EMR Workflows: Benefits of API Integration and Macros

Jan 20, 2022 by Dominick Pellegrino 0

EMR Integration Concept

Electronic Medical Records (EMR) integration works by connecting two different platforms for data sharing and working together. The process of integration links the EMR platform with other digital platforms (systems or devices) to facilitate the easy flow of clinical data, communication, and coordination between the two platforms without any workflow breakups.1

Role of Healthcare Application Programming interfaces (APIs)

Healthcare APIs are important pillars in allowing clinical interoperability. An API provides a set of standards to enable faultless integrations either by unidirectional or bidirectional data transfer.

The conventional methods of handling interoperability by using calls, fax machines, and emails are not feasible for a modern clinic because of numerous disconnected silos. Healthcare APIs provide a common framework to share health information by different caregivers, vendors, and stakeholders and thus bridging the gap between these silos. 1

Caregivers can utilize APIs in one of the following two ways:

Θ Patient-Facing Open APIs 1

These APIs utilize meaningful use programs to collect, share and enable access to patient data. As EMR vendors are responsible for API capabilities, providers are responsible for making patient data available and easily accessible in the standard clinical dataset. These types of APIs are beneficial in generating a continuous stream of patient data.

Θ Provider-Integrating APIs 1

APIs offer a more accessible framework for provider interoperability for sharing clinical data between caregivers, practices, and shareholders.

Meaningful Use Stage Three Mandates Regarding APIs 1

Θ Caregivers must employ patient-facing, read-only APIs along with certified EHR/EMR solutions.

Θ APIs should be open and transparent. They must allow patients access to data types mentioned in the electronic summary of the continuity of care document (CCDs) using their preferred system

Θ  Facilitate meaningful data returning using computable standards.

A Macros driven approach

According to the American Academy of Family Physicians (AAFP) using EHR macros in documentation can reduce work hours as the repeat typing of words or phrases can be avoided which saves time. For example, once macros set up is done, and if EHR input “Birth control counseling provided” typing only “bcc,” will display results with discussion of barrier methods, hormonal methods including progesterone-only methods and combination pills, implants patches, ring, and IUDs. 2

According to a recent study, macros offer a flexible and proficient tool for cleaning large clinical data sets of, especially in the scenario when an institution is short of informatics support or EMR functionality to export clinical data in an analysis-ready format. The time spent on data cleaning was significantly reduced when using macro-assisted sorting compared to the manual approach for both vital signs and labs (94% and 91% reduction, respectively; P < 0.001).3

MDofficeManager EHR integration Services 4

MDoffice Manager’s EHR Integration Services can interface easily with any EHR system. We provide no-cost customized interfacing services on a quick turn-around for both standards-based (HL7) and proprietary systems. There are many types of electronic interfaces. Some of the more prominent ones are Document Interface, Admission, Discharge, Transfer (ADT) interface, and Laboratory and Prescription Interface.

Moreover, MDofficeManager is a member of the consortium with Verizon MDE, which is integrated into our workflow platform. MDE allows HIPAA compliant, secure information data exchange. Additionally, physicians are able to receive MDE messages into their inbox from any other facility, transcription service provider, or platform technology.

Unique features of Verizon MDE

Allows simple, nationwide, secure, private exchange.

Designed to meet all NHIN requirements.

Routes patient notes among more than 300,000 physicians.

Provides new infrastructure to promote the sharing of health information with authorized users.

Meets MIPS/APM requirements

Optimize time and cost by eradicating the need to create interfaces with various systems.

For more information contact: Sales@MDofficeManager.com


  1. Majumdar S. EMR Integration: A Comprehensive Guide. www.selecthub.com/medical-software/emr/emr-integration/#6%20UDRRMg (Accessed on January 14, 2022)
  2. Reddy S etal. Seven Habits for Reducing Work after Clinic. 2019 American Academy of Family Physicians. www.aafp.org/fpm/2019/0500/fpm20190500p10.pdf (Accessed on January 14, 2022)
  3. Bauzon J etal. Using macros in Microsoft excel to facilitate the cleaning of research data. Journal of Community Hospital Internal Medicine Perspectives.2021; 11(5); 653–657.
  4. EHR Integration. www.mdofficemanager.com/ehr-integration (Accessed on January 14, 2022)

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