Read Microsoft PowerPoint - HS LinkLogic Training text version

HealthSystems

LinkLogic Training December 7, 2006

Presenters: Thom Cook, Mary Kay Herman & Ricky Higginbotham

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Data Exchange Illustration

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What is the purpose of LinkLogic?

· Enables the efficient and intelligent sharing of data between the EMR application and a variety of external systems, such as Centricity PM, transcription, laboratory, hospital information, and clinical data repositories · Reduces the amount of information that must be manually entered into Centricity EMR and other computer systems · Specifics:

­ Patient Demographics ­ Orders ­ LabCorp, Quest, Esoterix, PatientLink, Dinamap

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How is LinkLogic managed?

· By the designated LinkLogic Manager

Task Work with the clinical team to test and validate interfaces in the clinic If necessary, manually initiate import and export tasks Monitor Data Transfer Station (DTS) activity Resolve LinkLogic errors Reconcile records that do not match and assign to appropriate chart Work with HealthSystems to resolve LinkLogic-related errors and problems, track resolution Frequency During the implementation process As needed Check/restart every morning Hourly or as needed Hourly or as needed As needed As needed

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Enabling LinkLogic on a workstation

If the LinkLogic button is not present on your workstation:

1. Exit & completely close Centricity EMR 2. Click the Windows Start button 3. Select Programs > Logician > Logician Setup

­ Note: EMR 2005: Programs > Centricity Physician Office ­ EMR Setup

4. 5. 6. 7.

On the next menu, select the "modify" option Be sure that the checkbox next to LinkLogic has been checked Follow the prompts to complete the update After this is done, the LinkLogic button will be available on the workstation for users with privileges to access LinkLogic 8. Note: If you use a shortcut on your desktop to Centricity EMR, please discard and create a new shortcut

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Jobs Tab

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Jobs Tab ­ Explanation

· LinkLogic queues and processes jobs to import or export data · The DTS handles jobs automatically. Jobs can also be imported/exported manually from the jobs tab · Some jobs can appear in the jobs tab when errors are opened up in the errors tab, and the canceled out prior to resolving. These will need to be processed manually to place them back in the errors tab in order to resolve the corresponding errors. "Manual" will appear in the state column when this is necessary

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DTS Monitor Tab

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DTS Monitor Tab ­ Explanation

· The DTS Monitor tab will show you whether or not the DTS is "Active" · If there is not a line item in the DTS tab that states that the DTS is "Active", or if the DTS Status is "Error", the DTS needs to be restarted · ANYTIME Oracle is shutdown & restarted, the DTS needs to be restarted to re-establish the connection between PM and EMR

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Activity Log Tab

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Activity Log Tab ­ Explanation

· It 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 · ANYTIME Oracle is shutdown & restarted, the DTS needs to be restarted to re-establish the connection between PM and EMR · Go to "LinkLogic Activity Log Message Codes" in HELP (F1) to understand the notes, warnings, and errors you see in the Activity Log

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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 (max: 14,000 messages) 2. Once all messages are highlighted, click the REMOVE button (do not remove messages until all errors have been reconciled) 3. After all messages in the current view are removed, click the ORGANIZE button again, the click OK to view all remaining messages in the activity log

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12

Auto-Manage Activity Log Messages

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Exclude Messages From Activity Log

HealthSystems Value-Added Service: As a standard implementation process, our technical services staff modifies a configuration file to exclude common messages to prevent them from accumulating. This keeps you from having to manage this process.

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14

Errors Tab

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Errors Log Tab ­ Explanation

· · · · · · LL can't process the import file, possibly due to a patient mismatch or the wrong data format LL can't find the responsible provider LL can't find a relationship for the data LL can't process the job, due to a missing config file LL can't import the data because the patient's chart is being updated by another user LL can't find the appt book or the appt type **The Errors tab in LL 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.

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Centricity EMR ­ Patient Matching

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Errors ­ How To Prevent LinkLogic Errors?

· · Centricity PM is the MASTER, EMR is the RECEIVER If you add the following in Centricity PM, you must also add them in Centricity EMR

PM

Appointment Types Doctors Facilities Resources

EMR

Appointment Types Responsible Providers Locations of Care Books

Relationship

1 to 1 1 to 1 1 to Many 1 to 1

Integration/Manual/Scripted

MIK setup (HS value added service) MIK setup (HS value added service) MIK setup (HS value added service) MIK setup (HS value added service)

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Errors ­ How To Prevent LinkLogic Errors?

