Purpose
1. Automate delivery of laboratory and diagnostic test results directly into patient EHRs to eliminate manual entry, reduce errors, accelerate availability, ensure compliance, and support evidence-based nurse practitioner care.
2. Enables nurse practitioners to automatically and securely update clinical documentation in real time, automating notifications and record-keeping for better audit trails and regulatory adherence.
3. Automates the association of test results with individual patient records, enhancing continuity of care and supporting automated workflows for follow-up actions and alerts.
Trigger Conditions
1. Automated receipt of new lab or test result via HL7, FHIR, API, or secure email.
2. Scheduled batch retrieval of results from lab system at specified intervals.
3. Manual or automated marking of test as “reviewed” or “completed” in LIMS or EHR.
4. Receipt of results with critical values triggers urgent update and notification sequence.
5. Automated ingestion from SFTP or cloud storage directory when new result file exists.
Platform Variants
1. Epic EHR
- Feature/Setting: Use Epic App Orchard API ("Patient.Observation.Create") for automating result delivery into encounters.
2. Cerner Millennium
- Feature/Setting: Configure Cerner FHIR API (Observation Resource: "POST /Observation") for automating lab result mapping to patient records.
3. Meditech Expanse
- Feature/Setting: Automate via Meditech's RESTful API (“POST LabResults endpoint”) for digital result delivery.
4. Allscripts
- Feature/Setting: Allscripts Unity API, "AddLabResults" action automates recording of discrete results.
5. Athenahealth
- Feature/Setting: Configure "Chart PatientDocument" API endpoint for automated result attachment.
6. NextGen
- Feature/Setting: NextGen Open API "Import Lab Data" automates lab-to-chart workflow.
7. eClinicalWorks
- Feature/Setting: eCW APIs ("PostLabResult") for automated mapping of results.
8. Salesforce Health Cloud
- Feature/Setting: FHIR API integration with "Observation" resource automates push to patient record object.
9. Google Cloud Healthcare API
- Feature/Setting: "FHIR Store: Bundle Import" automates test result ingestion.
10. Microsoft Cloud for Healthcare
- Feature/Setting: Use Microsoft Dataverse with FHIR API automating patient observation updates.
11. MuleSoft
- Feature/Setting: HL7/FHIR Connectors automatedly sync LIMS with EHRs.
12. Cerbo EHR
- Feature/Setting: "Labs Receive API" automates attaching outside lab results to chart.
13. Redox
- Feature/Setting: "Results.New" data model automates result flow between any LIMS and EHR.
14. Health Gorilla
- Feature/Setting: "FHIR Lab Results API" enables automating inbound test documents.
15. Datica Integrate
- Feature/Setting: Automates bi-directional LIMS/EHR result delivery through "Observation" mapping.
16. Twilio
- Feature/Setting: "SendGrid Email API" automates secure email delivery of results to inbox with EHR auto-import.
17. Amazon HealthLake
- Feature/Setting: Use "FHIR Import API" to automate bulk test result sync.
18. SFTP Server (AWS Transfer, Google Cloud SFTP)
- Feature/Setting: Scheduled polling automates result ingestion from designated directory.
19. Zapier
- Feature/Setting: Automate inbound lab results to cloud EHR through "Zap" with webhook/API connectors.
20. Azure Logic Apps
- Feature/Setting: Health Data Connector automates test/result transfers via FHIR trigger/action flows.
Benefits
1. Automated workflows eliminate manual result entry, reducing error rates and compliance risks.
2. Fast, automated delivery of test results accelerates documentation and reaction to critical findings.
3. Supports nurse practitioners by automating alerts and documentation for improved care continuity.
4. Automated systems ensure consistent, real-time updating of patient charts and regulatory documentation.
5. Automating result delivery streamlines audits, reporting, and billing with complete digital records.