Soft Bank Interface Integration with Foreign LIS systems

Soft. Bank Interface Integration with Foreign LIS systems. Standalone Soft. Bank Navigating the Straits of Soft. Bank integration Michael Griffis MT (ASCP)

Soft. Bank® SCC's BLOOD SERVICES INFORMATION SYSTEMS SUITE ® Ø In today's fast-paced, expensive, and highly-regulated transfusion services environment, it is increasingly important to provide safe, accurate blood products from a centralized inventory that is current and highly responsive to specialized daily needs as well as emergencies. Ø Soft. Bank offers a wide range of exceptional features that are designed to streamline many of the routine, manual, time-consuming tasks associated with Transfusion and Blood Center processes and procedures. This dynamic transfusion service management system combines previous high performance functionality with exciting new features to provide a comprehensive, cost-effective centralized testing solution. Ø Transactions and reports are produced in seconds without affecting the system's processing power, even in a complex, multisite operation with numerous PC terminals. The database management system offers fast, direct linking between records and transactions. This dramatically increases levels of security and integrity when performing and documenting activities and events. Ø As a major asset to the laboratory, Soft. Bank provides critical safety functions throughout the system, enabling you to focus on what is important; providing safe blood products to your patients. Ø The Soft. Bank features include: Ø Ø Ø ISBT ready Electronic crossmatch with embedded critical safety features Multisite capabilities Secured access Emergency issue User-defined online worksheets Unit recall management and documentation Comprehensive inventory management Daily trace and audit trail Management reports Compatible with oracle database. NET technology

Standalone Soft. Bank • The popularity and advanced features of Soft. Bank have led to many organizations adding Soft. Bank as a module or replacing their current Blood Bank module without changing the LIS system • Unique constraints exist when Soft. Bank is interfaced with a Foreign LIS system. Many of these constraints from foreign systems are mitigated by Client Interface Engines. • Different Clients with the same LIS system may handle these constraints in different ways depending on their LIS system setups and Workflows.

Standalone Soft. Bank with Foreign LIS systems • Soft. Bank is not the Phlebotomy System. Specimens are collected and received in the Foreign LIS • Soft. Bank must utilize Foreign LIS Barcodes on Instrumentation • Merging Ordered Tests into the Same Order/Accession/Specimen Number is controlled by the foreign system.

Standalone Soft. Bank with Foreign LIS systems, cont’d • Soft. Bank is constrained to Order, Reflex and Add-On in Soft. Bank based on foreign system requirements. This impacts Soft. Bank workflows. • Most Foreign LIS systems are setup to interface to Soft. Bank as reference lab style interfaces and not customized foreign blood bank module interfaces

Standalone Soft. Bank with Foreign LIS systems, cont’d • Many Foreign LIS systems do not allow creation of specimens from foreign systems with reference lab style interfaces. • Reflex and Add-On testing differs significantly depending on the foreign LIS • Foreign LIS systems Soft. Bank has interfaced with: • • • Sunquest LIS Mc. Kesson Horizon HLAB Epic Beaker LIS Cerner Medhost

Standalone Soft. Bank w/o Foreign LIS system • In many instances, interfacing with another LIS is not wanted and Soft. Bank interfaces directly with the HIS system. • Phlebotomy now resides in Soft. Bank. • Standard HIS interfaces do not have the same constraints as Foreign LIS constraints. • CPSI – Evident • GE Centricity

Soft. Bank Orders Interface Features • Soft. Bank can accept discrete data fields for relevant information from the HIS systems. • Reason For Transfusion • Transfusion Needed Date • Special Instructions • CMV negative Blood • HLA matched Blood • Irradiated Blood • ETC…

Soft. Bank Orders Interface Features These discrete data fields typically will require client interface engine modification of Orders messages to provide the data to Soft. Bank. Many LIS and HIS systems have limitations on providing this data in the needed Order Test Level discrete data fields.

Soft. Bank Product Results interface features • Soft. Bank provides different formats of results messages • Short/Long Text Discrete • Extended discrete • Textual formats • Message indicator that the result is for a Product

Soft. Bank Product Results interface features • Extended discrete has become more popular as many HIS systems are able to post the data in individual discrete fields. • Unit Donation Number, Unit ABO/RH Type, Unit Expiration, Unit compatibility, etc… • ISBT coded data • Product Code, Blood Type • Codabar coded data • Product Code, Blood Type, Registration • Individual Unit Status • Selected, Issued, Transfused and Released

Soft. Bank Product Results interface features • A single product result message may contain many units. • Number of units that a message can contain depends on foreign system posting.

Soft. Bank Test Results interface features • Automatic reflexing • Message indicator that the result is for a Test or Action (i. e. Rh. Ig)

Other Soft. Bank Interfaces • Soft. ID Tx • Epic Blood Transfusion Status (New to Epic 2018) • Hematology Query Result Posting • Physician Update (MFN)

® Soft. ID. Tx • Soft. ID. Tx, the positive patient identification system from SCC Soft Computer, is a comprehensive system used to manage the transfer of transfusion-related data from the patient's bedside to SCC's Soft. Bank system, Soft. ID. Tx enables users to collect transfusion-related data, assign a blood product to a courier, and verify that the product selected for transfusion is the same product assigned to the patient in Soft. Bank.

