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I am having a similar issue, though mine involves the rad number versious the MR#. Our Radiology director chose to use the Rad# as the unique ID, the rad number is not assigned until and rad order is done, what to do? We need to change to the MR#, but what about all the old accounts that input manually before the interface goes live, they all have Rad# as unique ID. Gary Fortner IS Director BJC Medical Center (706) 335-1130 [EMAIL PROTECTED] -----Original Message----- From: Elliott, Lianne [mailto:[EMAIL PROTECTED] Sent: Wednesday, July 05, 2006 8:44 AM To: [email protected] Subject: [MEDITECH-L] Meditech Interface to McKesson PACS Hello! I am forwarding this question on behalf of our PACS administrator. This problem stems from a couple of things: 1) We do not assign medical record numbers until new patients are registered for the first time (as opposed to assigning the MR# at the PRE status) and 2) Exams are pre-ordered at the time the patient is scheduled (this is the point that Meditech sends the exam record to PACS). For accounts with a MR#, records sent to PACS are identified by the MR# and assigned to a patient folder identified by this number. But when the account is in a PRE status, the PACS record/folder is created with the patient account number as the patient identifier. When these patients are registered on the day of their exam, a MR# is assigned; however, the record identifier on the PACS side is not updated. We currently have to catch and manually fix these within the PACS system once a MR# is assigned. If we do not catch these, the patient's subsequent exams are assigned to a new folder (identified by the MR#) as the patient will have a MR# when they come in for additional imaging. This is causing problems for physicians when they attempt to view the images. Has anyone else had this issue with McKesson PACS? From what I understand, McKesson has not been very helpful in finding a resolution to this issue. We do not have this problem with other systems to which we interface because they have logic on their side to hold records somewhere until accounts are in a registered status. Thank you for any insight you can provide!!! Lianne S. Elliott Sr Project Manager/Meditech Analyst 817-472-3742 USMD Hospital at Arlington 801 W. I20 Arlington, TX 76006 email: [EMAIL PROTECTED] _______________________________________________ meditech-l mailing list [email protected] http://mtusers.com/mailman/listinfo/meditech-l
