Veterans Integrated Service Network 22 awarded a purchase order to Cadwell Laboratories Inc. for $29,973.46 on September 18, 2026, for Cadwell EMG-HL7-CadLink inbound and outbound electromyography software. The order carries no set-aside designation and is firm fixed price. Work is performed in Kennewick, Washington. The software requirement covers bidirectional HL7 messaging integration between Cadwell electromyography systems and the VA's electronic medical record, including inbound import of patient demographics, scheduling, and physician orders, and outbound export of finalized EMG test reports and waveforms as PDFs or embedded documents. The order is due for completion November 17, 2026. The originating pre-solicitation, posted August 18, 2026, identified the requirement as a commercial item acquisition under FAR 12.201-1(c)(2) and mandated Mirth Connect for HL7 translation, encrypted communication, secure PHI storage with local buffering, and onsite or remote training.