® Soft. ID. Tx • Soft. IDTx Transfusion Data can be sent from Soft. Bank interfaces. • • Transfusion Start Date/Time Transfusion End Date/Time Transfuser Patient Vitals Transfusion Volume Automated Transfusion Reaction Workup Ordering based on Vitals Real time notification of Unit Dispense Status

Epic Blood Transfusion Status • Transfusion Start Date/Time • Transfusion End Date/Time • Transfuser • Transfusion Volume • No need to Presume the Transfusion of a Issued Unit

Soft. Bank Hematology Query • Hematology Results are routed from the Foreign LIS to Soft HIS interfaces and posted via Soft customized Hematology Results posting “instrument” interface • Client interface engine “copies” results messages to Soft. Bank when the department indicates Hematology from the Main LIS HIS results interface • Only a copy of the Result message (ORU) needs to be sent to Soft.

Soft. Bank Hematology Query • This interface is simple, only designed to post the numeric data from results such as WBCs, HGB, HCT, PLT, PT/INR, a. PTT and Fibrinogen. • Results are not posted to the Soft. Bank database. • Results post to the Soft. Lab Host system • Only results will post, Reference Ranges and abnormal flags are based on Test setup. • Soft. Bank queries the Soft. Lab Host database for the results. • Soft. Bank Transfusion History Reports have the ability to pull in Hematology Results

Master File Notification for Physician Update • Many large institutions have high physician turn-over, particularly those with Residency Programs. • Soft MFN interface for Physician Update allows an automated means to keep the Soft. Bank Doctor Setup in Sync with the Hospital Physician Management system. • Eliminates the need for manual notification of Physician Updates, Addition, Activation/Deactivation or Deletion or Manual updating of the Soft Doctor setup. • Soft Physician Update interface allows: • • Adding Doctors Activating/Deactivating Doctors Updating Doctor’s information [Deleting Doctors]

Non-Interface Scenarios • Most Downtime scenarios involve paper requisitions and paper workflow. Variations in Client Policy and Procedures lead to many different Scenarios • Mass-Transfusion Protocols, Trauma Protocols and Emergency Release Protocols vary significantly depending on Client workflow and foreign system constraints. This can lead to not utilizing the interface for these events. • Many HIS systems recommend manual workflows

Interface Troubleshooting Standalone Soft. Bank ‘Knowing The Ropes’ without being ‘All At Sea’ Michael Griffis MT (ASCP)

Soft. Lab 4. 0 host

Soft. Lab 4. 5 host

HL 7 Messaging Basics • Standalone Soft. Bank uses HL 7 v 2. 4 • No communication with external entities outside of the organization • Communication only between Soft. Bank and the Core LIS system • Fewer fields to validate • Creates efficient implementations by keeping it simple. • HL 7 message knowledge enhances your ability to troubleshoot your own interfaces for rapid identification of issues

HL 7 v 2. 4 Extended Discrete Product message. • MSH|^~&|BB|SOFTLAB|EPIC|HOSP|20190401105733|S 883|ORM^O 01|310|T|2. 4 • PID|1||EPIC_MRN^^^HOSP^MR||TEST^SOFTBANK^^^^^D||20000107|F||Decline|5400 Tech Data Dr^^CLEARWATER^FL^33760^USA^L^^PINELLAS|BART|~^NET^Internet^SALES@SOFTCOMPUTER. COM|||Unknown|| EPIC_CSN|||MOM_CSN| • PV 1||E|WARD_ABBREVIATION^ROOM_ID^BED^HOSP||||SER_CODE^KEPNER^APRIL^^^^^^SER^^^^DOCNBR|||Sur|||||||SER_CODE^ROSS^SHANE ^^^^^^SER ^^^^DOCNBR||EPIC_HAR|||||||||||||20190401151700|||||| • ORC|RE|ORDER_ID^EPC|SOFT_FILLER^SCC||||^^^20190401103200^^R||20190401103247|SER_CODE^HARPER^OLIVIA^||SER_CODE^GREY^MERE DITH^^^^^^SER^^^^DOCNBR|WARD_ABBREVIATION^^^WARD_ID^^^^^EMERGENCY DEPARTMENT|| • OBR|1|ORDER_ID^EPC|SOFT_FILLER^SCC|LAB 282^PREPARE RBC^SOFTEAP||| 201904011000||||O|||201904011057|| SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR |||||PRODUCT|||Lab|P||4^^^20190401103200^^R|||| • OBX|1|TX|UNIT^UNIT AND STATUS|1|W 095414900950 Issued||||||P|||201904011057| • OBX|2|ST|UTYPE^UNIT ABO|1|POS||||||P|||201904011057||SCC| • OBX|3|ST|URH^UNIT RH|1|POS||||||P|||201904011057||SCC| • OBX|4|ST|UPROD^PRODUCT CODE DESCRIPTION|1|RED BLOOD CELLS|||||||P|||201904011057||SCC| • OBX|5|ST|UNIT#^DONATION NUMBER|1|W 095414900950|||||||P|||201904011057||SCC| • OBX|6|ST|UBPRD^BARCODED PRODUCT CODE|1|E 0316 V 00|||||||P|||201904011057||SCC| • OBX|7|ST|USTAT^UNIT STATUS|1|Issued|||||||P|||201904011057||SCC| • OBX|8|ST|UBTYP^BARCODED ABO/RH|1|5100|||||||P|||201904011057||SCC| • OBX|9|ST|UEXP^UNIT EXPIRATION|1|20150826|||||||P|||201904011057||SCC|

