Diagnostic imaging and lab results automatic upload to patient files

Purpose

1.1. Automate the transfer and upload of diagnostic imaging and lab result files directly into patient electronic health records (EHR) to eliminate manual entry and ensure up-to-date patient data is accessible for orthopedic hand surgery clinical workflows.
1.2. Automates retrieval, file association, indexing, and notification to clinicians when new patient-specific imaging or lab results are available.
1.3. Ensures all diagnostic assets are properly mapped to patient identifiers and visit episodes, automating audit logging, compliance tracking, and record completeness.
1.4. Automates multi-source file aggregation (radiology PACS, lab LIMS, scanned documents) into centralized patient records for streamlined hand surgeon review.

Trigger Conditions

2.1. Automated trigger when a new imaging or lab result is finalized in PACS/LIMS.
2.2. Scheduled recurring automator (e.g., every 10 minutes) for polling result repositories for new completed files.
2.3. File upload trigger based on HL7, FHIR, or DICOM message receipt.
2.4. Manual override or urgent upload trigger from provider-side portal or workflow automating utility.

Platform Variants

3.1. Epic (EHR)
• Feature/Setting: Automate external document upload via Epic Bridges API (HL7 inbound, Document Import endpoint)
• Sample: Configure Bridges to receive results, automate mapping, and auto-assign to patient chart

3.2. Cerner (EHR)
• Feature/Setting: Use Cerner Open Developer Experience (CODE) FHIR DocumentReference.write
• Sample: Automate pushing PDF/result files to patient records via FHIR API

3.3. Athenahealth
• Feature/Setting: Automate Labs & Imaging API endpoint for Document Upload
• Sample: Integrate API to automate attaching imaging/lab files to patient encounters

3.4. DrChrono
• Feature/Setting: Automate Clinical Documents API POST `/clinicaldocuments`
• Sample: Upload results automatedly using direct API calls when new files detected

3.5. Greenway Health
• Feature/Setting: Document Import automation using Greenway API for Lab/Imaging files
• Sample: Automate file association and EHR placement with automator routines

3.6. Allscripts
• Feature/Setting: Open API Documents endpoint for automating new file insertion
• Sample: Automate document upload and patient file mapping

3.7. NextGen
• Feature/Setting: Interface engine with HL7 ORU messages for lab/imaging results
• Sample: Automate processing and auto-attachment to patient summary

3.8. Meditech
• Feature/Setting: Automate Import of lab/PACS results via Meditech Expanse Interface APIs
• Sample: Configured automation to detect new results and update chart

3.9. eClinicalWorks
• Feature/Setting: eCW API for Document Automation (`AddPatientDocument` endpoint)
• Sample: Automatedly import imaging reports and lab PDFs into patient EHR

3.10. ModMed (Modernizing Medicine)
• Feature/Setting: Documents API; automate POST with patient association
• Sample: Automate script uploads new incoming files to chart

3.11. CareCloud
• Feature/Setting: Health Documents API for automating result file placement
• Sample: Setup automation pushes diagnostic results to patient history

3.12. Surescripts
• Feature/Setting: Clinical Direct Messaging; automated secure file transport
• Sample: Automate delivery and direct EHR placement of diagnostic results

3.13. GE Healthcare Centricity
• Feature/Setting: Interface for automating HL7, DICOM file ingestion
• Sample: Automator scripts to auto-import imaging/lab results to EMR

3.14. Philips Intellispace
• Feature/Setting: DICOM auto-routing with HL7 mapping to EHR
• Sample: Automates PACS export of imaging directly into charts

3.15. Abbott AlinIQ (LIMS)
• Feature/Setting: Configure automated HL7 outbound with PDF/image file attachments
• Sample: Direct automator to push results to receiving EMR system

3.16. Sectra PACS
• Feature/Setting: Automated DICOM Push/HL7 ORU linkage for new imaging
• Sample: Automation for mapped, direct upload to EHR platform

3.17. LabCorp
• Feature/Setting: Electronic Lab Reporting API or HL7 Results Feed
• Sample: Automate result capture, parse, and EHR association

3.18. Quest Diagnostics
• Feature/Setting: Care360 API—with automated result delivery endpoint
• Sample: Automate file transfer and placement into patient record

3.19. Google Cloud Healthcare API
• Feature/Setting: Automate DICOM store file ingestion and export to EHR via FHIR
• Sample: Scripted automation for handling file lifecycle

3.20. Microsoft Azure Health Data Services
• Feature/Setting: Automate FHIR + DICOM ingestion with Logic Apps integration
• Sample: Automator to observe new reports and upload to EHR target

3.21. AWS HealthLake
• Feature/Setting: Automate ingestion of HL7, FHIR, DICOM and batching file upload to EHR
• Sample: Automator routine scheduled for continuous updates

3.22. Box Healthcare (HIPAA Cloud Drive)
• Feature/Setting: File upload event triggers webhook or automation app to import files to EHR
• Sample: Automate detection and secure transfer to clinical record

Benefits

4.1. Automates routine documentation; removes manual upload bottlenecks.
4.2. Reduces risk of missing imaging or lab results in hand surgery workflow.
4.3. Automated process ensures all files attached to correct patient, increasing accuracy and compliance.
4.4. Improves speed of diagnosis and care planning for orthopedic procedures by automating data availability.
4.5. Automating file handling supports a fully auditable trail, essential for healthcare quality and legal standards.
4.6. Accelerates turnaround of critical result communication; supports urgent care and follow-up automation.
4.7. Modernizes clinical operations for orthopedic hand surgeons and reduces workload on administrative staff by automating repetitive upload tasks.