Hi all
Tom Bowden wrote: > 2. Typically they turn everything into an observation message (ORU) > instead of a referral (REF) message . While technically this is not > "illegal" it certainly bends the rules and creates a very difficult file > management headache for the recipient. Andrew McIntyre wrote: > The level of support for REF messages is still not mature, and in > reality a REF message is a container for multiple ORU messages and > Medication details. So the difference is somewhat academic in most ways, > especially when the current crop of REF messages often contains a single > Blob of poorly escaped RTF. Its the non compliance of the payloads you > carry that causes you headaches. Geoff Sayer wrote: What is of concern is the way that the different clinical applications handle ORU and REF messages. Where does an ORU message end up in MD2 for example? Unless I am mistaken the ORU ends up in the Results Tab and database that supports that. So if you are using an ORU for a psychiatrist report it will be mixed in with pathology and imaging results. The same with hospital discharge summaries if using ORU as the message format. Is this a good thing? Will clinicians go looking for that letter from Dr Psychiatrist in investigations or a discharge summary in investigations? If a REF message is used it ends up in the letter section of MD2. Is that where a clinician would expect it to be? Geoff HealthLink Ltd
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