Public Health
Integrate with state, federal, and professional registries to track public health.
Registries
These interfaces cover opportunities for submission to public health or professional registries. Epic modules also include built-in custom integration with national registries such as the American College of Cardiology's CathPCI registry and the United Network for Organ Sharing (UNOS) TIEDI registry, among others.
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 Cancer Reporting
read the spec
Allows organizations using Epic's oncology software, Beacon, to meet the Meaningful Use objective to send cancer case information to cancer registries.
Current integrations include

- Alaska - Public Health Agencies
- California - Public Health Agencies
- Florida - Public Health Agencies
- Indiana - Public Health Agencies
- Iowa - Public Health Agencies
- Kansas Health Information Network
- Kentucky Health Information Exchange
- Maryland - Public Health Agencies
- ONCO Inc.
- Oregon - Public Health Agencies
- Pennslyvania - Public Health Agencies
- Washington - Public Health Agencies
Outgoing National Healthcare Survey Interface
read the spec
Reports National Healthcare Survey data to the Centers for Disease Control and Prevention (CDC).
Current integrations include

- Center for Disease Control
Electronic Laboratory Reporting
This Outgoing Results and Orders interface sends results 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.
NAACCR Pathology Reporting
read the spec
This Outgoing Results and Orders Interface sends 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.
Incoming Vaccination Administration
read the spec
Receives unsolicited vaccination administration updates from either an immunization registry or an external clinical system that is not a registry. If integrating with a registry that supports the query interface, the query is the preferred integration.
Current integrations include

- Axion Health ReadySet Occupational Health
- CAIR (California)
- CaraFlow
- CHIRP (Indiana)
- Eclipsys Sunrise Clinical Manager
- PureSafety Occupational Health Manager
- WIR (Wisconsin)
Outgoing Vaccination Query
read the spec
Initiates a query to and receive a response from an immunization registry system. Each query requests data for a given patient. Generally, registries provide historical immunization data. Some registries additionally supply immunization recommendation data. The incoming portion of the interface does not directly update immunizations in the chart; the provider sees the response from the registry and decides what should be added to the patient record. HL7 2.5.1 specification conforms to the Center for Disease Control HL7 2.5.1 Implementation Guide for Immunization Messaging.
Current integrations include

- ALERT (Oregon)
- CHIRP (Indiana)
- CIIS (Colorado)
- GRITS (Georgia)
- ImmPact2 (Maine)
- ImmPRINT (Alabama)
- INC (Arkansas)
- KSIR (Kansas)
- LINKS (Louisiana)
- MIIC (Minnesota)
- NDIIS (North Dakota)
- NESIIS (Nebraska)
- PA-SIIS (Pennsylvania)
- SDIR (San Diego)
- ShowMeVax (Missouri)
- WIR (Wisconsin)
Outgoing Vaccination Administration
read the spec
Sends information about vaccination administrations to either an immunization registry or a clinical system or receiving system that is not a registry. An incoming response interface receives and files the response/acknowledgement returned from an immunization registry. The specification conforms to HTI-1 regulations, using the Center for Disease Control Implementation Guide for Immunization Messaging.
Current integrations include

- ImmTrac (Texas)
- ALERT (Oregon)
- ASIIS (Arizona)
- CAIR (California)
- CareEvolution HIEBus
- CHILD (Washington)
- CHIRP (Indiana)
- CIIS (Colorado)
- CIR (New York City)
- dbMotion dbMotion Solution
- DC Immunization Registry (Washington DC)
- DIR (Delaware)
- Eclipsys Sunrise Clinical Manager
- Florida SHOTS (Florida)
- GRITS (Georgia)
- HIR (Hawaii)
- I-CARE (Illinois)
- ICLOPS Focus
- ImmPRINT (Alabama)
- ImmuNet (Maryland)
- IMPACT SIIS (Ohio)
- INC (Arkansas)
- IRIS (Idaho)
- IRIS (Iowa)
- Kentucky Immunization Registry
- KIDS Plus IIS (Philadelphia, PA)
- Kryptiq CareManager
- KSIR (Kansas)
- LINKS (Louisiana)
- MCIR (Michigan)
- MIIC (Minnesota)
- MIIS (Massachusetts)
- MIR (Mississippi)
- NDIIS (North Dakota)
- NESIIS (Nebraska)
- NJIIS (New Jersey)
- NMSIIS (New Mexico)
- NYSIIS (New York)
- OSIIS (Oklahoma)
- PA-SIIS (Pennsylvania)
- SDIR (San Diego)
- ShowMeVax (Missouri)
- SIIS (South Carolina)
- TOTS (Illinois)
- USIIS (Utah)
- VacTrAK (Alaska)
- VIIS (Virginia)
- WIR (Wisconsin)
- WVSIIS (West Virginia)
- WyIR (Wyoming)
Outgoing Vital Records Death Reporting
read the spec
Automates the death certification process by sending the required medical certifier information for a patient death to state or jurisdictional Vital Records Reporting systems. The interface follows the HL7 Vital Records Death Reporting (VRDR) FHIR Implementation Guide, VRDR 3.0.0, FHIR STU3.