Centricity® Practice Solution Centricity® EMR - Cpstraining

Transcription

GE Healthcare IT
Centricity® Practice Solution
Centricity® EMR
LinkLogic Companion Guide
Centricity® Services
1
Copyright 2012 General Electric Company. All rights reserved.
Confidential and Proprietary Information
Confidentiality and Proprietary Rights and Limitations and Conditions of Use
This document is the confidential property of GE Healthcare, a division of General
Electric Company (“GE Healthcare”) and is furnished to you, a current GE Healthcare
customer, pursuant to an agreement between you and GE Healthcare. If you are not
(i) a current GE Healthcare customer, and (ii) subject to non-disclosure obligations
pursuant to an agreement with GE Healthcare, you are not authorized to access this
document. No part of this document may be reproduced in any form, by Photostat,
microfilm, xerography, or any other means, or incorporated into any information
retrieval system, electronic or mechanical, without the written permission of GE
Healthcare. Contact your GE Healthcare representative with any inquiries regarding
copying and/or using the materials contained in this document outside of the limited
scope described herein.
GE Healthcare reminds you that there may be legal, ethical, and moral obligations for
medical care providers to protect sensitive patient information when dealing with
vendors such as GE Healthcare. You should obtain explicit written consent from both
the patient and GE Healthcare before you disclose sensitive patient information to GE
Healthcare.
Trademarks
GE, the GE Monogram, Imagination at work, and Centricity are trademarks of General
Electric Company. All other product names and logos are trademarks or registered
trademarks of their respective companies
Copyright Notice
Disclaimers
Any information related to clinical functionality is intended for clinical professionals.
Clinical professionals are expected to know the medical procedures, practices and
terminology required to monitor patients. Operation of the product should neither
circumvent nor take precedence over required patient care, nor should it impede the
human intervention of attending nurses, physicians or other medical personnel in a
manner that would have a negative impact on patient health.
General Electric Company reserves the right to make changes in specifications and
features shown herein, or discontinue the products described at any time without
notice or obligation. This does not constitute a representation or warranty regarding
the product or service featured. All illustrations or examples are provided for
informational or reference purposes and/or as fictional examples only. Your product
features and configuration may be different than those shown.
GE Healthcare IT
540 West Northwest Highway
Barrington, IL 60010 U.S.A.
www.gehealthcare.com
2
How to Use This Companion Guide:
This Companion Guide is provided as an ancillary instructional guide to be used in
conjunction with the CPS or EMR Computer Based Tutorials (CBT's), CPS or EMR
Help Guides (F1), and CPS or EMR New Version Release Notes available to you
with the purchase of the CPS product(s). Additionally, during your CPS or EMR
Implementation or Upgrade, you will have GE Healthcare professionals available
to assist you as designed by your purchase.
For field-by-field explanation of the product or for point-and-click functionality
explanation, please reference the CBTs, Help Guides, and/or New Version Release
Notes. This Companion Guide is a compilation of “best practices” obtained from
multiple healthcare practice workflows, which are combined with the
functionality of CPS or EMR software, to provide the most commonly used
workflows within an ambulatory physician office. The workflows described in this
Companion Guide are recommendations ONLY and do not necessarily reflect
mandatory setup/settings. The Companion Guide should be used as a reference
in determining the best workflow designs for your specific medical practice needs.
The Companion Guide is divided into sections that represent major functionality
areas and/or workflows of the CPS or EMR product. Please note that topics
affecting more than one area of functionality may be cross-referenced. Also, at
the end of each section, you will find a Notes area available for your own
customized notes.
For more information on customer education services and tools concerning the
CPS or EMR products, please visit the Centricity Customer Portal,
http://centricityportal.gen21.com/knav/nav and/or the Customer Education
website: www.cpstraining-gehc.com.
3
Table of Contents
Introduction ...................................................................................................................................................... 5
Enable LinkLogic on a Workstation ........................................................................................................ 6
Jobs ...................................................................................................................................................................... 7
Process Jobs in "Manual" State................................................................................................................ 8
DTS Monitor ...................................................................................................................................................... 9
Activity Log ......................................................................................................................................................10
Activity Log Message Types.....................................................................................................................11
Filter to Specific Message Codes ...........................................................................................................12
Removing Activity Log Messages..........................................................................................................13
Automatically Manage Activity Log .....................................................................................................14
Exclude Messages From Activity Log ..................................................................................................15
Errors..................................................................................................................................................................16
File Extensions / Error Types ...................................................................................................................17
Viewing HL7 Messages ..............................................................................................................................18
Typical Segments in HL7 Messages .....................................................................................................19
Reading HL7 Files .........................................................................................................................................20
Typical Error: Demographics Interface..............................................................................................21
Typical Error: Appointment Interface .................................................................................................23
Resolve Appointment Book/Type Errors ............................................................................................26
Typical Error: Lab Results Interface......................................................................................................27
Typical Error: "No Existing Data…." .......................................................................................................28
Resolve "No Existing Data…." Errors .....................................................................................................29
Merging Charts ..............................................................................................................................................32
Merging Charts - Centricity EMR ...........................................................................................................35
Cross-Reference Files .................................................................................................................................36
Sample Cross-Reference File: Lab Results .......................................................................................37
Sample Cross-Reference File: Document Types ...........................................................................38
Sample Cross-Reference File: Providers ...........................................................................................39
Sample Cross-Reference File: Locations of Care ..........................................................................40
Sample Cross-Reference File: Appointment Books......................................................................41
Sample Cross-Reference File: Appointment Types ......................................................................42
Maintaining Cross-Reference Files .......................................................................................................43
MIK Mapping...................................................................................................................................................44
MIK Mapping: 4 Key Areas to Map.......................................................................................................45
Additional Items & Supported EMR Values .......................................................................................46
Integration Kit Configuration ..................................................................................................................47
MIK Mapping: Appointment Types ......................................................................................................52
MIK Mapping: Doctors ...............................................................................................................................53
MIK Mapping: Facilities .............................................................................................................................54
MIK Mapping: Resources .........................................................................................................................55
Save Mapping Changes.............................................................................................................................56
Centricity Clinical Gateway (CCG) ..........................................................................................................57
Notes ..................................................................................................................................................................65
4
Introduction
*IMPORTANT NOTICE: This Companion Guide can be used for both CPS &
Centricity EMR. The majority of screen shots are from CPS 10. Any major
differences between versions are included in this documentation, and 2 sets of
screen shots are included when noteworthy.
LinkLogic enables the efficient and intelligent sharing of data between Centricity and
a variety of external systems, such as practice management, transcription,
laboratory, hospital information, document scanning systems and clinical data
repositories. LinkLogic uses interfaces to share data.
Scenario: Monitoring LinkLogic is essential in ensuring that data from outside
systems is successfully imported into Centricity; therefore, you must know how to
navigate your way through LinkLogic.
Typical Staff Responsible and/or impacted with this Process:
LinkLogic Manager, Administration Set up Staff