HL 7 v 2. 5. 1 Extended Discrete Product Message MSH|^~&|SOFTBANK^2. 16. 840. 1. 113883. 3. 3013. 77. 3^ISO|HMHSOFT^2. 16. 840. 1. 113883. 3. ####|EPIC^1. 2. 840. 114350^ISO|HIS 01^2. 16. 840. 1. 113883. 3. ####^ISO|201509220827||ORU^R 01|0000001 - 201509220827|D|2. 5. 1|||AL|NE|LRI_NG_RN_Profile^HL 7^2. 16. 840. 1. 113883. 9. 20^ISO PID|1||123456789^^^MRN&1. 2. 840. 114350&ISO^MR^HIS 01&2. 16. 840. 1. 113883. 3. ####&ISO||ZZTESTSOFT^INTERFACE|^^^^^^M|19850101|M||2106 -3^White^HL 70005^C^White^L|5400^TECHDATA^ROAD^FL^CLEARWATER^33760^USA^^L||^PRN^PH^^^727^7890100|||||2003010008447||||||||201509220805 PV 1|1|I|WARD^ROOM^BED^|L|2003010008447||SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO|||||SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO|I|||||||||||||201508260000 ORC|RE|1000001^EPC^1. 2. 840. 114350^ISO|SCC 00001 -01^ORDNUM^2. 16. 840. 1. 113883. 3. 3013. 25. 78^ISO|SCC 00001^ORDNUM^2. 16. 840. 1. 113883. 3. 3013. 25. 78^ISO|||||201509210934|HIS||SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO|DSIC|^WPN^PH^^^727^7890100~^ORN^FX^^^727^7890124~^NET^Internet^sales@softcomputer. com|||||||SOFT WARD^L^^^^^XX^^^HIS 01|^^^^^^B|^WPN^PH^^^727^7890100|5400 TECHDATA DR^^CLEARWATER^FL^33760^USA OBR|1|1006351^EPC^1. 2. 840. 114350. 430. 8^ISO|SCC 00001 -01^ORDNUM^2. 16. 840. 1. 113883. 3. 3013. 25. 78^ISO|933 -2^Blood product type^LN^RC^Red Blood Cells^L^2. 46^NA^Red Blood Cells|||201509211116|||NUR|L|||||SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO|^WPN^PH^^^727^7890100~^ORN^FX^^^727^7890124~^NET^Internet^sales@softcomputer. com||||PRODUCT|201509220826||MBLB|P||||||||||| TQ 1|1||||||201509210935|R OBX|1|TX|933 -2^Blood product type^LN^UNIT^Red Blood Cells^L^2. 46^NA^Blood product type ||W 095414900950 Issued||||||P|||201509211120||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|2|ST|933 -2^Blood product type^LN^UPROD^PRODUCT CODE^L^2. 46^NA^Blood product type |1|RL 5^Red Blood Cells, AS-1||||||P|||201509211120||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|3|ST|934 -0^Blood product unit ID [#]^LN^UNIT^DONATION NUMBER^L^2. 46^NA^Blood product unit ID [#]|1|=W 095414900950||||||P|||201509211120||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|4|ST|936 -5^Blood product unit [Identifier]^LN^UBPRD^BARCODED PRODUCT CODE^L^2. 46^NA^Blood product unit [Identifier]|1|=<E 0316 V 00||||||P|||201509211120||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|5|ST|925 -8^Blood product disposition [Type]^LN^USTAT^UNIT STATUS^L^2. 46^NA^Blood product disposition [Type]|1|Issued||||||P|||201509211120||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|6|ST|14577 -1^ABO and Rh group [Type] in Blood from donor^LN^UBTYP^BARCODED ABO/RH^L^2. 46^NA^ ABO and Rh group [Type] in Blood from donor|1|=%5100||||||P|||201509211120||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|7|ST|14577 -1^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH^L^2. 46^NA^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH |1|O POSITIVE||||||P|||201509211120||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|8|ST|52113 -8^Blood product unit expiration [Date and time]^LN^UEXP^UNIT EXPIRATION^L^2. 46^NA^Blood product unit expiration [Date and time]|1|20150826||||||P|||201509211120||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|9|TX|933 -2^Blood product type^LN^UNIT^Red Blood Cells^L^2. 46^NA^Blood product type ||W 095414888830 Issued||||||P|||201509220826||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|10|ST|933 -2^Blood product type^LN^UPROD^PRODUCT CODE^L^2. 46^NA^Blood product type |2|Apheresis Red Cell AS 3 #2 LR||||||P|||201509220826||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|11|ST|934 -0^Blood product unit ID [#]^LN^UNIT^DONATION NUMBER^L^2. 46^NA^Blood product unit ID [#]|2|W 095414888830||||||P|||201509220826||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|12|ST|936 -5^Blood product unit [Identifier]^LN^UBPRD^BARCODED PRODUCT CODE^L^2. 46^NA^Blood product unit [Identifier]|2|=<E 0686 V 00||||||P|||201509220826||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|13|ST|925 -8^Blood product disposition [Type]^LN^USTAT^UNIT STATUS^L^2. 46^NA^Blood product disposition [Type]|2|Issued||||||P|||201509220826||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|14|ST|14577 -1^ABO and Rh group [Type] in Blood from donor^LN^UBTYP^BARCODED ABO/RH^L^2. 46^NA^ ABO and Rh group [Type] in Blood from donor|2|5100||||||P|||201509220826||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|15|ST|14577 -1^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH^L^2. 46^NA^ABO and Rh group [Type] in Blood from donor^LN^UTYPE^UNIT ABO/RH |2|O POSITIVE||||||P|||201509220826||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO OBX|16|ST|52113 -8^Blood product unit expiration [Date and time]^LN^UEXP^UNIT EXPIRATION^L^2. 46^NA^Blood product unit expiration [Date and time]|2|20150930||||||P|||201509220826||||HOME MAIN HOSPITAL^D^^^^MLAB&2. 16. 840. 1. 113883. 3. ####&ISO^XX^^^MLAB|5400 TECH DATA DR^^CLEARWATER^FL^33760^USA|SCCDOC^DOCTOR^SOFT^^^MD^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO SPM|1|^&CLIENT&2. 16. 840. 1. 113883. 3. ####&ISO~^&ORDNUM&2. 16. 840. 1. 113883. 3. 3013. 25. 78&ISO~^&ORDNUM&2. 16. 840. 1. 113883. 3. 3013. 25. 78&ISO|||||VENIP^Venipuncture^HL 70488^D^Venipuncture^L^2. 5. 1^NA^Venipuncture|||||201509211116|201509211116

