Clinical Information

Sending and receiving clinical data.

HL7v2

Traditional HL7v2 interfaces can cover all types of clinical findings for patients already established within the EMR.

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

Outgoing Documentation read the specRead the technical specs

In this scenario, a user documents a note in the Epic EMR. This interface notifies external systems and sends notes and transcriptions as they are saved and modified. It can also send a document summary after an outpatient encounter is closed. This interface sends this content as an HL7 v2 MDM message. The content can be plain text, rich text, or an embedded PDF document. This interface sends text. Different interfaces can send Consolidated Clinical Document Architecture-built Continuity of Care (C-CDA) Documents.
Current integrations include...
  • 3M
  • Allscripts
  • Argus
  • Arkansas Office of Health Information Technology
  • Axolotl
  • Bronx Regional Health Information Organization
  • C/NET Solutions
  • Caradigm
  • CareEvolution
  • CareEvolve
  • Carolina eHealth Alliance
  • Cerner
  • Chesapeake Regional Information System for Our Patients
  • CliniWorks
  • Collective Medical Technologies
  • Conduent
  • Delaware Health Information Network
  • DiaSorin Biomedia
  • Dinmar
  • Dolbey
  • E.Novation
  • ECIN
  • eClinicalWorks
  • Eclipsys
  • EDIMS
  • Elekta
  • Envision
  • ESO Solutions
  • Exan Academic
  • Gateway Electronic Medical Management Systems
  • GE
  • GeniusDoc
  • Great Lakes Health Information Exchange
  • Greenway Health
  • Harris
  • HealthBridge
  • HealtheCNY
  • HEALTHeLINK
  • HealthHIE Nevada
  • HealthInfoNet
  • IBM
  • iMDsoft
  • Infinity Healthcare
  • Iodine Software
  • IQMax
  • Kansas Health Information Network
  • Lexmark Enterprise Software
  • LVM Systems
  • Lynx Medical Systems
  • M*Modal
  • Manifest Medex
  • McKesson
  • Med2020 Health Care Software Inc.
  • MedData
  • MEDENT
  • Medicity
  • MediServe
  • Meditech
  • MedPlus
  • Medtronic
  • Michigan Health Connect
  • Microsoft
  • Milliman
  • MobileMD
  • Morrisey
  • MyHealth Access Network
  • National Institutes of Health
  • naviHealth
  • Nebraska Health Information Initiative
  • NextGen
  • North Carolina Division of Public Health
  • North Carolina Health Information Exchange Authority
  • nThrive
  • Nuance Communications
  • Occupational Health Research
  • Ohio Health Information Partnership
  • Ontario Ministry of Health
  • Ontario Patient Data Reporting
  • OntarioMD
  • Optum
  • Orion Health
  • OTTR Chronic Char Solutions
  • Pangaea Information Technologies
  • Parkland Center for Clinical Innovation
  • Pascal Metrics
  • Philips
  • Photon Medical Communications
  • Picis
  • PLATOCODE
  • QuadraMed
  • Quovadx
  • Relay Health
  • Rochester Regional Health Information Organization
  • SapphireHealth
  • Sentri7
  • Siemens
  • Softek Solutions, Inc.
  • SoftMed
  • South Dakota Department of Health
  • Spheris
  • SRS
  • Stanford School of Medicine
  • Surescripts
  • Synedra
  • Techxx
  • TeleResults
  • TheraDoc
  • Truven Health
  • Utah Health Information Network
  • Varian Medical Systems
  • VigiLanz
  • WebReach, Inc
  • XSOLIS

Incoming Problem List read the specRead the technical specs

The incoming problem list interface is used to add, modify, or remove problems from the patient-level problem list. This interface works specifically with the longitudinal problem list, not problems specific to a particular hospitalization. At this point, this integration has been implemented only for conversions or with our organization's in-house products.