Considerations:
You will need to designate a staff member who will serve as the LinkLogic
Manager.
The LinkLogic Manager will monitor messages in LinkLogic and resolve
errors.
This staff member will also alert others to possible interface issues as
applicable.
Security / Privileges must be granted to access LinkLogic.
5
Enable LinkLogic on a Workstation
CPS: Assigning applicable security to LinkLogic will enable the module for the user.
Centricity EMR: In addition to enabling privileges in Setup, LinkLogic must be
enabled during installation of the EMR client.
6
Jobs
LinkLogic queues and processes jobs to import or export data.
The Data Transfer Station handles jobs automatically. Jobs can also be imported or
exported manually from the jobs section of LinkLogic.
When error files are opened up in the errors section but canceled out rather than
resolving, this causes jobs to appear in the Jobs section. These jobs will need to be
processed manually to place the error files back in the errors section in order to
resolve the corresponding errors. “Manual” will appear in the state column when this
is necessary.
You should organize the jobs section to “All Stations” & save as your preference to
ensure that you can see and process all jobs that appear in “Manual” state when this
occurs.
7
Process Jobs in “Manual” State
To process jobs in “manual” state:
1. Highlight job(s).
2. Click the Process button to send job(s) back to the errors section.
3. Also, click OK to any screens that pop up during this process.
8
DTS Monitor
The DTS Monitor section will show you whether or not the Data Transfer Station (DTS)
is “active”. You should see a line item that states the DTS Status is “Active”.
If there is not a line item in the DTS section that states that the Data Transfer Station
(DTS) is “Active”, or if the DTS Status is “Error”, the DTS needs to be restarted.
9
Activity Log
The Activity Log lists notes, warnings, and error messages for every job manually
imported or exported, and for every job the DTS processes.
If you import and export many jobs, the log can get extremely large. If the activity log
gets too many messages in it, the DTS can stop processing until the activity log is
cleaned out.
Under most circumstances, it is important that the activity log be organized so that
messages are viewed for All Stations. This should be saved as your preference, which
will ensure that you are viewing ALL messages when clearing the log.
10
Activity Log Message Types
The activity log message type is indicated in the “severity” column. The 3 different
message types are:
•
•
•
Error
Warning
Note
Error messages indicate a possible problem in importing or exporting data.
Warning messages inform you about LinkLogic actions, indicate missing data in
optional fields, or data that is not used by the EMR application.
Note messages primarily convey information. You typically do not need to take any
action.
Go to “LinkLogic Activity Log Message Codes” in HELP (F1) to understand the notes,
warnings, and errors that you see in the Activity Log.
11
Filter to Specific Message Codes
Filtering to specific message codes is one way to organize the current view, making it
easier to clear multiple items at one time.
In the message code range area, enter the minimum & maximum code range, and
then click the OK button. Only messages in the specified range will be seen until the
view is reorganized.
To view every instance of a specific message code, enter the same number in the
minimum code range field and the maximum code range field.
Messages in the activity log can also be organized to specific dates, severity, and/or
interface type.
12
Removing Activity Log Messages
To clear messages in the current view:
1. Click the SELECT button, which will highlight every* message in the current
view.
2. Once all messages are highlighted, click the REMOVE button.
3. After all messages in the current view are removed, click the ORGANIZE button
again, and then click OK to return to your normal preferred view.
*The maximum number of messages that the select button will highlight is 14,000, so
you may have to follow this process multiple times to remove all instances.
NOTE: Activity log messages should not be cleared out prior to working the
associated errors in the errors section, as these messages can sometimes be
helpful when resolving the errors.
13
Automatically Manage Activity Log
CPS: Go to Administration>System>LinkLogic>Defaults.
Centricity EMR: Go to Setup>Settings>LinkLogic>Defaults.
To automatically remove error* entries from the Activity Log:
1. Check “Automatically remove error entries from the Activity Log”.
2. Enter the number of days in the “Remove entries after” field.
To automatically remove warning and note* entries:
1. Check “Automatically remove warnings and note entries from the Activity
Log”.
2. Enter the number of days in the “Remove entries after” field.
NOTE: Activity log messages should not be cleared out prior to working the
