Hosts

The Hosts page contains a list of up to 10 hosts. If the list is longer than one page, use the links located below the list of hosts to navigate through the list.

Select this checkbox at the top of the page to view active hosts only. You set the inactive/active status in the Host Details section of the Hosts Details page. See the "Adding or Editing Host Details" section below.

To narrow the list of displayed hosts, or to find a specific host, use the Name field.

If you cannot find the desired host, you may work with Orchard Software Technical Support personnel to create a new host in the Hosts details page, accessed by clicking Add. Note that only Orchard Software Technical Support personnel may create new hosts in this page. See "Adding or Editing Host Details" below.

Click the name of the host on the Hosts list page to view or edit host information on the Hosts details page. See "Adding or Editing Host Details" below.

Click the button to export all selected hosts from the page as a single ZIP file.

You may work with Orchard Software Technical Support personnel to create a new host in the Hosts details page, accessed by clicking Add. Note that only Orchard Software Technical Support personnel may create new hosts in this page. This opens a blank record in the Hosts details page to create a new host. See "Adding or Editing Host Details" below.

Click the  button to export all selected hosts from the page as a single ZIP file.

Enter the full name of the host in the field. This field is required.

Click the drop-down list and select a type. Select either Alias, Display, Legal, or Stock Exchange Listing from the list. The field defaults to the Legal value and will only be visible if the system has an HL7 2.5.1 license. When sending HL7 2.5.1 messages, the selected name type's code will be sent in OBX-23 if the host is being sent as the performing organization for the testing contained within the OBX. NK1-13 has now been changed so that a blank repeat of the field will be sent first if the name type for the next of kin's organization name is not the legal name.

Enter the unique identification number for the host in the field. This field is required.

To enter a practice in the field, click Search to locate the practice using the Practice Search page. See the  Admin: Practice Search  topic. Note that this setting is only required if the host is associated with a particular practice. This should be left blank if it is a reference lab or system-wide host.

To remove the practice from the Practice field, click Clear.

Select the checkbox to allow practice-specific host interfaces to try to assign an ordering location to a new order based on the ordering provider's default ordering location for that practice and to set the ordering location's default collection location if it is not designated in the message. The system will not use this setting if the order HL7 message specifies an ordering location.

Select the host type from the drop-down list. The option you select affects what settings are available. The system disables the fields on this page that do not apply to the selected Host Type (e.g., manifest and requisition settings that do not apply to EMR/HIS hosts). Select from:

• Billing System
• EMR/HIS
• Reference Lab
• Local Lab (Orchard)
• Local Lab (non-Orchard)
• Custom PMS
  • If you select Custom PMS as the host type, the Timeout for querying Practice Management System field appears (see below), and an option appears on the Practices administration details page that allows you to associate practices with the practice management system. See the  Admin: Practices  topic. In addition, you will be able to request updated patient information from the practice management system when selecting a patient during order entry or when searching for a patient. See the  Find Patient or Order  topic.

The system sends ZCF segments in outgoing orders when the host type is one of the Local Lab options, or when the host type is Billing System and if the necessary configuration is set up in the Advanced Configuration Options   page.

Testing Facility: Select the checkbox to specify that the host is a point-of-care testing facility. When the checkbox is selected, Set Defaults appears. Click Set Defaults to apply default testing facility settings to a host. This triggers a  Proceed with Action? pop-up containing the message "This will set all interface configuration settings to the recommended default values for a Testing Facility. This will overwrite current settings and save the changes. Are you sure you want to proceed?" Click Proceed to save the host, changing various settings to the default values for a testing facility. Click Remain on Page to return to the Host Details page.

Lattice MediCopia Host: Select the checkbox to control whether or not a host is a Lattice MediCopia host.

Cerner Labotix Automation Line Interface: Select the checkbox to send and receive messages from Cerner Labotix Automation. In order to do so, a new host must be created for the line. The host type for an automation line host should be set to one of the  Local Lab  options. Both the inbound and outbound interfaces should be set to active and should be set to send and receive ACK messages from the host. No other changes are needed to set up the automation line host. The automation line host must be selected on the hosts that will use the automation line. This is done by selecting the automation line host in the new Cerner Labotix Automation Line Host search-as-you-type field.

