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SRMC Regional West for Sidney #1

Open Joanneince opened 4 years ago

Joanneince commented 4 years ago
Joanneince commented 4 years ago

From: Seeley, Angela Michelle AngelaMichelle.Seeley@uchealth.org Sent: Thursday, April 16, 2020 10:42 AM To: Ince, Joanne Joanne.Ince@uchealth.org; Barron, Sharyl A Sharyl.Barron@uchealth.org; Brunkhorst, Paula Paula.Brunkhorst@rwhs.org Subject: RE: PBS and HEMC Path results

Thanks Joanne.

Paula – It looks as though you all are sending only 1 OBX result OBX|1|ST|IFHEM^PATHOLOGY CONSULT REQUEST^RWHS_LRR||See Below||||||F|||20200415120055 with a lot of NTE segments.

Original build was mapped out as listed below. I am thinking I need to rebuild to one single component on our side using the mapping code of IFHEM. I am going to do that now to see if this works, Joanne…I will let you know when I have the new mapping in place.

Pathology Hematology Consult Pathology Hematology Consult IFHEM
Pathology Hematology Consult HP Dx Interpretation HP DX Pathology Hematology Consult HP Reason History Reason for Consultation HP REASON Pathology Hematology Consult HP Review Review of Smear HP REVIEW

Thanks, A. Michelle Seeley BSM, MT (ASCP) Systems Analyst, Epic Beaker

Laboratory Information Services 1400 E Boulder Street Colorado Springs, CO 80909 O 719.365.7809 Angelamichelle.seeley@uchealth.org

From: Ince, Joanne Joanne.Ince@uchealth.org Sent: Thursday, April 16, 2020 10:33 AM To: Barron, Sharyl A Sharyl.Barron@uchealth.org; Seeley, Angela Michelle AngelaMichelle.Seeley@uchealth.org; Brunkhorst, Paula Paula.Brunkhorst@rwhs.org Subject: RE: PBS and HEMC Path results

Hi, I added the code to pass “IFHEM” or “PBS” test results through the 732399 interface. I received some errors in Epic

Message to Epic:

MSH|^~\&|CERNER|RWLAB|RWHS_LAB|RWHS|20200415120127||ORU^R01|Q149003109T176150916|T|2.5||||||8859/1 PID|1||9308444^^^MRN||BEAKER^ITERATIVETESTINGONE^^^^^||19900901120000|F|||^^^^^^^|||||||900050873 ORC|CN OBR|1|488618720|1027003712^Beaker|IFHEM^Pathology Consult Request^RWHS_EAP|||20200413152300|||^CONTRIBUTOR_SYSTEM^MHC^^^^^^^Personnel||||20200415115846|AP Specimen&AP Specimen|^^^^^^^^^^^^NPI||||00000HP20200000001^HNA_AP_ACCN||20200415120056||Anatomic Pathology|F||1^^^^^R~^^^^^R|||||265&Brunkhorst&Paula&&&&&&PERSONNEL PRIMARY IDENTIFIER&&Personnel Primary Identifier OBX|1|ST|IFHEM^PATHOLOGY CONSULT REQUEST^RWHS_LRR||See Below||||||F|||20200415120055 NTE|1||Patient: BEAKER, ITERATIVETESTINGONE MRN: 9308444.br\ NTE|2|| .br\ NTE|3|| .br\ NTE|4|| Hematology Consultation Reprot.br\ NTE|5|| .br\ NTE|6|| .br\ NTE|7||Accession: Collected Date/Time: Received Date/Time: .br\ NTE|8||HP-20-0000001 4/13/2020 15:23 MDT 4/15/2020 11:58 MDT .br\ NTE|9|| .br\ NTE|10|| .br\ NTE|11|| Hematology Consultation Report.br\ NTE|12||Interpretation.br\ NTE|13||Testing for Epic interface.br\ NTE|14|| .br\ NTE|15||Paula Brunkhorst.br\ NTE|16||(Electronically signed by).br\ NTE|17||Verified: 04/15/2020.br\ NTE|18||PB/PB.br\ NTE|19|| .br\ NTE|20||History Reason for Consultation.br\ NTE|21||None given.br\ NTE|22|| .br\ NTE|23|| .br\ NTE|24||Review of Smear.br\ NTE|25||Physician requested review..br\

Joanne Ince | Interface Team| 903-285-3902 |

From: Barron, Sharyl A Sharyl.Barron@uchealth.org Sent: Thursday, April 16, 2020 9:25 AM To: Ince, Joanne Joanne.Ince@uchealth.org; Seeley, Angela Michelle AngelaMichelle.Seeley@uchealth.org; Brunkhorst, Paula Paula.Brunkhorst@rwhs.org Subject: RE: PBS and HEMC Path results

Would we be getting a result with code PBS or just IFHEM?

