[MEDITECH-L] Quest Lab Interface

[Donna M Wendel]

Good Afternoon L,

We're considering a Quest Laboratories interface. Are there any
Meditech C/S sites that have a SORR (Send Orders Receive Results), a
ROSR (Receive Orders Send Results) or both interfaces with Quest? If so
would you be able to discuss the length of time it took to implement,
challenges you identified in that process and your satisfaction with the
interface(s)?

Thanks,

Donna Wendel

Applications Manager

Information Services

Anderson Hospital

Maryville, IL

681-391-5713

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[Pervine, Teresa]

We are C/S 5.55 and use Quest with a Medinet interface. (We got QUEST to pay for the interface). It works well, and it didn't take long to get the interface up and running, but we did have problems with our side dropping the connection periodically. That was solved with a script. It does take time to get all of the tests built, but of course that would be true of most any reference lab. One little tidbit of advice: ALL QUEST tests should be built as "Numeric? N".

Teresa Pervine MT (ASCP)
Clinical Support Specialist
Information Systems
Murray Calloway County Hospital
270-762-1160
tper...@murrayhospital.org

How many times is it appropriate to say "What?" before you just nod and smile because you still didn't hear what they said? ~Anonymous

[Donna M Wendel]

Hi Teresa,

Good job on getting Quest to pay for your interface! Thanks for
responding. We had a Medinet interface with Quest years ago that
required a Modem box that sat on the counter top that had to be toggled
on and off. Is that how you do it as well or are you operating with HL7
messages? What does your script do to keep the connection up?

Thanks,
Donna W.

[Pervine, Teresa]

HL7 messages. They travel through the MIS IN box/OUT box and we result them in an analyzer process screen. I don't know the details of the script, but I'm pretty sure our Systems Administrator would share if you decide to go that route.

[Donna M Wendel]

Teresa,

Thanks for the info. I'll keep this in mind if we proceed with the
Quest interface. I hope things are going well for you all at Murray
Calloway - please say hello to Regina for me.

[Donna M Wendel]

Thanks for your responses Tim!

Donna W.

-----Original Message-----
From: tim.w...@NCMC-Hospital.com
[mailto:tim.w...@NCMC-Hospital.com]
Sent: Wednesday, October 21, 2009 2:35 PM
To: Donna M Wendel; tper...@murrayhospital.org; medit...@MTUsers.com;
Michael Ward; Beckie L. Gaskill
Subject: RE: [MEDITECH-L] Quest Lab Interface

HL7 all the way

Tim

[tim.w...@ncmc-hospital.com]

HL7 all the way

Tim

-----Original Message-----

From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Donna M Wendel

Sent: Wednesday, October 21, 2009 2:28 PM

To: Pervine, Teresa; medit...@MTUsers.com; Michael Ward; Beckie L.
Gaskill

Subject: Re: [MEDITECH-L] Quest Lab Interface

[tim.w...@ncmc-hospital.com]

Yes, all tests need to be made non-numeric. They have a lot of "See
Comment" results. We are on the same system C/S 5.55. Quest Chantilly
does everything as a panel with every possible "T" test known to mankind
in it. That was the hardest part.

Tim Wilkins, B.S. MT(ASCP), MBA
Laboratory Information Systems Manager
North Cypress Medical Center
21214 Northwest Freeway
Cypress, TX 77429
Office: 832-912-3856
FX: 832-912-0075
tim.w...@ncmc-hospital.com
www.ncmc-hospital.com

The information contained in this message is privileged and
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and will be fully prosecuted under the LAW.

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Pervine, Teresa
Sent: Wednesday, October 21, 2009 2:17 PM

To: Donna M Wendel; medit...@MTUsers.com; Michael Ward; Beckie L.
Gaskill

Subject: Re: [MEDITECH-L] Quest Lab Interface

[Dollar, Betty]

We are C/S v5.64 and implemented a non-discreet Medinet to
Quest.......mainly so we did not have to rebuild over 500 tests. All are
T-tests non-numeric. Our only issue with this is reflexed tests. We get
a fax from them anytime a reflex is added (as in an ANA titer from a pos
ANA screen) and there is no way to result the reflexed test without
going in and manually ordering it......then resending the failed INBOX
message. None that I have discovered anyway. They dropped me on
this.....said it would be no issue when we fleshed it out and it is....a
big issue.

It has taken me alone so far 208 hours........then another 75 for our
processor who helped secure the REF RES codes.