HL 7 v 2. 4 vs v 2. 5. 1 OBR segment • OBR|1|1006351| SCC 00001 -01|RC^Red Blood Cells|||201509211116|||NUR|L|||||SCCDOC^DOCTOR^SOFT|(727 )7890100^^^^^727^7890100||||PRODUCT| • OBR|1|1006351^NSID^2. 16. 840. 1. 113883. 3. 3013. 77. 3^ISO|SCC 000 01 -01^ORDNUM^2. 16. 840. 1. 113883. 3. 3013. 25. ##^ISO|933 -2^Blood product type^LN^RC^Red Blood Cells^L^2. 46^NA^Red Blood Cells|||201509211116|||NUR|L|||||SCCDOC^DOCTOR^SOFT^^^M D^^^DRIDAA&1. 2. 840. 114350&ISO^L^^^DN^CLIENT&2. 16. 840. 1. 11 3883. 3. ####&ISO|^WPN^PH^^^727^7890100~^ORN^FX^^^727^789 0124~^NET^Internet^sales@softcomputer. com||||PRODUCT|2015 09220826||MBLB|P|||||||||||

HL 7 messaging basics: Test Orders • MSH|^~&|EPIC|HOSP|SOFTBANK|SOFTLAB|20190401105733|S 883|ORM^O 01|310|T |2. 4 • PID|1||EPIC_MRN^^^HOSP^MR||TEST^SOFTBANK^^^^^D||20000107|F||Decline|540 0 Tech Data Dr^^CLEARWATER^FL^33760^USA^L^^PINELLAS|BART|~^NET^Internet^SALES@SOFTC OMPUTER. COM|||Unknown||EPIC_CSN|||MOM_CSN| • PV 1||E|WARD_ABBREVIATION^ROOM_ID^BED^HOSP||||SER_CODE^KEPNER^APRIL^^ ^^^^SER^^^^DOCNBR|||Sur|||||||SER_CODE^ROSS^SHANE^^^^^^SER ^^^^DOCNBR||EPIC_HAR|||||||||||||20190401151700|||||| • ORC|NW|ORDER_ID^EPC|||||^^^20190401103200^^R||20190401103247|SER_CODE^ HARPER^OLIVIA^||SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR|WARD_ABBRE VIATION^^^WARD_ID^^^^^EMERGENCY DEPARTMENT||||| • OBR|1|ORDER_ID^EPC|MPI_ID^Beaker|LAB 276^TYPE AND SCREEN^^^TYPE \T\ SCREEN|||20190401105700||||O|||20190401105732||SER_CODE^GREY^MEREDITH^ ^^^^^SER^^^^DOCNBR ||||Lab|||^^^20190401103200^^R|| • NTE|1||Has patient been transfused in the past 3 months? ->No

HL 7 messaging basics: Product Orders § MSH|^~&|EPIC|HOSP|SOFTBANK|SOFTLAB|20190401105733|S 883|ORM^O 01|310|T|2. 4 § PID|1||EPIC_MRN^^^HOSP^MR||TEST^SOFTBANK^^^^^D||20000107|F||Decline|5400 Tech Data Dr^^CLEARWATER^FL^33760^USA^L^^PINELLAS|BART|~^NET^Internet^SALES@SOFTCOMPUTER. COM|||Unknown||EPIC_CSN|||MOM_CSN| § PV 1||E|WARD_ABBREVIATION^ROOM_ID^BED^HOSP||||SER_CODE^KEPNER^APRIL^^^^^^SER^^^^DOCNBR||3182^WISCHMEYER^RALPH^L^^^^^S ER^^^^DOCNBR|Sur|||||||SER_CODE^ROSS^SHANE^^^^^^SER ^^^^DOCNBR||EPIC_HAR|||||||||||||20190401151700|||||| § ORC|NW|ORDER_ID^EPC|||||^^^20190401103200^^R||20190401103247|SER_CODE^HARPER^OLIVIA^||SER_CODE^GREY^MEREDITH^^^^^^SER^ ^^^DOCNBR|WARD_ABBREVIATION^^^WARD_ID^^^^^EMERGENCY DEPARTMENT||||| § OBR|1|ORDER_ID^EPC||LAB 282^PREPARE RBC^^^PREPARE RED|||||||O|||||SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR ||||Lab|||4^^^20190401103200^^R||||HGB<7||||||||||||||||20190402||IRR^CMVN^HLA^WASH^THAW| § NTE|1||Transfusion indications->Hemoglobin Value less than 7 mg/d. L § NTE|2||Has consent been obtained? ->No § NTE|3||Donor Source->Allogeneic § NTE|4||Has patient been pregnant in past 3 months? ->No § NTE|5||Has patient been transfused in the past 3 months? ->No § OBX|1|NM|BLOOD||4|Units § OBX|2|ST||SPECINSTR|||IRR~CMVN~HLA~WASH~THAW

