Description

Use the System Defaults page to add and edit system defaults for system settings, time limits, result delivery methods, system types, sample collections, aliases, and custom fields. Select the tab that corresponds to the information you wish to view.

System Defaults Tab 
Use the System Defaults tab to add or edit system default settings on the System Defaults page.

Result Delivery Tab 
Use the Result Delivery tab to add or edit reporting settings on the System Defaults page.

Miscellaneous Settings Tab 
Use the Miscellaneous Settings tab to add or edit miscellaneous settings on the System Defaults page.

Access

AdminCenter > System Setup > System Defaults

You must have the necessary security permissions to access the AdminCenter menu button. To return to the main menu, select the TaskCenter menu button.



Technical Manual

Adding or Editing System Settings

Use the System Settings section of the System Defaults page to add or edit system information, as well as set up or modify system defaults for system startup, sign in, ID generation, and label printing.

Additional Info

Select to display the Additional Information pop-up.

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

Select to view the change log for the selected practice. See the Change Log topic. You must have the necessary security right to access the Change Log administration page.

Alerts & Comments

Select to view, add, edit, or delete the alerts and comments associated with the current practice. See the Alerts & Comments topic. If there are alerts or comments for the practice, the button text is italicized.

System NameEnter the name of the central system. This field is required.
System IDEnter the central system's unique identification. This field is required.
Web Page TitleEnter the text that the system should display in the title bar of the web browser.
Default Country for PatientsEnter a default country for the system.
Default Country for SetupEnter a default country for the system setup. Select inside the search field to search for a default country, or select the magnifying glass icon.
Default StateEnter a default State for the system.
System Routing

Select an option from the drop-down list to have the system use the selected routing rule to set the testing lab for an order choice on the Order Patient Samples page. The system applies system default-based routing rules to determine the testing lab for an order choice when appropriate according to the routing rule hierarchy. See the Order Patient Samples topic. If you cannot find the desired routing rule, create a new rule in the Routing Rules administration page. See the Routing Rules topic. Select the blank option to not set a routing rule. The displayed routing rules are limited to those available for the signed-in user's practice.

New Insurance Company Default Validation Set

Select the diagnosis validation set the system uses for diagnosis and CPT code matching from the drop-down list. The system assigns this value by default as the Validation Set for Orders value for each new insurance company you create in the Insurance administration page. See the Insurance topic. You may import national data sets for diagnosis validation.

New Insurance Company Default Insurance Type

Select the diagnosis validation set the system uses for diagnosis and insurance matching from the drop-down list. The system assigns this value by default as the Validation Set for Orders value for each new insurance company you create in the Insurance administration page. See the Insurance topic. You may import national data sets for insurance type.

Default Insurance Routing

Select from the drop-down list the value the system should use for the default insurance routing setting for any insurance records created by system users. If you cannot find the desired routing rule, create a new routing rule in the Routing Rules administration page. See the Routing Rules topic. Select the blank option to use the system's default settings. Note that the system only displays the routing rules available for the practice associated with your current signed-in location.

Default Time Zone

Select the system time zone from the drop-down list. Depending on your settings for the system or for hosts, the system may display the time zone abbreviation on patient reports; beneath the signed-in user's name on the bottom, left corner of the page; and/or on requisitions (see the Hosts topic).

ACO

This button, used to create or modify the basic system setup for the system, is disabled and is only accessible by Orchard Software Technical Support.

Appearance

Select to modify the visual characteristics of the program in the Appearance Setup administration page. See the Appearance Setup topic. Note that you must have the necessary security settings to access the Appearance Setup administration page.

Authentication

Select to define which authentication methods should be used to authenticate a user that is signing into the system and in what order they should be attempted. See the Authentication Setup topic and the Authentication Methods Setup topic.

Change Log Settings

Select to enable the change logging feature that tracks and stores important changes to the database and who made the changes in the Change Log Settings administration page. See the Change Log Settings topic. Note that you must have the necessary security settings to access the Change Log Settings administration page.

Custom Navigation

Select to open the Custom Navigation Configuration pop-up, which allows you to create and add customized buttons. You may configure the button label, the space above the section, the position of navigation, the color, color settings, etc.

  • Button Label: Enter text into the field to define the button label.
  • Space Above Section: Enter a value into the field to define how many pixels exist in the space above each section. The default is six pixels.
  • Position of Navigation: Select the drop-down list and select either Above User Information or Below User Information to define the position of navigation.
  • Color: Select the color selector to the right of the Color field to select a color for the custom navigation.
  • Show custom navigation menu: Select the checkbox to show the custom navigation menu. Select the Always show custom navigation expanded checkbox to always show custom navigation.
  • Add: Select to add links to the Custom Navigation Configuration pop-up. You may add type, link text or page name, link url, and target, as well as the active status. Types that you can add are Internal Page, External LinkExternal ReportSingle Sign On, or Support Link. Pages that you can add are AP Processing List, AP Work Request, Bill-only Items, CertificationsChange Password, Charge Codes, Client Service Request, Client Services, Collect Samples, Collection List, Competencies, Dashboard, Data Browsers, Demographics, Find Patient or Order, Fix ADT, Fix Orders, Inbound Queue, Instrument Alerts,  Instrument Usage, Instruments, Interfaces, Linearity, Location Inbox, Match Results, Medical Necessity, Order Choice Catalog Pop-up, Order Choices, Order History, Order Patient Samples, Outbound Queue, Password Reset Questions, Pending Collection, Pending Orders, Print Labels, QC LotsQuality Check Report, Query Tool, Reagent Lots, Reagent Usage Report, Reference Lab Results, Release Samples, Review QC, Switch Page Layout, System Defaults, User, User Inbox, Users (Personnel), or Work in Progress. Targets that you can add are New Tab or Same Tab. Support links you can add are Link Text and Target. Select the Active checkbox to make the type active in the system.
  • OK: Select to save the changes made on the Custom Navigation Configuration pop-up, or select Cancel to close the pop-up without saving any changes.
Dialog Customization

Select to open the Custom Dialog Settings pop-up to customize the size and position of certain pop-ups. 

For each type of customizable pop-up, defaults are set to show them as they have appeared up to this point. The pop-ups that are currently customizable on the  Order Patient Samples page: 

  • Edit Order Comments
  • Enter Specimen Parts
  • Patient Comments
  • Patient Alerts
  • Patient Add/Edit Alerts
  • Patient Demographics
  • Patient Insurance
  • Lab Info Request
  • Patient Insurance Details
  • User Actions Log Pop-up
  • OPS Ordering Location Alerts
  • OPS Patient Alerts
  • Release Results PDF Pop-up
  • Review Results

Other dialog types:

  • Add External Provider
  • Add Patient Owner
  • AP Case Setup
  • AP Worksheet
  • Assign ABN
  • Batch Orders Result Recipients
  • Calculate DOB from Age
  • Clinical Information
  • Collection Information
  • Column View Usage
  • Comments Pop-up
  • Diagnosis Summary
  • Edit Patient Comment
  • Edit Item Pop-up
  • Encounter Diagnosis History Diagnosis Search
  • Form Letters
  • Hematology
  • Lab Report
  • Linearity Pop-up
  • Linked Document Annotations
  • Logon Security Questions
  • Message Details: Inbound Queue
  • Message Details: Outbound Queue
  • Microbiology Setup
  • Microbiology Work Card
  • Miscellaneous Order Choice
  • OPS Order Choice Search
  • Operator-Location Map
  • Order Choice Catalog
  • Order Choice Details
  • Order Comments
  • Order Received Containers
  • Patient Aliases
  • Patient Demographics Diagnosis History
  • Patient Demographic Diagnosis History Diagnosis Search
  • Patient IDs
  • Patient Insurance Sets
  • Patient Linked Documents
  • Patient Load Image
  • Patient Match Rules
  • QC Analysis
  • Quick Comments
  • Recent Orders
  • Related Split Orders
  • Result Recipients
  • Specimen Parts
  • User Load Avatar Image
  • View Results
Event Notifications

Select to create custom critical events, based on a provided set of event types and a threshold value for what is considered critical. The system can send these alerts by fax or email, and can send them to staff members already in the system or to a manually entered address. See the Critical Event Notifications topic.

ID Generation

Select to create or edit default ID generation rules for samples, orders, users, and patients.

Note

You must have the necessary security settings to access the ID Generation administration page.

Label Printing

Select to configure or edit the system default printing preferences and label formats using the Label Printing page. See the Label Printing topic. You may also create master and tube label formats for individual tube/container types and for each host in the system (see the Hosts or Tube or Container Types topics); however, if tube/container type or host label formats do not exist or are not active, the system uses this system default label format.

License File

Select to view existing license information or to upload a new license on the AdminCenter License Information page. 

Sign In Info

Select to create or modify a help text message for users using the Sign In Info page. See the Sign In Info topic. Note that this message appears when users have trouble signing into the system.

Sign In Page Setup

Select to select the logo and other information that displays on the page when users sign into the system. See the Sign In Page Setup topic.

Specimen Source Setup

Select to setup specimen source questions that are used to define specimen information in the Specimen Source Details section of the Specimen Sources page. 

