august 9 11, 2016 ace 2016 - amazon s3 · • ge does not support connectr because the os it runs...

ACE 2016

AUGUST 9 – 11, 2016

Still Need to Upgrade to Common

Interface Engine? We’ll Show You How

Tuesday, August 9, 2016

Kevin Cahoon

Interface Analyst, Innovation and Delivery Center

Michael Krakow

Expert Technical Support Consultant, TouchWorks Support

Presenters

Copyright © 2016 Allscripts Healthcare Solutions, Inc. 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


Continuation of ConnectR Support• Microsoft’s Maintenance on Windows Server 2003 software ended on August

1st 2015.

• Known issues with workarounds for ConnectR installations on Windows 2008.

• 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.


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.


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

Rhapsody Management Console

Overview



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



• Accessible via any internet

browser.

• Rhapsody server URL can

be accessed from any

machine.

• Different security profiles

available.

Your Engine Name Here


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

Monitoring Engine and Interfaces


Engine Monitor Page

Monitoring

The first screen after login

by default is the Engine

Monitor.


Engine Monitor Page - Warnings

Monitoring

• By Escalation Status

• By Watchlist


15

Communication Points

Monitoring

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*


16

Start or Stop Communication Points

Monitoring

• 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.


17

Communication Points Queues

Quickly view Current Statistics

• Connections

• In Queue

• Out Queue

• Received (reset allowed)

• Sent (reset allowed)

• Idle Time

Monitoring


Routes Queues

Monitoring


Routes Queues

Monitoring

Quickly view Current Statistics

• Waiting

• Currently Processing

• Total Processed

• Idle Time


Routes Status Icons

Monitoring


System Monitor Page• Throughput

Graph

• Available

Disk Space

Graph (not

shown)

• Rhapsody

Heap

Memory

Graph (not

shown)

Monitoring

Change the view window to

All, 30 days, 7 days, 24

hours, 1 hour or a specific

time frame.


System Monitor Page

• System Specific

Notification & Thresholds

Settings

Monitoring


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


Message Event with Errors

• Viewing the

message shows

where the message

failed in the route.

• Helps pinpoint

where you can

troubleshoot from


Error DescriptionThere is a link next to the component. Clicking the link will open a description of the error which is

useful for troubleshooting.

Searching in the Message Store


Types of Searching (Messages)

Find

Messages

Three delivered search

types:

• Input search

• Output search

• Route Search

• 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.


Searching by date

Find

Messages

Time Frame search

• To and from date

• To and from time


Adding components

Find

Messages

1. Click on the folder icon.

2. Check the components to

include.


Search Filter

Find

Messages

• 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.


Editing the parameters of Message Search

Find

Messages

Advanced Search options

allows you to add more

search parameters on the

fly.


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

Management, System State &

Notifications


Lookup Tables

Management

Import or Export using the

Action Pane.

View values by Single

clicking on the Lookup table

name.


Lookup Values & Lookup Failures

Management

• Values listed at the top.

• Failures listed at the

bottom.


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


Backup and Restore

• Save Full and

Incremental

schedules.

• Ability to restore

specific areas:

• Administration

Details

• Configuration

(mappings)

• Message Store Management


System Log

Warnings, Errors or

Info on System

Events such as:

• Backup

Success

• Cleanup

Completed

• Component

Events

System State

Select Level of

Severity from: All, Info,

Fatal, Warnings etc.


Audit Logs

Examples of

Logged

Information:• User access or

failures

• Lookup table

changes

• Message views

and message edits

• Component check-

out and check-inSystem State

Audit only a specific

person’s activity.


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


Notifications: Delivery Methods

• SMTP email notification

• SNMP

• Format options for SMS

or Pager

Notifications

Required fields:

• Email Server

• Port

• From Address

• Flood Control

Reconciler

Part II


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


Reconciler (New Menu 11.3+)

The Error Queue

tab comes pre-

loaded 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)


Reconciler – User security• Read security is

granted via

Interface Error

Queue View

• Read/Write

security is granted

via Interface Error

Queue Edit security

classifications.


New MRN and Patient Name Fields

A nice

improvement in

functionality, the

message list

shows the Patient

Name and MRN!


Details Button

Click Details button in the

bottom toolbar to launch

a details dialog.


Details

Displays:

• Source

Message

• Target

Message

• Error

Description


Bridging

Highlight

Message with the

suspension

“bridge” icon.


Reconciler Bridging

• Same look and

feel as the

ConnectR Bridge

tool.

• Select your

patient and then

click Refile.


Reconciler Filters and SearchesString 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

How do I?

Part III


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||20150626173228||ORMÔ01|1986|

T|2.3|||Y<13>

PID|1||6839||Test^Molly^^||19630323|F|||25 Green Mountain Drive ^^South

Burlington^VT^05403|||||||v1789|555-55-5555

PV1|1|OP|^TouchW orks

Clinic||||123ÂllscriptsÂppAdmin|123ÂllscriptsÂppAdmin|||||||||||v1789||||

|||||||||||||||||||3^TouchW orks||20150515140600

IN1|1||317|ACM|535 Griswold Street Suite 111-

605^^Detroit^MI^48226||(888)881-

8010|999999999ZZ||||||||Test^Molly||||||||||||||||||||111111111AB|||||||||||T

GT1|1||Test^Molly|||||19630323|F||^|555-55-5555

ORC|NW |TW 14360||1394|Active||||20150626173228|||123ÂllscriptsÂppA

dmin|||||3^TouchW orks||||^TouchW orks Clinic

OBR|1|TW 14360||TW MRSPINE^CT Scan Of The Lumbar

Spine||20150525010006|20150525010006|||||||||123ÂllscriptsÂppAdmin||

|1394||||||||^^^^^R

DG1|1|ICD|S21.202S|Back avulsion

OBX|1|TX


Carrier ID Lookup

1. Use the Search box to

find the Radiology lookup

tables.2. Use the name of the table

and the description of the

purpose to locate the table.

1

1

2

2


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.


Move LookupFailure

1. Click Add Next to the

Lookup Failure for 317

2. Enter the missing translation

target value (L_AMC).


Lookup Failure

The lookup failure is

gone and the new entry

appears in the top.


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.


View the search Results

Click on the row to open

the message view.


Confirm it is the right Message1. Click on a filter

after the mapper

filter to view the

outbound HL7

message.

2. 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)

1

2

12


Reinject the Message

Click Reinject

Reinjecting sends the

same input message

back through the

interface mappings.


Return to Search

Find the Back to

Result Set button

near the top to

return back to the

search screen.


Locate New Message by Re-Searching

Simply click Search to

rerun the search.

• The most recent

message (the

reinjected

message) should

then appear

toward the top.

Click on the new message

from the search.


Confirm Message contains new Value

View the HL7 message

to confirm the value has

been updated.

Upgrades, CIE Interface Training

Courses, TouchWorks Interface

ClientConnect Page

Part IV


CIE Migration ProjectsMigration 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


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


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:


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


Client Connect TouchWorks Interface Page

1. Choose All Places from Client Connect

Drop down.

2. Type in ‘interface’ in the search field to

automatically filter the displayed

items.

2

1

1


Adding a group to profile

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.

2. You will now see options to Join the group. Click

Join.

1

2

1

2


Thank you• Thank you for attending today’s presentation.


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 email:

– [email protected]

– [email protected]

mailto:[email protected]

mailto:[email protected]

august 9 11, 2016 ace 2016 - amazon s3 · • ge does not support connectr because the os it runs...

Documents