HL 7 Message Header - MSH • MSH|^~&|EPIC|HOSP|SOFTBANK|SOFTLAB|20190401105733|S 883 |ORM^O 01|310|T|2. 4 • MSH[3] is the Sending Application, in this message “EPIC” • MSH[4] is the Sending Facility used as HIS account in Soft. “HOSP” • This drives the Multisite Site translation of order and test codes. • MSH[9] is the event type. • Orders are ORM O 01 events • Demographics are ADT A 01, A 02, A 03, etc.

HL 7 Patient Identity Segment - PID • PID|1||EPIC_MRN^^^HOSP^MR||TEST^SOFTBANK^^^^^D||200001 07|F||Decline|5400 Tech Data Dr^^CLEARWATER^FL^33760^USA^L^^PINELLAS|BART|~^NET^Inter net^SALES@SOFTCOMPUTER. COM|||Unknown||EPIC_CSN|||MOM _CSN| • PID[3. 1] is the Medical Record Number used in Soft. Bank • PID[5] is the patient name. • PID[7] is the patient date of birth • PID[8] is the patient sex • PID[18] is the patient Billing Number (Epic CSN)

HL 7 Patient Visit Segment – PV 1 • PV 1||E|WARD_ABBREVIATION^ROOM_ID^BED^HOSP||||SER_CODE ^KEPNER^APRIL^^^^^^SER^^^^DOCNBR|||Sur|||||||SER_CODE^R OSS^SHANE^^^^^^SER ^^^^DOCNBR||EPIC_HAR|||||||||||||201904011517 00|||||| • PV 1[3. 1] is the Ward Code (Epic abbreviation). Wards must be built in Soft. Lab in order to route to the correct depot. • PV 1[7] and PV 1[17] are admitting and attending doctors • PV 1[19] is a Visit level field used to store alternate visit numbers • PV 1[44] is the admission Date/Time and PV 1[45] is the discharge.

HL 7 Messaging Basics Common Segments • The previous slide showed segments common to both demographics ADT messages and Order messages. Soft will create and update patient demographics from the New Order messages so the common segments should be identical between the ADT and the ORM messages. • MSH[9] of the ADT messages will indicate the variety of ADT events. • ADT A 01: Inpatient Registration • ADT A 03: Discharge Patient • ADT A 08: Update Patient • ADT A 18: Merge 2 Patients together

HL 7 Order Control Segment - ORC • ORC|NW|ORDER_ID^EPC|||||^^^20190401103200^^R||201904011 03247|SER_CODE^HARPER^OLIVIA^||SER_CODE^GREY^MEREDITH^ ^^^^^SER^^^^DOCNBR|WARD_ABBREVIATION^^^WARD_ID^^^^^E MERGENCY DEPARTMENT||||| • ORC[1] indicate the order control. • ‘NW’ = New Order ‘CA’ = Cancel Order • ORC[9] is the Ordered Date and Time • ORC[13] is the Order level Ward

HL 7 Common Order Segment – OBR (Soft. Bank TEST) • OBR|1|ORDER_ID^EPC|MPI_ID^Beaker|LAB 276^TYPE AND SCREEN^^^TYPE \T\ SCREEN|||20190401105700||||O|||20190401105732||SER_CODE^GREY^MER EDITH^^^^^^SER^^^^DOCNBR ||||Lab|||^^^20190401103200^^R|| • OBR[2] is the HIS Order Number (Epic globally Unique Order ID) • OBR[3] is the LIS Specimen ID or Accession Number (Beaker Specimen ID) • Only present on Orders from Beaker • OBR[4. 1] is the Ordered Test Code (Epic Procedure ID) • OBR[7] is the Collection Date and Time • Only present on Orders from LIS • OBR[14] is the Received Date and Time • Only present on Orders from LIS • OBR[16] is the requesting provider

HL 7 Common Order Segment – OBR (Soft. Bank PRODUCT) • OBR|1|ORDER_ID^EPC||LAB 282^PREPARE RBC^^^PREPARE RED|||||||O|||||SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR ||||Lab|||4^^^20190401103200^^R||||HGB<7||||||||||20190402||IRR^CMVN^HLA^WASH^THAW| • Note there is no collection or received date for Epic Product Orders. • Note there is no Specimen ID for Epic Product Orders. • OBR[27. 1] is the number of whole units to prepare for transfusion. (Note: NOT number of m. Ls) • OBR[31] is the Reason for Transfusion Code • OBR[61] is the Transfusion Date • OBR[63] is up to 5 Special Instruction Codes

HL 7 Note and Prompt Question – NTE and OBX NTE|1||Transfusion indications->Hemoglobin Value less than 7 mg/d. L NTE|2||Has consent been obtained? ->No NTE|3||Donor Source->Allogeneic NTE|4||Has patient been pregnant in past 3 months? ->No NTE|5||Has patient been transfused in the past 3 months? ->No OBX|1|NM|BLOOD||4|Units OBX|2|ST||SPECINSTR|||IRR~CMVN~HLA~WASH~THAW NTE segments are notes. They pass to internal comments for Soft. Bank users to take action on. • OBX segments do not pass to Soft. Bank. The Segment for Number of units must be moved to OBR[27. 1] The Segment for Special Instructions is moved to OBR[63] • •

