Emageon
  • Embla
  • EndoSoft
  • Envision Radiology
  • Epiphany
  • Esoterix
  • Esprit Health
  • Exact Sciences
  • Extract Systems
  • Fleischhacker
  • Focus Informatics
  • Foundation Medicine
  • Freeland
  • Fuel Medical
  • Fujifilm
  • GE
  • GeneDx
  • General Medical Laboratories
  • GENEVA HEALTH SOLUTIONS
  • Genial Genetics
  • Genzyme Corporation
  • GetWellNetwork
  • Glytec
  • Greenwood Genetics
  • Haemonetics
  • HalfPenny
  • Hasana
  • Healogics
  • Health Catalyst
  • Health Recovery Solutions
  • Hillrom
  • Hill-Rom
  • HLA Data Systems LLC
  • Horiba Medical
  • Hyland
  • iCRco
  • IDx
  • Illinois - Public Health Agencies
  • Illinois Bone and Joint Institute
  • Illinois Office of Health Information Technology
  • Illumina
  • In-Common Laboratories
  • Infinitt North America
  • Infor Global Solutions
  • Instrumentation Laboratory (Werfen)
  • Intelerad
  • Intelligent Business Solutions
  • InterSystems
  • InvisALERT
  • Invitae
  • Iodine Software
  • iRhythm
  • IRIS (Intelligent Retinal Imaging Systems)
  • ITxM
  • J&S Medical Associates
  • Karl Storz
  • Keriton Kare
  • Kestral
  • KIBI
  • Kodak
  • Konica Minolta
  • Kronos
  • LabCorp
  • Laboratory Services Cooperative
  • Laborie Medical Technologies
  • LabSoft
  • Labtech
  • Lexmark Enterprise Software
  • L-Force
  • Life Systems International
  • LifeImage
  • LifeLabs
  • LifePoint Health
  • Locus Health
  • Los Angeles County Public Health Laboratory
  • LUMEDX
  • Luxor Scientific
  • M*Modal
  • MagView
  • McKesson
  • MCR Technologies
  • MD Interconnect
  • MEDCOM Information Systems
  • Medical Diagnostic Laboraties
  • Medical Genetics Information System
  • Medically Home
  • Medicor Imaging
  • Medicus
  • Medify
  • Medinformatix
  • MediServe
  • Medisoft
  • Meditech
  • MedPlus
  • Medstrat
  • Medstreaming
  • Medtox
  • Medtronic
  • Merge Healthcare
  • MGC Diagnostics
  • MIET Healthcare
  • Millenium Health
  • Monarch Medical Technologies
  • Morgan Scientific
  • Mortara
  • MSF&W
  • Multidata
  • MURJ
  • MyLab
  • NantHealth
  • Natera
  • National Health Service
  • Natus
  • NEC
  • NeoGenomics
  • Netsoft, Inc.
  • New York - Public Health Agencies
  • Nihon Kohden
  • Northwell Health
  • Novacair
  • NovaRad
  • Novartis
  • NovaSom
  • NovoPath
  • nSpire
  • Nuance Communications
  • Olympus Endoworks
  • Olympus Medical Systems
  • Omron
  • OneOme
  • Ontario Ministry of Health
  • Optopol Technology
  • Optum
  • Oracle
  • OralDNA
  • Orchard Software
  • Oregon - Public Health Agencies
  • Orion Health
  • OTTR Chronic Care Solutions
  • Oxford Diagnostic Laboratories
  • Oxford Health Plans
  • Oxford Immunotec
  • OZ Systems
  • Palo Alto Pathology
  • Pangaea Information Technologies
  • Parkland Center for Clinical Innovation
  • PathGroup
  • Pathology Associates Medical Laboratories
  • PathView Systems
  • Patient Engagement Advisors
  • Pentax
  • Perkin Elmer
  • Philips
  • PierianDx
  • Polaris Health
  • Precision Genetics
  • Premier
  • Preventice
  • Progenity, Inc.
  • ProPath
  • ProSolv CardioVascular
  • ProVation Medical
  • Psyche
  • Puritan Bennett
  • QuadraMed
  • Quest Diagnostics
  • Qventus
  • Radiometer America
  • RadNet
  • Radsource
  • RAYUS
  • Redox
  • Region Midtjylland Microbiology Department
  • Regional Medical Laboratory
  • Relay Health
  • Relaymed
  • ResMed
  • RMI Physician Services Corporation
  • Royal Solutions Group
  • RVC
  • Salesforce
  • SanaNet
  • SAP
  • SCC Soft Computer
  • Schuyler House
  • Scientific Software Solutions
  • ScImage
  • ScottCare
  • Sectra
  • Sema4
  • Siemens
  • Skylight
  • Smiths Medical
  • SoftLink International
  • SoftMed
  • Somnoware
  • SONIFI Solutions
  • Sonomed Escalon
  • South Carolina - Public Health Agencies
  • Spacelabs
  • Stanford School of Medicine
  • Sunquest
  • Sunrise Medical Laboratories
  • Symplr
  • SystemLink
  • Tacoma Radiology Associates
  • TELCOR
  • TeleTracking
  • Telexy HealthCare
  • TelmedIQ
  • Tempus
  • Tenet Healthcare Corporation
  • Teramedica
  • Texas - Public Health Agencies
  • The Advisory Board
  • TheraDoc
  • Timeless Medical Systems
  • Topcon Medical Systems
  • Transolutions
  • TridentUSA
  • TSI
  • TVR Communications
  • Twistle
  • United Medical Imaging Healthcare
  • United States Drug Testing Laboratories, Inc
  • University of California
  • University of Minnesota Advanced Research and Diagnostic Laboratory
  • Varian Medical Systems
  • VaxCare
  • vChart
  • Velos
  • Vibra Healthcare
  • Vignette
  • Viracor-IBT Laboratories
  • Virtual Radiologic
  • Vision Chips
  • VISUS
  • VitalAxis
  • VitalTech
  • Vivify Health
  • Vocera
  • Vyaire Medical
  • Waba
  • Wellbeing Software
  • WellSky
  • WestCall
  • WestPac Labs, Inc.
  • WiserCare
  • XSOLIS
  • Yellowstone Pathology Institute (YPI)
  • Yenlo
  • Zeiss
  • ZorgDomein
  • Zotec Partners

