Interoperability
The systems register
Every system Pensieve is built to reach, with the protocol it speaks, the direction the data moves, and the tools that produce or consume it. 96 entries, one page, one anchor each.
How to read this register
A row is a connection Pensieve is built to make, stated at the level a network engineer can check.
Each entry names the class of system, the protocol phrase the bridge speaks to it, the direction and content of the traffic, and the tools inside Pensieve that produce or consume what crosses. Every one of them rides the same path: one on-prem orophin agent, one outbound mutually authenticated link, no inbound rule on your firewall.
Compatibility only. Pensieve connects to systems in this class over the protocol they speak. Naming a system describes the connection Pensieve is built to make; it implies no partnership, no certification, and no existing deployment.
By class
The twelve classes, each with its own page
A class page states what that kind of system emits, which message types carry it, what Pensieve does with the payload, and what breaks at that seam.
- HIS / HMISThe hospital registration, admission, and billing system of record.
- EMRElectronic medical record systems, over HL7 v2 and FHIR R4.
- EHRCross-provider electronic health records, under consent.
- LIS (laboratory information systems)Laboratory information systems and the analysers they manage.
- PIS (pharmacy systems)Pharmacy dispense, inventory, and drug-data systems.
- RIS / PACS (imaging)Radiology information systems and image archives.
- Billing / ERP / FinanceAccounting, ERP, and finance systems, including GST.
- Insurance / TPA / ClaimsPayer, TPA, and claims endpoints.
- Government & RegulatoryABDM, GST, and IRDAI / NHCX national rails and registries.
- Lab analysers & instrumentsDirect-connected laboratory analysers and instruments.
- Medical devices & IoTBedside monitors, pumps, ventilators, and ECG carts.
- Custom hospital APIsAnything a hospital exposes over its own API, database, or file drop.
Lab analysers over ASTM / HL7
- Roche cobasLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: chemistry and immunoassay results posted against the Forge order. On the record: Forge, orophin, Atlas, Sentinel.
- Abbott AlinityLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: chemistry and immunoassay results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Abbott ArchitectLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: chemistry and immunoassay results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Siemens AtellicaLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: chemistry and immunoassay results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Siemens ADVIALaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: chemistry and haematology results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Beckman Coulter DxHLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: haematology results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Beckman Coulter AULaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: chemistry results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Sysmex XNLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: haematology (CBC/differential) results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Sysmex XTLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: haematology results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Mindray BCLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: haematology results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Mindray BSLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: chemistry results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Horiba YumizenLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: haematology results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Transasia / ErbaLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: chemistry and haematology results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Bio-Rad D-100Laboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: HbA1c / HPLC results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Tosoh G8Laboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: HbA1c / HPLC results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- RandoxLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: chemistry and immunoassay results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Ortho VitrosLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: chemistry and immunoassay results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Nihon Kohden (Celltac)Laboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: haematology results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Snibe MaglumiLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: immunoassay results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Agappe MispaLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: chemistry results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- DiatronLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: haematology and chemistry results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
- Sysmex CSLaboratory analyser. ASTM E1394 / HL7 v2 over MLLP. In: coagulation results to the ordering entry. On the record: Forge, orophin, Atlas, Sentinel.
Imaging modalities & PACS / RIS over DICOM
- GE HealthcareImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- Siemens HealthineersImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- PhilipsImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- Canon MedicalImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- CarestreamImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- Agfa HealthCareImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- Fujifilm SynapseImaging modality or PACS/RIS. DICOM (C-FIND / C-MOVE). In: studies queried from the PACS (C-FIND / C-MOVE) to the in-app viewer. On the record: orophin, Atlas.
- SamsungImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- HologicImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: mammography studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- SectraImaging modality or PACS/RIS. DICOM (C-FIND / C-MOVE). In: studies queried from the PACS to the in-app viewer. On the record: orophin, Atlas.
- Konica MinoltaImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- AllengersImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- BPLImaging modality or PACS/RIS. DICOM (C-FIND / C-MOVE). In: studies to the in-app viewer. On the record: orophin, Atlas.
- EsaoteImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: ultrasound / MRI studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- Mindray ImagingImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: ultrasound studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- Wipro GEImaging modality or PACS/RIS. DICOM (MWL / C-STORE / C-FIND), HL7 ORU reports. Out: modality worklist. In: studies to the in-app viewer. On the record: Forge, orophin, Atlas.
- TrivitronImaging modality or PACS/RIS. DICOM (C-FIND / C-MOVE). In: studies to the in-app viewer. On the record: orophin, Atlas.
- Barco (display QA)Imaging modality or PACS/RIS. DICOM (C-FIND / C-MOVE). Diagnostic-display quality context for the in-app viewer. On the record: orophin, Atlas.