Outbound Orders from Soft. Bank • Outbound Orders from Soft also have MSH[9] ORM O 01 • The first field in the ORC segment designates the type of Order event. • Order messages include Status Changes for Specimen Collected / Specimen Received Events. (ORC[1]=SC) • Cancel messages are also ORM O 01 order events (ORC[1]=OC)

Status Change for Specimen Received • MSH|^~&|BB|SOFTLAB|EPIC|HOSP|20190401105733|S 883|ORM^O 01|310|T|2. 4 • (The only change from previous is MSH[6] and MSH[4] are reversed from Inbound messages) • PID|1||EPIC_MRN^^^HOSP^MR||TEST^SOFTBANK^^^^^D||20000107|F||Decline|5400 Tech Data Dr^^CLEARWATER^FL^33760^USA^L^^PINELLAS|BART|~^NET^Internet^SALES@SOFTCOMPUTER. COM||| Unknown||EPIC_CSN|||MOM_CSN| • (No changes to PID segment) • PV 1||E|WARD_ABBREVIATION^ROOM_ID^BED^HOSP||||SER_CODE^KEPNER^APRIL^^^^^^SER^^^^DOCN BR|||Sur|||||||SER_CODE^ROSS^SHANE^^^^^^SER ^^^^DOCNBR||EPIC_HAR|||||||||||||20190401151700|||||| • (No changes to PV 1) • ORC|SC|ORDER_ID^EPC|SOFT_FILLER^SCC||IP||^^^20190401103200^^R||20190401103247|SER_CODE^H ARPER^OLIVIA^||SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR|WARD_ABBREVIATION^^^WARD_I D^^^^^EMERGENCY DEPARTMENT||||| • (ORC[1] indicates Status Change (SC)) • OBR|1|ORDER_ID^EPC|SOFT_FILLER^SCC|LAB 282^PREPARE RBC^^^PREPARE RED|||201904011000||||O|||201904011057||SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR ||||Lab|||4^^^20190401103200^^R|||| • (OBR[7] shows Collection Date and Time and OBR[14] shows the Received Date and Time)

Order Cancel from Soft. Bank • MSH|^~&|BB|SOFTLAB|EPIC|HOSP|20190401105733|S 883|ORM^O 01|310|T|2. 4 • (The only change from previous is MSH[6] and MSH[4] are reversed from Inbound messages) • PID|1||EPIC_MRN^^^HOSP^MR||TEST^SOFTBANK^^^^^D||20000107|F||Decline|5400 Tech Data Dr^^CLEARWATER^FL^33760^USA^L^^PINELLAS|BART|~^NET^Internet^SALES@SOFTCOMPUTER. COM||| Unknown||EPIC_CSN|||MOM_CSN| • (No changes to PID segment) • PV 1||E|WARD_ABBREVIATION^ROOM_ID^BED^HOSP||||SER_CODE^KEPNER^APRIL^^^^^^SER^^^^DOCN BR|||Sur|||||||SER_CODE^ROSS^SHANE^^^^^^SER ^^^^DOCNBR||EPIC_HAR|||||||||||||20190401151700|||||| • (No changes to PV 1) • ORC|OC|ORDER_ID^EPC|SOFT_FILLER^SCC||||^^^20190401103200^^R||20190401103247|SER_CODE^HA RPER^OLIVIA^||SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR|WARD_ABBREVIATION^^^WARD_ID ^^^^^EMERGENCY DEPARTMENT||201904011057||| • (ORC[1] indicates Order Cancelled (OC)) • OBR|1|ORDER_ID^EPC|SOFT_FILLER^SCC|LAB 282^PREPARE RBC^^^PREPARE RED|||||||O|||||SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR ||||Lab|X||4^^^20190401103200^^R|||| • (OBR[25]=X, Cancel Order for Epic)

Outbound Results from Soft. Bank • HL 7 Results events are ORU R 01. MSH[9]=ORU^R 01 • ORC[1] – RE • Soft. Bank sends 3 types of Results: TEST, ACTION and PRODUCT • Each type of results has a different format • Each message for the type will indicate TEST, ACTION or PRODUCT in OBR[21] • OBX – Result Segment • OBX|1|TX|CODE^CODE Description^SCC|Link|Result||||||F|||DATE

Outbound Results from Soft. Bank - TEST • MSH|^~&|BB|SOFTLAB|EPIC|HOSP|20190401105733|S 883|ORM^O 01|310|T|2. 4 • PID|1||EPIC_MRN^^^HOSP^MR||TEST^SOFTBANK^^^^^D||20000107|F||Decline|5400 Tech Data Dr^^CLEARWATER^FL^33760^USA^L^^PINELLAS|BART|~^NET^Internet^SALES@SOFTCOMPUTE R. COM|||Unknown||EPIC_CSN|||MOM_CSN| • PV 1||E|WARD_ABBREVIATION^ROOM_ID^BED^HOSP||||SER_CODE^KEPNER^APRIL^^^^^^SER ^^^^DOCNBR|||Sur|||||||SER_CODE^ROSS^SHANE^^^^^^SER ^^^^DOCNBR||EPIC_HAR|||||||||||||20190401151700|||||| • ORC|RE|ORDER_ID^EPC|SOFT_FILLER^SCC||||^^^20190401103200^^R||20190401103247|SER _CODE^HARPER^OLIVIA^||SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR|WARD_ABBRE VIATION^^^WARD_ID^^^^^EMERGENCY DEPARTMENT|| • OBR|1|SPECIMEN_ID^EPC|SOFT_FILLER^SCC|LAB 276^Type and Screen^SOFTEAP||| 201904011000||||O|||201904011057|| SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR |||||TEST|||Lab|F||^^^20190401103200^^R|||| • OBX|1|TX|BLD TYPE^ABORH^SOFTLRR||A NEG||||||F|||201903200829 • OBX|2|TX|ABSC^Antibody Screen^SOFTLRR||POS||||||F|||201903200830

