Art2link ESB connects your LIS, every analyzer on the floor, and the ordering
EHRs upstream - translating HL7 v2.x orders and
ORU^R01 results into compliant FHIR R4 / R5
resources, with full per-message audit. Built by the original BizTalk
architects. Runs entirely inside your Azure tenant. PHI never leaves.
ORU^R01 → FHIR Observation. Hover either side to trace the mapping.
A glucose result coming off a Roche cobas chemistry analyzer, leaving your LIS as
an HL7 v2.5.1 ORU^R01
message, and arriving at the ordering EHR as a FHIR R4 Observation
resource. Hover any HL7 segment on the left and its mapped FHIR property
highlights on the right - 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.
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.
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.
A national reference lab routes 180,000+ result messages/day off 40+ analyzer instruments through Art2link - ORU, OML, OUL - into FHIR R4 DiagnosticReports delivered to ordering Epic and Cerner instances with p99 transform under 50 ms.
A specialty molecular lab cut 11 weeks of integration work to 9 days by replacing a custom Mirth + script estate with Art2link, while standing up a FHIR R5 MolecularSequence endpoint for the partner network - no PHI ever leaving the customer’s Azure tenant.
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.