We use HCLL with Epic. Our instrumentation is interfaced to HCLL (now WellSky). For manual testing (tube, gel) reactions are entered directly into HCLL - tubes or gel card must be in hand when recording. We do use paper for downtime and of course recording our antibody panel reactions. There are a few tests that are wonky in HCLL that are easier to record on paper. We also utilize the APBC (which backs up every minute) for when we are down.