From: Ince, Joanne Joanne.Ince@uchealth.org Sent: Thursday, April 16, 2020 9:24 AM To: Seeley, Angela Michelle AngelaMichelle.Seeley@uchealth.org; Barron, Sharyl A Sharyl.Barron@uchealth.org; Brunkhorst, Paula Paula.Brunkhorst@rwhs.org Subject: RE: PBS and HEMC Path results

I will let you all know when ready for testing.

Joanne Ince | Interface Team| 903-285-3902 |

From: Seeley, Angela Michelle AngelaMichelle.Seeley@uchealth.org Sent: Thursday, April 16, 2020 9:14 AM To: Barron, Sharyl A Sharyl.Barron@uchealth.org; Brunkhorst, Paula Paula.Brunkhorst@rwhs.org Cc: Ince, Joanne Joanne.Ince@uchealth.org Subject: RE: PBS and HEMC Path results

Actually, yes… that is the order that we send as a request for the IFHEM result. My apologies for not thinking of that one too.

Thank you, Michelle

A. Michelle Seeley BSM, MT (ASCP) Systems Analyst, Epic Beaker

Laboratory Information Services 1400 E Boulder Street Colorado Springs, CO 80909 O 719.365.7809 Angelamichelle.seeley@uchealth.org

From: Barron, Sharyl A Sharyl.Barron@uchealth.org Sent: Thursday, April 16, 2020 9:07 AM To: Seeley, Angela Michelle AngelaMichelle.Seeley@uchealth.org; Brunkhorst, Paula Paula.Brunkhorst@rwhs.org Cc: Ince, Joanne Joanne.Ince@uchealth.org Subject: RE: PBS and HEMC Path results

Michelle, should Joanne also be looking for the code PBS?

From: Seeley, Angela Michelle AngelaMichelle.Seeley@uchealth.org Sent: Thursday, April 16, 2020 9:03 AM To: Brunkhorst, Paula Paula.Brunkhorst@rwhs.org; Barron, Sharyl A Sharyl.Barron@uchealth.org Cc: Ince, Joanne Joanne.Ince@uchealth.org Subject: RE: PBS and HEMC Path results

Good morning Everyone,

I added a new note to MS Teams regarding this issue. We are waiting on response from Joanne to see if she can grab the test code IFHEM in the engine and re-route it to MSH|^~\&|CERNER|RWLAB|RWHS_LAB|RWHS| and not let it go to MSH|^~\&|CERNER|RWPATH|RWHS_PATH

Thank you, Michelle

A. Michelle Seeley BSM, MT (ASCP) Systems Analyst, Epic Beaker

Laboratory Information Services 1400 E Boulder Street Colorado Springs, CO 80909 O 719.365.7809 Angelamichelle.seeley@uchealth.org

From: Seeley, Angela Michelle Sent: Wednesday, April 15, 2020 3:25 PM To: paula.brunkhorst@rwhs.org; Barron, Sharyl A Sharyl.Barron@uchealth.org Cc: Ince, Joanne Joanne.Ince@uchealth.org Subject: RE: PBS and HEMC Path results

Thank you for the feedback Paula, I have changed the mapping for result [LAB1925] setting it to IFHEM now, and I left the mapping for the initial request [LAB5850] as PBS.

Joanne – Paula sent us the incorrect code initially, we need to have the build changed on the engine to identify IFHEM as the code that goes to RWHS_LAB and not RWHS_PATH. Is this possible in the engine for this one test? We should be seeing 2 results for these tests – PBS and IFHEM.

Thank you, Michelle

A. Michelle Seeley BSM, MT (ASCP) Systems Analyst, Epic Beaker

Laboratory Information Services 1400 E Boulder Street Colorado Springs, CO 80909 O 719.365.7809 Angelamichelle.seeley@uchealth.org

From: paula.brunkhorst@rwhs.org paula.brunkhorst@rwhs.org Sent: Wednesday, April 15, 2020 2:52 PM To: Barron, Sharyl A Sharyl.Barron@uchealth.org; Seeley, Angela Michelle AngelaMichelle.Seeley@uchealth.org Cc: Ince, Joanne Joanne.Ince@uchealth.org Subject: RE: PBS and HEMC Path results

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Hi Michelle -

  1. I talked to Bevan - I was looking at what went out to the interface engine when I was looking at items. Bevan deletes the second OBR of HEMC so if you have the IFHEM built as the test that will get the results that should fix it. I am sorry - I did not look at the Interface engine side out on this test and Anatomic items get treated a little different by him in the engine. So if you order PBS - we will order the PBS and IFHEM and then you will get those to items back.