Outgoing Problem List read the specRead the technical specs

The outgoing problem list sends notification of added, modified, or deleted problems from the patient-level problem list in the EMR to an external system. This interface works specifically with the longitudinal problem list, not problems specific to a particular hospitalization.
Current integrations include...
  • Allscripts
  • Axians
  • CareEvolution
  • Harris
  • JVION
  • Microsoft
  • MyHealth Access Network
  • XSOLIS

Incoming Clinical Observations read the specRead the technical specs

Receives and processes clinical observations (vitals, past medical history, smoking history, and so on), that do not fit into other tools. This interface is typically used for filing clinical data for the purposes of a conversion. The Incoming Documentation Flowsheet interface is recommended if the data will only file to a documentation flowsheet.
Current integrations include...
  • Astraia
  • Eclipsys
  • GE
  • Lameris Ootech
  • PDHI
  • Salesforce.com

Incoming Device Data read the specRead the technical specs

In this scenario, the Epic EMR receives discrete measurements from patient monitoring and documentation devices. The messages file to an application where the data can be validated by the user and added to the patient's chart. This type of integration is usually done with device aggregators to file samples from continuous physiological monitoring. It is not typically used for consumer-initiated monitoring or home monitoring. Test your implementation with our HL7 V2 Validator.
Current integrations include...
  • 3M
  • Acutronic Medical
  • Amazon
  • B. Braun
  • BARD EP
  • Bard Medical
  • Baxter
  • Bayer Healthcare
  • BD
  • Bernoulli
  • BMA
  • Capsule Technologies
  • Cardiac Science
  • CASMED
  • Cerner
  • Cheetah Medical
  • Clinical Computer Systems, Inc.
  • CooperSurgical
  • CorVascular
  • Criticare Technologies
  • Deltex Medical
  • Dräger
  • Edwards LifeSciences
  • Excel Medical
  • Fresenius Medical Care
  • Fukuda Denshi
  • Gambro
  • Gateway Electronic Medical Management Systems
  • GE
  • Hamilton Medical
  • Heinen + Löwenstein
  • Hill-Rom
  • Hutchinson Technology
  • ICU Medical
  • INOmax
  • K2 Medical Systems
  • LiDCO
  • LivaNova
  • Maquet
  • Masimo
  • McKesson
  • MDI Solutions
  • Medtronic
  • Midmark
  • Mindray
  • Mobile Aspects
  • NantHealth
  • NeurOptics
  • Nihon Kohden
  • Nonin Medical
  • NxStage
  • Penlon
  • Perigen
  • Philips
  • PULSION Medical Systems
  • Puritan Bennett
  • Quest Diagnostics
  • Radiometer America
  • Roche Diagnostics
  • SenTec
  • Siemens
  • Sotera Wireless
  • Spacelabs
  • Spectrum Medical
  • Stryker
  • Teleflex
  • Terumo
  • Transcend
  • Viasys Healthcare
  • Vyaire
  • Welch Allyn
  • ZAN

Outgoing Documentation Flowsheet Data read the specRead the technical specs

In this scenario, a user documents in a flowsheet in the Epic EMR. This data is then sent to the external system. Typically, this data is recorded by a nurse during a hospitalization.
Current integrations include...
  • 3M
  • Advanced ICU Care
  • AgileMD
  • Allscripts
  • Anatechnic
  • API Healthcare
  • Atlas
  • Axians
  • Bernoulli
  • Bronx Regional Health Information Organization
  • Capsule Technologies
  • Caradigm
  • CareEvolution
  • CareLogistics
  • CBORD
  • Cerner
  • Clairvia
  • Clevermed
  • Clinical Computer Systems, Inc.
  • CMS
  • Conduent
  • Decisio Health
  • ECIN
  • Elekta
  • Elsevier
  • ESO Solutions
  • GE
  • GetWellNetwork
  • Harris
  • Hill-Rom
  • ICNet
  • iMDsoft
  • Infor Global Solutions
  • IntelliDose
  • Iodine Software
  • IQMax
  • JVION
  • K2 Medical Systems
  • Kronos
  • Landacorp
  • M*Modal
  • MagView
  • McKesson
  • MCR Technologies
  • MDI Solutions
  • MEDECS
  • MediServe
  • MercuryMD
  • Michigan Health Connect
  • Microsoft
  • Monarch Medical Technologies
  • Morrisey
  • National Institutes of Health
  • Natus
  • naviHealth
  • NewCompliance
  • NowPow
  • Nuance Communications
  • Ohio Health Information Partnership
  • Ontario Patient Data Reporting
  • Optum
  • Orion Health
  • Pangaea Information Technologies
  • Parkland Center for Clinical Innovation
  • Pediatrix
  • Perahealth
  • Perigen
  • Philips
  • PLATOCODE
  • Premier
  • QuadraMed
  • QVENTUS
  • Rauland
  • RLDatix
  • SAP
  • ScanMed
  • Sentri7
  • Sodexo
  • SONIFI Solutions
  • Spok
  • TeleHealth Services
  • TeleTracking
  • TheraDoc
  • Theronyx
  • TIBCO
  • Uniform Data Systems
  • VigiLanz
  • Visicu
  • Vocera
  • Wolters Kluwer
  • XSOLIS

