HL7 and FHIR Integration Platform for Bidirectional Order and Result Laboratory Integrations

ETOR Express is a fully managed service to integrate any LIS and EHR using FHIR, HL7, proprietary APIs, or any other method necessary to ensure bidirectional order and result exchange for laboratories and their clients.

Built for Labs

ETOR Express is the culmination of decades of experience building HL7 and FHIR integrations for diagnostic laboratories.  We've built and managed hundreds of bidirectional order and results integrations for our laboratory clients, and we know how frustrating it can be for labs to handle this on their own.  We're here to remove your frustrations with slow, expensive integrations, and make integrating with new clients fast and easy.

Designed to Scale

Whether you need one integration or hundreds of integrations, ETOR Express can handle all of your interoperability needs.  Our process can easily handle hundreds of HL7 or FHIR integrations to efficiently receive orders into your laboratory information system (LIS) and share results back to your client's electronic health record (EHR) system.

HIPAA Compliant

Our interoperability solutions are fully HIPAA compliant, ensuring your personal health information (PHI) stays safe and secure.  All of our integrations are built with end-to-end encryption to protect your patient's PHI is well protected from cyber-attacks from malicious actors.


Checkout our new Savings Caclulator

ETOR Express Integration Savings Calculator

Labs can use our simple savings calculator to determine if ETOR Express is more cost-effective than their current process in managing bidirectional HL7 integrations.

We built this tool to make it easier for labs to quickly compare the cost of their current integrations, and see for themselves if there is a clear return-on-investment (ROI) for them to make the switch to our integration platform.

Our Use Cases

Data Exchanged with ETOR Express

Need to send or receive lab data to another organization?  Tired of building FHIR or HL7 integrations?  With ETOR Express, we facilitate this data exchange for laboratories quickly and easily, with a focus on Test Orders, Lab Results, Patient Info, and Billing Codes.

With ETOR Express, you'll never have to build another integration and waste time and resources navigating HL7, FHIR, DICOM, JSON, XML, CSV, and more.

laboratory automation with HL7 integrations

Test Orders

Did you know that providers spend an estimated 4.5 hours a day working in their EHR?  It's no wonder that they don't want to have to deal with another tool to submit lab orders.  

We help integrate your LIS with your client's EHRs, so that they can create orders where they are comfortable, reducing manual work and frustration when it comes to working with your lab.

provider sharing laboratory results with a patient they got through an HL7 integration

Lab Results

Providers don't want to spend time dealing with paper, and they expect their patient's results to be found in their EHR.  

By building your pipeline between your LIS and your client's EHR, we can automate the data exchange to ensure that patient results are shared in a timely manner, improving patient care, and reducing manual work for your team.

healthy patient family

Patient Info

Ready to start getting reimbursement for your lab's work?  What happens if you have the wrong contact information?

Some laboratories struggle with billing due to inaccurate or incomplete patient demographic info.  We want to make sure you have the highest chance of getting paid for your work, so we build integrations with your client's EHRs to make sure you're getting accurate information to get reimbursed on time.

laboratory reimbursement automation

Billing Codes

Synchronizing the billing codes between entities can be hard, but with our integrations, it makes it easier to ensure that orders are being billed and reimbursed properly the first time.

Reduce billing denials by using the correct CPT codes that are determined through proper HL7 or FHIR integration between your LIS and your client's EHR.

How It Works

By leveraging ETOR Express as your interoperability solution, you'll be able to integrate with other systems faster than ever before.  Simply connect once with us, and we'll get you integrated with any of your client's EHR or LIS platforms.  Whether the platforms use HL7, FHIR, or any other integration method, you'll be able to scale easily as we handle the technical complexity of disparate standard implementations.

Typical ETOR Express use cases include exchanging test orders, results, patient demographics, or billing codes with providers and labs.


To get started, request a meeting with our team to review your integration needs to determine if ETOR Express is right for your use case.

Be prepared to share the following information with us:

  • What LIS/LIMS platforms do you use?
  • What EHR/EMS platforms do you use?
  • What systems do you want to integrate with, and what data will you need to exchange between systems?
  • How are you managing your integrations today?

Regardless of whether your system works with HL7, JSON, or another data format, we'll get connected and facilitate easy interoperability with any other system.

Contact us today!



If ETOR Express is determined to be a good fit for your needs, then we'll start the onboarding process.  Onboarding includes signing a Service Agreement, signing a Business Associate Agreement, and building the integrations to your system.

The integration process begins after the onboarding fees have been received, and typically takes 4-6 weeks.

Additionally, we'll start building any out-of-network integrations needed by your organization.

At the end of this process, your system will be connected to ETOR Express, and all integrations that were initially scoped will be completed.

Have a question?  Contact sales today.


Requesting New Integrations

As your business grows, and you need new integrations, all you have to do is reach out to our sales team and tell them what new integrations you'll need.  

For qualifying integrations (in-network, typical use case), you should expect the integrations to take less than a week to be built.

For out-of-network systems or custom use cases, integrations may take 4-6 weeks on average to be built.

Ready for faster integrations?  Contact sales today!

Our Network

Grow with ETOR Express






Integrated LIS Vendors


Integrated EMR Vendors


Designed to keep costs low for growing laboratories.

  • One Week Turnaround for Qualifying Integrations
  • Interface Monitoring Dashboard
  • 24/7/365 Support
  • Transaction Data Stored for 30 Days
  • 3 Year Contract
  • Unlimited Interoperability Consulting
  • Onboarding Fee of $12,250
  • Subscription Fee of $550 per connection per month


Focus on

Your Core Business

Laboratories shouldn't be bogged down by slow, expensive integrations.  When you use ETOR Express, you'll get your lab connected with your clients in days, not months.

Ready to get more orders?

Bring on new clients quickly with ETOR Express.