Superuser Access

Select to grant a user access to be a superuser before they sign in. Select Superuser Access to open the Grant Orchard User Access pop-up, where the user can define one or more date and time ranges when the superuser will have access to log in. Select Add to add the time range for the superuser access. The current user can also delete or edit any save superuser access time ranges as needed. Select the Enable Superuser Access checkbox to grant the user superuser abilities. Note that there is one exception for when the Orchard superuser can log in without access. The superuser will be allowed to log in without access being granted in new databases that do not yet have any users added. Select Save to save the changes made on the pop-up, or select Cancel to return to the System Defaults administration page.

Note

The superuser has access to view the information in this pop-up; however, they cannot make any changes to it.


Trusted Parties

Select to configure the settings to allow the system to accept requests from remote systems when users sign in using an HMAC-256 signed token. See the Trusted Parties topic.

User Action Log Settings

Select to configure how frequently the system purges the User Actions Log. See the User Action Log Settings topic. Note that you must have the necessary security settings to access the User Action Log Settings administration page.

Toggle Sections

Select to have the ability to hide or display sections on the System Defaults tab. The button toggles all of the sections to either be hidden or displayed based on the state of the first section.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save. Select Discard Changes to clear your changes.


Adding or Editing Time Limits

Use the Time Limits section of the System Defaults page to set the default time limits on system sessions, record retention, and standing orders. Some of these settings may not appear unless you have the appropriate security settings. 

Restrict settings that can impact system performance

Note

This setting is only available to Orchard Superusers.

Select the checkbox to control if users can interact with specific functionality throughout the software, with the intent of preventing the use of functions that could negatively impact performance. 

Session Timeout ___ minutes

Enter a value into the field to define the amount of time a user may be idle before the system automatically signs the user out of the program. This field is required. Note that you can override this setting for specific users on the Users administration page, or you may give users the right to set their own session timeout settings on the Application page.

Browser Timeout ___ seconds

Enter a value into the field to define the amount of time the system allows a browser query to run before it stops the process. Note that two ACO entries must be set on the Advanced Configuration Options page for this feature to work. 

Browser Max Result Size ___k rows

Enter a value into the field to define a browser's max result size. 

Use alternate database for Data Browser Queries 

Select the checkbox to use an alternative database for reports. All queries from the data browsers will be routed through the alternative database that is set up via an ACO. This option is only available when your system has a startup ACO that specifies an alternative database.

Use alternate database for Billing Summary, Utilization, and Turnaround Time Reports

Select this checkbox to route Billing Summary, Utilization, and Turnaround Time Reports through a connection to the alternative database instead of the primary. This option is only available when your system has a startup ACO that specifies an alternative database.

Frequency to check for critical events ___ minutes

Enter a value into the field to define the amount of time before the system checks for critical events. The system defaults to 6 minutes. This field is required.

Purge unmatched result records older than ___ days

Select to remove records older than the specified number of days. Select this option and enter the number of days the system should keep unmatched result records; it will delete all un-matched result records that exceed this time limit. This field is required.

Note

You should only use the Purge options if results are forwarded to another system for long-term storage. Otherwise, results could be lost permanently.

Purge all result records older than ___ days

Select to remove records older than the specified number of days. Select this option and enter the number of days the system should keep all result records; it will delete all result records that exceed this time limit. The system defaults to 90 days. This field is required. The system alerts you that all patient lab results older than the time limit will be deleted and prompts you to continue. Select OK to enable the setting, or select Cancel to keep the setting disabled.

Note

You should only use the Purge options if results are forwarded to another system for long-term storage. Otherwise, results could be lost permanently.

Inbound HL7

HL7 messages in inbound queue should be held for __ days

Enter the number of days the system should hold messages in the inbound queue in the field. You may enter any number between one and 365. This field is required. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. Select the Export inbound records on purge  option to have the system save purged records to a file that you may view from the Export View administration page. See the Export View topic. Enter an amount in the Purge Inbound Queue export files after ___ days field to determine how many days to keep inbound queue export files. The system defaults to 10 days.

Outbound HL7

HL7 messages in outbound queue should be held for __ days 

Enter the number of days the system should hold messages in the outbound queue in the field. You may enter any number between one and 365. This field is required. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. Select the Export inbound records on purge option to have the system save purged records to a file that you may view from the Export View administration page. See the Export View topic.

Outbound Email

Email messages in outbound queue should be held for __ days

Enter the number of days the system should hold email messages in the outbound queue in the field. You may enter any number between one and 365. This field is required. Configure purge time and day(s) by using the Run at field and the  S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. Select the Export outbound email records on purge option to have the system save purged email records to a file that you may view from the Export View administration page. See the Export View topic.

Outbound Fax

Fax messages in outbound queue should be held for __ days

Enter the number of days the system should hold fax messages in the outbound queue in the field. You may enter any number between one and 365. This field is required. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. Select the Export outbound email records on purge option to have the system save purged email records to a file that you may view from the Export View administration page. See the Export View topic.

Outbound RAPS

Remote Printing messages in outbound queue should be held for __ days

Enter the number of days the system should hold RAPS messages in the outbound queue in the field. You may enter any number between one and 365. This field is required. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. Select the Export outbound email records on purge option to have the system save purged email records to a file that you may view from the Export View administration page. See the Export View topic.

Outbound Direct Printing

Direct Printing messages in outbound queue should be held for __ days

Enter the number of days the system should hold direct printing messages in the outbound queue in the field. You may enter any number between one and 365. This field is required. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. Select the Export outbound email records on purge option to have the system save purged email records to a file that you may view from the Export View administration page. See the Export View topic.

Outbound Label Printing

Label Printing messages in outbound queue should be held for __ days 

Enter the number of days the system should hold label printing messages in the outbound queue in the field. You may enter any number between one and 365. This field is required. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. Select the Export outbound email records on purge option to have the system save purged email records to a file that you may view from the Export View administration page. See the Export View topic.

Outbound Direct Dial

Direct Dial messages in outbound queue should be held for __ days

Enter the number of days the system should hold direct dial messages in the outbound queue in the field. You may enter any number between one and 365. The system defaults to 72 days. This field is required. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. Select the Export outbound email records on purge option to have the system save purged email records to a file that you may view from the Export View administration page. See the Export View topic.

Outbound Harvest Workstation Label Printing

Harvest Workstation Label Printing messages in outbound queue should be held for __ days 

Enter the number of days the system should hold Harvest workstation label printing messages in the outbound queue in the field. You may enter any number between one and 365. This field is required. Configure purge time and day(s) by using the  Run at  field and the  S/M/T/W/T/F/S  checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. Select the Export outbound Harvest workstation label printing records on purge option to have the system save purged Harvest workstation label printing records to a file that you may view from the Export View administration page. See the Export View topic.

Event Log

Event Log in the Event Logs should be held for ___ days

Enter the number of days the system should hold Event Log messages in the field. You may enter any number between one and 365. The system defaults to 365 days. This field is required. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. Select the Export Event Log records on purge checkbox to have the system save purged Event Log records to a file that you may view from the Export View administration page. See the Export View topic. Enter an amount in the Purge Event Log export files after ___ days field to determine how many days to keep Event Log export files.

Message Center Messages

Message Center in the Deleted/All messages should be held for ___ days

Enter the number of days the system should hold Message Center messages in the field. You may enter any number between one and 365. The system defaults to  90 days. This field is required. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. Select the Export Message Center records on purge checkbox to have the system save purged Message Center records to a file that you may view from the Export View administration page. See the Export View topic. Enter an amount in the Purge Event Log export files after ___ days field to determine how many days to keep Event Log export files.

System Maintenance Log

System Maintenance Logs should be held for ___ days

Enter the number of days the system should hold System Maintenance Log messages in the System Maintenance Log in the field. You may enter any number between one and 365. The system defaults to 90 days. This field is required. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time.

Disposed Sample Tracking

Disposed sample tracking information should be retained for ___ years and ___ days

Enter the number of days and/or years the system should keep disposed sample tracking information in the field. The default for both fields is 0. In the  days  field, you may enter any number between one and 365. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. When the maintenance runs, the system will delete not only the disposed sample tracking items that are older than the specified amount time, but it will also delete their related log records. 

Sample Tracking

Sample tracking information should be retained for ___ years and ___ days

Enter the number of days and/or years the system should keep sample tracking information in the field. The default for both fields is 0. In the days field, you may enter any number between one and 365. Configure purge time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the purgers will run on the chosen day(s) at the specified time. When the maintenance runs, the system will delete not only the sample tracking items that are older than the specified amount time, but it will also delete their related log records.

Delete Sample Tracking Records For Samples When All Related Order Choices Are Cancelled: When this checkbox is selected, sample tracking records will be automatically deleted by the sample tracking schedule as well as when all of the related samples/order choices are cancelled. If the related samples/order choices are then uncancelled, the sample tracking records will be re-created, albeit without any of the previously existing information.

Historical Database

The system supports two databases, the main, active database and a historic database. Moving order information to the historic database keeps your system running efficiently. Note that QC orders and orders pending result release cannot be moved to the historic database.

Orders should be moved into the historical database after ___ years and ___ days

Enter the number of days and/or years the system should keep information before it moves it to the historical database. The default for years is 7. The default for days is 0.

Run at: Configure maintenance time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the system will run maintenance on the chosen day(s) at the specified time. When the maintenance runs, the system will move the information that is older than the specified amount of time to the historic database. You can still access information on the historic database from the system. 

Stop at: To specify when and/or on what days the system should stop moving information to the historic database, enter a time in the Stop at fields and/or select the days of the week checkboxes. If the Stop at information is not configured, the process of moving information to the historic database will run until there are no more orders to be moved.