Incoming Documentation Flowsheet Data read the specRead the technical specs

In this scenario, the Epic EMR receives discrete measurements documented and validated in another system. Unlike the Incoming Device Data interface, this data is filed without intervention and is typically documented by a human (not a device) in an external system. This data changes over time and the change is clinically relevant - for example, a cervical exam performed on a laboring patient.
Current integrations include...
  • 3M
  • Abbott Diagnostics
  • Aduro Life
  • Allscripts
  • AMC Health
  • Anthem
  • Appriss
  • Astraia
  • Atlas
  • Avizia
  • BabyScripts
  • BD
  • Biocoustics Instruments
  • Capsule Technologies
  • Caraflow
  • Cardiac Science
  • Cardinal Health
  • Cardiocom
  • CareLogistics
  • Cerner
  • Clinical Computer Systems, Inc.
  • Conduent
  • Diametrics Medical
  • Digisonics
  • DXC Technology
  • Elsevier
  • Epiphany
  • FOTO Inc.
  • Fresenius Medical Care
  • GE
  • Gecko-ict
  • GetWellNetwork
  • Glytec
  • Growth Analyser
  • Health Recovery Solutions
  • Healthloop
  • Hill-Rom
  • Honeywell (Intermec)
  • Hyland Software
  • Infor Global Solutions
  • InteGreat
  • InterSystems
  • JVION
  • Kryptiq
  • LM Software
  • Logis Solutions
  • LUMEDX
  • Masimo
  • McKesson
  • MDI Solutions
  • MDRevolution
  • MediServe
  • Meditech
  • Medtronic
  • MGC Diagnostics
  • Microsoft
  • Mindray
  • Monarch Medical Technologies
  • Morrisey
  • Mortara
  • MyHealth First Network
  • naviHealth
  • Nihon Kohden
  • NowPow
  • Numera
  • PAAMOST
  • Parkland Center for Clinical Innovation
  • PenRad
  • Perahealth
  • Perigen
  • Philips
  • Picis
  • ProSolv CardioVascular
  • QVENTUS
  • Rauland
  • Rehab Documentation Company, Inc.
  • ResMed
  • RoQua
  • Salesforce.com
  • ScottCare
  • Serial Multivision
  • Softmedex
  • Spectrum Medical
  • Telcare
  • TELCOR
  • TeleTracking
  • Timeless Medical Systems
  • Tonic Solutions Inc.
  • TVR Communications
  • Universal Research Solutions, LLC
  • Vanderbilt University
  • Viasys Healthcare
  • Vivify Health
  • Welch Allyn
  • XSOLIS

Home Monitoring Device Interfaces read the specRead the technical specs

This family of HL7v2 interfaces is used to manage a home-monitoring program in which the clinician provides a home monitoring device to the patient and instructs him to record his findings over time. Typically, the device and its readings are managed by a device data concentrator, which collects data through a base station and then sends it to the EMR.
Current integrations include...
  • AMC Health
  • Cardiocom
  • Data Innovations
  • Health Recovery Solutions
  • Honeywell (Intermec)
  • Medtronic
  • Numera
  • Philips

Incoming Infusion Documentation read the specRead the technical specs

Receives discrete measurements from an infusion pump gateway associated with the administration of an infusion order. This is an advanced interface with a particular set of prerequisites for successful implementation.
Current integrations include...
  • B. Braun
  • Baxter
  • BD
  • Capsule Technologies
  • Fresenius Medical Care
  • ICU Medical
  • NantHealth

Incoming Medication Administration Notification read the specRead the technical specs

Files administration information to a medication order created and acted on in an external system. The read-only orders appear on the MAR for reference.