• Automation Line Metacontainer: This field adds the ability to automatically transfer metacontainers into an unlimited position container that represents the automation line. This field only allows the user to select an unlimited position metacontainer. After the feature has been set up, the primary metacontainer on a sample will automatically be transferred into the specified metacontainer on the automation line whenever the line sends a Specimen Loaded at Loading Station message to the system for the sample.
• Automation Line Long-term Storage Metacontainer: This field adds the ability to automatically transfer metacontainers into an unlimited position container that represents the automation line's long-term storage. This field only allows the user to select an unlimited position metacontainer. After the feature has been set up, the primary metacontainer on a sample will automatically be transferred into the specified metacontainer on the automation line whenever the line sends a Specimen Assigned Storage Address by LAS message to the system for the sample.
• Dispose metacontainers related to samples when line discards samples: This checkbox adds the ability to automatically dispose metacontainers that are related to samples that are discarded by the automation line. The feature is enabled for automation lines by default, but can be disabled on the automation line host. When the feature is enabled, the primary metacontainer on a sample will automatically be disposed of whenever the line sends a Discarded  message to the system for the sample related to the metacontainer.

Public Health Agency Host: Select the checkbox to designate this host as a public health host. This will allow the host to be selected for public health agency tests and organisms. Upon approval of results, the system will check to see if any of the tests/organisms being approved are flagged for public health agency reporting given the testing location, department, specimen type, and order choice, and if so, a message containing the flagged items will be sent to the configured public health agency hosts. Messages will only be sent for final, corrected, amended, and addendum results. 

Accept insurance company and plan updates from this host: Select the checkbox to allow an interface to update insurance company and insurance plan demographics.

Prevent insurance company, insurance plan, and patient insurance set creation: Select the checkbox to have the system prevent new insurance companies, insurance plans, and patient insurance sets from being created by HL7 messages received by the host. When the setting is not checked, previous functionality of creating new insurance companies, insurance plans, and patient insurance sets will be maintained.

Only update existing patient records when parsing ADT messages from this host (always applies to ADT change patient identifier messages (A47)): Select the checkbox to prohibit that host's interface from creating new patient records when parsing ADT messages.

Accept demographic updates from this host: Select the checkbox to designate this host as a demographic source. Note that this setting is compatible with ADT, ORU, and ORM(SN) messages.

• Update only: Select the checkbox to specify that this demographic source may only update information related to an existing record. Note that the system will not store information for a new patient record. If the system receives order messages from this host for new patients, it places the messages in the Fix Orders page. See the Admin: Fix Orders topic.

Accept demographic updates from this host in order request messages: Select the checkbox to allow the user to control whether patient demographics information will be updated when parsing send number request messages from a specific host.

Accept demographics updates from this host in ORU: Select the checkbox to accept demographic updates from the host in ORU messages.

Prevent patient creation if system default demographic requirements are not met: Select the checkbox to prevent patient creation if the demographic requirement fields are not satisfied for an incoming ADT message.

• Demographic Required Fields: Click the button to display the Demographics Required Fields pop-up in order to configure host-level demographics required fields. If these demographics required fields are not met by incoming ADT message, an entry will be added to the Fix ADT administration page queue. If host-level demographics required fields are defined for the host, those are the fields that will be checked for inbound ADT messages. If nothing is defined, the system-level demographics required fields will be used. Select the Use System Default Required Fields checkbox to have the system use the system default required fields. Configure first name, middle name, last name, sex, race, date of birth, maximum age, nationality, ethnicity, PCP, phone numbers, SSN, MRN, email, addresses, city, ZIP code, state/region, and country. Click Save to save the configurations made on the pop-up, or click Close to close the pop-up without saving any changes.