Cancel Unacknowledged entries from Outbound Queue

Unacknowledged outbound queue messages should be retained for ___ days

Enter the number of days the system should keep unacknowledged outbound queue entries for Device Engine orders and EzyVet webservice messages. The default is 0 days.

Configure cancel time and day(s) by using the Run at field and the S/M/T/W/T/F/S checkboxes. By entering a time into the available field, and by checking the days of the week checkboxes, the system will run the maintenance on the chosen day(s) at the specified time. When the maintenance runs, the system will cancel the unacknowledged outbound queue entries older than the specified amount of time. 

Purge Outbound Queue export files after ___ days

Select the checkbox, followed by entering a value in the field, to specify the number of days before purging export files from the Outbound Queue. The default value is 365.

Days To Keep Outbound Queue Export Files __ 

Enter in the field the number of days to keep outbound queue export files before they are purged. The system defaults to 365 days.

Days To Keep MLP Export Files __

Enter in the field the number of days to keep MLP export files before they are purged. The system defaults to 180 days.

Standing orders should not span more than __ days

Enter in the field the number of days for the allowable time span from the first standing order to the last standing order. The system defaults to 365 days. The system uses this value when monitoring standing orders, unless there is a location-specific time span restriction for the location the user is signed into. Set location-specific restrictions in the Locations administration page. See the Locations topic. Note that before users may place standing orders, you must enable the setting in the Locations administration page that allows users to enter standing orders.

Display external content for ___ minutes

Select the option to open order and patient linked documents in new browser tabs/windows by selecting Open Externally on the Order Linked Documents page. Enter a value into the field. The text input accepts values from 1 to 300. The default value is 3. If the checkbox is unchecked, users will not be able to open documents in new tabs/windows. The documents in new tabs/windows are pulled from the current user's session, based on which order is currently loaded. Refreshing a tab/window with a document will reload the current document if the same order is loaded in the main tab/window. If a different order is loaded, refreshing the document's tab/window results in the system trying to load the document in the same position for the new order. If one exists, it loads normally, otherwise, the tab/window realizes there is no content to load and closes immediately.

Do not allow expired standing orders to be marked as collected by a user

Select the option to have the system not allow expired standing orders to be marked as collected.

Future standing orders' Order Date should be based on the previous order's Order Date 

Select the option to have the system set the order date of subsequent instances of standing orders based on the previous standing order's order date, instead of on the date and time when that next instance populates into the system, which is the default behavior.

Future standing orders' Proposed Collection Date should be populated with the order's Order Date 

Select the option to have the system set the proposed collection date to the order's order date when a new standing order is created.

Future standing orders' Order Time should be populated with ___ : ___

Select the option to have the system set the entered order time to the order when a new standing order is created. Note that this does not apply to hourly recurrence patterns.

Allow collected non-standing orders to be changed to standing orders

Select the option to allow users to turn a regular collected order into a standing order. When this is enabled, users may select the Standing Order checkbox on the Order Patient Samples page and redefine the order as a standing order, as long as it is not an order with a status of complete.

Allow completed non-standing orders to be changed to standing orders 

Select the checkbox to allow users to change a completed order that is not a standing order to a standing order. When this is enabled, users may select the Standing Order checkbox on the Order Patient Samples page and redefine the order as a standing order.

Automatically send collected order choices that fail to create outbound queue entries

Select the option to have the system automatically send order messages for order choices that were marked as collected but that it was not able to send to the laboratory. The system also sends order choices that were configured to skip collection but that it was not able to send to the laboratory. When enabled, the system checks every minute for orders that are in those states. This setting is selected by default.

Sweep for unsent orders every ___ minutes: Enter a value in the field to configure the frequency of sweeping for unsent orders. The default values is 10 minutes.

Sweep for orders with order date/time after _/ /___ _:_ AM/PM: Enter a date and time into the fields to define the earliest date and time an order's order date/time can be in order to qualify for the Automatically send collected order choices that fail to create outbound queue entries setting. Select Now to enter the current date and time. Select Clear to remove the date and time values. If no date/time is set, then the system checks all order choices that were marked as collected but could not be sent to the laboratory.

System serves

Select an option from the drop-down to specify that the system serves only veterinary clients, human clients, or both. Select either the Only Human Clients, Only Veterinary Clients, or Both Human and Veterinary Clients from the drop-down list.

Inbound Queue parsing interval ___ secondsEnter the number of seconds in between when the system runs the Inbound Queues. The system will run the Inbound Queues once every set number of seconds. This will increase the number of seconds order messages are held before ORM message parsing. The interval can be changed to a number of seconds ranging from 5 to 300 seconds.
Outbound Queue parsing interval ___ secondsEnter the number of seconds in between when the system runs the Outbound Queues. The system will run the Outbound Queues once every set number of seconds. The interval can be changed to a number of seconds ranging from 0 to 10,000. The default is 3. Set to 0 to run the Outbound Queues continuously. 
Include Historic Database when using the Order Search at the top of the page

The system supports two databases, the main, active database and a historic database. Select the checkbox to include historic database records when searching for orders using the universal search (find patient or order) at the top of any page in the system.

Use Snapshot Isolation in some queries

This checkbox is only available to superusers.

Select this checkbox to allow snapshot isolation in the supported queries, which can increase performance in systems that have a high load on the database. The support for this applies to queries used in Work in Progress and Data Browsers. Additionally, a query must be run on the database to allow snapshot isolation to be used. Please contact Orchard Support if you have questions regarding this setting.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Adding or Editing the System Type

Use the System Type section of the System Defaults page to define the system as either a single or a multiple lab, as well as system-wide insurance and billing settings.

Single Lab (Reference Lab)

Select the option if your system is associated with only one reference lab.

Multiple Labs 

Select the option if your system is associated with more than one lab.

Single Lab Host

Select the from the drop-down list if your system is a single lab. This field is required if the Single Lab (Reference Lab) option is selected.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Adding or Editing Insurance Options

Select the insurance settings for all system users.

Hide all Insurance links

Select this option to hide all insurance links.

Map practice-specific insurance to system's maintained list of insurance

Select this option to use the system's insurance information for practices' insurance.

Print secondary insurance information on requisition

Select this option to include patients' secondary insurance information, if available, on requisitions. See the  Requisitions topic.

Disable Insurance Company search and select for clinical users

Select this option to disable the insurance company search feature on the Insurance page. See the  Insurance topic.

Allow Non-Validated Insurance Company search and select for clinical users: Select this option to control whether users can create patient insurance sets on the Insurance page that contain non-validated insurance. See the  Insurance topic. This option is enabled by default.

Skip Insurance detail page for validated insurance

Select this option to suppress the Insurance Plan detail pop-up page that otherwise automatically appears when users search for and select insurance plans to assign to patients' insurance sets during order entry. See the  Insurance Plan topic. When this option is enabled, the system suppresses the pop-up page if both the selected insurance company and insurance plan have been validated on the Insurance administration page.

Display warning message for single lab systems' patient billed orders

(Single lab systems only) Select this option to display an alert that states that a patient will be billed directly (when it is direct bill and the payor is self-pay) when a user saves an order for the first time.

System-wide default billing status drop-down list

Select an option to define the system wide default billing status. The value you select defines the default billing status the system uses when no other configurations exist to specify the billing status for an order choice.

  • System default billing status is Direct Bill: Select this option to set the billing status of order choices to direct bill by default.
  • System default billing status is Client Bill: Select this option to set the billing status of order choices to client bill by default.
  • Force orders to be Client Bill: Select this option to force all order choices to be client bill, unless there are insurance-based exceptions defined. For example, insurance-based rules not allowing client bill would still prevent the system from assigning client bill as the billing status.
Create Guarantor Information when Primary Relationship to Insured is Self

Select the checkbox to have the system automatically fill in patients' guarantor information with their current demographic information when users select Self as the relationship to insured for the patients' primary insurance without entering other guarantor information.

Always Override Guarantor Information when Primary Relationship to Insured is Self: Select this subsetting checkbox to have the system always override guarantor fields. Guarantor information is updated whenever the primary relationship to insured is set to self. The original setting only creates new guarantor information. This subsetting will allow for updating existing guarantor information.

Show full Relationship to Patient list

Select the checkbox to allow the full list of HL7 2.5.1 relationships to patient, even when the system does not have an HL7 2.5.1 license. The additional relationship types can be sent and received by HL7 classic messages and will use their HL7 2.5.1 identifiers when set. The full list of relationship types when the setting is used is as follows: Associate, Brother, Care Giver, Child, Emergency Contact, Employee, Employer, Extended Family, Father, Foster Child, Friend, Grandchild,  Grandparent, Guardian, Handicapped Dependent, Life Partner, Manager, Mother, Natural Child, None, Other, Other Adult, Owner, Parent, Self, Sibling,  Sister, Spouse, Stepchild, Trainer, Unknown, and Ward of Court. Additionally, a new relationship type of Owner has been added. This relationship type will only be available when the veterinary features are enabled in the system.

Insurance Verification

Select one or more options to tell the system when to generate an insurance verification:

Generate Insurance Verification when:

  • Electronically creating or updating an order: The system will generate an insurance verification when the system automatically creates or updates an order.
  • Electronically editing patient demographics: The system will generate an insurance verification when the system automatically edits a patient's demographics.
  • Electronically updating patient insurance: The system will generate an insurance verification when the system automatically updates a patient's insurance.
  • Manually creating or updating an order: The system will generate an insurance verification when a user manually places or updates an order.
  • Manually editing patient demographics: The system will generate an insurance verification when a user manually edits a patient's demographic information.
  • Manually updating patient insurance: The system will generate an insurance verification when a user updates a patient's insurance information.

