Set up Pathology eOrdering

eOrdering Legacy Configuration

From Orchid SP1, if you have existing eOrdering contacts set up in Bp Premier, when you select Setup > eOrdering, the Existing eOrder Contacts Detected screen will appear and you will be asked to merge your existing contacts with corresponding providers listed on the screen.

Merge eOrdering provider contacts

Providers listed in the eOrdering setup screen are partnered with Best Practice Software, and will be added and updated regularly via Data Updates.

IMPORTANT   There is a known issue in which Laboratories configured for legacy eOrdering that have been merged with enhanced eOrdering contacts, do not retain their laboratory code.
Best Practice Software recommend noting the Laboratory Code prior to merging legacy eOrdering contacts with enhanced eOrdering contacts, as it will need to be entered again once the merge is complete.

1. Follow the instructions on the screen to merge your existing eOrdering contacts with the listed providers.



2. Once you have selected the records you wish to merge and clicked Merge Record(s), The Merge Records screen will appear. From the existing contacts list, select a primary contact to retain its user preferences and eOrdering path.

When the contacts are merged, pathology user favourites, as well as preferred lab, eOrder export path, Location Lab codes, 'Use plain paper' or 'Paper has specimen labels' along with the mm values for the primary contact are preserved.

NOTE  Perform the merge for each available provider that has corresponding existing contacts.

3. If you did not select a primary contact in step 2, you will have the option to set the eOrder path for the provider. Enter the path that the merged eOrdering contact used previously, and click Save. If you are unsure of what path should be used, contact the provider.



The Setup eOrdering screen will appear.

Configure pathology providers

Quick Reference Guide

Before you begin

Depending on how you wish to use the eOrdering setup screen, the following permissions are required.

Action	Section	Permission level
View the eOrdering setup screen	Contacts	View
Use the eOrdering setup screen	Contacts	Add/Edit/Delete
Configure eOrdering preferences for all users	User preferences	Add/Edit/Delete
Configure eOrdering preferences for yourself only	Own preferences	Add/Edit/Delete

Install messaging software

You may need to install messaging software on each Bp Premier server or workstation that will be generating eOrders. The provider can tell you if you need to install any software (such as Fetch) and if the HL7 eOrder files need to be stored on a specific location on the machine.

NOTE  eOrdering can only be set up via the server.

1. Access the eOrdering form on your practice server.
2. Ensure Pathology is selected in the top right-hand corner. A list of pathology providers will be available.
3. Search for the pathology provider you wish to configure, and click Add. Configuration settings for the pathology lab will appear.

If the pathology provider you wish to set up for eOrdering is not listed in the eOrdering setup screen, ask the pathology provider to contact the Best Practice Software Partnerships team at partners@bpsoftware.net .

Configure laboratory details

If you have Add/Edit/Delete permissions set for User preferences, you can add default preferences for all providers by configuring lab details and clicking Apply to all users. You can also add preferences for other users by selecting them from the User name menu.

Once the practice defaults are set, if you have Add/Edit/Delete permissions set for Own preferences, you can change your own settings as required.

Field	Action
User name	Select the user whose laboratory details you wish to configure.
Edit Code	If a laboratory code has been provided to you by the lab, it can be entered here. To add the code, click Edit Code. The Laboratory Code screen will appear. Select the location you wish to add a laboratory code for and click Set. Enter the code for the location and click OK.
Preferred laboratory	Tick to indicate whether the laboratory is a preferred laboratory.
Use plain paper	Tick if the laboratory does not provide pre-printed stationery.
Paper has specimen labels	Tick if the pre-printed stationery has a section for specimen labels. When this box is ticked, the Move duplicate section down and Move labels down fields become available. Enter a measurement in mm to adjust the position from the top left that the duplicate and label sections are printed.
NATA	The NATA code will be pre-populated and cannot be changed.
Apply to all users	Click if you wish to apply these setting for all users.

Configure preferred address details for a laboratory

To make it easier for patients to find the closest laboratory, Providers can include the address of a nearby preferred laboratory on printed copies of eOrdering requests.

1. Select View > Contacts or press F11 from the main Bp Premier screen. The Contacts screen will be displayed.
2. Search for the Pathology or Imaging Laboratory and click Edit.
3. Based on the information the laboratory has given to Best Practice Software, the Addresses section will already have one address filled in. Click Add and Enter the details for the Preferred Local Laboratory and click Save.



4. The newly Added address and Contact information will appear on the Printed eOrdering request when the laboratory layout is set to Plain paper.



NOTE  There is no restriction on how many additional addresses can be added to a contact. However, only one of them will be visible on the eOrdering request. The address will be taken from the first custom entry made in the address details.