associated errors in the errors section, as these messages can sometimes be
helpful when resolving the errors. Be sure you set the “number of days” fields far
enough out so that the activity log messages are not removed sooner than you
will be working the errors.
*Message types appear in the severity column of the Activity Log.
14
Exclude Messages From Activity Log
Every time a job is queued, LinkLogic adds message code 7 to the Activity Log.
LinkLogic adds message code 1 every time a job completes. If you don’t want these
messages to accumulate in the Activity Log, you can modify a configuration file to
filter or exclude these messages from the log.
To exclude specific messages from the Activity Log:
1. Navigate to folder containing CPS or Centricity EMR. Examples - CPS:
C:\Program Files\Centricity Practice Solution\Client. Centricity EMR:
C:\Program Files\Centricity EMR
2. Locate & open the file for your version of the product in Notepad. (CPS: emr.ini
/ Centricity EMR: cfw.ini)
3. Find the L3IgnoreMessages entry.
4. Type the message codes you don’t want to see, separated by commas. For
example:
L3IgnoreMessages=1,7
5. Shut down & restart CPS on the workstation or the Data Transfer Station (as
applicable).
**This must be done all on workstations with access to Linklogic, including the
Data Transfer Station.**
15
Errors
When you import and export data, errors can occasionally occur. Errors can occur
for many reasons. The following list shows some of the reasons for errors:
•
LinkLogic can’t process the import file, possibly due to a patient mismatch or
the wrong data format.
•
LinkLogic can’t find the responsible provider.
•
LinkLogic can’t find a relationship for the data, or the header record in the
data file isn’t correct.
•
LinkLogic can’t process the job, due to a missing configuration file or a bad
export segment.
•
LinkLogic can’t import the data because the patient’s chart is being updated
by another user.
•
LinkLogic can’t find the appointment book or the appointment type.
The Errors section in LinkLogic contains the Pending Errors to be resolved as well as
associated Activity Log messages for each error. The associated activity log
messages can sometimes be used to help determine what you need to do to resolve
the errors.
16
File Extensions / Error Types
.HR = Lab Results, PatientLink, Docutrak Observations
.HD = Demographic Messages
.HT = Docutrak and Noteslink Documents
.SL = Scheduling Messages
The file extensions shown above are the most common, but this is not an allinclusive list.
17
Viewing HL7 Files
HL7 (Health Level 7) is a standard for electronic data exchange in healthcare
environments. LinkLogic’s use of this format is defined in the Interface Specifications
for each interface type. These specifications can be found in Managing Interfaces for
CPS on the Support web site (see next page for more information).
The error files you will work with will be HL7 files. To avoid horizontal scrolling
through the messages, set viewing options to “Wrap to Window”.
If Using WordPad to view the files:
1.
Click on the “View” menu.
2.
Click Options.
3.
Click Wrap to Window, and then click OK.
If Using Notepad to view the files:
1.
Click on the “Format” menu.
2.
Click “Word Wrap”.
18
Typical Segments in HL7 Messages
MSH = message segment header
/-/ comment section describing the error /-/
EVN = event segment – contains message date / time information
PID = patient ID segment – contains demographic information
PV1 = patient visit segment – contains provider and location of
care information
ORC, OBR = lab orders
OBX = observation / result
NTE = notes & comments
HL7 Specifications can be downloaded for more information if desired. Download
Managing Interfaces manual for your version of the product:
CPS:
http://centricitypractice.gehealthcare.com/downloads/cps_10/managing_interfaces
_cps.pdf
Centricity EMR:
http://support.centricityservices.com/download/emr_95/documentation/guides/man
aging_interfaces_with_centricity_emr.pdf
For CPS, you can use the generic user ID / password of cpsuser / cpsuser to
download this document.
For Centricity EMR, you can use the generic user ID / password of emruser / emruser
to download this document.
19
Reading HL7 Files
Segment
Name
12
3
4
5
6
7
8 etc.
PID|||MR-101-003|MR-101-003|Ellis^Virgil||19431208|M
||B|2545 SW 78th^^PortlandÔR^97229ÛSA||503-2923590|503-225-2147|English|D|||815-83-5639|
In the example PID segment above, individual fields are separated by vertical bars or
“pipes”.
When counting fields, empty fields are also counted.
Segment names and field numbers are referenced together for identification
purposes. Example: PID-1, PID-2, PID-3, etc.
Error messages frequently refer to specific segments and fields, where data is
missing or formatted incorrectly.
20
Typical Error: Demographics Interface
Scenario: There is an error in LinkLogic stating a required field is missing. Note: This