Timeout for querying Practice Management System: If you select Custom PMS in the Host Type drop-down list (see above), the Timeout for querying Practice Management System field appears at the bottom of the section. Enter in this field the number of seconds the system should wait for a response from the practice management system when requesting updated patient information when selecting a patient during order entry or when searching for a patient. See the Find Patient or Order topic.

Select the time zone of the host from the drop-down list.

Click in or enter text in the search-as-you-type field to search for and select a host that will use the automation line.

Define the settings for internal billing, if desired. The system considers the billing relationship between the business entity using the system and the laboratories performing the testing for that business entity to be "internal billing."

Click this button to select the appropriate billing status rule and set any ordering location-based exceptions in the Internal Billing Status administration page. See the Internal Billing Status topic. The system uses this billing status rule when this host performs testing. You may define additional billing status rules in the Billing Status Rules administration page. Note that when rules or exceptions are set, the button text will turn green and italic. See the Admin: Billing Status Rules topic.

Enter the account number the system should assign when it uses the selected billing status rule for the host.

• Show internal billing info on requisitions and manifests for this host: Select this option to have the system display the internal billing status and account number on requisitions and manifests created for this host. Note that if you choose to display the internal billing information, it will replace the external (user, location, or practice) billing information.
• Send internal billing info in HL7 messages: Select this option to have the system send the internal billing status and account number when it transmits HL7 messages for this host. Note that if you choose to display the internal billing information, it will replace the external (user, location, or practice) billing information.
• Suppress internal billing status for order choices routed to this host on Order Patient Samples: Select this option to suppress displaying the internal billing status of an order choice.
• Suppress external billing status for order choices routed to this host on Order Patient Samples: Select this option to suppress displaying the external billing status of an order choice.
• Prevent duplicate patient host codes: Select this option to add patient imports and HL7 messages to prevent the creation of duplicate patient host codes. When a duplicate patient host code is detected, patient imports and outbound HL7 messages will not create the patient host code; however, inbound HL7 messages will be placed in the appropriate fix page: Fix ADT for ADT messages, Fix Orders for new order messages, and Match Results for result messages.
• Enable LKSmartSearch for this host: Select this option when on the Order Patient Samples page when the system's patient search is not to be used. Instead, the LKSmartSearch program is used to find a new or existing patient, which it returns to the system as an ADT message. The system then parses the message and loads the new or existing patient into the page for use in ordering.

Enter the name of the medical director, if desired. The system displays the medical director's name in the end notes of result reports after the CLIA ID, if you have entered a name.

Previous Medical Directors: Click the button to display the Previous Medical Directors pop-up to define previous medical directors. The director(s) will be listed with the dates in which their term as medical director ended. This list will be sorted upon saving from the oldest date to the newest date. When viewing the medical director(s) name content types, the order's collected date will be used to determine which medical director's information is displayed. If no previous medical director(s) are defined, it will display the current medical director. 

• Add Director: Click the button to add a medical director.
• Name: Enter the new medical director's name in the field.
• Last Day: Enter the date in which the director last served in the field.
• X: Click to remove the medical director.
• Save: Click to save any changes made on the pop-up.
• Cancel: Click to close the pop-up without saving changes.

In the search-as-you-type field, enter the name of the lab director. The system displays the lab director's name in the end notes of result reports after the CLIA ID, if you have entered a name.

Previous Lab Directors: Click the button to display the Previous Lab Directors pop-up to define previous lab directors. The director(s) will be listed with the dates in which their term as lab director ended. This list will be sorted upon saving from the oldest date to the newest date. When viewing the lab director's name content types, the order's collected date will be used to determine which lab director's information is displayed. If no previous lab director(s) are defined, it will display the current lab director. 

• Add Director: Click the button to add a lab director.
• Name: Enter the new lab director's name in the field.
• Last Day: Enter the date in which the director last served in the field.
• X: Click to remove the lab director.
• Save: Click to save any changes made on the pop-up.
• Cancel: Click to close the pop-up without saving changes.

