syan tan wrote:
whereas when you are a contractor, the practice nurse bugs you to check and clear the electronic path reports, and the receptionists
bug you to clear the pigeon hole , and everything gets double checked,
but that doesn't guarantee the path company doesn't send the report
nowhere , or to some other med practitioner's application elsewhere.
It's also optional to correlate ordered investigations with received
investigations, so much of the time, only the received investigations
get checked. This is a big flaw in medical applications, as this is
probably important enough not to make it optional, but part of the
daily emr duties .
At one stage it was proposed that Argus look at the pathology dump directory to see if the previous messages had been consumed. Since nobody sends me anything via Argus I have no knowledge if that is actually the case. The "consumption" could, in theory, have been to simply remove the files but, in practice, once things are setup properly and tested to be working it is a reliable system. The only step up from that is Ian's EHR to EHR ACKs and that raises a whole new discussion as he points out.

In relation to Syan's other point, in October last year we installed Sullivan and Nicolaides Pathology requesting module Fetch. It is integrated into Medical Director and allows one to select from a pick list of S&N pathology requests, provides further limited information about the request in the associated info button and the "Print" button both prints a request and sends it electronically to the company. After the first click the Print and Send button becomes only a Reprint button until you close the form.

Fantastic I thought, the request will generate its own unique identifier that can be correlated with the incoming pathology result and the software will know that that pathology request cycle has been completed. Silly me. As with other modules in Medical Director this information is just thrown away.

Agghhhh.

David

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