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.

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 ChartLinc, 3M ChartScript, 3M Home Health
  • 4S Informational Systems Dawn Anticoagulation Managment
  • AS Software AS-ObGyn
  • Acusis Medical Transcriptions
  • Advanced ICU Care VISICU
  • Agfa Heartlab Encompass
  • Allgeier MedicalViewer
  • Allscripts Allscripts Care Management, Allscripts EHR, Allscripts EmSTAT
  • Alpha Systems ImageWorks
  • Ameripath Anatomic Pathology
  • Ampheon Medical Triton
  • Arrendale TA+
  • Axolotl Elysium EMR
  • Breitner
  • Bronx Regional Health Information Organization BronxRHIO
  • CBAY CBAY Transcription Services
  • CGI PDM, CGI Sovera
  • CORI
  • Cardea Technology BoneStation
  • CardioComm Omnivisor
  • Cardone Record Services MRView
  • Cerner BeyondNow HomeWorks/RoadNotes, Cerner Millennium FirstNet, Cerner Millennium PowerChart Office, Cerner Millennium PowerChart/PowerOrders/CareNet, Cerner Millennium RadNet
  • CoPath
  • Crescendo Systems Corporation MedRite-XL
  • Dentrix DXOne System
  • Digisonics OB-View
  • Digitech Systems PaperVision
  • Dolbey Fusion Text
  • ECIN ExtendedCare Utilization and Case Management
  • EDCO Health Information Solutions - Solarity
  • eHealth Technologies eHealth Connect Image Workflow Solutions
  • EMC2 Documentum
  • EMDAT InScribe, EMDAT Transcription Network
  • emsCharts
  • Eclipsys Sunrise Clinical Manager, Eclipsys XA
  • Elekta Mosaiq, Elekta PowerPath Anatomic Pathology
  • Emageon Vericis (Camtronics)
  • EndoSoft LLC
  • Fysicon CVIS
  • GE Centricity EMR, GE Centricity PACS, GE Lunar iDXA
  • GMT Document Manager
  • HMI HealthMedia
  • HealthBridge Information Exchange
  • Horizon
  • Hudson Medical
  • Hyland Software OnBase
  • IBM FileNet
  • Iatric Systems
  • iMDsoft MetaVision
  • InHealth Clinical Documentation Solutions InHealth Transcription
  • InterSystems Ensemble
  • Intrascripts Transcription
  • Isoprime NeoData
  • KnowledgeLake Capture Suite
  • LUMEDX Apollo Advance
  • LVM Systems Centaurus
  • LabCorp Reference Lab
  • Lanier Scanning System
  • M*Modal Cquence Medical Transcription, M*Modal DocQment Encore MT, M*Modal DocQment Encore VXP, M*Modal DocQment Enterprise Platform, M*Modal Fluency for Coding, M*Modal SpeechQ
  • MDnetwork Transcription
  • Mammography Reporting System MRS
  • McKesson Horizon Cardiovascular Information System, McKesson Horizon Clinicals, McKesson Horizon Patient Folder
  • MedPlus ChartMaxx
  • Medgraphics BreezeSuite
  • Medical Data Systems Neonatal Information System
  • Medicity Novo Grid, Medicity iNexx
  • MediServe MediLinks
  • Meditech C/S Enterprise Medical Record, Meditech Client Server Platform, Meditech MAGIC Radiology
  • Medstreaming Medical Office
  • Medtronic Paceart
  • Microsoft Amalga, Microsoft BizTalk
  • nThrive
  • nSpire nSight
  • Nuance Nuance Dictaphone EXSpeech, Nuance Dictaphone Enterprise Express, Nuance Dictaphone Enterprise Workstation, Nuance Dictaphone PowerScribe Workstation, Nuance Dictaphone ichart, Nuance EXText (Dictaphone), Nuance EXVoice (Dictaphone), Nuance Focus, Nuance Powerscribe 360 Reporting, Nuance Webmedx, Nuance eScription / Dragon Medical 360 - eScription
  • OTTR Chronic Char Solutions
  • Olympus Endoworks Endobase, Olympus Endoworks
  • Orion Health Rhapsody
  • Ortech Orthopaedic Surgical Notes
  • PDHI ConXus
  • Pediatrix BabySteps
  • Pentax GI Endoscopes
  • Perceptive Software ImageNow
  • Philips Calysto, Philips CompuRecord, Philips Xcelera, Philips Xper, Philips iSite
  • Picis CareManager, Picis ED PulseCheck (Ibex)
  • Polaris Health STaRS
  • Priority Consult Priority Consult
  • ProType ProType Medical Transcription Services
  • ProVation Medical, ProVation Medical ProVation MD
  • Public Health Agency Healthix Portal - RHIO
  • Puritan Bennett Clinivision
  • QuadraMed EDM
  • Quest Diagnostics Reference Lab
  • RelayHealth RelayCare
  • Renesan Software Dialysis Manager
  • SCC SoftLab
  • Scan One ODC
  • ScottCare CardioView Dx Suite, ScottCare TeleRehab VersaCare
  • ScribeRight Transcription Services
  • Siemens Apollo Cardea, Siemens Enterprise Document Management, Siemens Invision RCO and ICO, Siemens Lifetime Clinical Record (LCR), Siemens Soarian Clinical Access, Siemens syngo Dynamics
  • SoftMed ChartScript, SoftMed ChartView/ChartScan, SoftMed ClinTrac CA/APC Pro, SoftMed VoiceScript
  • SourceCorp Fastrieve
  • Spacelabs Cardionavigator
  • Speechcom
  • Spheris Clarity, Spheris eChart
  • Streamline Health, Streamline Health AccessANYware, Streamline Health FolderView
  • Summit Imaging EndoProse
  • Sunquest Lab, Sunquest PowerPath Anatomic Pathology
  • Surescripts
  • SystemLink HistoTrac
  • Taylor Healthcare
  • TNI
  • TSI Transcription
  • TeleResults Presidio
  • TransDyne Transcription
  • Transcend BayScribe
  • Transolutions Transcription Services
  • UAMS VascLab
  • UTECH EndoSoft
  • Varian Medical Systems ARIA
  • Velos
  • Viasys Healthcare Respiratory Diagnostics
  • Vignette IDM
  • Vincari
  • Visicu eICU
  • WebChartMD Transcription
  • WebMedX Enterprise, WebMedX Outsourced Transcription Services
  • Wellsoft ICMS
  • Winscribe Digital Dictation
  • Xerox MIDAS+
  • Zoll RescueNet