Send insurance verification requests automatically to host: Select the checkbox to have the system send insurance verifications automatically to the specified host when an insurance verification is generated.

Insurance Verification API: Select the host that the system should send insurance verifications to.

Auto Acknowledge and Update Insurance Verification Responses: Select the checkbox to have the system automatically acknowledge and update all insurance verification responses (that are not in error) as they are received. The system will update the patient's insurance to the new information. The system will then place the request in Complete status. If the insurance verification API returns an error, the insurance verification request will not be acknowledged and updated, but instead will be put into the Fail status.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Adding or Editing ABN and ICD Coding Options

Use the ABNs and ICD Coding section of the System Defaults page to set requirements for ABNs and ICD codes for all system users.

Number of ABNs to print ___

Enter the number of ABNs the system should create when a user prints ABNs. The default number is 1, but you enter any number up to 5.

Effective ICD-10 start

Enter the date/time that the system will start using ICD-10 codes in the format MM/DD/YYYY HH:MM. Select the calendar icon to manually enter a date/time, or select Now to populate the current date/time into the fields. Select Clear to clear the date/time from the fields.

Require exact mappings for all code pairs to determine valid ICD codes

Select this option to have the system only mark ICD codes as valid on the Order Patient Samples page when it determines the ICD codes are good for all of the CPT codes mapped to the selected order choice. This option applies when an order choice has more than one CPT code mapped to it. If you do not select this option, then the system marks ICD codes as valid if it determines the ICD code is good for one of the CPT codes mapped to that order choice. The system displays valid ICD codes in green on the Order Patient Samples page. See the  Order Patient Samples topic.

Use system default validation set if the order has no insurance

Select this option to validate diagnosis codes based on the system default validation set if there is no insurance assigned to the order. When enabled, the system color-codes the codes and displays them in order based on whether or not they are valid diagnosis codes. This setting also determines the content of ABNs, if the system is set to generate ABNs.

Use patient's secondary insurance when assigning ABNs if the secondary insurance is Medicare and the primary insurance is not Medicare

Select this option to use the patient's secondary insurance when assigning ABNs if their secondary insurance is Medicare and their primary insurance is not.

When printing an ABN, print both Medicare and non-Medicare ABNs (if available) from primary, secondary, or tertiary insurances that utilize the same validation set

Select this checkbox to have the system look at each of the patients' current insurance sets and attempt to print the ABN from an insurance that is marked as Medicare and one from an insurance that is not marked as Medicare. This takes place when an ABN is to be generated for an order.

Suppress ABN assignment for all non-Medicare insurance

Select this option to allow ABN assignment only for insurance companies with an insurance type of Medicare. See the  Insurance topic. When this option is enabled, the ABN column on the requisition will display N/A for orders with non-Medicare insurance as the primary insurance on the order.

Suppress ABN assignment for Medicare insurance when billing status is "Client Bill"

Select this option to prevent the system from generating ABNs for order choices marked as Client Bill when an order is using Medicare insurance.

Do not generate exception for ABN status of "Refused to Sign:"

Select this option to cancel generating an exception for the Refused to Sign  ABN status. See the ABN Status and Print topic. If this is selected, the Order Patient Samples and Collect Samples pages behave visually as if an ABN status of  Signed  was assigned, including not coloring the ABN button text or links red, as well as not producing an exception when you mark the sample as collected.

Require ICD code for all orders

Select this option to require all users enter ICD codes when they place orders. See the Order Patient Samples topic. If you select this option, you may set additional options to override the requirement in specific situations:

Do not require ICD code entry for orders without insurance: Select this option to override the Require ICD code for all orders setting when the patient on the order does not have insurance.

Do not require ICD code entry for client bill orders in a single lab system: (Single lab systems only) Select this option to override the Require ICD code for all orders setting for client bill orders only. If this is enabled, users may save client bill orders without entering ICD codes.

Require ICD code entry for Medicare orders only: Select this option to have the system require ICD codes for orders placed for patients with Medicare insurance. If this is enabled, the system will alert users to missing ICD codes for Medicare orders.

Require ICD code entry when saving existing orders: Select this option to have the system require ICD codes when saving an existing order.

Require valid ICD code for all orders: Select this option to force users to enter a valid diagnosis code for each order choice before they may save the order.

Flag ICD frequency violations as invalid

Select this option to have the system display all diagnosis codes that violate frequency settings as invalid (red font) on the Order Patient Samples page. If the Require valid ICD codes for all orders setting (see above) is enabled, then users will not be able to save an order until they address the issue.

Base frequency violations check on

Select either Order Date or Collection Date from the drop-down list to base frequency violations on.

Use 2008 ABN Revision

Select this option to use the new ABN format is selected by default, and you cannot modify it. Note the following:

  • The system only applies the new format to ABNs for Medicare insurance companies.
  • You may use the preview feature to see what the 2008 ABN format looks like. Enter a full Order ID and select Preview to print an ABN for the selected order in the format.
Common ICD code color

Select this option to apply a common code color. Use the provided color swatch to select a color. Once you have selected a color from the swatch, the code for that color will appear in the Common ICD code color field.

Missing CPT code ICD code color

Select this option to control the text color used by diagnosis codes on ordering pages when the order choice's CPT code does not exist in the insurance company's validation set. This includes the Order Choices table, Order Choice Details pop-up, and Diagnosis Summary pop-up on the Order Patient Samples page, as well as the order choice's Diagnosis Code column and the Order Choice Details pop-up on Batch Orders - Grid Layout.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Establishing Order Entry Settings

Disable Fasting On Ordering Page

Select to disable the corresponding field on the Order Patient Samples page. See the Order Patient Samples topic.

Disable Patient Class On Ordering Page

Select to disable the corresponding field on the Order Patient Samples page. See the Order Patient Samples topic.

Disable Payor(s) On Ordering Page

Select to disable the corresponding field on the Order Patient Samples page. See the Order Patient Samples topic.

Disable Encounter On Ordering Page

Select to disable the corresponding field on the Order Patient Samples page. See the Order Patient Samples topic.

Disable Results to... On Ordering Page

Select to disable the corresponding field on the Order Patient Samples page. See the Order Patient Samples topic.
Populate default date fields on Ordering Page with current year 

Select the option to populate the default date fields on the Ordering page with the current year.

Set Original Patient as Not Orderable When Copying to a Different Practice

Select the option to set the original patient to non-orderable when copying a patient to a different practice. This setting also allows users to manually set patients' orderable flags from the Demographics page. See the Demographics topic. This setting is intended for patients in nursing homes. For example, if a person moves to a different location, then they should not be orderable from the old location. The system also supports this patient moving back to their original location by setting their new location record to non-orderable and setting their old location record back to orderable.

Copy Patient MRN When Copying Patient to a Different Practice

Select the option to copy a patient's MRN to the new patient when using the copy to practice function on a patient record on the Order Patient Samples page. Note that if the patient has already been copied to the new practice, then the system displays the previous copy of the patient in the new practice, and it does not copy any MRNs.

Search On Order Choice Host Codes When Using Pop-up Searching

Select the option to search across host codes for the order choices. Note that the user must have the order choice pop-up search enabled in order for this setting to apply in the system.

Only search on labs when searching on order choice host codes: Select the option to limit order choice host code searching to hosts of type Local Lab   (Orchard),  Local Lab (non-Orchard), and Reference Lab. Order choices will only appear in the search results if the search text matches a host code for a lab of one of the three aforementioned types.

Highlight the "Comments" button for orders with user-generated comments

Select the checkbox to have the system highlight an order's Comments button when order-level comments are received from a user.

Highlight the "Comments" button for orders with system-generated comments

Select the checkbox to have the system highlight an order's Comments button when order-level comments are received from within the system.

Highlight the "Comments" for orders with host-generated comments

Select the checkbox to have the system highlight an order's Comments button when order-level comments are received from a host.

Do not highlight the 'Comments' when there are only system-generated comments

Select the option to not highlight the Comments button when there are only system-generated comments available.

New External Providers based on

Select for a new external provider from the based on search field. Select Search once you have entered the necessary search criteria.

Use the information in this User's "Member of These Practices" section when creating an External Provider: Use this option to use the information in the user's Member of These Practices section when creating an external provider. This option becomes available when the New External Providers based on option is selected.

New Locations based on

Search for a new location from the field. Select the magnifying glass icon or inside the search field to begin searching for a new location.

    • Order Patient Samples Template: Select an option from the drop-down list to set which Order Patient Samples page layout template the system should use for users who do not have a location-level template defined for their signed-in location. You must select Default Template on the Locations  administration page if you want the system to use the Order Patient Samples page template you select here.
Order Patient Samples Tabbing Order 

Select an option from the drop-down list to set which tabbing order the system will follow when users navigate through the  Order Patient Samples  page using the [Tab] key on their keyboard. You may select a location-level tabbing order on the Locations administration page, and the system will use the location-level tabbing order, if available, instead of this one. You may create additional tabbing orders on the Tabbing Order administration page. See the Tabbing Order topic.

Demographics Template 

Select an option from the drop-down list to set which Demographics page layout template the system should use for users who do not have a location-level template defined for their signed-in location. You must select Default Template on the Locations administration page if you want the system to use the Demographics page template you select here.