Incoming Blood Product Matching to BPAM read the specIncoming Blood Product Matching to BPAM technical specification

This interface is included with the Blood Product Administration Module and facilitates matching (positive patient identification with blood) of blood products received from an external blood bank system.
Current integrations include
  • Bloodworks Northwest
  • Bódegro
  • Cerner
  • Citadel
  • CliniSys MIPS
  • CompuGroup Medical
  • Diagnostic Lab Services, Inc.
  • Dorner
  • Haemonetics
  • ITxM
  • McKesson
  • Meditech
  • MyLab
  • Orchard Software
  • Philips
  • SCC Soft Computer
  • Sunquest
  • Sussex Biologicals
  • WellSky

Incoming Results from Lab Instruments read the specIncoming Results from Lab Instruments technical specification

Receives test results from instruments into Beaker, Epic's LIS. This is also the interface to use to receive point of care testing results, such as from docked glucometer systems, into Beaker.
Current integrations include
  • Abaxis
  • Abbott Diagnostics
  • Accelerate Diagnostics
  • Acuo Technologies
  • Advanced Instruments, Inc.
  • Agilent
  • Alfa Wassermann
  • Allscripts
  • Analys Instrument - Streck Laboratories
  • Arkray Clinical Diagnostics
  • BD
  • Beckman Coulter, Inc
  • Bio-chrome
  • bioMerieux, Inc.
  • Bio-Rad Laboratories
  • Bruker
  • CellaVision
  • Cepheid
  • Cerner
  • Clinical Diagnostic Solutions
  • ClinLab
  • Copan Diagnostics
  • Dako
  • Data Innovations
  • Dawning
  • Diagnostica Stago
  • DiaSorin Biomedia
  • Dynex Technologies
  • ePath Logic, Inc.
  • Gateway Electronic Medical Management Systems
  • GE
  • Giles Scientific, Inc.
  • Haemonetics
  • Helena Laboratories
  • HemoCue
  • Hitachi
  • Hologic
  • Hologic Gen-Probe, Inc.
  • Horiba Medical
  • Illinois Office of Health Information Technology
  • Immucor
  • Inova Diagnostics (Werfen)
  • Inspirata, Inc
  • Instrumentation Laboratory (Werfen)
  • Iris
  • ITC
  • Kuali
  • LabConco
  • LabCorp
  • Leica
  • Luminex
  • Macro Helix
  • Magellan Diagnostics
  • McKesson
  • Medica Corporation
  • MedicaLogic
  • Medtox
  • Medtronic
  • Meridian Bioscience
  • NantHealth
  • Nova Biomedical
  • Nova Diagnostic
  • Nuance Communications
  • Olympus America
  • Ortho-Clinical Diagnostics, a Johnson & Johnson Company
  • Perkin Elmer
  • Phadia
  • Philips
  • PolyMedCo Inc.
  • Premier
  • Qiagen
  • Radiometer America
  • Roche Diagnostics
  • Rotem
  • RR Mechatronics
  • Sakura
  • SCC Soft Computer
  • Sebia
  • Siemens
  • SNAPS Solution
  • Sybase
  • Sysmex Corporation
  • TELCOR
  • Thermo Fisher Scientific
  • TliIQ System
  • Tosoh Medics
  • Trinity Biotech
  • Valab
  • Ventana Medical Systems
  • Vital Diagnostics
  • Waters Corporation
  • WellSky
  • Zeus Scientific

Outgoing Lab Instrument Orders read the specOutgoing Lab Instrument Orders technical specification

