EMR (Internal Partner) Integration
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1 EMR (Internal Partner) Integration EMR Partner VPN Medinformatics (HDL) XIRMED Provider Offices EMR MI Occam EMR Occam MI MI IR MI Life Image (Provider Portal) BizTalk IR MI MI IR PS360 EMR Partners CMG CTGI GNOB HHCC OAH DICOM
2 Hospital (External Partner) Integration Hospital Medinformatics (HDL) XIRMED Occam Provider Offices HOSP Occam MI Life Image (Provider Portal) BizTalk HOSP and MI Hospitals PS360 (12/12) Charter Oak (2/13) Medicity (2/13) Hartford (3/13) Windham (3/13) HMC (6/13) DKH (6/13) DICOM Notes: Require rich HL7 feed. Medicity will act much like a hospital for offices Life Image TBD
3 Medicity and Life Image (External Partner) Integtration Future CCD Exchange JR HIE Medicity (Offices Portal) Medinformatics (HDL) XIRMED HL7 Tunnel via with MD to MD from MD DICOM from Office to Life Image DICOM from IR to Life Image Provider Offices Life Image (Imaging Portal) MD? MD MI Occam BizTalk Occam MI IR MD? MD IR PS360 Provider Offices Dr. ABC Dr. LMN Dr. XZ 38 Others DICOM
4 Radiology Workflow - Hospital Partners EMR Partners LABS (Future) LifeImage Medicity HMC WCMH TIC HH DK NBL OA GNOB CMG CTGI HHCC Prosch/BT (Integration) MedInfx (RIS) (PACS) PowerScribe (Dictation) MagView (Mammo) (Coding) HO WCMH TIC Batch Batch Real Time (Epic) And Batch Batch Store Patient Data We Patient Link TIC at as no other messages are ever passed through BizTalk. TIC results are processed manually into MI, so they need the demographics delivered to MI as soon as they are received. Walk-ins and fax orders. HH MEDINFX DK Noble Offices MI
5 Radiology Workflow - s Hospital Partners EMR Partners LABS (Future) LifeImage Medicity HMC WCMH TIC HH DK NBL OA GNOB CMG CTGI HHCC Prosch/BT (Integration) MedInfx (RIS) (PACS) PowerScribe (Dictation) MagView (Mammo) (Coding) LI Subscr iber MD OA CMG (2013) CTGI HHCC Ready For Service sent with or before transmission: 1) New Patient (before) 2) Patient Update (with) Patient Arrival is when we send SC message to! - Not Ready to Read - Not Ready to Read HMC Noble DKH
6 Radiology Workflow - Results / Charges Hospital Partners EMR Partners LABS (Future) LifeImage Medicity HMC WCMH TIC HH DK NBL OA GNOB CMG CTGI HHCC Prosch/BT (Integration) MedInfx (RIS) (PACS) PowerScribe (Dictation) MagView (Mammo) (Coding) Internal Results Exam completed - RTR Ready to Read INT - Reports Dictation MagView MagView All Internal External FAX/ Report Distribution Preliminary, Final and Addendum report types. All Internal s from and MagView External Results Continue Direct to /NBL for now (future consideration) Final Report EXT Reports (, Noble,, OA) HH will likely provide results that are considered insufficient info because they arrive prior to. Moved Patient Linking to Charges to reduce this issue. EXT Final Reports TIC results are processed manually MI. is sent to MI at time of receipt (see tab) to support this manual Charge process in MI. - Final Report - Final Report EXT Final Reports - Final Report (nightly batch/pass-thru) - Final Report (nightly batch/pass-thru) Charges Patient Link on for DK,, HH, NBL, HMC, OA and WCMH. in future. (Currently batch files) sent before (new patient) and or with (patient update) msg. enhanced with MI MRN
7 Radiology BizTalk Patient Linking Workflow Breakouts s Charges Resume Result Resubmit Canonical, Global transforms In Out 3 Canonical, Global transforms In Out Canonical, Global transforms 2 4 In Out Create Patient Event Create A01 New Patient Req (w EMPI) Sent Directly to the TO_MEDINFX_ orchestration N MEDINFX MRN? N MEDINFX MRN? N MEDINFX MRN? 1 Resubmit Resubmit Link Qu contain the ID of t or to retrieve Msgs are resubm Patient Linking de events (manual or completed. Enric/Send Enrich/Send. Enrich/Send. Resubmit Link Query Event Result Retrieve / / from DB 2 4 3
8 Radiology Patient Linking Workflow Registration Manager Patient Link manager Queue Manager In Perform Lookup. Return results. Store New Case entered into Patient linking work queue for manual review. Execute Hospital to Medinformatix matching No / Maybe On Review. Patient match resolved? Patient Repository Link Patients Deterministic match to one record found? No APC N Patient Access Selects Create New Patient. Closes Case. Patient Access selects link between Hospital and MedInfx MRN. Closes Case. Create/update Demographics in Registration Manager database Store Auto Link hospital patient to MRN if no link exists. 1 Return: 1) MedInfx MRN NM)No/Maybe Send Cancel No / Maybe New Patient Creation task added to RM. If /, Dependency Event added to RM. Resubmit Update Patient Info task added to RM. If /, Dependency Event added to RM. Out Dependency is recorded as complete for updates. This allows update and / messages to be processed in parallel.
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