Patient Demographics Tabbing Order

Select an option from the drop-down list to set which tabbing order the system will follow when users navigate through the Demographics page using the [Tab] key on their keyboard. You may select a location-level tabbing order on the Locations administration page, and the system will use the location-level tabbing order, if available, instead of this one. You may create additional tabbing orders on the Tabbing Order administration page. See the Tabbing Order topic.

Patient Insurance Template

Patient Guarantor Template

Search for a Patient Insurance Template and a Patient Guarantor Template to apply a special template to patient insurance and patient guarantor. They will default to a provided default template.

Patient Insurance Tabbing Order 

Select an option from the drop-down list to set which tabbing order the system will follow when users navigate through the Insurance page using the [Tab] key on their keyboard. You may select a location-level tabbing order on the Locations administration page, and the system will use the location-level tabbing order, if available, instead of this one. You may create additional tabbing orders on the Tabbing Order administration page. See the Tabbing Order topic.

Patient Insurance Plan Tabbing Order

Select an option from the drop-down list to set which tabbing order the system will follow when users navigate through the Insurance Plan page using the [Tab] key on their keyboard. You may select a location-level tabbing order on the Locations administration page, and the system will use the location-level tabbing order, if available, instead of this one. You may create additional tabbing orders on the Tabbing Order administration page. See the Tabbing Order topic.

Encounter Tabbing Order 

Select an option from the drop-down list to set which tabbing order the system will follow when users navigate through the Encounters page using the [Tab] key on their keyboard. You may select a location-level tabbing order on the Locations administration page, and the system will use the location-level tabbing order, if available, instead of this one. You may create additional tabbing orders on the Tabbing Order administration page. See the Tabbing Order topic.

Specimen Source Tabbing Order Tabbing Order

Select an option from the drop-down list to set which tabbing order the system will follow when users navigate through the Specimen Sources administration page using the [Tab] key on their keyboard. You may select a location-level tabbing order on the Locations administration page, and the system will use the location-level tabbing order, if available, instead of this one. You may create additional tabbing orders on the Tabbing Order administration page. See the Tabbing Order topic.

Specimen Source Grid Tabbing Order

Select an option from the drop-down list to set which tabbing order the system will follow when users navigate through the Specimen Sources administration page using the [Tab] key on their keyboard. You may select a location-level tabbing order on the Locations administration page, and the system will use the location-level tabbing order, if available, instead of this one. You may create additional tabbing orders on the Tabbing Order administration page. See the Tabbing Order topic.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Adding or Editing Sample Collection

Note

If your facility is using the Freezer Storage module, you may select the default storage temperature from the Default Storage Temperature drop-down list. The system selects Refrigerate by default.

Use the Sample Collection section of the System Defaults page to set up default collection information for the Order Patient Samples page. See the Order Patient Samples topic.

Force user to collection page after saving an order

Select the option to automatically open the Collect Samples page after a user selects Save on the Order Patient Samples page.

Once you select this option, you may select the Only if the signed-in location is the same as the designated collection location option to only allow the user to go to the Collect Samples page if the user's signed-in location is the collection location. You may also establish these settings at the location-level on the  Locations administration page. If no location-specific settings are enabled for these options, then the system uses the system default value set here.

Number of days in the future to display orders on the collection page

Enter a number in the field to set the number of days into the future the system pulls orders onto the Collect Samples page. The system only displays patient orders that are scheduled to occur within the set number of days. The system defaults to one day.

Only parse collection times when the sample is marked as collected

Select the option to control at what point the system stores collection times in the database. By default, the system stores the collection times displayed on the collection pages when the user selects Save. Use this setting to have the system not store the collection time value in the database until the sample is actually marked as collected.

Parse collection times for samples that have already been collected: Select the option to only parse collection times for samples that have already been collected.

Term for person collecting samples

Enter a job title in the field, if desired, to customize the name the system uses when referring to the person who collects samples. The system uses Phlebotomist Label Def by default.

Default Tube/Container Type

Select the default tube/container type from the drop-down list. The system selects Not Specified by default.

Default Sample Type 

Select the default sample type from the drop-down list. The system selects Tissue by default.

Default Storage Temperature

Select the default storage temperature from the drop-down list. The system selects Refrigerate by default.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Setting Patient Demographics Required Fields

Use the Patient Demographics Required Fields section of the System Defaults page to establish which fields are required when users create or edit patient demographic information in the Demographics page. See the Demographics topic. Note that if there are location-level settings for required patient demographic fields, then those settings override these settings. See the  Locations topic.

Display required patient demographic information

To view the list of fields, select the link. To hide the list of fields, select the hide settings link.

Demographics Fields

Select the checkbox for each field that should be required. The system makes the Last Name, Date of Birth, and Address One fields required by default. You may make all fields on the Demographics page, except for Patient ID (which is always filled in by the user or the system), mandatory. To remove the required status from an option, clear the checkbox next to the field.

First Name

Middle Name

Last Name

Sex

Date of Birth

  • Maximum Age: This field allows the user to define a maximum age in years for the patient. If a value is defined here, users will be prevented from entering a patient with an age that exceeds the number of years defined. This applies for patients entered within the system as well as patient information parsed from inbound ADT messages. If an inbound ADT message contains information for a patient whose age would exceed the defined years, the message will end up on the Fix ADT administration page.

Nationality

Race

Ethnicity

PCP

Species

Breed

Owner (Note that to view this checkbox, the System Serves drop-down on the same page will need to be set to either Only Veterinary Clients or Both Human and Veterinary Clients. This determines whether the Owner field on the Demographics page is required.)

Phone One

Phone Two

SSN

MRN

Email

Address One

Address Two

City

ZIP/Postal Code

State/Region/Province

Country

Linked Locations

Name Type

Pattern

For each field that allows users to enter text, the program displays a Pattern field. Use the field to define the field requirements.

Enter a regular expression that the field must match when users enter a value in the field (e.g., [A-Z][A-Z] to require two capital letters for the State abbreviation). See the  Setting Regular Expressions  topic. Note that if a user's security role has the Override required fields right, the system will still not let the user enter data that does not match the defined pattern, although the user may leave the field blank.

Description

For each field that allows users to enter text, the program displays a Description field. Use the field to define the field requirements.

Enter a description of what the pattern should look like, so users know what to enter in the field (e.g., "Enter two capital letters for the State abbreviation."). The system displays this description in a tooltip that pops up when users enter data in the field. Also when users select Save, if the field contents do not match its pattern (see above), then the system displays this description in the error message.

Note that if the description line is longer than one line, the system will move the rest of the page contents down to display the full tooltip, which can lead to the page "bouncing" if users switch focus between fields with descriptions of different lengths. Therefore, it is recommended that you keep the description short so that it does not exceed one line.

TestFor each field that allows users to enter text, the program displays a Test button. Select this button to test the defined pattern. The system displays an additional field below the Pattern field into which you enter test data. As you enter a value, the system tests your entry against the defined pattern. It displays failed in red text next to your entry until you enter a value that matches the pattern. Select X or select Test again to hide the test field.
Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save. Once you have saved your changes, the system adds an asterisk next to each required field on the Demographics page.


Setting Patient Insurance Information Required Fields

Use the Patient Insurance Information Required Fields section of the System Defaults page to establish which fields are required when users create or edit patient insurance information in the Insurance or Insurance Plan pages. See the Insurance or Insurance Plan topics. The system uses these system default settings unless there are field requirement settings at the location, insurance company, or insurance plan levels. See the Locations or Insurance topics.

Select the checkbox for each field that should be required. The system adds an asterisk next to each required field on the Insurance  page.

To remove the required status from an option, clear the checkbox next to the field.

Display required patient insurance information

To view the list of fields, select the link. To hide the list of fields, select the hide settings link.

Policy

Group

Group Number

For the Policy, Group, and Group Number fields, you may define numeric/alphanumeric patterns (up to 100 characters) in the Match Pattern fields that the system applies to ensure users enter valid policy numbers, groups, and group numbers. You may set these at the system, insurance company (see the Insurance topic), and insurance plan (see the  Insurance  topic) levels. Select Test to display a field where you may enter characters and have the system display Pass or Fail to indicate if what you entered matches the pattern you set. Once you are finished testing, select X to hide the field.

Match Pattern Examples:
Medicare Policy: \d{9}[a-zA-Z]{1} -This allows 9 numbers, followed by 1 letter (upper or lower case)Railroad Medicare Policy: [a-zA-Z]{2}\d{9} -This allows 2 letters (upper or lower case) followed by 9 numbersMedicaid: \d{11} -This allows 11 numbers

Use System Default Insurance Required Fields

Policy

  • Match Pattern
  • Description

Group

  • Match Pattern
  • Description

Group Number

  • Match Pattern
  • Description
Relationship to Insured
Insured First NameInsured Middle NameInsured Last NameInsured Subscriber ID
Insurance Effective DateInsured SexInsured DOBInsured Time of Birth
Insured Phone #1Insured Phone #2Insured Address TypeInsured Address 1
Insured Address 2Insured ZIP CodeInsured City Insured State
  • Match Pattern
  • Description
Insured CountryInsured Employment StatusInsured SuffixInsured Name Type
Insured County CodeInsurance Expiration DateInsured SSNEmployer Name
Employer IDEmployer ID TypeEmployer Assigning AuthorityEmployer Name Type
Employer Plan CodeEmployer Phone #Employer Address 1Employer Address 2
Employer ZIP CodeEmployer CityEmployer StateEmployer Country
 Agreement Type


Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.

