--- title: "Pharmacy & lab orders - Stacksync" description: "Flow orders and results between Epic, labs, and pharmacy systems in real time with a full audit trail, so nothing is lost between provider, lab, and dispense." canonical: https://www.stacksync.com/use-case/pharmacy-and-lab-orders last_modified: 2026-07-05 --- Stacksync × Supabase Miami: **AI-Native Operations** Oct 13 [Reserve your spot](https://www.stacksync.com/events/2026-10-13-supabase-miami) Audited orders and results in real time # Pharmacy & lab orders from order to result Move HL7 and FHIR orders and results between Epic, Cerner, reference labs, and pharmacy systems the moment they're placed, two-way and in real time, with a full audit trail on every step. [Book a demo](https://www.stacksync.com/book-a-demo) [Talk to a solutions architect](https://www.stacksync.com/book-a-demo) ## Adopted by fast-scaling companies moving mission-critical data in real time - Gladia Case study - IDEXX - MedPro Migrated from MuleSoft - Eko Case study - Ubicloud - Vimeo - Codility Migrated from Celigo - ACERTUS Migrated from Heroku Connect - Syringa Migrated from Matillion - Truora - Streaam Case study - SEAL SQ - Rinsed Migrated from Fivetran - IA Capital Group Case study - Meter - Golden Pear Funding Migrated from Celigo Where orders and results go missing ## Three reasons orders and results disconnect. An order and its result cross provider, lab, and pharmacy systems that each track state differently. The gaps between them are where care information disappears. 01 - Orphan results ### A result comes back with no order to match The lab returns a result keyed differently than the order left Epic. Without reliable matching, it lands unfiled, and the clinician never sees the value they ordered. IDENTITY 02 - Faxed orders ### Pharmacy orders still go by fax Orders leave the EHR and reach the pharmacy on paper or a one-way feed. Status never flows back, so the provider can't tell if a prescription was filled or stuck. LATENCY 03 - Silent failures ### A dropped result is found at the next visit When a result fails to post, point-to-point interfaces raise no alarm. The gap surfaces weeks later at the follow-up, after a decision was made without the data. RELIABILITY PLATFORM ## Six products. One Platform. Replace many legacy vendors. Every tool Stacksync replaces is one fewer vendor, one fewer bill, one fewer integration to maintain. [Start building now](https://www.stacksync.com/book-a-demo) ### [Two-way sync](https://www.stacksync.com/two-way-sync) Changes made in one platform automatically update across all connected systems in real time, eliminating data silos and reducing errors. Replaces: Heroku Connect and Salesforce Data 360 Heroku Connect Salesforce Data 360 ### [Workflow automation](https://www.stacksync.com/workflow-automation) Stop building brittle API scripts. With Stacksync, you can trigger complex automated workflows using simple SQL commands. Replaces: Workato and Boomi ### [AI Agents](https://www.stacksync.com/ai-agents) Expose every enterprise system to your agents through a single MCP layer. Claude, ChatGPT and Gemini get production-grade tools without custom glue code. Natively available in: Claude and ChatGPT and Gemini Claude ChatGPT Gemini ### [Event queues](https://www.stacksync.com/event-queues) Handle massive traffic spikes without losing a single event. Queues buffer your data during surges, ensuring strict ordering and reliable delivery. Replaces: Kafka and Amazon SQS and Confluent Kafka Amazon SQS ### [Database hosting](https://www.stacksync.com/database-hosting) Interact with your CRM, ERP, and payment tools as if they were just another table in your database. Say goodbye to rate limits and complex API documentation. Replaces: AWS RDS and Self-hosted databases AWS RDS Self-hosted databases ### [EDI](https://www.stacksync.com/edi) Transform legacy EDI complexity into simple database interactions. Stacksync automatically parses incoming EDI documents directly into your database tables. Replaces: SPS Commerce and TrueCommerce [Start building now](https://www.stacksync.com/book-a-demo) Connectors ## Every system an order crosses, on one sync. Stacksync ships pre-built two-way connectors for the EHRs, labs, and pharmacy systems orders and results run through, with reliable matching, replay, and full audit logging. EHR & ordering 05 - Epic - Cerner - athenahealth - eClinicalWorks - NextGen Healthcare Labs & pharmacy 05 - Redox - HL7v2 - FHIR R4 - Surescripts - Quest Diagnostics Notification & messaging 05 - Twilio - SendGrid - Slack - Salesforce - Microsoft 365 Records & reporting 05 - Snowflake - BigQuery - Postgres - MongoDB - Oracle DB Custom order codes, lab compendium mappings, and your own result schema are first-class, no scripting required. [Browse all 1,000+ connectors](https://www.stacksync.com/connectors) SECURITY ## Security teams trust Stacksync As a data company, we understand the importance of keeping your data secure. Stacksync is built with security best practices to keep your data safe at every layer, and is DPF-certified for US, EU, UK and CH data transfers. [Learn more about security](https://www.stacksync.com/security) | | | | --- | --- | | | SOC 2 Type II | | | ISO 27001 | | | HIPAA BAA | | | GDPR | | | CCPA | | | DPF US-EU-UK-CH | → SECURITY WITH BENEFITS ### SSO & SCIM Let your users access Stacksync from your centralized user management systems. Works with Okta, Azure, Google SSO and more. ### Alerts Immediately get alerted about record syncing issues over email, Slack, PagerDuty and WhatsApp. Resolve issues from a centralized dashboard with retry and revert options. ### Secure connection options Securely connects to your systems with: [OAuth 2](https://www.stacksync.com/security) [SSH Tunnelling](https://docs.stacksync.com/two-way-sync/connectors/setup-options/ssh-tunneling) [SSL certificates](https://docs.stacksync.com/two-way-sync/connectors/postgres/authorize-postgres/amazon-rds/ensuring-secure-rds-connections-with-ssl-certificate) [IP Whitelisting](https://docs.stacksync.com/two-way-sync/connectors/setup-options/ip-whitelisting) [VPN gateway](https://docs.stacksync.com/two-way-sync/legal/service-consumption-tables#:~:text=%E2%9C%93-,VPN%20gateway,-%2D) [VPC peering](https://www.stacksync.com/security) and more Common questions ## Common questions about pharmacy and lab orders. The concerns every clinical and lab team raises before connecting ordering across providers, labs, and pharmacies. [Talk to a solutions architect](https://www.stacksync.com/book-a-demo) ### How do you match a returning result to its order? Every order carries a stable key, and the returning result reconciles against it automatically. A result that arrives with a mismatched ID surfaces as an exception instead of filing unmatched. ### Is order status sent back to the provider? Yes. The sync is two-way, so fill, dispense, and result status flow back into Epic or Cerner in real time, and the provider sees where every order stands. ### What happens if a result fails to post? It's queued, retried, and raised as an alert, and every message is replayable. A dropped result is caught immediately, not discovered at the next appointment. ### Is the full order lifecycle auditable? Yes. Each order and result exchange is logged with timestamp, system, and patient key, and every event is replayable, so the chain from order to result is fully traceable. ## Stop losing orders to fax. Track every result in real time. [Book a demo](https://www.stacksync.com/book-a-demo) [Get started](https://app.stacksync.com/)