Select from the drop-down list a type of address for the host:

• Bad Address
• Home
• Birth
• Birth Delivery Location
• Country of Origin
• Current or Temporary
• Firm/Business
• Legal Address
• Mailing
• Office
• Permanent
• Registry Home
• Residence at Birth

Enter the full address for the host, including any suite numbers. If ZIP code checking is enabled in the System Defaults administration page, when you enter a ZIP code that exists in the database, the system automatically fills in the city and state associated with the ZIP code, and if the ZIP code update option is enabled, then the system also updates the corresponding city and state data, if appropriate.

Click the button to display the Additional Information pop-up.

• • Acquire Images: Click to display the Set TWAIN Device pop-up. Select the TWAIN device to use by clicking the button with the name of the device. For example, HP HD Webcam TWAIN. On the pop-up, click Device to view the name of the device; click Format and Preference to edit device properties; and click Snapshot to take the picture. Click Cancel to close the pop-up.
  • Switch to browser upload: Click the link to upload an image from the computer via the Choose File button. Click the Switch to TWAIN application link to view the Acquire Images button.
  • Remove All: Click to remove all images from the table. Click Remove Selected to remove only the selected images from the table.
  • Convert Selected into Single PDF: Click to convert the selected images into a single PDF.
  • Select: Select the checkbox to select images from the table.
  • Up and Down arrow buttons: Click to sort the images.
  • X: Click to delete the images from the table.
  • OK: Click to add the images to the page.
  • Cancel: Click to close the pop-up without saving any changes.

Click the button to view the change log for the selected host. See the Admin: Change Log topic. Note that you must have the necessary security right to access the Change Log administration page.

Click the button to view, add, edit, or delete the alerts and comments associated with the current host. See the Admin: Alerts & Comments topic. Note that if there are alerts or comments for the host, the button text is italicized.

Click Save to save any changes made to the page.

Click to return to the Hosts list page without saving any changes.

Select the checkbox to activate the inbound interface.

Select the checkbox to activate the outbound interface.

Click the button to create or modify a host's inbound or outbound interface settings in the Interface Configuration page. See the Admin: Interface Configuration topic. Note that you must have the necessary rights to access the  Interface Configuration page.

Select the checkbox to control whether or not the system automatically adds the origin of an electronic order to the Results to list of an order. By default, the system adds the source host to the list.

This checkbox is available only with the appropriate permissions. 

Select the checkbox to have the system suppress delivery if all results are linked documents.

Select the checkbox to select the order choice type for the setting. Selecting an order choice type will select the checkbox. Clearing the selected value from the search-as-you-type field will clear the checkbox. Selecting the checkbox will put focus in the search-as-you-type field if nothing is selected. Clearing the checkbox will clear the selected value from the search-as-you-type field. When an order choice type is selected in the setting for a host, results will only be delivered to that host for if the patient on the order meets the order choice type criteria using the host setting for restricting result delivery.

Select the checkbox to control the system delivered results to a host until it has received the number assignment. This setting only applies if this host is the order request host of the ordering location on the order. This option is not selected by default. Note that the system can generate send number request messages when result messages cause order choices to attach to orders that have an order request host configured for its ordering location.

Select the checkbox to control the system delivered results to a host until it has received the number assignment. Select this option if this is not the Order Request Host for the order, but is the order's origin. This setting only applies if this host is the order request host of the ordering location on the order. This option is not selected by default. Note that the system can generate send number request messages when result messages cause order choices to attach to orders that have an order request host configured for its ordering location.

Select the checkbox to make certain that result messages going to the selected EMR host contain host sample IDs, whether or not they were manually entered or received by a different host. When the setting is not enabled, result messages only contain the host sample ID if that host had sent it.

Select an option to set the default for when results are sent to the host:

• Any new result received: Select this option to have the system send a new report when it receives any new result on an order for which you are a result recipient.
• Any order choice is final: Select this option to have the system send a new report when any order choice becomes final on an order for which you are a result recipient.
• All order choices are final in order (with exceptions): Select this option to have the system send a new report when all order choices become final on an order for which you are a result recipient.
  • Allow delivery if all order choices are final that had orders sent to a lab: Select this option to allow a result report to be delivered to the recipient if all non-cancelled order choices that have had their order messages sent to the testing laboratory are posted as final.
• All order choices are final: Select this option to have the system send a new report when all order choice become final on an order for which you are a result recipient.