scenario is more typical for Centricity EMR, but could also be applicable if
demographic data is electronically sent from another system to CPS.
Errors referring to missing or bad demographic information should NOT be resolved
in LinkLogic. These should be resolved in the originating system.
For this example, you should:
1. Find the patient’s date of birth.
2. Enter it into the patient’s record in the originating system. (Doing this
will generate a new HL7 message.)
3. Verify that the record was created / updated in CPS or Centricity EMR.
4. Remove the original error from the errors section of LinkLogic.
Always follow the procedure above to ensure that data is kept in synch between
systems. Also remember that the originating system is the MASTER system and that
Centricity is the RECEIVING system.
21
Typical Error: Demographics Interface
Scenario: There is an error in LinkLogic stating the race field is too long. Note:
This scenario is more typical for Centricity EMR, but could also be applicable if
demographic data is electronically sent from another system to CPS.
PID|||MR-101-003|MR-101-003|Ellis^Virgil||19431208|M||Black|2545 SW 78th^^
PortlandÔR^97229ÛSA||503-292-3590|503-225-2147| English|D|||815-83-5639|
To resolve this error, do the following:
1. Edit the open HL7 file to change “Black” to “B” in PID-10. Be VERY
careful not to remove any other characters in the HL7 file. (For “field
too long” error types, refer to HL7 specifications for EMR supported
field values.)
2. Save & close the edited file.
3. With the file still highlighted in the errors section, click resolve.
To prevent this error in the future, correct MIK Mapping or cross-reference files
(as applicable to your implementation).
See MIK Mapping and cross-reference files later in this Guide. Also see supported
values for Race, Marital Status, Patient Relations, and Patient Employment Status.
22
Typical Error: Appointment Interface
****NOTE: Screen print above is from Centricity EMR.****
Scenario: There is a “Missing Appt Book and/or Type” error in LinkLogic. Note:
appointment messages are electronically sent from another system to CPS.
Errors like the one shown here occur when an appointment book related to the
imported appointment message is not mapped and/or set up in Centricity. Example
associated activity log message: Appointment book ‘Star’ could not be found.
To resolve:
1. Set up appointment book in Centricity as applicable.
2. Double-click the highlighted error message in LinkLogic.
3. Select the appropriate appointment book from the dropdown as
applicable & click OK.
Tip: Highlight the associated activity log message for the error, as shown above.
Activity log message code # 2081 will show what came across the interface for the
appointment book. Checking here will reduce the amount of time spent going back
23
and forth from the external scheduling system to LinkLogic and help you resolve
these errors quickly.
Errors like the one shown here occur when an appointment type related to the
imported appointment message is not mapped and/or set up in Centricity. Example
associated activity log message: Appointment type ‘FU is not defined…..
To resolve:
1. Set up appointment type in Centricity EMR as applicable.
(Go>Setup>Settings>Appointments)
2. Double-click the highlighted message in the errors tab.
3. Select the appropriate appointment type as applicable & click OK.
Tip: Highlight the associated activity log message for the error, as shown above.
Activity log message code # 2073 will show what came across the interface for the
24
appointment type. Checking here will reduce the amount of time spent going back
and forth from PM Scheduling and LinkLogic and help you resolve these errors
quickly.
This error was generated because the appointment book was not mapped or crossreferenced, as applicable. Example associated activity log message: Appointment
Book ’53’ could not be found. (Activity Log Message Code #2081)
To resolve:
1. Double-click the highlighted error in LinkLogic.
2. Select the appointment book as applicable from the drop-down list & click OK.
To prevent this error in the future, correct MIK Mapping or your Appointment
Cross-Reference file (as applicable).
Refer to MIK Mapping or Cross-Reference sections of this Guide as needed.
25
Resolve Appointment Book / Type Errors
Missing Appointment Book and/or Type errors will be resolved using the screens
above. There are no associated HL7 files for these. Select the book and/or type from
the dropdown or binoculars.
To prevent these errors in the future, ensure that the corresponding appointment
books and types are present in Centricity and correct MIK Mapping or your
Appointment Cross-Reference file (as applicable).
26
Typical Error: Lab Results Interface
Scenario: There is an error in LinkLogic in the PV1-3 segment. You need to
resolve the location of care error before you can import the HL7 message into
Centricity.
Li kL i M
Ad i i t ti S t
St ff