Outgoing Infusion Orders read the specRead the technical specs

Sends infusion order details to infusion pump gateways for the purposes of prepopulating infusion parameters on associated infusion pumps. When an infusion order message is sent on the Outgoing Infusion Orders interface, an immediate response is expected back from the infusion pump gateway via the Incoming Verification interface. These are advanced interfaces with a particular set of pre-requisites for successful implementation.
Current integrations include...
  • B. Braun
  • Baxter
  • BD
  • ICU Medical

Incoming Patient Education Interface read the specRead the technical specs

This interface integrates Epic's Patient Education activity with a third-party education content management or content delivery system. The interface is used to record if the patient has completed an educational assignment, and it can also be used to record ad hoc educational activities that were not assigned by the clinician.
Current integrations include...
  • EMMI Solutions
  • GetWellNetwork
  • OneView
  • Optimal Solutions
  • Redox
  • Skylight
  • SONIFI Solutions
  • TeleHealth Services

Outgoing Patient Education Interface read the specRead the technical specs

This interface integrates Epic's Patient Education activity with a third-party education content management or content delivery system. The interface is used to send clinician-initiated education assignments to the third-party system so the patient can view or act on the content there.
Current integrations include...
  • API Healthcare
  • EMMI Solutions
  • GetWellNetwork
  • OneView
  • Optimal Solutions
  • QuadraMed
  • Redox
  • Skylight
  • SONIFI Solutions
  • TeleHealth Services

Outgoing Medication Administration Notification read the specRead the technical specs

Sends medication administration notification when a clinician marks a medication as administered on the MAR. This interface also sends updates regarding prior administrations, and change of status notifications for medications previously marked as administered. It does not send due times for medications that need to be administered in the future. The interface does not send messages when clinicians document the administration of blood products on the MAR or patient-controlled analgesia (PCA) medications on a documentation flowsheet.
Current integrations include...
  • BD
  • Bronx Regional Health Information Organization
  • CenterX
  • Clinical Computer Systems, Inc.
  • Conduent
  • Decisio Health
  • ECIN
  • GE
  • GetWellNetwork
  • HMS
  • IBM
  • Infor Global Solutions
  • Iodine Software
  • MedMined
  • Midas
  • Omnicell
  • Parkland Center for Clinical Innovation
  • Philips
  • Premier
  • QVENTUS
  • Sentri7
  • Softmedex
  • TheraDoc
  • VigiLanz
  • Visicu
  • XSOLIS

Incoming Blood Product Matching to BPAM read the specRead the technical specs

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
  • CompuGroup Medical
  • Dorner
  • Haemonetics
  • McKesson
  • Meditech
  • MIPS
  • Orchard
  • Philips
  • SCC
  • Sunquest
  • Sussex Biologicals
  • WellSky

Outgoing Scanned Document Link Maintenance read the specRead the technical specs

Sends updated document link keywords to an exernal document management system (DMS) when key information about where the content is located changes, for example, if a scan that originated in the DMS is moved from one encounter to another by HIM Chart Correction processes.
Current integrations include...
  • Hyland Software
  • Lexmark Enterprise Software
  • MedPlus

Incoming Procedure Log Data read the specRead the technical specs

This interface is used for cardiac catheterization, electrophysiology, and interventional radiology procedures. When Epic's procedure log (Cupid) is used for intra-procedure documentation, this interface links data from a hemodynamic product that collects vitals and pressures during the procedure. This interface can file information to flowsheets and free-text events so that it appears on the Cupid procedure log.
Current integrations include...
  • GE
  • McKesson
  • Medtronic
  • Merge
  • Philips
  • Siemens
  • St. Jude's

Incoming Injectable Medication Documentation read the specRead the technical specs

Files injectable medication administration information from intravenous drug delivery devices directly to a patient's medication administration record (MAR). This eliminates the need to manually enter medication and dosage information, which increases accuracy and enables clinicians to focus on patient care. A dedicated copy of the Outgoing Patient Administration interface is required to associate the external medication management system-usually a tablet computer linked to a specific medication administration device-to a patient and workstation. This linkage enables the Incoming Injectable Medication Documentation interface to file the medication administration information to the correct patient record. Requires Anesthesia or similar application license.

