AUGUST 9 11, 2016 ACE 2016

Transcription

1 AUGUST 9 11, 2016 ACE 2016

2 Tuesday, August 9, 2016 Still Need to Upgrade to Common Interface Engine? We ll Show You How

3 Presenters Kevin Cahoon Interface Analyst, Innovation and Delivery Center Michael Krakow Expert Technical Support Consultant, TouchWorks Support

4 Session Learning Objectives Why Rhapsody/ Common Interface Engine (CIE)? Rhapsody Management Console Overview Reconciler Overview How do I? Upgrades Super Kit Rhapsody (CIE) Interface Education Class Q&A Copyright 2016 Allscripts Healthcare Solutions, Inc. 4

5 Continuation of ConnectR Support Microsoft s Maintenance on Windows Server 2003 software ended on August 1 st Known issues with workarounds for ConnectR installations on Windows GE does not support ConnectR because the OS it runs on is at end of life. TouchWorks EHR development does not have the ability to support or modify ConnectR. Server Upgrade Options: Migrate to CIE (Recommended). Install ConnectR on Windows 2008 R2. Copyright 2016 Allscripts Healthcare Solutions, Inc. 5

6 TouchWorks 17.1 SES Changes Questions: Is Allscripts formally dropping support for ConnectR? Support will provide best effort support, but Allscripts is ultimately not responsible for supporting the ConnectR engine. Are all ConnectR clients required to upgrade in advance of (or at the time of) the TouchWorks EHR 17.1 upgrade? No, TouchWorks EHR 17.1 does not require a change to the interface server. Copyright 2016 Allscripts Healthcare Solutions, Inc. 6

7 Allscripts Choice for CIE Ease of Maintenance No additional SQL requirements or SQL License Runs on recent browsers: Chrome, Firefox, IE 12, Safari Orion continues to develop and enhance the Rhapsody Engine Functionality Enhancements No file size limitation for large documents CIE Interface & Reconciler Integration Copyright 2016 Allscripts Healthcare Solutions, Inc. 7

8 Rhapsody Management Console Overview

9 Rhapsody Management Console The management console is a user-friendly web application to: Monitor interface connections View lookup tables Run backups Resend messages when needed Run audit and performance reports Configure notifications Copyright 2016 Allscripts Healthcare Solutions, Inc. 9

10 Rhapsody Management Console Your Engine Name Here Accessible via any internet browser. Rhapsody server URL can be accessed from any machine. Different security profiles available. Copyright 2016 Allscripts Healthcare Solutions, Inc. 10

11 Management Console Toolbar Expandable and collapsible sections. Grouped by similar tasks: Monitoring Find Messages Notifications Management System State Reports Monitoring Find Messages Notifications Management System State Reports Copyright 2016 Allscripts Healthcare Solutions, Inc. 11

12 Monitoring Engine and Interfaces

13 Engine Monitor Page The first screen after login by default is the Engine Monitor. Monitoring Copyright 2016 Allscripts Healthcare Solutions, Inc. 13

14 Engine Monitor Page - Warnings By Escalation Status By Watchlist Monitoring Copyright 2016 Allscripts Healthcare Solutions, Inc. 14

15 Communication Points Quickly toggle list to view Stopped or Running Communication Points are usually an interface to an external system. TCP/IP File Directory FTP/ SFTP Database *Sinks* Monitoring Copyright 2016 Allscripts Healthcare Solutions, Inc

16 Start or Stop Communication Points Select all or some communication points with a checkbox. Click start or stop hyperlink (not shown) Start or stop a single communication point with the action hyperlink. Click anywhere in a row to display Communication Point Properties, from where you can also start and stop. Monitoring Copyright 2016 Allscripts Healthcare Solutions, Inc

17 Communication Points Queues Quickly view Current Statistics Connections In Queue Out Queue Received (reset allowed) Sent (reset allowed) Idle Time Monitoring Copyright 2016 Allscripts Healthcare Solutions, Inc