EMR / EHR over FHIR / HL7
- EpicEMR/EHR system. FHIR R4, HL7 v2, SAML SSO. In/out: encounters, problems, results, and documents under consent. On the record: Atlas, Forge, Cirith.
- Oracle Health (Cerner)EMR/EHR system. FHIR R4, HL7 v2, SAML SSO. In/out: encounters, results, and documents. On the record: Atlas, Forge, Cirith.
- MeditechEMR/EHR system. HL7 v2, FHIR R4, SAML SSO. In/out: ADT, results, and documents. On the record: Atlas, Forge, Cirith.
- Meditech ExpanseEMR/EHR system. FHIR R4, HL7 v2, SAML SSO. In/out: encounters, results, and documents. On the record: Atlas, Forge, Cirith.
- Veradigm (Allscripts)EMR/EHR system. HL7 v2, FHIR R4, OIDC SSO. In/out: results and documents. On the record: Atlas, Forge, Cirith.
- athenahealthEMR/EHR system. FHIR R4, OIDC SSO. In/out: encounters and results. On the record: Atlas, Forge, Cirith.
- InterSystems TrakCareEMR/EHR system. HL7 v2, FHIR R4, SAML SSO. In/out: ADT, results, and documents. On the record: Atlas, Forge, Cirith.
- NextGenEMR/EHR system. FHIR R4, HL7 v2, OIDC SSO. In/out: encounters and results. On the record: Atlas, Forge, Cirith.
- eClinicalWorksEMR/EHR system. FHIR R4, HL7 v2, OIDC SSO. In/out: encounters and results. On the record: Atlas, Forge, Cirith.
- DrChronoEMR/EHR system. FHIR R4, OIDC SSO. In/out: encounters and results. On the record: Atlas, Forge, Cirith.
- Practo RayEMR/EHR system. HL7 v2 / REST API, OIDC SSO. In: appointments and demographics. On the record: Atlas, Forge, Cirith.
- HealthPlixEMR/EHR system. HL7 v2 / REST API, OIDC SSO. In: encounters and prescriptions. On the record: Atlas, Forge, Cirith.
- Generic FHIR R4 serverFHIR R4 server. FHIR R4, OIDC SSO. In/out: any FHIR R4 resource the server exposes. On the record: Atlas, Forge, Cirith.
- Generic HL7 v2 feedHL7 v2 feed. HL7 v2 over MLLP. In/out: any HL7 v2 message the feed emits or accepts. On the record: Atlas, Forge, Cirith.
HIS / HMIS
- Generic HIS via HL7Hospital information system. HL7 v2 (ADT / DFT) over MLLP. In: demographics, admissions, and charges. On the record: Gate, Atlas, Vault, Forge.
- Generic HIS via APIHospital information system. REST / FHIR R4, OIDC SSO. In/out: whatever the API exposes, through a configured adapter. On the record: Gate, Atlas, Vault, Forge.
- Generic HIS via CSVHospital information system. CSV / flat-file drops. In: scheduled file exports watched from a drop folder. On the record: Gate, Atlas, Vault, Forge.
- Insta HMSHospital information system. HL7 v2, CSV. In: demographics, admissions, and charges. On the record: Gate, Atlas, Vault, Forge.
- BirlamedisoftHospital information system. HL7 v2, CSV, DB polling. In: demographics, admissions, and charges. On the record: Gate, Atlas, Vault, Forge.
- MocDocHospital information system. REST / FHIR R4, HL7 v2. In: appointments and admissions. On the record: Gate, Atlas, Vault, Forge.
- Napier HISHospital information system. HL7 v2, REST / FHIR R4, DB polling. In: demographics, admissions, and charges. On the record: Gate, Atlas, Vault, Forge.
- KareXpertHospital information system. REST / FHIR R4, HL7 v2. In: demographics and admissions. On the record: Gate, Atlas, Vault, Forge.
Pharmacy / PIS
- Generic PIS via HL7Pharmacy or PIS system. HL7 v2 over MLLP. Out: medication orders. In: dispense and inventory. On the record: Forge, Sentinel, Vault.
- Marg pharmacyPharmacy or PIS system. CSV, DB polling. In: dispense, inventory, and stock movements. On the record: Forge, Sentinel, Vault.
- RelyMedPharmacy or PIS system. HL7 v2, REST / FHIR R4. In: dispense and inventory. On the record: Forge, Sentinel, Vault.
- Visual PharmaPharmacy or PIS system. CSV, DB polling. In: dispense and inventory. On the record: Forge, Sentinel, Vault.
- Dispensing-cabinet feedPharmacy or PIS system. HL7 v2 / device feed. In: dispense events matched against the order. On the record: Forge, Sentinel, Vault.
- e-pharmacy APIPharmacy or PIS system. REST / FHIR R4, OIDC SSO. Out: e-prescription. In: fulfilment status. On the record: Forge, Sentinel, Vault.