PV1|1|R|^^^128Êast Surg||||hwinston^Winston^Harry^S.
To resolve:
1. Very carefully type the location of care abbreviation in place of the number in
PV1-3, without removing any other characters in the message.
2. Save & close the HL7 file.
3. Click RESOLVE.
To prevent this error in the future, correct MIK Mapping or your Location of Care
Cross-Reference file (as applicable).
Note: Location of Care abbreviations can be found in CPS: Administration>System>
User and Resource Management>Users; in Centricity EMR: Setup>Settings>System
27
Typical Error: “No Existing Data….”
Scenario: There is an error in LinkLogic that you need to resolve before you can
import the HL7 message into Centricity. This message requires manual matching
to a patient in Centricity, as the incoming data is not an exact match.
This type of error is possible for all interface types.
Follow the directions on the following pages to resolve this type of error.
NOTE: It is sometimes helpful to highlight the patient’s external ID in PID-2 or PID-3,
right click & copy the patient ID, and then paste this ID into the patient search dialog
when resolving this type of error.
28
Resolve “No Existing Data…” Errors
Comments
Section of
HL7 File
To resolve:
1. Make note of the patient’s demographic information in the comments section
of the HL7 file, then close the file. (You may opt to copy the external patient ID
in PID-2 or PID-3 and use this in step 5 on the next page.)
2. With the error still highlighted, click Resolve.
…….Continued on next page
29
…….continued from previous page
3. Highlight the entry in the “Data to Patient Matching” window.
4. Click “Set Patient” button.
5. Click “Search” on the “Find Patient” window. (Note: If searching by external ID,
paste the ID copied from PID-2 or PID-3 and verify that the “search by” field
has been changed to “External ID” prior to clicking the “Search” button.) If you
believe the patient could be inactive, uncheck the “Search active patients only”
checkbox prior to clicking the “Search” button.
6. Highlight the correct patient’s name, and then click OK.
30
7. Highlight the “User-Specified Match” line item in the “Data to Patient
Matching” window, and then click OK.
8.
Click OK again when processing is complete.
31
Merging Charts
If you have duplicate charts, you should merge them prior to resolving related
LinkLogic errors.
Note: There can be no unsigned documents in either chart and no other user can be
in either chart when you perform this function.
If you have privileges to merge charts, follow these steps:
1.
Open the chart you want to merge (the “bad” chart)
2.
Make sure you are in the patient’s chart summary.
3.
Go to “Actions” in the toolbar
4.
Choose Administration>Merge Chart…..
continued on next page…….
NOTE: If the source chart is completely blank with no documents (including filed in
error) you may choose to Delete the chart instead, eliminating the need to merge.
Proper privileges are also required to perform this function.
32
Merging Charts – cont’d
……continued from previous page
5. Click the binoculars and find the Destination Patient (the duplicate chart
you want to keep).
6. Highlight the correct patient and click OK.
continued on next page………
33
Merging Charts
……continued from previous page
7. Click Merge
8. Then, click YES.
The charts will be merged as one chart (into the destination chart), and the
source chart will be deactivated.
34
Merging Charts – Centricity EMR
For Centricity EMR, the window above will appear upon selecting the Destination
patient from the Find Patient dialog.
The left side of the screen shows the source chart (“bad” chart), and the right side
shows the destination chart (the one you want to keep & will contain the merged
data).
To merge selected charts:
1. Uncheck the checkboxes for “Merge Insurance Information” and “Merge
Contact Information”.
2. Check the checkbox for “Delete Source after Merge”. This will delete the
“bad” chart after the merge.
3. Click Merge.
4. The charts are now merged. Click OK to the confirmation message (shown
above).
35
Cross-Reference Files
Some interfaces require the creation & use of cross reference files.
Cross reference files translate data field values to values that can be
recognized by Centricity on import or the external system on export.
For example, if you import laboratory results, you will need a crossreference file to translate laboratory test result codes to Centricity
observation term codes.
Sample cross-reference files are included on the next few pages of this Guide.
See Managing Interfaces manual for your version of Centricity for complete
information as well as examples of additional cross-reference file types.
36
Sample Cross-Reference File: Lab Results
I = Import Relationship
The first value after I = laboratory test result code
The last value = matching code for Centricity observation term
Scenario: You need to create a lab cross-reference file for your lab results