Additional Items that HS maps within the MIK as a value-added service

PM

Marital Status Patient Relationship Race

EMR

Specific values Specific values Specific values

Notes

Types used in EMR must be in PM Direct conflict between applications Types used in EMR must be in PM

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File Extensions / Error Types

· · · · .HR = Lab Results, PatientLink, Docutrak Observations .HD = Demographic Messages .HT = Docutrak .SL = Scheduling Messages

· HL7: is a standard for electronic data interchange in healthcare environments. LL use of this format is defined in the Interface Specifications for each interface type · You may use WordPad or NotePad to view these files

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Typical Segments in HL7 messages

· · · · · · · · · · · · MSH: message header segment /-/comment section describing the error/-/ EVN: event segment PID: patient id segment PV1: patient visit segment NK1: next of kin segment IN1: insurance segment ORC,OBR: lab orders OBX: observation / result NTE: notes and comments SCH: schedule information AIS, AIG, AIL, AIP: appt information

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21

Reading HL7 Files

Fields are separated by vertical bars (pipes) · · · · · · MSH|^~\&|MIKDemographics||LinkLogic^LinkLogic^GUID||20061206201631||ADT^A08|5 |P|2.3||||NE||| EVN|A08|20061206151631||01 PID|1|197|197||"Martin"^"Gary"^""^""^""|||M||B|"8041 N MacArthur Blvd"^""^"Carrollton"^"TX"^"75015"^""||"(972)386-9688"|"(972)247-5492"||M|||357-874020|||||||||||N PV1|1|O|^^^TEF^^^^^TestFacility||||6^Skinner^Howard^L^MD^^^^&UPIN&UPIN|||||||||||||C ommercial|||||||||||||||||||||||||||||||| GT1|1|188|Martin^Gary||8041 N MacArthur Blvd^^Carrollton^TX^75015|(972)3869688|(972)247-5492||M||S|357-87-4020|||||14001 Dallas Pkwy^^Plano^TX^75075^USA|(972)991-1029||F|||||||||||||||||||||||||||||||K109.9 Radio IN1|1|32|32|Stateline TPA, Inc|1718 Indian Wood Circle^^Maumee^OH^43537||(800)428-8194||||||||P|Martin^Gary|||8041 N MacArthur Blvd^^Carrollton^TX^75015||IN|1|||N|||||||||||357874020|0|||||F|M||NV|||| **Error messages frequently refer to specific segments and fields, where data is missing or formatted incorrectly

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22

Typical Error: Demographic Interface

· · MSH|^~\&|MIKDemographics||LinkLogic^LinkLogic^GUID||20061206201631||ADT^A08|5 |P|2.3||||NE||| /-/ Error: Required field is missing, Patient: dateOfBirth (Patient) (Patient) [PID|1|197|197||"Martin"^"Gary"^""^""^""|||M||B|"8041 N MacArthur Blvd"^""^"Carrollton"^"TX"^"75015"^""||"(972)386-9688"|"(972)247-5492"||M|||357-874020|||||||||||N], Start at: 122, End At: 285, Line in file: 2 \-\ EVN|A08|20061206151631||01 PID|1|197|197||"Martin"^"Gary"^""^""^""|||M||B|"8041 N MacArthur Blvd"^""^"Carrollton"^"TX"^"75015"^""||"(972)386-9688"|"(972)247-5492"||M|||357-874020|||||||||||N PV1|1|O|^^^TEF^^^^^TestFacility||||6^Skinner^Howard^L^MD^^^^&UPIN&UPIN|||||||||||||C ommercial|||||||||||||||||||||||||||||||| GT1|1|188|Martin^Gary||8041 N MacArthur Blvd^^Carrollton^TX^75015|(972)3869688|(972)247-5492||M||S|357-87-4020|||||14001 Dallas Pkwy^^Plano^TX^75075^USA|(972)991-1029||F|||||||||||||||||||||||||||||||K109.9 Radio IN1|1|32|32|Stateline TPA, Inc|1718 Indian Wood Circle^^Maumee^OH^43537||(800)428-8194||||||||P|Martin^Gary|||8041 N MacArthur Blvd^^Carrollton^TX^75015||IN|1|||N|||||||||||357874020|0|||||F|M||NV||||

· · · · ·

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23

Typical Error: Scheduling Interface

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24

Resolve Appt 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.

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25

LinkLogic Conclusion:

Questions and Answers

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Information

Microsoft PowerPoint - HS LinkLogic Training

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