Sends information about new or canceled laboratory orders from Beaker, Epic's LIS, to an instrument. This is also the interface to use for Point of Care testing with Beaker, for example, docked glucometer systems. It can trigger messages when a new specimen is received, a test is reordered, an add-on test is ordered for a specimen that has already been received, or a test is canceled.
Current integrations include
  • Abbott Diagnostics
  • Ameripath
  • Beckman Coulter, Inc
  • bioMerieux, Inc.
  • Bruker
  • Dako
  • Data Innovations
  • Dawning
  • Diagnostica Stago
  • ePath Logic, Inc.
  • Haemonetics
  • Instrumentation Laboratory (Werfen)
  • Iris
  • Leica
  • Ortho-Clinical Diagnostics, a Johnson & Johnson Company
  • Phadia
  • Philips
  • Radiometer America
  • Roche Diagnostics
  • Sectra
  • Siemens
  • Sysmex Corporation
  • TELCOR
  • Ventana Medical Systems
  • Wolters Kluwer

Incoming Orders from CPOE Systems read the specIncoming Orders from CPOE Systems technical specification

Receives orders from external ordering systems. The interface can create, update, or cancel orders. Common use cases are routing lab orders to Beaker (Epic's LIS), radiology orders to Radiant (Epic's RIS), or cardiology orders to Cupid (Epic's CVIS). Some integrations may additionally require either an Incoming Patient Administration interface to create or update patient records or a incoming query to look up patient information before sending the order message.
Current integrations include
  • 4medica
  • Accumen
  • Allscripts
  • Ambra Health
  • American Well
  • ARUP Laboratories
  • athenahealth
  • Atlas
  • Avatar Solutions
  • Avinty
  • Bódegro
  • Cerner
  • Change Healthcare
  • ChipSoft
  • CliniSys MIPS
  • CognisantMD
  • Corepoint Health
  • Corista
  • Cority
  • CureMD
  • Databyrån AB
  • DXC Technology
  • Dynacare
  • eClinicalWorks
  • Elekta
  • ELLKAY
  • Elsevier
  • Epiphany
  • Flare Health
  • Foundation Medicine
  • Fresenius Medical Care
  • Fujifilm
  • Fulgent Genetics
  • GE
  • GeniusDoc
  • GERRIT
  • Greenway Health
  • HalfPenny
  • Health Catalyst
  • Hyland
  • I.R.I.S.
  • ImageMoverMD
  • iMDsoft
  • In-Common Laboratories
  • Indigo 4 Systems
  • Infian
  • It Starts With Me Health
  • KaZee
  • LabCorp
  • LifeImage
  • LifeLabs
  • LifePoint Health
  • McKesson
  • MEDENT
  • MEDHOST
  • Meditech
  • Mitem
  • Mountain Star Clinical Laboratories
  • MURJ
  • MyLab
  • NaphCare
  • National Health Service
  • Net Health Systems
  • Netsmart
  • NextGen
  • Nuance Communications
  • Occupational Health Research
  • Ohio - Public Health Agencies
  • Ontario Ministry of Health
  • Orchard Software
  • Orion Health
  • PathGroup
  • Pathology Associates Medical Laboratories
  • Philips
  • Point and Click Solutions
  • Primetime Medical Software
  • Quest Diagnostics
  • ReadySet Surgical
  • Relay Health
  • Royal Devon and Exeter
  • SCC Soft Computer
  • SCI
  • Sectra
  • Select Medical
  • Shields Health Care Group
  • Softmedex
  • Sunquest
  • Sunrise Medical Laboratories
  • TeamHealth
  • Telexy HealthCare
  • The Rehabilitation Hospital of Montana
  • ThinAir Data Corp.
  • Tieto
  • Vanderbilt University
  • Varian Medical Systems
  • Vibra Healthcare
  • virtuwell
  • Vyne Medical
  • WebReach, Inc
  • WellSky
  • Zipnosis
  • ZorgDomein

Incoming Ancillary Results read the specIncoming Ancillary Results technical specification

The Epic EHR 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
  • Change Healthcare
  • 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
  • EndoSoft LLC
  • Epiphany Cardio Server ECG Management System
  • eScription
  • Extract Systems LabDE
  • Fort Wayne Medical Laboratory Reference Lab
  • Fujifilm Synapse PACS
  • 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.

Discrete Genomic Results read the specDiscrete Genomic Results technical specification

Discrete genomic results file to Epic via the Incoming Ancillary Results interface. To include discrete genomic data as a part of the test's result, specifically formatted OBX segments must be included on the result (ORU^R01) message. These OBX segments follow the representation for discrete genomic data published in the HL7 Version 2.5.1 Implementation Guide: Lab Results Interface (LRI), Release 1 and the supported data elements are outlined in the specification document.

Digital Pathology read the specDigital Pathology technical specification

The integration between Beaker, Epic's lab software, and an image-management system for the digital pathology workflow utilizes the Outgoing Lab Instrument Orders and the Incoming Lab Instrument Results interfaces. Beaker sends patient, case, and slide information and receives image availability notifications to enable whole slide imaging workflows.