Geoff
I'm finding it difficult to understand how this works.  My understanding
has always been the ack is generated when the result is imported to the
clinical application. Please correct me if I'm mistaken in the
following.

-A message is delivered by the messaging application and placed in a
store and hold folder at the receiving end. This message contains a
unique message number and identifying details which are used to generate
the ack.  
-The clinical app reads the message on some sort of trigger and imports
it. 
-It then generates an ack with the message number & identifying details
included.  
-The original message is then either deleted or stored elsewhere
depending on the clinical apps rules.  -The ack is placed in a store and
hold folder until it is picked up by the messaging application.  

This is "closing the loop" as best you can with the current technologies
as far as I know.  What you are saying goes further than this. Can you
please clarify these points;

1. Does the message number get passed to the clincial application as
part of the result and is stored there until an action is taken?

2. What happens to results that sit in a Holding File for months without
being actioned?

3. What happens to results that are deleted from a Holding File without
being actioned?

Regards
Steve Osborne
EDI - QML Pathology

*Andrew Patterson wrote:
*
*I take it the Healthlink client integrates quite tightly
*with the clinical application to mesh in with it's recall 
*system etc. Is this integration done to a standard interface 
*or is it on a case by case basis with the clinical vendor?
*
*Geoff Sayer's response:
*This is where clinical applications differentiate themselves 
*from competitors in the way they link/mesh into the clinical 
*decision support systems (eg. recall) and the GUI for handling 
*these messages in the holding file/inbox. HealthLink looks to 
*make sure that once the action is done and messaged is 
*assigned to a patient from the holding file within the 
*clinical that the Application ACK is generated and passed out 
*back through the messaging system. The decision support and 
*GUI side of things is up to the creativity of the clinical vendor.
*
*
*Geoff Sayer
*HealthLink Ltd
*
*
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