18 Routes Queues Monitoring Copyright 2016 Allscripts Healthcare Solutions, Inc. 18

19 Routes Queues Quickly view Current Statistics Waiting Currently Processing Total Processed Idle Time Monitoring Copyright 2016 Allscripts Healthcare Solutions, Inc. 19

20 Routes Status Icons Monitoring Copyright 2016 Allscripts Healthcare Solutions, Inc. 20

21 System Monitor Page Monitoring Change the view window to All, 30 days, 7 days, 24 hours, 1 hour or a specific time frame. Throughput Graph Available Disk Space Graph (not shown) Rhapsody Heap Memory Graph (not shown) Copyright 2016 Allscripts Healthcare Solutions, Inc. 21

22 System Monitor Page System Specific Notification & Thresholds Settings Monitoring Copyright 2016 Allscripts Healthcare Solutions, Inc. 22

23 Error queue Messages which have failed unexpectedly within the Route Connectivity Issues Mapping issues Invalid Data Types Standard Interface Errors will not appear here Monitoring Copyright 2016 Allscripts Healthcare Solutions, Inc. 23

24 Message Event with Errors Viewing the message shows where the message failed in the route. Helps pinpoint where you can troubleshoot from Copyright 2016 Allscripts Healthcare Solutions, Inc. 24

25 Error Description There is a link next to the component. Clicking the link will open a description of the error which is useful for troubleshooting. Copyright 2016 Allscripts Healthcare Solutions, Inc. 25

26 Searching in the Message Store

27 Types of Searching (Messages) Three delivered search types: Input search Output search Route Search Find Messages Input allows you to search the incoming message content for strings. Output allows you to search output message content. Route Search allows you to search properties and message body content within the route. Copyright 2016 Allscripts Healthcare Solutions, Inc. 27

28 Searching by date Time Frame search To and from date To and from time Find Messages Copyright 2016 Allscripts Healthcare Solutions, Inc. 28

29 Adding components 1. Click on the folder icon. 2. Check the components to include. Find Messages Copyright 2016 Allscripts Healthcare Solutions, Inc. 29

30 Search Filter Next to Message contains enter a string The value must appear somewhere in the message body. Allows you to search a string such as MRN across multiple interfaces. Find Messages Copyright 2016 Allscripts Healthcare Solutions, Inc. 30

31 Editing the parameters of Message Search Advanced Search options allows you to add more search parameters on the fly. Find Messages Copyright 2016 Allscripts Healthcare Solutions, Inc. 31

32 Message view Message Events show the path the message followed in the interface. Displays each step through communication points, routes and route filters with a new tree. Helps pinpoint specific points in message transformation Copyright 2016 Allscripts Healthcare Solutions, Inc. 32

33 Management, System State & Notifications

34 Lookup Tables View values by Single clicking on the Lookup table name. Import or Export using the Action Pane. Management Copyright 2016 Allscripts Healthcare Solutions, Inc. 34

35 Lookup Values & Lookup Failures Values listed at the top. Failures listed at the bottom. Management Copyright 2016 Allscripts Healthcare Solutions, Inc. 35

36 Archive Cleanup A single criteria for purging of messages across all routes. Recommended: 30 days. Daily schedule. Caveat -- Messages in the Error Queue do not get Archived with the cleanup. Management Copyright 2016 Allscripts Healthcare Solutions, Inc. 36

37 Backup and Restore Save Full and Incremental schedules. Ability to restore specific areas: Administration Details Configuration (mappings) Message Store Management Copyright 2016 Allscripts Healthcare Solutions, Inc. 37

38 System Log Warnings, Errors or Info on System Events such as: Backup Success Cleanup Completed Component Events Select Level of Severity from: All, Info, Fatal, Warnings etc. System State Copyright 2016 Allscripts Healthcare Solutions, Inc. 38

39 Audit Logs Examples of Logged Information: User access or failures Lookup table changes Message views and message edits Component checkout and check-in System State Audit only a specific person s activity. Copyright 2016 Allscripts Healthcare Solutions, Inc. 39