interface to ensure lab results populate patient flowsheets.
LinkLogic Manager, Administration Set up Staff, IT Staff
Considerations:
 You will need to get a list of laboratory result codes or a lab result codes
“compendium” from your lab vendor or lab system.
 You will need a spreadsheet of Centricity observation terms with associated
obs term codes.
37
Sample Cross-Reference File: Document Types
The first value after I = document type being imported from outside system
The last value = corresponding document type abbreviation in Centricity
This type of cross reference file is needed when importing scanned documents.
Scenario: You need to create a document types cross-reference file for a
document interface.
Considerations:
 You will need to obtain a list of document types for the incoming data.
 You will need to map the incoming document types to Centricity document
type abbreviations.
38
Sample Cross-Reference File: Providers
The first value after I = Provider’s UPIN number
The last value = corresponding Provider’s user ID in Centricity
Using this type of cross reference file ensures that lab results and other documents
go to the corresponding provider’s desktop.
Scenario: You need to create a provider cross-reference file for a lab results
interface.
Considerations:
 You will need to obtain a list of provider identifiers for the incoming data.
Typical identifiers might be UPIN or NPI numbers.
 You will need to map the incoming provider identifiers to Centricity providers’
user IDs.
39
Sample Cross-Reference File: Locations of Care
The first value after I = Location or Facility Number from Outside System
The last value = corresponding Location of Care abbreviation in Centricity
Scenario: You need to create a location of care cross-reference file for a lab
results interface.
Considerations:
 You will need to obtain a list of location or facility codes for the incoming
data.
 You will need to map the incoming codes to Centricity location of care
abbreviations.
40
Sample Cross-Reference File: Appointment Books
The first value after I = Appointment Book Identifier from Outside System
The last value = corresponding Book name in Centricity
Scenario: You need to create an Appointment Book cross-reference file.
Considerations:
 You will need to obtain a list of appointment book identifiers for the incoming
data.
 You will need to map the incoming identifiers to Centricity appointment book
names.
 Important: Appointment Book mappings are case-and-space sensitive.
41
Sample Cross Reference File: Appointment Types
The first value after I = Appointment Type Identifier from Outside System
The last value = corresponding Appointment Type in Centricity
Scenario: You need to create an appointment type cross-reference file.
Considerations:
 You will need to obtain a list of appointment type identifiers for the incoming
data.
 You will need to map the incoming identifiers to Centricity appointment
types.
 Important: Appointment Type mappings are case-and-space sensitive.
42
Maintaining Cross-Reference Files
Cross-Reference files should be updated any time your organization adds
new appointment types, resources / books, providers, facilities / locations
of care, or document types.
The lab results cross-reference file should also be edited any time your
organization begins ordering new laboratory tests to ensure that the
corresponding lab results will populate flowsheets.
To edit cross reference files, navigate to the LinkLogic folders located on
the Data Transfer Station (DTS) or other designated network location.
You will need to locate the drive on the DTS or other designated network location
where LinkLogic is installed.*
The files will be located in LinkLogic’s config\local folder on the network. Each file will
have an .xrf extension.
Example CPS path: <Drive on your DTS or other location>\Program Files\
Centricity Practice Solution\Client\llogic\config\local
Example Centricity path: <Drive on your DTS or other location>\Program Files\
Centricity EMR\llogic\config\local
To Edit:
1.
2.
3.
4.
5.
6.
7.
8.
Open the file you want to edit, using Notepad.
Go to the very end of the file contents, using CTRL-END.
On a new line, add another I with a comma.
Add the new information, making sure to follow the same formatting you see
in the file.
Add each new item as applicable, per instructions in steps 3 & 4 above.
Save & close the file when finished.
Simultaneously press the following keys on your keyboard & release: CTRLSHIFT-D. This will clear the LinkLogic cache. (Alternatively, you can restart
the DTS.)
After using CTRL-SHIFT-D, click OK to the pop-up stating that the LinkLogic
cache will be destroyed the next time a job is run.
*Check with your organization’s network administrator if you cannot locate the crossreference files you need to edit.
43
MIK Mapping
Customers with separate stand-alone Centricity Practice Management
and EMR databases use the Millbrook Integration Kit (MIK) to map data