Betty Dollar
x5290
This e-mail or the documents accompanying this e-mail contain
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-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Donna M Wendel
Sent: Wednesday, October 21, 2009 2:47 PM
To: medit...@MTUsers.com; Michael Ward; Beckie L. Gaskill
Subject: [MEDITECH-L] Quest Lab Interface

Good Afternoon L,

Thanks,

Donna Wendel

Applications Manager

Information Services

Anderson Hospital

Maryville, IL

681-391-5713

====================================

This transmission is for the use of the individual or entity named on this e-mail. Unauthorized disclosure or access may be prohibited by Public Law 99-474 (The Computer Fraud and Abuse Act of 1986), Public Law 104-294 (National Information Infrastructure Protection Act of 1996), 18 U.S.C. 1030, or other applicable criminal laws, and can result in administrative, disciplinary or criminal proceedings. This mail system, including this transmittal, may be internally monitored for all lawful purposes, including ensuring compliance with applicable privacy and security rules as specified by HIPAA and internal Bert Fish Medical Center policies. Transmission of unencrypted Protected Health Information is prohibited. Please reply to sender or contact Compliance at (386) 424-6470 if you have received this in error.

[Sliker, Terri]

I have built a Quest SORR interface with C/S 5.5 and was able to get my ANAs to reflex. What I did was build the T-Type test non-numerically and use result codes for Negative and Positive. Then I built an Order Group for the Titer and Pattern, attaching this to my result groups to reflex of the Result of POSITIVE. Works like a charm, unless the titer ends up being <40 (or whatever they report as negative). In this case, I just need to go in and NP the Pattern result, as there is no pattern. With the reflex built, it automatically orders the required tests. I also have the Analyzer Type set to auto release and File W/O review the Repeat and Confirm. Feel free to give me a call if I can help.

Terri Sliker
United Memorial Medical Center
Batavia, NY 14020
(585)344-8180
tsl...@ummc.org
Murphy's best friend was a computer

[Dollar, Betty]

How do you get MT to make a determination of when to reflex? ALL our
results are entered as a dot ( . ) by Quest and all the actual results
are entered as a comment. We never have anything but a dot........so
there is no way for us to evaluate for a reflexed order group. Is your
interface a discreet interface? We are non-discreet.....only one OBX
with a dot as the result and the actual results as a comment to that
"dot" result.

Betty Dollar
x5290
This e-mail or the documents accompanying this e-mail contain
information that may be confidential and/or privileged. It may also be
prohibited from disclosure under applicable law. The opinions expressed
are those of the sender and do not necessarily represent the policy or
positions of Bert Fish Medical Center. The information is intended to be
for the use of the individual or entity named on this transmission. If
you are not the intended recipient, be aware that any disclosure,
copying, distribution or use of the contents of this information is
without authorization and is prohibited. If you have received this
e-mail in error, please notify us immediately so that we can take action
to correct the problem.

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Sliker, Terri
Sent: Thursday, October 22, 2009 12:43 PM
To: medit...@mtusers.com
Subject: [MEDITECH-L] Quest Lab Interface

====================================

This transmission is for the use of the individual or entity named on this e-mail. Unauthorized disclosure or access may be prohibited by Public Law 99-474 (The Computer Fraud and Abuse Act of 1986), Public Law 104-294 (National Information Infrastructure Protection Act of 1996), 18 U.S.C. 1030, or other applicable criminal laws, and can result in administrative, disciplinary or criminal proceedings. This mail system, including this transmittal, may be internally monitored for all lawful purposes, including ensuring compliance with applicable privacy and security rules as specified by HIPAA and internal Bert Fish Medical Center policies. Transmission of unencrypted Protected Health Information is prohibited. Please reply to sender or contact Compliance at (386) 424-6470 if you have received this in error.

[Paul Comras]

Allison,

Dimensional Insights offers a reporting and analytical tool that would work
with or without MEDITECH's data repository. Please refer to
www.dimins.com/whitepapers.html if you would like to read some client
testimonials and white papers concerning the Diver Product. In addition
please visit us at booth 401 while at the Mighty Muse meeting in Newport RI.
If you are not going to be in attendance you can always call me directly.

Paul Comras
Director of Healthcare
Dimensional Insight
508-224-6107 (O)
508-801-1429 (C)
pco...@dimins.com

[Gibbs, David]

The easiest way to avoid this is to do what you thought was too much
work up front. You should build new tests and make all your orderable
tests G or P type tests.

You then create profiles that includes the reportable T tests in them.
This allows you to include every single possible reflexed result under a
single order. Many of those tests will need to be auto NP'd as you may
not always get results for them. It is also fairly easy to change the
profile when your reference lab changes their reflex rules.

David Gibbs
Analyst, Laboratory Information Systems
Fraser Health, Burnaby, BC

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Dollar, Betty
Sent: October 22, 2009 7:28 AM
To: Donna M Wendel; medit...@mtusers.com; Michael Ward; Beckie L.
Gaskill

Subject: Re: [MEDITECH-L] Quest Lab Interface

[Jim Sehloff]

We have been interfaced via Medinet to Quest since they were SmithKline
labs. Anyway, we have tests set up as numeric because that worked for
us. Some can be set up that way. Having stated that, if I were
starting new on this interface, I would make them all non-numeric for
the reasons stated. We are Magic 5.62.

