EMR-LINK Auto-complete troubleshooting guide

Auto-completion: 1.A feature enabled within Centricity when Ignis installs a bi-directional interface and sets up the EMR orders. 2.When, upon signing of the lab result, the EMR order status is automatically changed from an “In Process” status to “Complete” status.

What can cause auto-completion to break? 1.When the order is not placed using EMR-Link. 2.When the lab manually enters the order into their lab order entry system (or changes the order code). 3.When an order is transmitted and later modified in EMR 4.When the proper workflow is not followed in EMR (refer to steps 3, 4, 5 on subsequent slides). The following slides provide step-by-step guidance on troubleshooting when auto-completion is not working as expected.

1. Check that the result was returned via the EMR-Link interface Explanation: If the result is manually entered by an EMR user, auto-completion will not occur. What to do: In EMR-Link, click RESULTS tab, and Find Results. Filter the search criteria – if the result was returned by the lab, proceed through steps 2 through 7. If the result was not returned, inquire with the lab and determine why.

2. Check that OBR.2 in the HL7 file is in the correct format, nnnn-n Explanation: EMR-Link updates the HL7 data with the test id, based on finding the original order. The format will be [order id]-[test #]. What to do: If OBR.2 is in a different format, then EMR- Link did not find the original order. If this happens for every result, this is probably a configuration issue which will require Customer Support to address. If this happens occasionally, it may be due to cases where the lab entered the order manually or modified it after it was received. This is normal.

3. Check that OBR.2 matches the original EMR order number Explanation: If the OBR.2 value is in the correct format, but does not match the EMR test number than auto- complete will not occur. This can happen if the original order is modified after transmitting the order through EMR- Link. What to do: Rerun (or re-order) the test, making sure the original order is not modified. When THIS result is returned, auto-complete should work correctly.

4. Check that the original orders were signed in EMR before the result was returned Explanation: Auto-complete only works on signed orders. What to do: If the orders were NOT signed prior to the result being returned, sign the orders, and then re-import the result file.

5. Check that the original orders were “In Process” rather than “Admin Hold” Explanation: Auto-complete only works on orders which are in a status of In Process. What to do: Change the order status to In Process and then re-import the result. This issue will require examining your workflow to avoid using Admin Hold for normal orders.

6. Check that the result document is signed Explanation: Auto-complete happens at the point where the result document is signed. What to do: If the result document is not signed, sign the result and then look again at the completion status of the order.

7. Check that the result file was marked as final Explanation: The HL7 data should have an “F” in OBR.25 and also in every OBX.11. What to do: If the result should have been marked final, this is a problem with the lab or with the EMR-Link edits to the HL7 data; contact Customer Support. If the result was correctly marked as preliminary, then auto-complete isn’t supposed to happen.

If steps 1 through 7 have been verified and auto-complete still is not performing as designed, please contact Ignis Support: Phone: option 2 Your Ignis Team