fields between PM and EMR.
Similar to cross-reference files, the MIK translates incoming and outgoing
data fields to values that can be recognized by both Centricity Practice
Management and EMR.
The MIK is a component of Centricity Bridge, which is a service that synchronizes data
between Centricity Electronic Medical Record (EMR) and Centricity Practice
Management (PM).
Centricity Bridge allows patient demographic, scheduling, and procedure data to be
shared between the applications.
The next few pages contain basic mapping instructions. For complete information,
refer to the Centricity Bridge Installation Guide:
Centricity EMR:
http://support.centricityservices.com/download/centricity_bridge/centricity_bridge_i
nstallation_guide.pdf
CPS:
http://centricitypractice.gehealthcare.com/downloads/centricity_bridge/centricity_br
idge_installation_guide.pdf
Very Important: Mapping should be updated as soon as possible any time your
organization adds new appointment types, resources, doctors, or facilities to avoid
LinkLogic errors.
44
MIK Mapping – 4 Key Areas to Map
Items in PM
Map to Items in EMR
Appointment Types
Appointment Types
Doctors
Responsible Providers’ EMR user IDs
Facilities
Location of Care Abbreviations
Resources
Appointment Books
Ensure all items are set up in CPS Administration and EMR Setup.
Additional information is included on the next few pages. For complete information,
refer to the Centricity Bridge Installation Guide.
45
Additional Items & Supported EMR Values
Refer to Managing Interfaces manual for your version of Centricity and Centricity
Bridge Installation Guide for additional information on these fields.
46
Integration Kit Configuration
The MIK application is located on the PM server. You will need access to the PM
server to set up and maintain MIK Mapping.
To open the application & set up MIK Mapping:
1. Double-click the “Shortcut to Server Setup” icon on the desktop or launch from
Program Files menu.
2. Click the “Advanced Setup Options” radio button.
3. Click NEXT.
continued on next page……….
47
…..continued from previous page
4. Click the “Millbrook Integration Kit Configuration” radio button.
5.
Click NEXT.
continued on next page………
48
6. Click NEXT here & on the following screens until you arrive at the Destination
LinkLogic window.
NOTE: Startup Type should be set to Automatic as shown above. MIK can also be
stopped and started from this screen as needed. An alternate method of stopping /
starting the MIK service, would be from Control Panel>Administrative Tools>Services
on the server.
49
….continued from previous page
7.
With Destination LinkLogic highlighted, click MODIFY.
50
….continued from previous page
8. Click Modify Map.
9. Click the Mapping tab to see mapped items.
10. Highlight the item in the list (i.e. Appointment Types) that you wish to map and
click Modify.
51
MIK Mapping: Appointment Types
“List names” in the left column are the items that are currently set up in PM. (List
names appear automatically as items are set up in PM.) The external ID column is for
EMR equivalents of those items.
Scenario: You need to map Appointment Types.
To Map Appointment Types in PM to Appointment Types in EMR:
1.
2.
3.
4.
Highlight “List Name” item to map
Click MODIFY.
Type EMR value for item in External ID field.
Click OK.
Considerations:
 The External ID value must exactly match what is set up in EMR.
 Appointment Types are case & space sensitive and should contain no
punctuation in EMR setup or mapping.
 Copy/paste can be used in this process to ensure exact matching of values.
52
MIK Mapping: Doctors
Scenario: You need to map Doctors.
To Map Doctors in PM to User IDs in EMR:
1.
2.
3.
4.
Click MODIFY.
Click OK.
Considerations:
 Doctors in PM are mapped to corresponding user IDs in EMR.
53
MIK Mapping: Facilities
Scenario: You need to map Facilities.
To Map Facilities in PM to Locations of Care in EMR:
1.
2.
3.
4.
Click MODIFY.
Click OK.
Considerations:
 Facilities in PM are mapped to corresponding Location of Care abbreviations in
EMR.
54
MIK Mapping: Resources
Scenario: You need to map Resources.
To Map Resources in PM to Appointment Books in EMR:
1.
2.
3.
4.
Click MODIFY.
Click OK.
Considerations:
 Resources in PM are mapped to corresponding Appointment Book
abbreviations in EMR.
55
Save Mapping Changes
IMPORTANT: To save any mapping you have done:
1. Click NEXT until you get to the Installation window.
2. Once you arrive at this window, click NEXT again to SAVE your mapping
changes!
3. You will see a “return” button on the next window & a message at the top of
the screen that says “MIK configuration is complete!”
4. At that point, mapping is complete.
56
Centricity Clinical Gateway (CCG)
The Centricity Clinical Gateway (CCG) provides seamless communications between
Centricity products and external healthcare interfaces. The CCG is installed on the
Interface Engine server. The primary component of the CCG is the Quovadx Cloverleaf
interface engine.