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. Current integrations include...
  • Bernoulli (fka Nuvon)
  • Capsule Technologies SmartLinx
  • CareFusion Ventilation System
  • Clinical Computer Systems, Inc. OBIX Perinatal Data System
  • Draeger Infinity Gateway Suite
  • Excel Medical
  • GE Aware Gateway Server, GE CARESCAPE Network, GE Centricity Perinatal Connect, GE Patient Monitoring
  • Gambro Exalis
  • Hill-Rom WatchChild
  • Masimo Patient SafetyNet
  • Mindray e-Gateway
  • Nanthealth DeviceConX
  • Nihon Kohden HL7 Gateway, Nihon Kohden Polysmith Sleep
  • Nuance
  • Philips IntelliVue, Philips OB TraceVue, Philips SureSigns, Philips Tracemaster Vue, Philips Xcelera
  • Puritan Bennett PB840 Ventilator System
  • Siemens RapidComm, Siemens respirator Servo i, Siemens syngo Dynamics
  • Spacelabs Intesys Clinical Suite
  • Welch Allyn Connectivity Server


Test your implementation with our HL7 V2 Validator.

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...
  • Alere Informatics RALS-Plus
  • BpTRU Blood Pressure Monitors
  • Capsule Technologies SmartLinx, Capsule Technologies Mobile Vitals Plus
  • CareFusion Transfusion Verification
  • Clinical Computer Systems, Inc. OBIX Perinatal Data System
  • GE Centricity Perinatal Connect, GE Centricity Perioperative, GE Mac-Lab
  • Glytec
  • Growth Analyser Calculation Service
  • Hill-Rom WatchChild
  • LM Software LabManager SQL
  • MediServe MediLinks
  • Monarch Medical Technologies EndoTool
  • naviHealth
  • Perigen Pericalm
  • Philips Calysto Hemodynamics, Philips IntelliVue, Philips OB TraceVue, Philips Xper
  • Picis CareManager
  • TELCOR QML
  • Theronyx OPUS-RT
  • Welch Allyn Connectivity Server

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 a standard orders/results workflow. 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.

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...
  • Emageon Vericis PhysioLog (Camtronics)
  • GE Mac-Lab

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 done only with our organization's in-house products.