5. From the Contacts screen, select Setup > eOrdering from the menu at the top of the page. The Setup eOrdering screen will appear.
6. Locate the Laboratory under the Configured Providers section and click Edit.



7. If all Providers use the Plain Paper format, click Apply to all users; otherwise, configure each relevant user individually, then click Save.



8. Click Save on the Setup eOrdering Utility screen to confirm the changes are applied.

NOTE  Users must first log out of Bp Premier and then log back in for the updates to take effect.

Configure favourite tests

1. From the Favourite tests: menu, select either User favourites or Generic favourites. User favourites are configured for the selected user only, whilst generic favourites are specific to the laboratory, but are available to all users.
2. Click Add. The Add New Favourite Test screen will appear.
3. Enter a Favourite name and click Add to create a combination of tests, or select Use test name if you just want to use the name of the test for its title.

Configure eOrder details

1. Enter the path on the machine to store electronic requests, or browse to the folder you wish to use by clicking the ellipsis button. The pathology laboratory can tell you if eOrder files need to be in a specific folder.

If the nominated folder does not exist, Bp Premier will create the folder.

Some labs may supply a default eOrder path, so if the field is pre-populated, then this is the default path set by the lab. It is recommended that you keep the default eOrder path if one has been supplied.

2. The Import test list button allows you to manually update the test list for the NATA code.
3. Test lists are updated with each Bp Premier data update; you will very rarely be required to manually update the list.
4. If the pathology lab has supplied you with a list of recommended tests, click Import recommended tests and supply the location of the recommended tests .csv file.
5. Select Save to move the pathology provider into the Configured Providers panel.

Testing eOrder generation

1. Test creating an eOrder request from both the server and a client machine after setting your eOrder provider.
2. Before making requests, make sure the BP Messaging Service is set up and operational. See Troubleshoot Bp Messaging Service for more information.
3. Confirm that the ORM HL7 files are being successfully generated to the file path set for the lab.
4. The following script, which displays the eOrder records and reports their status, can be used to determine whether the creation was successful or failed as a result of an issue.
   1. Download the script file Display_eOrderLog_Status.bpscript here.
   2. Run the downloaded script on the Bp Premier server using the Bp Script Runner Utility. Instructions on running Bp Script Runner are available here.

Remove a configured provider

1. From either the pathology or imaging provider screen, select Remove next to the provider you wish to remove. A message will appear asking for confirmation that you wish to remove the provider, and if the provider's contact record should be deleted.
2. Select Delete linked contact record if you wish to delete the contact record as well, and click Yes to remove the provider.

If you choose to remove the e-ordering provider, but you do not wish to delete the provider's contact record, supplied information such as the provider's address will still be removed.

Notification of failed eOrders

In Orchid SP1, at 6 am, an internal message will be sent to the Practice Manager and Principal Doctor to inform them of any failed eOrders. The message will guide the users to take action by checking 'Only show failed eOrders' in View > Investigation Requests.

Manage investigation requests

In Orchid SP1, three new columns have been added to the View > Investigation Requests screen:

• The eOrder column contains a yes or no value to indicate whether the investigation request was sent as an eOrder.
• The eOrder created on column will show the date and time the eOrder was sent and a failed status for any that did not send.
• The barcode column will display the barcode number that appears on the eOrder.

1. Select View > Investigation requests from the main Bp Premier screen.



2. Filter the requests displayed to a date range.
3. Select from the By doctor drop-down list to only show requests from a specific provider.

Filter	Description
Include already returned	Tick to include investigation requests that have had results returned by a pathology lab.
Only show eOrders	Tick to only show investigation requests that have been sent as eOrders.
Only show failed eOrders	Tick to only display investigation requests that were sent as eOrders but the transmission failed.

4. To resend eOrders, right-click on the investigation request and click Resend eOrder or click on the investigation request, select Edit from the menu and then click Resend eOrder.

When successfully transmitted, the status will be updated from failed to the date and time it was sent successfully.



eOrders that were successfully transmitted can be resent, and an onscreen prompt will ask you to confirm that it’s required.



NOTE  Best Practice Software recommends eOrders only be resent if there is a confirmed issue with the initial eOrder transmission.

5. Bp Premier cannot determine automatically that a request has been received in entirety, because this data is not provided in the result file from the laboratories. You can, however, determine if at least some of the request has been returned:

Where the result is shown in green and has a Status of ‘Partial’, the request has been partially received. This status relies on the laboratory including the order number from your request in the returned result file.

If the result has not been returned (even partially), or the laboratory has not used the order number, the request will show in pink with a status of ‘Outstanding’.

NOTE  To view an investigation request for a single patient, select Request > List from the patient record. The Investigation requests screen will appear.

 

Last updated 17 August 2023.