40 Watchlist Groups users and components together. Allows different job roles to receive notifications for different interfaces. Notifications include stopped interfaces, error queue messages, performance alerts, etc. Notifications Copyright 2016 Allscripts Healthcare Solutions, Inc. 40

41 Notifications: Delivery Methods SMTP notification SNMP Format options for SMS or Pager Required fields: Server Port From Address Flood Control Notifications Copyright 2016 Allscripts Healthcare Solutions, Inc. 41

42 Part II Reconciler

43 TouchWorks Reconciler The Reconciler is an Error Worklist right in the TouchWorks application New tab on the Queue Admin HTB View message details Refile Remove Bridge Search Errors Copyright 2016 Allscripts Healthcare Solutions, Inc. 43

44 Reconciler (New Menu 11.3+) The Error Queue tab comes preloaded in the Queue Admin Horizontal Tool Bar. To add the page to a users view: Add the Queue Admin HTB to an existing VTB Or add the Error Queue Document to an existing HTB. (Admin-Menus) Copyright 2016 Allscripts Healthcare Solutions, Inc. 44

45 Reconciler User security Read security is granted via Interface Error Queue View Read/Write security is granted via Interface Error Queue Edit security classifications. Copyright 2016 Allscripts Healthcare Solutions, Inc. 45

46 New MRN and Patient Name Fields A nice improvement in functionality, the message list shows the Patient Name and MRN! Copyright 2016 Allscripts Healthcare Solutions, Inc. 46

47 Details Button Click Details button in the bottom toolbar to launch a details dialog. Copyright 2016 Allscripts Healthcare Solutions, Inc. 47

48 Details Displays: Source Message Target Message Error Description Copyright 2016 Allscripts Healthcare Solutions, Inc. 48

49 Bridging Highlight Message with the suspension bridge icon. Copyright 2016 Allscripts Healthcare Solutions, Inc. 49

50 Reconciler Bridging Same look and feel as the ConnectR Bridge tool. Select your patient and then click Refile. Copyright 2016 Allscripts Healthcare Solutions, Inc. 50

51 Reconciler Filters and Searches String filter fields allow you to search by Patient Name, MRN, Other, Other2, DOB and SSN Drop down filters to immediately view by Interface, Interface Type, Error Search across multiple interfaces at the same time Copyright 2016 Allscripts Healthcare Solutions, Inc. 51

52 Part III How do I?

53 Example The Radiology vendor has received an Order message but the Insurance carrier code is wrong. They ve sent you a copy of the HL7 message with the IN1 segment highlighted. They do not have 317 listed as a carrier id in their system. This carrier is listed as L_AMC in their system. MSH ^~\& AHSEHR TEST Radiology ORM ^O T 2.3 Y<13> PID Test^Molly^^ F 25 Green Mountain Drive ^^South Burlington^VT ^05403 v PV1 1 OP ^TouchW orks Clinic 123^Allscripts^AppAdmin 123^Allscripts^AppAdmin v1789 3^TouchW orks IN ACM 535 Griswold Street Suite ^^Detroit^MI^48226 (888) ZZ Test^M olly AB T GT1 1 Test^M olly F ^ ORC NW TW Active ^Allscripts^AppA dmin 3^TouchW orks ^TouchW orks Clinic OBR 1 TW TW M RSPINE^CT Scan Of The Lumbar Spine ^Allscripts^AppAdmin 1394 ^^^^^R DG1 1 ICD S21.202S Back avulsion OBX 1 TX Copyright 2016 Allscripts Healthcare Solutions, Inc. 53

54 Carrier ID Lookup 2. 2 Use the name of the table and the description of the purpose to locate the table Use the Search box to find the Radiology lookup tables. 1 2 Copyright 2016 Allscripts Healthcare Solutions, Inc. 54

55 Check Lookup Failures Existing table values are in the top. 317 does not appear in the list. Lookup failures appear in the bottom. The 317 lookup was attempted but there was not a corresponding value in the lookup values so it was logged as a lookup failure. Copyright 2016 Allscripts Healthcare Solutions, Inc. 55

