Modern management platforms can't afford to be islands. Whether you're exchanging lab results with a reference laboratory, submitting data to a state registry, or sharing records with partner agencies, interoperability is table stakes. Here's what we've built.
HL7 v2.x Lab Integration
Zeph supports bidirectional HL7 v2.x messaging — the standard that reference laboratories worldwide use to exchange orders and results. The system handles:
- Outbound ORM^O01 messages — Submit lab orders electronically with specimen tracking, test panels, and patient demographics.
- Inbound ORU^R01 messages — Receive and parse results automatically, with reference range flagging and sign-off workflows.
- Full message parsing — Segment extraction, field parsing, and component-level support for the complete HL7 v2.x message structure.
Pluggable Lab Adapters
Not every laboratory speaks HL7 the same way. Zeph uses an adapter registry pattern that lets us build pre-configured adapters for specific labs. Each adapter knows the lab's test catalog, LOINC crosswalk mappings, and message formatting preferences.
We ship with a pre-built NMS Labs adapter covering a 14-panel test catalog as a reference implementation. Adding support for your lab is a configuration task, not a development project.
Histology Module
Alongside the lab integration, we've built a complete histology module for organizations that track tissue processing. It covers:
- Specimen tracking with organ sites, fixative types, and tissue blocks
- Processing chain tracking — grossing, cutting, staining with staff and timestamps
- An 18-stain catalog and 29 organ site reference data set
- Storage location management with retention date tracking
FHIR MDI Composition Export
For organizations that need to exchange data using modern healthcare standards, Zeph generates FHIR R4 Composition resources following the HL7 Medicolegal Death Investigation (MDI) Implementation Guide. The export covers 7 MDI IG sections:
- Demographics
- Circumstances of death
- Jurisdiction information
- Cause and manner of death
- Medical history
- Examination and autopsy findings
- Narratives
MDI tracking numbers (LOINC 86807-5) are supported as FHIR extensions, and structured cause-of-death lines align with VRDR Part 1 for downstream vital records compatibility.
Federal Compliance Exports
Beyond FHIR, Zeph supports structured exports for federal reporting programs:
- SUDORS (v2024.1) — Surveillance data for the CDC's State Unintentional Drug Overdose Reporting System
- MDI-FHIR (STU1.1) — Standard Trial Use implementation of the MDI IG
- EDRS (IJE-2022) — Interjurisdictional Exchange format for electronic death registration
Each export mapping includes field-level validation and required-field checks, so submissions are verified before they leave the system.
External Agency Integration
Not all data exchange happens over standards-based protocols. Zeph includes an external agency module for managing partner organizations — coroner offices, state records departments, law enforcement, labs, hospitals, and regulatory bodies. You can register agencies, track document shares with delivery status progression, and maintain a complete audit trail of every exchange.
What This Means for You
If your organization exchanges data with external systems — whether that's lab results, regulatory submissions, or partner agency coordination — Zeph is designed to handle it natively. No middleware, no manual exports, no copy-paste workflows. The integrations are built into the platform and covered by the same security, audit, and access controls as everything else.