We build the HL7 and FHIR integration layer that moves lab orders from the EHR to the LIS, and verified results back — automatically, at scale, with no manual re-entry.
Talk to our integration team about your LIS and EHR environment. We reply within 24 hours.
Laboratory data influences the majority of clinical decisions. Getting it from the device to the patient record — accurately, automatically, and without gaps — is what LIS integration solves.
Lab orders placed in the EHR are transmitted to the LIS via HL7 ORM or FHIR ServiceRequest — carrying patient identifiers, LOINC test codes, specimen collection requirements, and priority. Eliminates paper requisitions and transcription errors at the lab bench.
Verified results leave the LIS as HL7 ORU messages or FHIR DiagnosticReport resources — carrying LOINC test code, numeric value, UCUM unit, reference range, abnormal flag, and performing lab. Results appear in the EHR result review interface and trigger critical value alerts automatically.
Orders sent to Quest Diagnostics, Labcorp, LifeLabs, or Dynacare flow electronically from the hospital LIS to the reference lab's ordering system. Results return automatically once analysis is complete — no manual re-entry, no fax, no delay waiting for paper reports.
Life-threatening results route from the LIS to clinical communication platforms, provider paging systems, and EHR alert mechanisms before any clinician has to check the results tab. Every notification is documented in the patient record, creating a complete audit trail.
Bar-coded specimen labels generated from EHR orders are scanned at collection, transport, and LIS accessioning — creating a chain of custody record. Visibility into where a specimen is at every stage manages pre-analytical quality and resolves lost, delayed, or rejected specimen incidents fast.
Ontario's provincial lab program, Alberta's laboratory services network, and BC's provincial laboratory information solution each aggregate results from hospital and reference labs across the province. A single connection to a provincial network provides access to a patient's complete lab history across all facilities — difficult to achieve through individual hospital integrations.
A five-step process from interface specification review to production monitoring — each step with specific technical and clinical requirements that determine whether the integration delivers reliable data or creates gaps.
Each impact traces to a specific gap — missing results, delayed notifications, or data inaccessible in the EHR. Click through to see what changes when integration works.
Book a Lab Integration ConsultationEvery standard is implemented directly — messaging protocols, vocabulary systems, result formats, and provincial network specifications — so the integration works with the systems your lab and EHR already use.
The core message types that move lab orders and results between systems — implemented with correct field usage, acknowledgement handling, and error recovery.
Modern API-based lab integration using FHIR resources — for EHRs and digital health platforms that have moved beyond HL7 v2.
The standardized code systems that make lab data portable across systems and organizations.
The major LIS platforms deployed across U.S. and Canadian hospital environments.
External reference lab connectivity across U.S. and Canadian reference laboratory organizations.
Provincial laboratory networks that aggregate results across an entire province's healthcare infrastructure.
Our Technology
Interface engines, middleware platforms, and cloud infrastructure — selected to match the LIS and EHR environment you are integrating into, not a fixed toolset.
HL7 ORM/ORU, FHIR DiagnosticReport, reference lab connectivity, provincial networks — we build the integration layer that gets laboratory data from the analyzer to the patient record reliably and at scale. Book a consultation and we will tell you what a production-ready LIS integration looks like for your environment.
Book a Lab Integration Consultation
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LOINC — Logical Observation Identifiers Names and Codes — is the international standard vocabulary for identifying laboratory tests and clinical observations. When a result is transmitted using a LOINC code, any receiving system that understands LOINC can interpret what test was performed without a custom mapping for that specific lab's local codes. LOINC is required for federally mandated electronic lab reporting in the U.S. and is used extensively across Canadian laboratory networks. Building integrations with LOINC from the start makes them more portable and reduces mapping maintenance burden over time.
An LIS — Laboratory Information System — is designed for clinical laboratories that perform diagnostic testing on patient specimens. It manages the full workflow from specimen receipt through result reporting and is deeply integrated with clinical ordering and EHR systems. A LIMS — Laboratory Information Management System — is designed for research, environmental, pharmaceutical, and industrial laboratories where the focus is on sample management, quality control, and regulatory compliance rather than patient care. Healthcare integrations almost always involve LIS platforms rather than LIMS.
Hospital LIS integrations occur within a single organizational environment where both sides of the interface are managed by the same health system IT team. Reference lab integrations cross organizational boundaries, introducing additional considerations around ordering credentials, result routing, and billing information. Quest Diagnostics and Labcorp each maintain standardized interface specifications, but each implementation still requires a setup process with the reference lab's interface team. In Canada, LifeLabs and Dynacare have similar processes for establishing electronic ordering and result delivery connections.
Corrected results are one of the most important edge cases lab integrations need to handle properly. When a laboratory corrects a result after release, the LIS transmits a corrected ORU message with a result status code indicating it is a correction. The EHR interface must recognize this correction status, update the result in the patient record, mark the original as superseded, display the corrected value, and notify care teams who may have already acted on the initial result.