Once you have saved your changes, you may choose to use these default insurance settings or to customize the required fields for selected insurance companies in the Insurance administration page. See the  Insurance topic.


Setting Insurance Company and Plan Required Fields

Use the Insurance Company and Plan Required Fields  section of the System Defaults page to establish which fields are required when users create or edit insurance company or insurance plan information in the Insurance Plan page. See the Insurance Plan topic.

Select the checkbox for each field that should be required for the insurance company and/or plan. The system adds an asterisk next to each required field on the Insurance Plan page. Note that these settings do not apply to the Insurance administration page.

To remove the required status from an option, clear the checkbox next to the field.

Display required insurance company and plan information

To view the list of fields, select the link. To hide the list of fields, select the hide settings link.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Linked Patient Updating Required Fields

Use the Linked Patient Updating section of the System Defaults page to create and update patient insurance, demographics, etc. when insurance, demographics, etc. for a linked patient is changed.

Display linked patient update information

To view the list of fields, select the link. To hide the list of fields, select the hide settings link.

Create or update a patient's insurance whenever the insurance for any linked patient is changed

Select the option to create/update patient insurance when the insurance for a patient linked to this practice is changed.

Update a patient's demographics whenever the demographics for any linked patient is changed

Select the option to update this practice's patient demographics when demographics are updated for a patient linked to the practice.

Field to Update

Use the Fields to Update section to select checkboxes of fields that get updated when a patient is linked to them.

Name Prefix

First Name

Last Name

Middle Name

Name Suffix

Degree

Sex

Date of Birth

SSN

Race

Ethnicity

Deceased

MRN

Phone 1 and 2

Address

Nationality

Email

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Complete Name Formatting Settings

Use the Complete Name Formatting section of the System Defaults page to create naming formats that will be used throughout your system.

Display complete name formatting information 

To view the list of fields, select the link. To hide the list of fields, select the hide settings link.

Patient Complete Name

Use the formatting field to create a custom naming format. The system default format is "ln(x,(x fn)(x mix.))(x,x dg)" for both patient and user.

User Complete NameUse the formatting field to create a custom naming format. The system default format is "ln(x,(x fn)(x mix.))(x,x dg)" for both patient and user.
Available Codes 

Use the field to select the proper display codes to create the naming format. Double-click the desired code in the Available Codes field to add it to the Format field. For an example, select Quantity Examples to display the Quantity Examples pop-up. This pop-up displays examples that can be used to create a simple quantity format, a multiple display code format, or a nested quantity format, depending on whether you are working with the patient or user name. Select Close to return to the System Defaults administration page.

Set to Default

Select to set your custom naming format as the system default format. 

Reset Select to reset the format back to its original format.
Validate

Select to confirm that your format is correct and useable. If your format is correct, the word "Success" will appear under the field in green. If your format is incorrect, the word "FAILURE" will appear under the field in red with an error stating what character is unable to be recognized, e.g., "Error at character 3 (Unrecognized input)."

Save

If your modifications are complete, select to record all changes. Otherwise, complete the remaining sections and then select Save.


Adding or Editing Aliases

Use the Aliases section of the System Defaults page to create aliases for the system's default billing terms. Note that you may want to assign aliases that are clearly understood by your customers.

To edit the aliases, highlight or delete text already displayed in the field, then modify as desired.

Client BillEnter a name that describes practice or provider billing for the client. The system uses "Client Bill" as the default alias.
Direct BillEnter a name that describes patient or insurance billing for the client. The system uses "Direct Bill" as the default alias.
Patient BillEnter a name that describes patient billing only for the client. The system uses "Patient Bill" as the default alias.
No PayorEnter a name that represents a "no insurance selected" value for the Payor field on the Order Patient Samples page. The system uses "No Insurance" as the default alias.
Append the following text to the Order Status when results are waiting to be released

Select the field to append custom text to the Order Status when results are ready to be released, e.g., "Pending Result Release." This text will be added to the order status when the checkbox is checked.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Defining Custom Patient Classes

Use the Custom Patient Classes section of the System Defaults page to create additional patient classes for the Patient Class field on the Order Patient Samples page. See the Order Patient Samples topic.

Inpatient patient class is active on Order Patient Samples

Select this option to define inpatient patient classes that are active on Order Patient Samples.

Inpatient patient class is active for Encounters

Select this option to define inpatient patients classes that are active for Encounters.

Outpatient patient class is active on Order Patient Samples

Select this option to define outpatient patient classes that are active on Order Patient Samples.

Outpatient patient class is active for Encounters

Select this option to define outpatient patient classes that are active for Encounters.

Default Order Patient Class

Use the field to search and select a default order patient class.

Default Encounter Patient ClassUse the field to search and select a default encounter patient class.
Custom Patient Classes

Once you have defined one or more custom classes, the system lists each class here in this section with the name of the class, user-defined host code, and active status.

Select a Patient Class Name to view or modify the patient class in the Patient Class administration page.

Add

Select to access the Patient Class administration page where you may define the class you wish to add. See the Patient Class Search topic.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Defining Custom Billing Statuses

Use the Custom Billing Statuses section of the System Defaults page to create additional billing statuses for the Billing Status field on the Order Patient Samples page. See the Order Patient Samples topic.

Once you have defined one or more custom statuses, the system lists each status here in this section with the host name of the status, user-defined host code, and active status.

Add

Select to access the Custom Billing Status administration page where you may define the billing status you wish to add. See the Custom Billing Status topic.

Show active hosts only

Select the checkbox located in the Host Codes for this Custom Billing Status section to display only active host names on the Custom Billing Status administration page.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Defining Custom Image Maps

Use the Image Maps section of the System Defaults page to create and edit additional image maps.

Add

Select to access the Edit Image Map administration page where you may define the image map you wish to add or edit. See the Edit Image Map topic.

SaveIf your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.



Defining Orchard Collect Settings

Use the Orchard Collect Settings section of the System Defaults page to define settings for Orchard Collect. Note that this section will only appear if the Orchard Collect license is enabled.

Shifts

Select to define shifts on the Shifts pop-up. The pop-up displays the shift name, start/end times, active status, and the ability to remove the shift. Select Add to add a shift via the Edit Shift pop-up.

    • Name: Enter the name of the shift in the field. Select the Active checkbox to specify that the shift is active in the system.
    • Description: Enter a description of the shift in the field.
    • Start Time and End Time: Specify start/end times in the Start Time and End Time fields in the format HH:MM AM/PM. This will be the length of the shift.
    • Save: Select to add the new shift or save changes made to a current shift.
    • Cancel: Select to close the pop-up without making any changes.
License Manager

Select to display the License Manager pop-up. This button enables users to view and inactivate Orchard Collect licenses. The pop-up displays the hardware ID, device name, when it was last used, if it is deactivated, and the active status. 

  • Show active only: Select the checkbox to have the pop-up only display active licenses.
  • Select: Select the checkbox to select a license.
  • Deactivate Selected: Select to deactivate the license.
  • Close: Select to close the pop-up.
Send order choice names instead of abbreviations

Select the checkbox to have the system send the full order choice name(s) instead of the abbreviation(s) to Orchard Collect.

Require reason when manually collecting an item in Orchard Collect

Select the checkbox to force users to provide an answer for manually collecting a sample when bar code collection is required in Orchard Collect.

Bar Code Start 

Bar Code End

Enter characters in the Bar Code Start and Bar Code End fields to configure the start and end characters for bar codes in Orchard Collect.

Support Text Title

Support Text

Enter text in the Support Text Title and Support Text fields to configure the sign-in page Support Text for Orchard Collect. The title and body text are both configurable.

ID Type to be used for Positive Patient ID 

Select an option from the drop-down list to configure the type of ID used for Positive Patient ID in Orchard Collect: Primary ID, Most recent patient Encounter ID, Patient ID 2, Patient ID 3MRN, or Most recent patient or order Encounter ID. Primary ID is selected by default. It should be noted that if Most recent patient or order Encounter ID is selected, Collect will PPID on the most recent patient or the encounter ID for the selected order.

Include additional patient Encounter IDs: Select this checkbox to include additional patient encounter IDs. This must be selected to enable the two subsettings below. Most recent patient Encounter ID or Most recent patient or order Encounter ID must be selected to use this setting.

  • Opened in the last ___ days: Enter a value in the field to specify the number of days. Any patient encounter ID that was opened in the specified time frame is included, whether the ID is currently open or closed. The default value is 45 days.
  • Currently open: Select this checkbox to ensure that only open patient encounter IDs are sent.
Require PPID for collection in Orchard Collect

Select the checkbox to require a PPID for collection in Orchard Collect. Collection will be prevented with this setting enabled until a positive patient ID is performed.

Host request timeout ___ minutes

Define a timeout value for Orchard Collect by using the setting. Select the up or down arrows to define the number of minutes to wait before timing out a host request. The default value is 2 minutes.

Enable Orchard Collect timeout

Select the checkbox to enable the ability to configure a timeout in minutes for Orchard Collect. Selecting this checkbox will enable the Automatically sign out after ___ idle minutes field where the user configures the amount of time that should pass while idle before Orchard Collect automatically signs out of the program. The default time value is 10 minutes.

Enable trunk testing for Orchard Collect

Select the checkbox to grant the system the ability for trunk builds of Orchard Collect to connect to the system.

