Connected in every direction
Analyzers, EHRs, reference labs, public health, and payers — all through one interface engine that keeps receiving even while the application deploys.
Standards & protocols
| Channel | Standard | Use | Phase |
|---|---|---|---|
| Analyzers | ASTM E1381 / E1394 (CLSI LIS1/LIS2) | Bench chemistry, hematology, coagulation — TCP and serial-over-TCP; host-query and batch-download modes | P2 |
| Analyzers (newer) | HL7 v2 ORU over MLLP | Instruments that speak HL7 natively | P2 |
| Point-of-care | POCT1-A | Glucose meters, blood gas devices | later |
| EHR / EMR | HL7 v2.5.1 — ORM/OML in, ORU out, ADT in, ACK | Order and result feeds with practice systems (the industry workhorse) | P2 |
| Public API | FHIR R4 (US Core: ServiceRequest, Specimen, Observation, DiagnosticReport) + SMART-on-FHIR OAuth2 | Modern integrations, apps, EHR marketplaces | P4 |
| Reference labs | HL7 v2 + PDF | Send-outs in both directions — route tests out, or receive orders as the performing lab | P2–P3 |
| Public health | ELR — HL7 v2.5.1 ORU with LOINC + SNOMED | Reportable-condition feeds to state health departments | P4 |
| Documents | PDF · fax · print | First-class delivery — lab clients still live on paper reports and faxed requisitions | P1 |
Coding standards
LOINC
Orders and results — the test compendium is LOINC-coded from day one.
SNOMED CT
Organisms, specimen types, coded pathology values.
CPT / HCPCS · ICD-10-CM
Billing codes and diagnoses for medical-necessity checking.
UCUM
Units of measure, so results exchange without ambiguity.
Interface engine guarantees
Never down during deploys
The engine runs as its own process: application releases ship continuously while analyzer and EHR connections stay up.
No message ever dropped
Inbound traffic is acknowledged into a durable message log before processing, with replay tooling for recovery and interface validation evidence.
Authenticated machine channels
Every analyzer, feed, and partner connection authenticates with per-interface credentials; an unset credential means the interface is disabled — never open.