Jim Sehloff
M.S. MT(ASCP)
Information Security Analyst
Caretech Solutions
Holy Family Memorial Medical Center
P.O. Box 1450
Manitowoc, WI 54221-1450

920-320-2799

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of
tim.w...@NCMC-Hospital.com
Sent: Wednesday, October 21, 2009 2:33 PM
To: tper...@murrayhospital.org; wen...@andersonhospital.org;
medit...@MTUsers.com; wa...@andersonhospital.org;
gask...@andersonhospital.org
Subject: Re: [MEDITECH-L] Quest Lab Interface

-----Original Message-----
From: meditech-...@mtusers.com
[mailto:meditech-...@mtusers.com] On Behalf Of Pervine, Teresa
Sent: Wednesday, October 21, 2009 2:17 PM

To: Donna M Wendel; medit...@MTUsers.com; Michael Ward; Beckie L.
Gaskill
Subject: Re: [MEDITECH-L] Quest Lab Interface

We are C/S 5.55 and use Quest with a Medinet interface. (We got QUEST to
pay for the interface). It works well, and it didn't take long to get
the interface up and running, but we did have problems with our side
dropping the connection periodically. That was solved with a script.
It does take time to get all of the tests built, but of course that
would be true of most any reference lab. One little tidbit of advice:
ALL QUEST tests should be built as "Numeric? N".

Teresa Pervine MT (ASCP)
Clinical Support Specialist
Information Systems
Murray Calloway County Hospital
270-762-1160
tper...@murrayhospital.org

How many times is it appropriate to say "What?" before you just nod and
smile because you still didn't hear what they said? ~Anonymous

Good Afternoon L,

Thanks,

Donna Wendel

Applications Manager

Information Services

Anderson Hospital

Maryville, IL

681-391-5713

====================================

====================================

Please do NOT send messages that ask "Please post to the list" These
are useless messages that just waste the email server's resources.
Instead, email the original requester and ask that they send you or post
the results of their question.

To UNSUBSCRIBE, go to http://MTUSers.net
for information.

The meditech-l archives (and other tips) can be found at
http://mtusers.net/zarchives

Job opportunities in the Meditech community can be found at
http://mtusers.net/zjobs

====================================

Please do NOT send messages that ask "Please post to the list" These
are useless messages that just waste the email server's resources.
Instead, email the original requester and ask that they send you or post
the results of their question.

To UNSUBSCRIBE, go to http://MTUSers.net
for information.

The meditech-l archives (and other tips) can be found at
http://mtusers.net/zarchives

Job opportunities in the Meditech community can be found at
http://mtusers.net/zjobs

[Massey, Kate]

We have a Labcorp NMI (SORR) interface with Meditech (C/S 5.55). We are connected through a VPN connection. I have built several reference lab interfaces in the past and each time I learn something that I wish I had done differently.

One thing: make all of your tests numeric "N" and make all of your orders a Profile, even if there is only 1 test to result. You can have a profile with 1 test in it. When there are possible reflexes, put these in your profile with NP as the auto-result. If they reflex, you can write a calculation to add on an order group which will have a reflex bill code in it. If the reference lab makes a change to their test profile, all you have to do is add/delete tests from your Profile and your orderable mnemonic never changes. It makes it much easier when you are trying to maintain the interface.

I also like to make different departments for the "room temp," "frozen," "refrigerated," and "ground ship" specimens. Even though you can sort your site batch by temp, it makes it easier on the techs and couriers if these are separate batches. I didn't do this with my latest interface because Meditech recommended that I not do it. I still wish that I had followed my instincts and done it as in the past with my other vendor.

Good Luck!

Kate Massey, MT (ASCP),QLI
Laboratory
Maury Regional Hospital
(931)381-1111 ext.1178

Good Afternoon L,

Thanks,

Donna Wendel

Applications Manager

Information Services

Anderson Hospital

Maryville, IL

681-391-5713

====================================

====================================

====================================

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The information transmitted is intended only for
the person or entity to which it is addressed and may
contain confidential and/or privileged material. Any
review, retransmission, dissemination or other use of,
or taking of any action in reliance upon, this information
by persons or entities other than the intended recipient is
prohibited. If you received this in error, please contact
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===========================================================

[Massey, Kate]

[Peyjam, Fariborz]

We have Quest interface via NMI and I have set them up as non-numeric
because they could send results as "SEE NOTE" or "SEE BELOW" or "< OR =
0.90".

Fariborz Peyjam
Project Manager - Clinical Applications
Mount Sinai Health Systems
Chicago, Illinois
Phone: (773) 257-5257
Fax: (773) 257-5145
email: pe...@sinai.org