Outgoing Blood Transfusion Status Notification read the specRead the technical specs

Sends transfusion notifications to external Blood Bank systems so that blood banks can update their records when a given blood unit is transfused. To use this interface, your organization must document the unit number and product code for blood transfusions using the Blood Product Administration Module.
Current integrations include...
  • SCC
  • Sussex Biologicals
  • WellSky

Incoming Transcriptions read the specRead the technical specs

In this scenario, an external system has findings in a text or image format. These findings are either observations from a given contact with a patient (such as a visit or a hospitalization) or observations specific to a clinical order. Traditionally, this interface was used to match dictations with their eventual transcription (hence the name), but it can be used for a broader range of clinical findings. The EMR receives and files documents from a transcription system, scanned documents from an external document management system, or notes generated in another clinical system. This interface is often used for clinical findings that don't neatly fit into more specific data elements. Notes created or updated by the transcription interface can trigger deficiency updates.

If your intent is to file findings against a specific order, please email us to learn more. Other interfaces may be more appropriate for your use case.
Current integrations include...
  • 3M
  • abeo
  • Accutype Medical Services
  • Acusis
  • Advanced ICU Care
  • Agfa
  • Allscripts
  • American Well
  • Amphion Medical
  • ARUP
  • AS Software
  • Athena Health
  • Axolotl
  • Becton Dickinson
  • Bottomline
  • Breitner
  • Bright.md
  • Bronx Regional Health Information Organization
  • CardioCom
  • CBAY
  • Cerner
  • CGI
  • Collective Medical Technologies
  • Conduent
  • CoPath
  • Corepoint Health
  • CORI
  • Crescendo Systems Corporation
  • Cybernius Medical Ltd.
  • Delaware Health Information Network
  • Dentrix
  • Dolbey
  • DR Systems
  • Easy Software
  • ECIN
  • eClinicalWorks
  • Eclipsys
  • eHealth Technologies
  • Elekta
  • EMC2
  • EMDAT
  • emsCharts
  • EndoSoft
  • ESO Solutions
  • Flatiron
  • Fresenius Medical Care
  • Fysicon
  • GE
  • HalfPenny
  • Healogics
  • HealthBridge
  • Heartland Information Services
  • Hypertype
  • IBM
  • ifa systems
  • iGuana
  • iMDsoft
  • iMedX
  • InterSystems
  • Isoprime
  • KnowledgeLake
  • Krames
  • Kryptiq
  • Lanier
  • LVM Systems
  • M*Modal
  • Mammography Reporting System
  • McKesson
  • MDLIVE
  • MDnetwork
  • Medical Data Systems
  • Medical Measurement Systems
  • Medicity
  • MediServe
  • Meditech
  • MedPlus
  • Med-Scribe
  • MedWrite Transcription
  • Merge
  • MGC Diagnostics
  • Microsoft
  • Morrisey
  • Nebraska Health Information Initiative
  • Net Health Systems
  • NextGen
  • Nihon Kohden
  • NovoPath
  • NowPow
  • nSpire
  • nThrive
  • Nuance Communications
  • Ohio Health Information Partnership
  • Olympus Endoworks
  • Optum
  • Orion Health
  • Ortech
  • OTTR Chronic Char Solutions
  • OzeScribe
  • PatientPing
  • PDHI
  • Pediatrix
  • Pentax
  • Philips
  • Picis
  • Polaris Health
  • ProType
  • ProVation Medical
  • Public Health Agency
  • Puritan Bennett
  • QuadraMed
  • Quest Diagnostics
  • Relay Health
  • Renesan Software
  • Rosch Visionary Systems
  • RVC
  • Salesforce.com
  • Scan One
  • SCC
  • ScottCare
  • Siemens
  • SoftMed
  • Softmedex
  • SoftScript, Inc.
  • SolCom
  • Spheris
  • Stb Zorg
  • Streamline Health
  • Summit Imaging
  • Sunquest
  • SystemLink
  • TeleHealth Services
  • TeleResults
  • The IPC Group
  • Transcend