Outbound Results from Soft. Bank - ACTION • MSH|^~&|BB|SOFTLAB|EPIC|HOSP|20190401105733|S 883|ORM^O 01|310|T|2. 4 • PID|1||EPIC_MRN^^^HOSP^MR||TEST^SOFTBANK^^^^^D||20000107|F||Decline|540 0 Tech Data Dr^^CLEARWATER^FL^33760^USA^L^^PINELLAS|BART|~^NET^Internet^SALES@SOFTC OMPUTER. COM|||Unknown||EPIC_CSN|||MOM_CSN| • PV 1||E|WARD_ABBREVIATION^ROOM_ID^BED^HOSP||||SER_CODE^KEPNER^APRIL^^ ^^^^SER^^^^DOCNBR|||Sur|||||||SER_CODE^ROSS^SHANE^^^^^^SER ^^^^DOCNBR||EPIC_HAR|||||||||||||20190401151700|||||| • ORC|RE|ORDER_ID^EPC|SOFT_FILLER^SCC||||^^^20190401103200^^R||20190401103 247|SER_CODE^HARPER^OLIVIA^||SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNB R|WARD_ABBREVIATION^^^WARD_ID^^^^^EMERGENCY DEPARTMENT|| • OBR|1|SPECIMEN_ID^EPC|SOFT_FILLER^SCC|RHIG^Rh Immunoglobulin^SOFTEAP||| 201904011000||||O|||201904011057|| SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR |||||ACTION|||Lab|F||^^^20190401103200^^R|||| • OBX|1|TX|RHIG^Rh. Ig^SOFTLRR||RVP 279 A 1 issued 1 vial||||||F|||201904011012|

Outbound Results from Soft. Bank - PRODUCT • MSH|^~&|BB|SOFTLAB|EPIC|HOSP|20190401105733|S 883|ORM^O 01|310|T|2. 4 • PID|1||EPIC_MRN^^^HOSP^MR||TEST^SOFTBANK^^^^^D||20000107|F||Decline|5400 Tech Data Dr^^CLEARWATER^FL^33760^USA^L^^PINELLAS|BART|~^NET^Internet^SALES@SOFTCOMPUTER. COM|||Unknown|| EPIC_CSN|||MOM_CSN| • PV 1||E|WARD_ABBREVIATION^ROOM_ID^BED^HOSP||||SER_CODE^KEPNER^APRIL^^^^^^SER^^^^DOCNBR|||Sur|||||||SER_CODE^ROSS^SHANE ^^^^^^SER ^^^^DOCNBR||EPIC_HAR|||||||||||||20190401151700|||||| • ORC|RE|ORDER_ID^EPC|SOFT_FILLER^SCC||||^^^20190401103200^^R||20190401103247|SER_CODE^HARPER^OLIVIA^||SER_CODE^GREY^MERE DITH^^^^^^SER^^^^DOCNBR|WARD_ABBREVIATION^^^WARD_ID^^^^^EMERGENCY DEPARTMENT|| • OBR|1|ORDER_ID^EPC|SOFT_FILLER^SCC|LAB 282^PREPARE RBC^SOFTEAP||| 201904011000||||O|||201904011057|| SER_CODE^GREY^MEREDITH^^^^^^SER^^^^DOCNBR |||||PRODUCT|||Lab|P||4^^^20190401103200^^R|||| • OBX|1|TX|UNIT^UNIT AND STATUS|1|W 095414900950 Issued||||||P|||201904011057| • OBX|2|ST|UTYPE^UNIT ABO|1|POS||||||P|||201904011057||SCC| • OBX|3|ST|URH^UNIT RH|1|POS||||||P|||201904011057||SCC| • OBX|4|ST|UPROD^PRODUCT CODE DESCRIPTION|1|RED BLOOD CELLS|||||||P|||201904011057||SCC| • OBX|5|ST|UNIT#^DONATION NUMBER|1|W 095414900950|||||||P|||201904011057||SCC| • OBX|6|ST|UBPRD^BARCODED PRODUCT CODE|1|E 0316 V 00|||||||P|||201904011057||SCC| • OBX|7|ST|USTAT^UNIT STATUS|1|Issued|||||||P|||201904011057||SCC| • OBX|8|ST|UBTYP^BARCODED ABO/RH|1|5100|||||||P|||201904011057||SCC| • OBX|9|ST|UEXP^UNIT EXPIRATION|1|20150826|||||||P|||201904011057||SCC|

Interface troubleshooting • Why troubleshoot your own interfaces? • Many issues can be discovered and corrected without Soft involvement • It will always be quicker to resolve issues if possible without having to wait for Task action • Familiarity with the interfaces will instill confidence in your workflows.

