- Patient Demographics
- Imaging Orders/Results
- Radiology Workflows
- Cerner (CommunityWorks)
- Allscripts
- Paragon HIS (McKesson)
- Harvest LIS (Orchard)
- BRIT PACS
- HL7
- LLP
Pike County Memorial Hospital, a 25-bed critical access hospital in Missouri, provides general medical, surgical, and emergency care for its local community. As part of a shared Cerner CommunityWorks domain with 19 other hospitals, the hospital needed a reliable way to manage integrations between its core EMR and internal clinical systems.
Originally implemented in 2017, Iguana was used to connect the hospital's Allscripts EMR with key departmental platforms including McKesson's Paragon Suite, Orchard's Harvest LIS, and BRIT Systems' PACS. Iguana was deployed in a High Availability setup to ensure radiology and physical therapy data could flow reliably, especially for patient demographic updates and imaging results. In 2020, the hospital successfully migrated to Cerner EMR, with Iguana continuing to serve as the central integration layer.
Today, Iguana is used to route, track, and troubleshoot messages between Cerner and clinical departments. It ensures that ADT messages, orders, and results are properly delivered to radiology, the emergency department, and physical therapy — supporting accurate, real-time care coordination.
The radiology workflow stands out as a showcase of Iguana's flexibility and value. Orders and imaging results are exchanged between Cerner and the PACS system, ensuring that radiologists receive timely information and that completed results are reliably pushed back into the patient record.
Across the hospital, Iguana provides the visibility needed to quickly identify message delivery issues, with built-in tools for filtering, tracing, and verifying data flow. Even with an integration setup composed primarily of standard pass-through channels, Iguana delivers outsized impact by ensuring clarity, continuity, and confidence in clinical communication.
With Iguana, Pike County Memorial Hospital has achieved greater interoperability across systems, more reliable data flow, and faster resolution of integration issues — all while supporting high-quality care in a critical access environment.
