An Interoperability Success Story:

Reedsburg Area Medical Center and Beam Healthcare

Reedsburg Area Medical Center uses the Qvera Interface Engine to exchange information and contracts with MC Integration Solutions to develop and maintain their integrations. This case study involves the integration of Evident, GE Centricity, and Epiphany Healthcare to Redox and DrChrono.

Our latest project was to assist Reedsburg Area Medical Center (RAMC) with their new telemedicine program with Beam Healthcare. It involved transferring clinical data from RAMC’s Evident (CPSI) EMR to Beam Healthcare’s DrChrono EMR and receiving a telemedicine consult document back into Evident. The DrChrono specifications required the clinical information to be sent in a Clinical Care Document(CCDa) structure. The Evident EMR does not have the capability to produce and send this type of document on demand, so we used information from Evident database queries and Hl7 messages to construct and trigger the CCD to Beam when an order for consult is placed or when the patient is admitted to the hospital. This clinical document was designed using HL7 International CCD standards and consists of patient role, allergies, medications, problem list, vital signs, and past medical/surgical history. It also can be triggered at preset time intervals to provide updated inpatient data such as administered medications, ancillary orders/results, procedures, and most recent vitals. We worked with Beam’s Interface team (Redox) and a representative from HL7 international to test our document, and because of Qvera’s easy to use programming, we were able to make instant changes during the testing calls based on the feedback they provided, until the document met their specifications. We also developed a patient matching algorithm to search for and provide the most recent clinic summary document from RAMC’s GE Centricity EMR and send this along with our Evident document. During testing, Redox found DrChrono was not able to take in the lab results as discrete data normally found in a lab result HL7 message, so we took the Evident HL7 and converted the results to a PDF document, and sent that to Redox to import into DrChrono so the providers would have that information as well.

The Beam providers also requested access to RAMC’s ECG images, which are stored in their Epiphany Healthcare Cardioserver software system. We set up an interface to receive the HL7 message from Epiphany with the filepath to the PDF document, retrieve the document and replace the file location sent in the HL7 message with the actual PDF.

- This project presented some interesting challenges and we are happy to report that we developed a solution for each challenge. And as it is with all our projects, we now have new solutions to use for other clients. Giving Healthcare Providers instant access to their patient’s information has been proven to increase safety and improve outcomes. Our mission is to work with all organizations to assist them with this information exchange in an efficient, timely and cost-effective manner.