Art2link ESB connects your LIS, analyzers, and ordering EHRs - translating
HL7 v2.x orders and ORU^R01 results into compliant
FHIR R4 / R5, with full per-message audit. Runs entirely inside
your Azure tenant. PHI never leaves.
ORU^R01 → FHIR Observation. Hover either side to trace the mapping.
A glucose result leaves your LIS as an HL7 v2.5.1 ORU^R01
and arrives at the ordering EHR as a FHIR R4 Observation.
Hover any HL7 segment to highlight its mapped FHIR property - bidirectional.
MSH|^~\&|LIS|REFLAB|EHR|HOSP|20260514143211||ORU^R01|L260514-0421|P|2.5.1 PID|||MRN12345^^^EPIC^MRN||DOE^JOHN^M||19751023|M OBR|1|||CBC^Complete Blood Count OBX|1|NM|2345-7^Glucose^LN||92|mg/dL|70-100|N|||F
{ "resourceType": "Observation", "id": "obs-L260514-0421", "status": "final", "category": [{ "coding": [{ "code": "laboratory" }] }], "code": { "coding": [{ "system": "http://loinc.org", "code": "2345-7", "display": "Glucose" }] }, "subject": { "reference": "Patient/MRN12345" }, "valueQuantity": { "value": 92, "unit": "mg/dL", "system": "http://unitsofmeasure.org" }, "referenceRange": [{ "low": { "value": 70 }, "high": { "value": 100 } }], "interpretation": [{ "coding": [{ "code": "N" }] }] }
OBX,
PID,
MRN12345)
and its mapped FHIR property highlights on the right. The mapping is bidirectional - hover the right side to find the source HL7 segment.
What your laboratory operations team sees in production - not a screenshot, but the same structure rendered into the page so you can feel how it behaves. Hover any row to surface the accession ID; the status dot tells you where each message stands in the pipeline.
One mapping engine. Every inbound HL7 v2.x event normalized to US Core FHIR resources.
OBX
· RxNorm, ICD-10-CM & UCUM normalized in line · IHE LAB-TF (LCC, LBL, LAW) + PIX/PDQ/XDS
OBX
segment. SNOMED CT, RxNorm, ICD-10-CM, and UCUM unit normalization in line.
IHE LAB-TF profiles (LCC, LBL, LAW) and PIX/PDQ/XDS supported on top.
Validated profiles and pre-built adapters for the analyzers and LIS platforms that actually live in production labs. ASTM E1394, HL7 v2.5.1 over MLLP/TLS, POCT1-A2 for point-of-care, plus native LIS APIs where vendors publish them.
Validated adapters for the EHRs upstream of your lab - whether they're sending
ORM/OML orders or receiving FHIR DiagnosticReport resources.
Hover any vendor to see specific protocol coverage.
Long tail: Meditech Expanse, Allscripts dbMotion, Sunrise CIS, Greenway PrimeSuite, McKesson Paragon, NextGen Healthcare, Practice Fusion, CPSI Evident, Harris MEDITAB, AdvancedMD, DrChrono, Kareo, Amazing Charts. The connector library covers the long tail; the adapters above represent the highest-volume customer estates.
From routine chemistry to molecular sequencing, the same HL7 → FHIR runtime fits the estate.
Multi-instrument estates, ORU/OML/OUL into FHIR R4 DiagnosticReports.
Epic Beaker and Oracle Cerner orders in, FHIR results back.
NGS and clinical genomics endpoints for the partner network.
Art2link ESB runs entirely inside your own Azure subscription - PHI, PII, and ePHI never leave your tenant. Controls include immutable audit logging, encryption at rest and in transit, Key Vault-backed secrets, Entra ID-secured operator access, configurable retention, and full message replay for CAP / CLIA inspection windows.
HL7 v2.x orders and ORU^R01 results become compliant FHIR R4/R5 resources, with full per-message audit - across your LIS, analyzers, and ordering EHRs.
Art2link runs entirely inside your own Azure tenant, on your identity and keys - so patient data and integration logic stay within your compliance boundary.
An Art2link senior healthcare-integration architect inventories your analyzer
interfaces, your LIS topology, and your downstream HL7 / FHIR consumers, and
returns a written readiness assessment: gaps in ASTM / HL7 coverage, FHIR R4 /
R5 resource mapping plan for DiagnosticReport,
PHI / ePHI handling exposure, and a wave plan for cutover.
Install the free Starter Plan from Azure Marketplace and route a sample analyzer feed into FHIR R4 in your own subscription. PHI never leaves your tenant. No credit card.