Soft. Lab Host System • Soft. Lab hosts the Interface setups, interface configurations and interface troubleshooting tools. • • Interfaces services and trace files Setups: Tests, Wards, Doctors Multisite Setups: Order Codes, Result code, Charge code by facility Logs and Reports: Interface and Billing • Soft. Lab GUI (Graphical User Interface) access to all of the above.

Soft. Lab 4. 0 host

Soft. Lab 4. 5 host

Accessing Interface Setup Soft. Lab 4. 0 host Soft. Lab 4. 5 host

TRACE FILES: Trace files are viewed from Interface Setup HIS Communication

Each trace will let you know if the interface is running and will allow you to choose which day’s trace to view. The trace files can either be viewed completely or with the trace search.

ADT receiver ADT Trace file • Here we are viewing an ADT message. We can see there is an A 08 Patient update event and a A 06 patient transfer event. We can see the acknowledgement message sent back to the source. This is the message precisely as it was received to Soft. Bank.

These interfaces in interface setup use error logging. The traces can be viewed but the data in them can be confusing and irrelevant to your troubleshooting. We will be using error logging to investigate these: • Error logs are viewed through “View Existing Report”. You may use Shift-F 2 anywhere in Soft. Lab to bring up “View Existing Report”.

ADT Posting (ADTP) Error logs

System File Server (SFS) for Code Conversion Error logs

Order Entry Posting (4. 0: OEHIS; 4. 5: HISOE) Error logs

Soft. Bank Interface Logs Soft. Bank interfaces have error logging for demographic discrepancy. The Soft. Bank database will never allow MRN changes by interface messages and has more stringent requirements for what can be automatically updated from interfaced demographics.

Soft. Bank Interface Logs: Demographic Discrepancies Error logs for Soft. Bank demographic mismatches are found in View Existing Report. Demographic discrepancies are also normally set to a printer for immediate or at least daily reconciliation.

Soft. Bank Interface Logs: Demographic Discrepancies Demographic discrepancies on Order messages are found in oehis/hisoe error logs. Demographic discrepancies on order messages will prevent the orders from posting. Reconciliation must be performed prior to order posting.

Result Reporting interface are viewed either through Interface Setup traces in Soft. Lab 4. 0 or the Mo. M Console in Soft. Lab 4. 5 Soft. Lab 4. 0 Host: Result Reporting Soft. Lab 4. 5 host: Result Reporting

Result Reporting Result Event: Soft. Lab 4. 0 Soft. Bank Result Reporting: BBRES HIS Result Reporting: HISRR

Mo. M Console Results Event: Soft. Lab 4. 5

HIS Interfaces Related Setup • Ward / Clinic Setup • Salesman/Secondary ID translation of HIS Location Codes • Drives the order to the correct depot • Facility Identification for Billing Codes • Doctor Setup • Secondary ID translation of Doctor Codes • Medical Service Codes • HIS Multisite Setup • HIS Account Setup • Multisite Setup of Order, Result and Billing codes (EAP, LRR & CDM) • Soft. Lab Test Maintenance • Environment Selection • Orderable Tests

Ward / Clinic Setup • Salesman/Secondary ID • Depot • Facility

Doctor Setup • Secondary ID • (Medical Service Code: Soft. Bank reports)

Soft. Bank Ward / Doctor Setup Soft. Bank Doctor and Ward setups are copied from Soft. Lab setups. When there is an MFN interface for Doctor Update, a scheduler is setup to update Soft. Bank doctors regularly.

HIS Multisite HIS account Setup • HIS Account Setup • MSH[4] Values Drive Multisite Order and Result Code translation

HIS Multisite Test setup • Group Test: HIS-test: Ord – HIS Order Code (Epic EAP) • Individual Test • HIS-test: Rep (Res 4. 5 ) – HIS Result Component Code (Epic LRR) • Bill-code & Bill-extra – Charge Master Code (Epic CDM)

Group Test Setup • Environment

Individual Test Setup Environment Individually Orderable

View Traces • Receiving Interfaces • • RCV: ADT demographics, New Orders and Cancel Orders RCVDR: Master File Notification (MFN) for Doctor Update RCVHQ: Hematology Results for Soft. Bank Query RCVBS: Blood Transfusion Status Notification • Sending Interfaces • SND: Order Status, Cancels and Results • SNDB: Billing Charges and Credits

View Logs • ADTP: ADT Posting Interface • Demographic Mismatch Errors/warnings • Patient Delete/Stay delete warnings • Patient Merges • SFS: System File Server for Code Conversions • • Ward Code Conversion Error Doctor Code Conversion Error Test Code Conversion Error Incorrect HL 7 message format • OEHIS(HISOE): HIS Order Entry Posting • Test Setup Errors • Order Rejection

SCC Interface Technical Support

Reporting Issues: Key data to include • MRN and Billing Number • Most useful for ADT, but not orders or results • Soft. Bank Order Number and Ordered Test • Most useful for troubleshooting Soft. Bank issues • HIS Order number (Epic Order ID) • Orders that fail to post will not have a Soft. Bank Order Number • LIS Specimen ID; Soft. Bank Auxiliary Order Number • Only useful on Specimen Testing • Mo. M ID • Soft. Lab 4. 5 only

Please remember to take a few moments to fill out the session survey. You can find the QR code in your Conference Brochure as well as hyperlinks to the survey online at www. snuginconline. org with the SNUG 2019 handouts.