Billing / ERP / Finance
- TallyBilling, ERP, or finance system. CSV / REST API, GST e-invoicing. Out: GST-correct invoices and ledgers to accounting. On the record: Vault, Falcon.
- SAPBilling, ERP, or finance system. REST API / CSV, SAML SSO. Out: financial postings. In: master data. On the record: Vault, Falcon.
- Oracle ERPBilling, ERP, or finance system. REST API / CSV, SAML SSO. Out: financial postings. In: master data. On the record: Vault, Falcon.
- Microsoft DynamicsBilling, ERP, or finance system. REST API / CSV, SAML SSO. Out: financial postings. In: master data. On the record: Vault, Falcon.
- Zoho BooksBilling, ERP, or finance system. REST API / CSV, GST e-invoicing, OIDC SSO. Out: invoices and ledgers to accounting. On the record: Vault, Falcon.
- GST IRP portalBilling, ERP, or finance system. GST e-invoicing API. Out: e-invoices to the Invoice Registration Portal. On the record: Vault, Falcon.
- Payment gateway (UPI)Billing, ERP, or finance system. REST API (UPI), OIDC SSO. In: payment confirmation matched to the invoice. On the record: Vault, Falcon.
- Bank reconciliation feedBilling, ERP, or finance system. CSV / REST API. In: settlements matched to invoices. On the record: Vault, Falcon.
Insurance / TPA / Claims
- NHCXPayer, TPA, or claims endpoint. FHIR R4 (NHCX). Out: pre-auth and claims. In: adjudication and settlement. On the record: Vault, Raven.
- PMJAY / Ayushman BharatPayer, TPA, or claims endpoint. FHIR R4 / REST (PMJAY). Out: scheme claims. In: eligibility and approval. On the record: Vault, Raven.
- Generic TPA via HL7Payer, TPA, or claims endpoint. HL7 v2 (DFT) over MLLP. Out: charges and claims. In: status. On the record: Vault, Raven.
- Generic TPA via APIPayer, TPA, or claims endpoint. REST / FHIR R4, OIDC SSO. Out: pre-auth and claims. In: status. On the record: Vault, Raven.
- IRDAI e-claimPayer, TPA, or claims endpoint. FHIR R4 / REST API. Out: standardised claim submission. On the record: Vault, Raven.
- ECHSPayer, TPA, or claims endpoint. REST API / CSV. Out: scheme claims. In: approval. On the record: Vault, Raven.
- CGHSPayer, TPA, or claims endpoint. REST API / CSV. Out: scheme claims. In: approval. On the record: Vault, Raven.
- Corporate cashless portalPayer, TPA, or claims endpoint. REST / FHIR R4, OIDC SSO. Out: pre-auth and claims. In: approval. On the record: Vault, Raven.
ABDM ecosystem & registries
- ABHA creationABDM rail or registry. ABDM FHIR R4. Out: create or link an ABHA at Gate registration. On the record: Gate, Nexus, Cirith.
- HIE-CM (consent manager)ABDM rail or registry. ABDM FHIR R4 / consent. In/out: consent-driven record sharing. On the record: Cirith, Atlas, Nexus.
- HFR (facility registry)ABDM rail or registry. ABDM HFR API. In: facility registration context held in Nexus. On the record: Nexus.
- HPR (professional registry)ABDM rail or registry. ABDM HPR API. In: HPR-linked professional context for clinicians. On the record: Nexus, Cirith.
- Health Records linkingABDM rail or registry. ABDM FHIR R4. Out: publish records to the patient ABHA with consent. On the record: Cirith, Atlas, Vault.
- ABDM Milestone M1/M2/M3ABDM rail or registry. ABDM sandbox conformance. Built to the ABDM M1/M2/M3 milestone framework, an alignment target rather than a certification. On the record: Gate, Cirith, Vault.
- NDHM sandboxABDM rail or registry. ABDM sandbox. In/out: a test endpoint for exercising ABDM integration. On the record: Gate, Nexus.
Medical devices & IoT
- Vitals monitorsMedical device. HL7 v2 over MLLP. In: vitals to the record, with Sentinel thresholds. On the record: orophin, Atlas, Sentinel.
- Infusion pumpsMedical device. HL7 v2 / device feed. In: infusion data to the record. On the record: orophin, Atlas, Sentinel.
- VentilatorsMedical device. HL7 v2 / device feed. In: ventilator parameters to the ICU flowsheet. On the record: orophin, Atlas, Sentinel.
- ECG cartsMedical device. DICOM / HL7 v2. In: ECG traces to the record. On the record: orophin, Atlas, Sentinel.
The bound on this register
This describes protocol-level compatibility through the orophin bridge. It is not a claim of an existing deployment, partnership, or certification with any named vendor.
A system is listed here because the protocol it speaks is one the bridge speaks. Where a specific installation of it is licensed differently, exposes less than the standard allows, or has been configured to answer a query and refuse a retrieve, that is a fact about the installation and it is established during deployment rather than asserted here.