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 360 Encompass, 3M CDR, 3M CodeRyte CodeAssist, 3M Codefinder (CAE), 3M Coding & Reimbursement, 3M HDM
  • Allscripts AIC Impact, Allscripts Allscripts Care Management, Allscripts EHR, Allscripts TouchWorks
  • Axolotl Elysium EMR
  • Broadvision Portal
  • Bronx Regional Health Information Organization BronxRHIO
  • CBAY
  • CareEvolution HIEBus
  • Carolina eHealth Alliance
  • Cerner Millennium PowerChart Office, Cerner Millennium ProVision DI
  • Chesapeake Regional Information System for Our Patients CRISP Portal
  • dbMotion Solution
  • Dinmar Oacis
  • E.Novation ZorgMail
  • ECIN ExtendedCare Discharge Planning, ECIN ExtendedCare Provider Access, ECIN ExtendedCare Utilization and Case Management
  • eClinicalWorks EMR
  • EMC2 Documentum
  • Eclipsys Sunrise Clinical Manager, Eclipsys XA
  • eScription
  • GE Centricity EMR
  • HealthBridge Information Exchange
  • Hyland Software OnBase
  • InteGreat IC Chart
  • Lynx Medical Systems, Lynx Medical Systems E/Code
  • M*Modal Fluency for Coding
  • McKesson CodeReview, McKesson Horizon Clinicals, McKesson Horizon Patient Folder
  • MedAllies Direct
  • MedPlus ChartMaxx
  • Medicity MediTrust, Medicity Novo Grid
  • Meditech C/S Enterprise Medical Record, Meditech MAGIC Lab
  • Microsoft Amalga
  • MobileMD 4DX
  • Morrisey MCCM
  • naviHealth
  • NextGen EMR
  • Nuance EXText (Dictaphone), Nuance eScription / Dragon Medical 360 - eScription
  • OTTR Chronic Char Solutions
  • Ohio Health Information Partnership CliniSync HIE
  • Optum Enterprise Computer-Assisted Coding, Optum OptumInsight
  • PLATOCODE Computer Assisted Coding Solution
  • Pangaea Information Technologies Guardian
  • Picis ED PulseCheck (Ibex)
  • Public Health Agencies: Healthix Portal - RHIO, Indiana Health Information Exchange (IN),
  • QuadraMed Clintegrity 360
  • RelayHealth ProSMART
  • SRS Freedom Chart Manager
  • Sandlot Solutions Sandlot HIE
  • Sentri7
  • Siemens OPENLink (Siemens)
  • SoftMed ChartScript
  • Spheris eChart
  • Stanford School of Medicine STRIDE
  • Surescripts
  • TeleResults Presidio
  • TheraDoc Infection Control Assistant
  • The Advisory Board Company Quality Compass
  • Utah Health Information Network cHIE
  • Varian Medical Systems ARIA
  • Xerox MIDAS+

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 Codefinder (CAE)
  • CareEvolution HIEBus
  • Cerner Clairvia Outcomes Driven Acuity, Cerner Clairvia Physician Scheduler, Cerner Millennium PowerChart/PowerOrders/CareNet
  • Clinical Computer Systems, Inc. OBIX Perinatal Data System
  • Exemplo Medical eMD for Bariatrics
  • GE Centricity Perinatal Connect
  • Hill-Rom WatchChild
  • iMDsoft MetaVision
  • Kryptiq CareManager
  • Landacorp Maxsys
  • McKesson Horizon Enterprise Visibility
  • MediServe MediLinks
  • MercuryMD MData Mobile
  • Microsoft Amalga
  • naviHealth
  • PLATOCODE Computer Assisted Coding Solution
  • Pangaea Information Technologies Guardian
  • Perigen Pericalm
  • TheraDoc Clinical Alerts Assistant, TheraDoc Expert System Platform, TheraDoc Infection Control Assistant
  • Uniform Data Systems UDS-PRO
  • Visicu eICU

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...
  • CareEvolution HIEBus
  • dbMotion
  • ICLOPS Focus
  • Microsoft Amalga

Patient Education 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. It can also record if the patient has completed the educational assignment, and it can also be used torecord ad hoc educational activities that were not assigned by the clinician. You may implement the Incoming spec, the Outgoing spec, or both. Current integrations include...
  • API Healthcare
  • EMMI Solutions
  • GetWellNetwork
  • OneView
  • Optimal Solutions
  • Skylight

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.

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

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...
  • Cardiocom
  • Honeywell
  • Numera
  • Philips
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.

Outgoing Scanned Document Link Maintenance read the specRead the technical specs

Sends updated document link keywords to a DBMS system when key information about where the content is located changes, for example, if a scan that originated in the DBMS is moved from one encounter to another by HIM Chart Correction processes.

Incoming Fill Status from Automated Fill System to Willow Ambulatory read the specRead the technical specs

Processes Filled, Verified, Dispensed and Cancelled statuses from automated prescription fill systems. The status of the prescription can be viewed in Willow Ambulatory.

Outgoing Fills to Automated Fill System from Willow Ambulatory read the specRead the technical specs

Transmits verified pharmacy fills to automated prescription fill systems.

Outgoing Medication Stock Transfer Request and Response read the specRead the technical specs

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 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.

Incoming Medication Administration Notification read the specRead the technical specs

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

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.

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.

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.

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.

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.