Select an option to set the result delivery defaults:

• All previous results (cumulative): Select this option to have the system send any previous results with new results.
  • Send OBR segments for pending order choices: If you have selected All previous results (cumulative), select the Send OBR segments for pending order choices option to have the system send the segments for resulted order choices, as well as segments for order choices that are still waiting for results to post, when it receives results and is preparing to send the results to a host (EMR). Some EMRs require placeholders in order to prevent an order from appearing to be final before all order choices have had results posted.
• New results only (non-cumulative): Select this option to have the system send new results only. The system selects this checkbox by default.

Click to save any changes made to the page.

Select the checkbox to allow the communication about delta values to occur between Orchard Harvest and the system.

Enter the Uniform Resource Identifier (URI) in the field. This allows the two systems to communicate over a network or the Internet.

Click the button to verify the URI information and ensure it is a valid connection.

Click the button to synchronize all of the settings on the Hosts administration page. 

Click the button to unsynchronize all of the settings on the Hosts administration page. This feature can only be accessed by a superuser.

Select the option to have the system ignore Sync 1.0 requests after Sync 2.0 requests have been received. This will prevent two Orchard Harvests that are both configured to sync with the same system, and as the same host with one on Sync 1.0 and the other on Sync 2.0 from rapidly alternating Sync versions and slowing the system to a halt. This feature can only be accessed by a superuser.

Select the Remove hyphens from ZIP codes checkbox to allow the outbound update synchronization messages to a Orchard Harvest system to strip hyphenated ZIP codes from user and location contact information in the system. Orchard Harvest synchronization must be enabled. When enabled for an Orchard Harvest host, outbound sync update XML records will strip additional formatting from ZIP codes. This was primarily an issue after setting up synchronization with an Orchard Harvest host by importing user and location configurations, which would automatically format nine-character ZIP codes as 12345-6789. If the new setting is enabled for an Orchard Harvest host, the outbound XML that is generated will format ZIP codes 123456789. Outbound synchronization messages can be reviewed on the Synchronization page.

Click the button to to export the the host as an XML file. A pop-up appears where a user may open the file, save the file, and/or browse for an application to open the file.

Click the button to have the system activate the host for all practices in the system.

Click the button to copy the clinical question host codes in the system.

Click the button to display a pop-up asking for the host ID that you want to copy the host codes from and assign them to the host currently being edited.

Click the button to copy the insurance company host codes in the system.

Click the button to copy the insurance plan host codes in the system.

Click the button to copy the location host codes in the system.

Click the button to copy the order choice host codes in the system.

Click the button to copy the patient host codes in the system.

Click the button to copy the profile host codes in the system.

Click the button to display a pop-up asking for the host ID that you want to copy the host codes from and assign them to the host currently being edited.

Click the button to have the system copy the configured question's host codes host that can be found by clicking the Specimen Source Setup button located on the System Defaults administration page for the specified host.

Click the button to have the system copy all configured specimen sources' host codes that can be found in the Host Codes for this Specimen Source section of the  Specimen Sources administration page for the specified host.

Click the button to have the system copy the test-level codes from a host you select when you click the button to the host you are currently editing.  

This button is only available with a Core Lab license.

Click the button to copy user-defined field host codes. When clicked, the user is asked to put in a host ID from which to copy codes. When a proper host ID is entered, this functionality copies the host codes used for user-defined fields within the system. The host codes used for the host with the entered ID are copied over to the selected host for all user-defined fields that have mappings to the host with the entered ID.

Click the button to copy user host codes in the system.

Click the button to have the system add a host to all ordering location default lab lists.

Click the button to have the system add a host to all practices default lab lists.

Click the button to have the system add all signed-in location default lab lists.

Click to save any changes made to the page.