Tuesday, October 09, 2007

Implementing a Paceart HL7 results interface to Epic

Okay, this post has nothing to do with the Medtronic recall that just occurred, but with all honesty, the paceart application that Medtronic offers, sucks. Yep, Sorry, but it really does. In trying to integrate the paceart application with Epic, it was really sad and unfortunate to see the limitations that paceart has in place with the way they have implemented their interfaces, but not only this, the highly unhelpful staff they provided us for support purposes, sucked as much.

Here are some things that I think Medtronic needs to accommodate in order for their application to succeed

- Provide an accession number that is unique per study, and will remain the same even if the study is edited/deleted/merged, etc.
- Accept critical fields like an external systems account number/accession number
- Accommodate more characters for provider numbers
- Accept a real-time orders interface, this means the ability to handle O01, O02 messages
- Fix the abnormal results message that consists of multiple OBR segments, even though, they are part of the same order

That is at the least they should provide along with better support so that HIT folks can successfully integrate EMRs with paceart.