Do not check the version of Orchard Collect

Select the checkbox to make the system not check that version number of Orchard Collect.

Enable Patient comments for Orchard Collect 

Select the checkbox to enable patient comments when using Orchard Collect.

Enable Order comments for Orchard Collect

Select the checkbox to enable order comments when using Orchard Collect.

Enable Order Choice comments for Orchard Collect 

Select the checkbox to enable order choice comments when using Orchard Collect.

Disable Reportable Comments 

Select the checkbox to send commands to Orchard Collect to not allow reportable-level comments to be entered.

Use military time instead of AM/PM

Select the checkbox to have Orchard Collect display times in Military (24 hour) format.

Require Collection Method for Orchard Collect

Select the to make the Collection Method column required through the system.

Show patient photo on selection 

Select the checkbox to determine whether Orchard Collect should display the patient's photo. If the checkbox is selected, it displays the patient's photo on the Patient Information pop-up each time a patient is selected.

Only show when patient has photo: Select this checkbox to have Orchard Collect display the Patient Information pop-up when a patient is selected if that patient has a photo attached. Show patient photo on selection must be selected to use this setting.

Require fasting for Orchard Collect

Select the checkbox to have Orchard Collect require entering and/or confirming fasting information.

Enter PPID Regular Expression Pattern

Enter a value in the field to test the PPID regular expression pattern in Orchard Collect. Select Test to test the pattern. If the pattern is invalid, a secondary field displays underneath with an X button with the message "No valid pattern match detected OR invalid regex." Select X to delete the pattern.

Orchard Collect Logo

In the section, select Images to display the Orchard Collect Logo Images pop-up to search and select logo images.

  • Show active only: Select the checkbox to have the pop-up display only active images within the system.
  • Select: Select to select the desired image.
  • Edit: Select to edit the image information on the Edit Image pop-up. The pop-up includes the Active checkbox to specify the image is active in the system, the  Name field to include the name of the image, and the Choose File button to search and replace the image. Select Save to save the changes made to the image, or select Cancel to close the pop-up.
  • Add New Image: Select to add a new image to the pop-up, or select Close to close the pop-up, returning to the System Defaults page.


Defining Collection Module Settings and Custom Field Labels

Note

These two sections are only available if the Collection Module license is enabled in the system. This can be found via the License File button at the top of the page.

Use the Collection Module Settings section to configure settings for the Collection Module license.

Shifts

Select to display the Shifts pop-up where you may add and edit collection shifts. Select Add to display the Edit Shift pop-up. Enter a name into the Name field. This is a required field. Select the  Active  checkbox to note that the shift is active in the system. Enter a description of the shift in the Description text field. Configure the start/end shift time with the Start Time/End Time time range fields in the format HH:MM AM/PM. Select Save to close the pop-up while saving changes made to the shift, or select Cancel to close the pop-up without saving any changes.

Send order choice names instead of abbreviations

Select the checkbox to have the system send the entire order choice name rather than just an abbreviation of the name.

Images

Select to open the Collection Module Logo Images pop-up where you may add and edit images for the Collection Module. Select the Show active only checkbox to filter images by their active status. Select Select for a specific image to add the image as the logo, or select Edit to edit the image on the Edit Image pop-up. Select the Active status to make the image active in the system, and edit the name in the Name field. Select Browse... to browse for new images. Select Save to save edits done on the image, or select Cancel to close the pop-up without saving any changes. Select Add New Image to add a new image to the pop-up, or select Close to close the pop-up.

Select inside the field to the left of the Images button to select an image by its file name. The image will appear in the Collection Module Logo section automatically.

Custom Field Labels 

Use the section to customize field labels for the Collection Module license.

Patient MRN Label

Order Date Label

Enter text into the Patient MRN Label and Order Date Label to specify what text should appear on the labels. The default text is Practice MRN and Order Date, respectively. Select the Use on pages checkboxes to have the text fields used on the pages, or select the Use on reports checkboxes to have the text fields used on the reports.

Save

Select to save all changes made within these sections, or select Discard Changes to return to the System Defaults settings page.

Adding or Editing User-defined Fields for an Order

Use the User Defined Fields to be added to every order section of the System Defaults page to assign up to 20 fields to the Order Patient Samples page. Note that user responses to these fields are recorded on the order's requisition, may be sent or updated via HL7 transmissions, and may be used in association with storage protocols, if your facility uses the Freezer Storage module. See the Order Patient Samples or Storage Protocols topics.

Add

Select to select a user-defined field from the User-defined Field Search page. See the User-defined Fields topic. Select inside the User-defined Field search field to search for a user defined field, or select the magnifying glass icon to search. Select the X button to remove the user defined field from the search field.

Once you add one or more fields, you may define and organize the pre-defined values for the fields.

Required 

Select the checkbox next to the fields that the system should require users to complete before allowing them to save orders.

Repopulate Answer on Standing Order

Select the checkbox to choose whether or not the answer to the selected field will automatically repopulate on the next standing order in the series.

Send Host Code

Select the checkbox to send the host code in the ZCF segment to all hosts that receive the ZCF segment (based on the Hosts setting). Select the checkbox to send the host code. This checkbox is disabled if the mapped field does not use the provider, sample type, or staff search response types.

Active

The system displays the status of the user defined fields in the Active column.

X

Select the X button in the Delete column to remove fields from the list.

Sort Order 

Modify the order in which the system displays the fields on the Order Patient Samples page by selecting the up or down arrows in the Sort Order column.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Archiving Settings

Configure these archive settings to control how the system handles archived and restored records. This section is only available if archiving is enabled for your system. See the  Archive topic.

Default Archive File Path

Enter a path in the field to specify where the system writes files when archiving them (for example, C:\Orchard\apps\AdminCenter4\archive).

Test

Select to have the system verify that the file path you specified as the Default Archive File Path is valid.

Purge Archive Records RestorOutbound Message Archive File Pathed More Than __ Days Ago

Enter a value in the field to specify how long the system will save restored records before purging them from the system. The system defaults to 100 days.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Adding or Editing the Default Lab List

The Default Lab List (in priority order) section displays a prioritized list (top to bottom) of labs (or hosts) the system may assign as testing locations to orders when there are no other routing rules that supersede these system default rules. The system applies the highest priority system default-based default lab as the testing lab for an order choice based on the day/time constraints and when appropriate based on the the routing rule hierarchy. See the  Order Patient Samples topic. Use this section to add a lab or edit the lab's priority on one of the lab lists, as well as adjust the priority of the lab lists themselves.

Add New List

Select to display the following default lab list options.

  • Add: Select to add a lab using the Host Selection page. See the Host Selection topic. 
  • Move: Once you add one or more labs, the system displays the lab names with up and down arrow buttons in the Move column for that lab list.
  • X: To delete a lab from the list, select the X button that corresponds to the lab name.

Select to modify the lab list as a whole.

  • Sort List: Select the up or down arrow buttons to change the priority order for the lab list as a whole.
  • Add Day Time Constraints: Select to set or modify the day/time periods for which the lab list is in effect. If you do not set any day/time constraints, then the system considers the list active 24 hours a day, 7 days a week. See the  Day and Time Range topic.
  • Select Remove Lab List to delete the entire selected lab list.
Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Establishing Synchronization Settings

Use the synchronization feature for systems that connect the system and Orchard Harvest. This feature links personnel, location, and order choice data between the two systems, so that additions or updates in either system will be reflected in the other.

The first time the system synchronizes a location, personnel record, or order choice with Orchard Harvest, it makes a match based on the host code. After the initial match, the records become linked, and the host code can change. Note that the system only syncs records with host codes. If the system cannot find the record it is syncing, then it creates a new record:

  • Order Choices: The system fills like fields, including clinical and sample collection information. Also, the system assigns a host code to all hosts that can potentially receive the order choice (all hosts assigned to the same practice as the syncing host). For updates, only the host-specific information, sample collection information, and host code are updated. The names of the containers assigned to an order choice will be synced; however, a match will be made on name only. Clinical information assigned to an order choice will be synced, as well. Clinical information is synced first on host code, and then linked. Clinical questions will be updated, but answers will not. Clinical information and containers are only updated when an order choice is updated.
  • Locations: The system assigns the new location to every practice that uses the Harvest LIS lab. The same host code is assigned to every location.
  • Providers: The system assigns the new provider host code to all hosts that can potentially receive the provider (all hosts assigned to the same practice as the syncing host).

Use the options in the Synchronization Settings section to activate the synchronization feature. Note that you must also establish the necessary settings in Orchard Harvest to use this feature. See the Orchard Harvest online or printed help.

Enable Synchronization with Harvest LISSelect the option to enable the feature.
Password

Enter in the field the password that Orchard Harvest users need in order to access the system.

Confirm Password

Re-enter the system password for Orchard Harvest users in the field.

Messages in sync queue should be held for ___ days

Enter a value into the field to configure the number of days messages will be held for in the sync queue. The system defaults to 366 days.

Messages in sync activity log should be held for ___ days

Enter a value into the field to configure the number of days messages will be held for in the sync activity log. The system defaults to 365 days.

Log sync activity

Select the checkbox to have the system log synchronization activity with Orchard Harvest. Information will be shared with Orchard Harvest.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.

Note the following behavior when syncing records between Orchard Harvest and the Orchard Enterprise Solutions system.