  • TransDyne
  • UAMS
  • UTECH
  • Varian Medical Systems
  • vChart
  • Velos
  • Via Oncology
  • Vignette
  • virtuwell
  • Visicu
  • Vision Chips
  • Vynca
  • Vyne Medical
  • WebMedX
  • Wellsoft
  • Winscribe
  • Zipnosis
  • Zoll
Receives and files scan pointers from an external document management system. This interface does not file textual data intended for use in Radiant or Cupid; those documents must be processed by the Incoming Ancillary Results and Orders interface set up as an Incoming Ancillary Results and Orders - Imaging interface. Messages must be in HL7 MDM format. Documents processed by this interface can satisfy deficiencies in the Health Information Module.
Current integrations include...
  • 3M
  • Allscripts
  • Alpha Systems
  • Ambra Health
  • Ameripath
  • Amkai
  • ARUP
  • Athena Health
  • Bard Medical
  • Bernoulli
  • Biocoustics Instruments
  • Bright.md
  • Cardea Technology
  • Cardiac Science
  • CardioNet
  • Carevive
  • CBAY
  • Cedaron
  • Cerner
  • CGI
  • Citra Health Solutions
  • ClickView
  • Collective Medical Technologies
  • Conduent
  • Counsyl
  • Dentrix
  • Digisonics
  • Dolbey
  • DR Systems
  • Easy Software
  • EDCO
  • eHealth Technologies
  • Elekta
  • Elsevier
  • EMC2
  • emsCharts
  • EndoSoft
  • Epiphany
  • ePreop
  • ESO Solutions
  • Excel Medical
  • Extract Systems
  • FOTO Inc.
  • Fresenius Medical Care
  • Fuel Medical
  • Fuji
  • GE
  • Gene42
  • Genzyme Corporation
  • Healogics
  • HealthCare Clinical Laboratories
  • Healthloop
  • Hyland Software
  • IBM
  • iGuana
  • iMDsoft
  • IntelliDose
  • Intrascripts
  • INVIA Solutions
  • KnowledgeLake
  • LabCorp
  • Lanier
  • Life Systems International
  • LUMEDX
  • LVM Systems
  • McKesson
  • MDnetwork
  • MDRevolution
  • MEDHOST
  • Meditech
  • MedPlus
  • Medstreaming
  • Medtronic
  • Merge
  • MGC Diagnostics
  • Microsoft
  • Modernizing Medicine
  • Monarch Medical Technologies
  • Mortara
  • MSF&W
  • naviHealth
  • Net Health Systems
  • nThrive
  • Nuance Communications
  • Olympus Endoworks
  • PACSGear
  • Philips
  • ProVation Medical
  • QuadraMed
  • Quest Diagnostics
  • Redox
  • Rehab Documentation Company, Inc.
  • RVC
  • Scan One
  • Scientific Software Solutions
  • ScottCare
  • Siemens
  • SOC Telemed
  • SoftMed
  • SolCom
  • SourceCorp
  • Spectrum Medical
  • St. Jude's
  • Streamline Health
  • Stryker
  • Sunquest
  • Synedra
  • SystemLink
  • Taylor Healthcare
  • TriZetto Provider Solutions, a Cognizant Company
  • TSI
  • Uniform Data Systems
  • Urotex
  • USA
  • UTECH
  • Varian Medical Systems
  • Viasys Healthcare
  • Vignette
  • Vyne Medical
  • XSOLIS
  • Xtract Solutions

Smoking Cessation Integration read the specRead the technical specs

This is a group of three interfaces that together can be used to integrate with quit line vendors to communicate an order for cessation counseling, and receive in response the followup documented by the quit line and any medications, such as nicotine gum, given to the patient as part of the protocol.
Current integrations include...
  • California State Quit Line
  • National Jewish Health
  • Optum

Electronic Fetal Monitoring

This family of HL7v2 and other interfaces is used to integrate electronic fetal monitoring systems more tightly with inpatient workflows in the Epic EMR. The interfaces control establishing a shared identity with the EFM system, transmitting monitor vitals information from the fetal monitor to Epic, and associated documentation done in Epic with the fetal strip.
Current integrations include...
  • CCSI OBIX
  • GE Centricity Perinatal
  • Hill-Rom NaviCare WatchChild
  • PeriGen
  • Philips OB TraceVue