56 Move Lookup Failure 1. Click Add Next to the Lookup Failure for Enter the missing translation target value (L_AMC). Copyright 2016 Allscripts Healthcare Solutions, Inc. 56

57 Lookup Failure The lookup failure is gone and the new entry appears in the top. Copyright 2016 Allscripts Healthcare Solutions, Inc. 57

58 Locate Original Message by Searching Use the calendar and clock icons to specify the timeframe. Use the route folder icon to select a route. Type a string filter into the Message contains text field. Copyright 2016 Allscripts Healthcare Solutions, Inc. 58

59 View the search Results Click on the row to open the message view. Copyright 2016 Allscripts Healthcare Solutions, Inc. 59

60 Confirm it is the right Message 1. 1 Click on a filter after the mapper filter to view the outbound HL7 message Confirm that it is the message originally sent out with the wrong data. (the MSH segment matches and the patient matches, you can see the wrong insurance in it) 2 1 Copyright 2016 Allscripts Healthcare Solutions, Inc. 60

61 Reinject the Message Reinjecting sends the same input message back through the interface mappings. Click Reinject Copyright 2016 Allscripts Healthcare Solutions, Inc. 61

62 Return to Search Find the Back to Result Set button near the top to return back to the search screen. Copyright 2016 Allscripts Healthcare Solutions, Inc. 62

63 Locate New Message by Re-Searching Simply click Search to rerun the search. Click on the new message from the search. The most recent message (the reinjected message) should then appear toward the top. Copyright 2016 Allscripts Healthcare Solutions, Inc. 63

64 Confirm Message contains new Value View the HL7 message to confirm the value has been updated. Copyright 2016 Allscripts Healthcare Solutions, Inc. 64

65 Part IV Upgrades, CIE Interface Training Courses, TouchWorks Interface ClientConnect Page

66 CIE Migration Projects Migration Options at this time Allscripts Led Migration AHS would migrate all contracted TW interfaces for you Services with migration options Project management, interface consulting, technical services Phased Migrations Recommended outbound interfaces be done together Copyright 2016 Allscripts Healthcare Solutions, Inc. 66

67 Upgrading CIE Super Kit Standardizes the end points, initial processing and connection to the works database. Standard Kits for the following modules: Results, Document, Reg Sched, PAMI, Charge, Order Preserves the mappings that are unique to the interface in the mapper filter. Done during implementation or upgrade Copyright 2016 Allscripts Healthcare Solutions, Inc. 67

68 Initiating a Request for CIE Migration In the Client Portal click Log a Case. Enter a case description such as Request for quote to start a CIE interface migration/connectr server upgrade. Select Sales categories for the speediest routing: Copyright 2016 Allscripts Healthcare Solutions, Inc. 68

69 Client Connect TouchWorks Interface Page Useful documents: Migration to CIE Commonly Asked Questions TouchWorks CIE Datasheet Canceled maintenance official communication ConnectR known issues official communication Announcements Blog Discussion Copyright 2016 Allscripts Healthcare Solutions, Inc. 69

70 Client Connect TouchWorks Interface Page 1. 1 Choose All Places from Client Connect Drop down Type in interface in the search field to automatically filter the displayed items. 1 Copyright 2016 Allscripts Healthcare Solutions, Inc. 70

71 Adding a group to profile 1. 1 Hover your mouse over the left hand corner of the TouchWorks Interfaces group until you see the Settings dial. Once you see the Settings dial click on it You will now see options to Join the group. Click Join. 2 1 Copyright 2016 Allscripts Healthcare Solutions, Inc. 71

72 Thank you Thank you for attending today s presentation. Copyright 2016 Allscripts Healthcare Solutions, Inc. 72

73 Questions? If we do not get to your question today, please join us tomorrow for a Technical Roundtable (Friday 1:30 PM) discussion. We will also be available in the Hub throughout the conference. Our Kevin.Cahoon@Allscripts.com Michael.Krakow@Allscripts.com Copyright 2016 Allscripts Healthcare Solutions, Inc. 73