The interface engine receives messages from various internal and external sources in
a variety of protocols. Messages are converted as necessary and routed to the
appropriate destination. Sources and destinations include the Centricity applications
and the defined CCG sites (interfaces).
Lab Orders Export makes use of this interface capability.
The interfaces are managed through the Cloverleaf Integration Services graphical
user interface (GUI). Interfaces are installed and activated through the GUI. The GUI
also includes tools to monitor the traffic through the interface engine.
57
Centricity Clinical Gateway (CCG)
Lab Orders Export:
Lab orders can be exported in a standard HL7 electronic format to lab service
providers. The appropriate messages can be generated and exported through the
Data Transfer Station (DTS), and sent to the corresponding lab service organizations
through the Centricity Clinical Gateway (CCG) system. Both new and canceled orders
are supported.
The next few pages provide basic information. For complete information, see
“Installing and Maintaining the Centricity Clinical Gateway”:
Centricity EMR:
http://support.centricityservices.com/download/emr_95/documentation/guides/insta
ll_maintain_ccg.pdf
CPS:
http://centricitypractice.gehealthcare.com/downloads/cps_10/install_maintain_CCG.
pdf
58
Viewing the Processes
Shown above is an example of the Cloverleaf Integration Services graphical user
interface (GUI). Process statuses are color-coded, as indicated.
Examples of additional statuses are shown on the next page.
59
Process Statuses / Color Schemes
Examples of process statuses and color schemes are shown above.
60
CCG Services
The CCG Service Tools are web-based. The following services must be running in
order for the tools to be available:
•
Centricity Clinical Gateway Service Tools
•
Centricity Clinical Gateway Webmin Service
(Start these services via Control Panel>Administrative Tools>Services)
61
Accessing the Webmin Tool
The Webmin tool in CCG allows errors to be viewed and re-sent through the Interface
Engine.
The tools may be accessed via the Microsoft Internet Explorer web browser. If you are
working on the server where the CCG is installed, the URL is:
http://localhost:10000
NOTE: If you are working remotely, type http://<ipaddress>:10000/
The default port for Webmin service is 10000. It is recommended that you don’t
change this port.
The default Username is: geservice
The default Password is: geservice
After logging on, the Service Tools page is displayed. Click the Interface Monitor link
on the Service tab, as shown above.
62
CCG Interface Monitor
The CCG Interface monitor provides a snapshot of the current status of active
interface sites (Cloverleaf sites) on the CCG.
The CCG Interface monitor has an error message browser, which allows you to:
•
•
•
Browse the list of messages in the Cloverleaf error database for the selected
site
Re-send one or more messages (Messages that are successfully re-sent are
deleted from the error database.)
Delete one or more messages without re-sending (Messages that are deleted
without being re-sent are also deleted from the error database.)
When you click a link showing the number of errors for a particular site, the CCG
Interface Monitor displays a list of all the messages in the Cloverleaf error database
for that site.
Click the “Monitor all sites” link to review statistics for all interfaces.
63
Viewing and Working with Errors
Clicking the message ID link, as shown above, will open the specific HL7 message
that errored out in the CCG.
The message can be resent by clicking the Send button at the bottom of the screen
for the message shown.**
To resend multiple messages, click the checkboxes next to the specific messages to
be resent (or click the Select All button at the bottom of the window). Click the
Resend button at the bottom of the window to resend the selected messages.
Messages that are successfully resent are deleted from the error database.
To delete multiple messages, click the checkboxes next to the specific messages to
be deleted (or click the Select All button at the bottom of the window). Click the
Delete button at the bottom of the window to delete the selected messages from the
error database.
**Note: If editing is required, this cannot be done within the CCG Interface
Monitor at this time. You will need to contact a designated person on your IT staff
or GE Support for help, so that the source of the error messages can be corrected.
64
Notes
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
65

Centricity® Practice Solution Centricity® EMR - Cpstraining

Transcription

Similar documents

Silego Technology - Globalpress Electronics Summit

Signiant

Driving enterprise efficiency through interoperability

Achieving Meaningful Use with Centricity EMR

Brochure

Convergence Challenges for the SME

Slides

QuickDocs - HYPE Systems Inc.

Manufacturing Energy Management Solution (MEMS)