  2. On the RWHS side we cannot change this for the IFHEM test. If we did that it is an all or none on our side, which would mean all pathology comes back under lab. I think Joanne had said something about looking for a test and maybe being able to route it different. Now that we know that the HEMC does not come back, can she look for the IFHEM and change the routing?

Thanks

Paula

--- Originally sent by angelamichelle.seeley@uchealth.org on Apr 15, 2020 1:26 PM ---

Thanks Sharyl.

Paula – It looks as though there are 2 issues here.

  1. I may have my mapping logic backwards. I looks like I should have HEMC as the original request order we send to you [LAB5850] and then have IFHEM as the result coming back to me by looking at the message we received.

  2. These results will need to have MSH|^~\&|CERNER|RWLAB|RWHS_LAB|RWHS| and not MSH|^~\&|CERNER|RWPATH|RWHS_PATH Is this possible on your side for this Heme Consult order and result only to go thru RWLAB?

Thanks, Michelle

A. Michelle Seeley BSM, MT (ASCP) Systems Analyst, Epic Beaker

Laboratory Information Services 1400 E Boulder Street Colorado Springs, CO 80909 O 719.365.7809 Angelamichelle.seeley@uchealth.org

From: Barron, Sharyl A Sharyl.Barron@uchealth.org Sent: Wednesday, April 15, 2020 1:06 PM To: Seeley, Angela Michelle AngelaMichelle.Seeley@uchealth.org Cc: Brunkhorst, Paula Paula.Brunkhorst@rwhs.org; Ince, Joanne Joanne.Ince@uchealth.org Subject: PBS and HEMC Path results

This came in an went to the 732377 because we base the MSH-4 in this case RWHS_PATH. So we need to also look at the OBR4.1 codes to distinguish to go to 732399 instead with the NTE segments. Don’t know if this is a template but Report is spelled incorrectly.

MSH|^~\&|CERNER|RWPATH|RWHS_PATH|RWHS|20200415120127||ORU^R01|Q149003109T176150916||2.3||||||8859/1 PID|1||9308444^^^MRN||BEAKER^ITERATIVETESTINGONE^^^^^||19900901120000|F||||||||S||900050873|||||||0 ORC|CN OBR|1|488618720|1027003712^Beaker|IFHEM^Pathology Consult Request|||20200413152300|||^CONTRIBUTOR_SYSTEM^MHC^^^^^^^Personnel||||20200415115846|AP Specimen&AP Specimen|^^^^^^^^^^^^NPI||||00000HP20200000001^HNA_AP_ACCN||20200415120056||Anatomic Pathology|F||1^^^^^R~^^^^^R|||||265&Brunkhorst&Paula&&&&&&PERSONNEL PRIMARY IDENTIFIER&&Personnel Primary Identifier OBX|1|FT|IFHEM^PATHOLOGY CONSULT REQUEST||See Below||||||F|||20200415120055 NTE|1||Patient: BEAKER, ITERATIVETESTINGONE MRN: 9308444|| NTE|2|| || NTE|3|| || NTE|4|| Hematology Consultation Reprot|| NTE|5|| || NTE|6|| || NTE|7||Accession: Collected Date/Time: Received Date/Time: || NTE|8||HP-20-0000001 4/13/2020 15:23 MDT 4/15/2020 11:58 MDT || NTE|9|| || NTE|10|| || NTE|11|| Hematology Consultation Report|| NTE|12||Interpretation|| NTE|13||Testing for Epic interface|| NTE|14|| || NTE|15||Paula Brunkhorst|| NTE|16||(Electronically signed by)|| NTE|17||Verified: 04/15/2020|| NTE|18||PB/PB|| NTE|19|| || NTE|20||History Reason for Consultation|| NTE|21||None given|| NTE|22|| || NTE|23|| || NTE|24||Review of Smear|| NTE|25||Physician requested review.||

Sharyl Barron Information Services – Systems Analyst Sr University of Colorado Hospital 2450 S Peoria St. Aurora, CO 80014 O - 303-752-6291 sharyl.barron@uchealth.org uchealth.org