  • When syncing with an Orchard Harvest host that is not assigned to a practice in the system, syncing a location causes the system to create a new practice. The new synced location will be assigned to the new practice, and the new practice will have the same name, address, phone number, and ID as the new location being synced. The new organization will also be mapped to use the host from which it was generated using syncing, and for any hosts that have the Associate lab with all new practices option enabled. The new location uses the host code for the Orchard Harvest host that created the location.
  • If the synced host in the Orchard Enterprise Solutions system is not assigned to a practice and an order choice is synced from Orchard Harvest to Orchard Enterprise Solutions before a location is synced from Orchard Harvest to the Orchard Enterprise Solutions system, the Orchard Enterprise Solutions system now creates the order choice and creates the host code for the host from which the order choice was synced.
  • Locations created from Orchard Harvest hosts belonging to a practice are assigned to the same practice as the Orchard Harvest interface. The Orchard Enterprise Solution copies the host code from Orchard Harvest into the Host Code field for that Orchard Harvest on the Hosts used by this location section of the Locations administration page.


API Access Settings

Use this section to manage access to application programming interfaces (APIs). 

Add New API Access EntrySelect to add an API card.
Active onlySelect the checkbox to display only active APIs. Deselect the checkbox to show all active and inactive APIs.
Type

Choose from the drop-down list the type of API. 

Note

The Insurance Verification (outbound) and Insurance Verification (inbound) types are for the Insurance Verification feature. They hold the credentials needed to communicate with a third-party insurance verifying agent.

NameEnter or modify the API's name in the field. 
Web Service URIEnter the web service URI for the API in the field.
UsernameEnter the username for the API.
PasswordEnter the password for the API.
Host IDEnter the API's host ID, which will be used to find information required by the various endpoints that relate to the specific host. If the Host ID you enter doesn't match an existing host, the system will display an error message.
IDEnter or modify the API's identification in the field.
SecretEnter or modify the API's secret in the field.
Access TokenEnter or modify the API's access token in the field. 
Record in Event LogSelect the checkbox to document this API's activities in the event log.
ActiveSelect the checkbox to make this API active in the system. Deselect the checkbox to make this API inactive in the system.


Adding or Editing Result Delivery Methods

Use the Result Delivery section of the System Defaults page to set up available delivery methods and information.

Delivery Mechanisms

Select the methods that users will be able to have the system use to deliver results in the Delivery Mechanisms section. Users may configure how they receive results (when, how frequently, and by what delivery methods) in the Result Delivery preference page. See the Result Delivery topic.

InboxThe system enables this option by default, and you cannot disable it. This setting allows the system to deliver results to users' accounts (User Inbox or Location Inbox).
FaxSelect this option to enable results to be delivered by fax. Selecting this checkbox opens the Fax Details page where you may configure fax settings. To edit these settings, select Details. See the Fax Details topic.
EmailSelect this option to enable results to be delivered by email. Selecting this checkbox opens the Email Details page where you may configure email settings. To edit these settings, select Details. See the Email Details topic. Define notification emails to be sent for the delivery methods EmailRAPS, and Direct Printing when creating a result delivery rule.
RAPSSelect this option to enable remote printing. You may configure the available remote automated printing services on the RAPS administration page. To edit these settings, select Details. See the RAPS topic.
Direct PrintingSelect this option to enable the system to send results as PDF documents to printers that the server has access to. Select this checkbox and select Details to open the Direct Printing page where you may configure printing settings. To edit these settings, select Details. See the Direct Printing topic.
Direct DialSelect this option to enable the system to send results via direct dial. To edit these settings, select Details.
Deliver __ copies

Enter a value as the default number of copies the system delivers of a report. You can modify the number of copies delivered for a user on the Result Delivery page or for locations on the Locations administration page. Note that the system uses the value set here to determine the number of copies to deliver to external recipients.

Result Notification Settings

If you have enabled email notifications on the Users administration page or the Result Delivery page, complete the Result Notification Settings to define the contents of the email notifications that the system sends when result delivery rules are triggered.

Subject

Enter the text the system should send as the subject line for notification emails.

Show abnormal and/or critical in subject

Select this option to have the system add Abnormal or Critical in the subject line of emails sent for abnormal or critical results.

Force subject prefix on all email messages

Select this option to have the system display the text from the Subject field (see above) at the beginning of all outgoing email message subject lines, followed by any other subject you may have defined.

Body

Enter the text the system should send as the contents of the notification emails.

Field Code

Select the drop-down list to select a field code, including Select field code to insert into the body, Sample ID, Unique Sample ID, Order ID, Inbox URL,  Ordering Location, or Patient Name.

Email Settings

Configure email settings in the Email Settings section.

Email Subject

Enter text into the field to define the subject of the email.

Field Codes: Select an option form the drop-down list to insert field codes into the email subject. Select either:

  • First Name
  • Middle Name
  • Last Name
  • Primary Physician Full Name
  • Sample ID
  • Owner First Name
  • Owner Last Name
  • Order ID
  • Unique Sample ID
  • Patient Name
  • Collection Date
  • Received in Lab Date
Email Body

Enter text in the field to define what appears in the body of the email. The default text is New Results. 

Field Codes: Select an option from the drop-down list to insert field codes into the field. Select either:

  • Sample ID
  • Unique Sample ID
  • Order ID
  • Inbox URL
  • Ordering Location
  • Patient Name

When a field code is selected, the code automatically populates into the field. 

External Report's Email Body

Enter text in the field to define what appears in the external report's email body.

Field Codes: Select an option from the drop-down list to insert field codes into the field. Select either:

  • Sample ID
  • Unique Sample ID
  • Order ID
  • Ordering Location  
  • Patient Name

Patient Result Notification Settings

Use settings in the Patient Result Notification Settings section to customize the patient new result notification email subject/body. 

Notification SubjectEnter text in the field to customize the specific text.
Notification BodyEnter text in the field to customize the specific text.

Default On-screen Report Formatting

The system selects the Standard Format patient report format settings automatically; however, you may select a different format for the header, body, and/or footer of the report in the Default On-screen Report Formatting section. This list includes the standard format and alternate format 1 options, as well as any result header, body, or footer templates defined in the Layout Templates administration page that have been made live in the system. See the  Layout Templates  topic. The system uses these settings when printing the lab report from most pages, unless there are location-level report formatting settings for the user's signed-in location, in which case, the system uses those settings. Note that the system uses the user's result delivery report format settings when printing the lab report from the User Inbox, and it uses the location's report delivery format settings when printing the lab report from the Location Inbox.

Header Information Host

Select an option from the drop-down list to indicate which location's information the system should use in the report header. This field is required. 

Report Engine

Select an option from the drop-down list to choose between generating internal or external result reports. Select either Internal or External from the drop-down list. If External is selected from the list, you may then select an option from the External Report drop-down list. See below.

Select an option from the drop-down list to choose between generating internal, external, or mixed result reports. Select one of the following options from the drop-down list:

  • Internal: Select to generate an internal result report.
  • External: Select to make the result report external. You may then select an option from the External Report drop-down list.
  • Mixed: Select to generate both internal and external reports. Select to use both the External Report selection and Header, Body, Footer, and Page Footer menus.
External ReportSelect an option from the drop-down list to choose from the defined External Result Reports that are in the system.
HeaderThe system uses your selection for the header of the report.
Body

The system uses your selection for the body of the report. If you select Alternate Format 1, the system groups order choices together by their assigned reporting groups. See the  Order Choices topic.

FooterThe system uses your selection for the footer of the report.
Page Footer

The system uses your selection as the default footer that is repeated on every page.

Save a result report copy, based on these settings, each time results post to an order

Select this option to save a result report copy based on configured settings each time results post to an order.

Display this saved result report copy when a user requests to view an order's current result report: Select this option to display this saved result report copy when a user requests to view an order's current result report. This option should only be used when the Save a result report copy, based on these settings, each time results post to an order is checked.

Show mailing address on summary reports

Select this option to show a mailing address on a result report. This setting does not apply to reports viewed from the Location Inbox or User Inbox. The mailing address will only appear if the report body is set to Alternate Format 1. The mailing address is shown in the bottom left corner on the first page of a result report. The address shown is the ordering location's address. You may work with Orchard Software Technical Support to adjust the margin settings around the mailing address, if necessary.

Show history when viewing result reports

Select this option to display by default the results for order choices from previous orders in addition to the current results on the  Lab Report  page. You may then choose to remove the historical results on the Lab Report page, if desired.

Use the ___ time zone when a user requests to view an order's current result report

Select an option from the drop-down list to define the source of the time zone used in ad-hoc result report generation in the system. This controls the source of the time zone used when generating an ad-hoc result report in the system. The setting will force the report to use the time zone from either the Ordering Provider's (default option), Ordering Location's, or Signed-in User's configuration.

Suppress system-generated report content if all results are linked documents

Select this option to have the system remove the results from the report if all of the results being reported are linked documents. This setting applies to all external recipients (non-system users added to orders using the Results To button on the Order Patient Samples page); however, you may also assign this setting at the location-level for all users or at the user-level for individual users.

Requisition

The system uses your selection for requisitions, unless there is a host-specific setting on the Hosts administration page.

Allow bar codes on summary requisition

Select this option to allow bar codes on summary requisitions.

Manifest

The system uses your selection for manifests, unless there is a host-specific setting on the Hosts administration page.

Collection List

The system uses your selection for collection lists.

Blank Requisition

Begin typing the name of the requisition list in the Blank Requisition field, select an option from the matching blank requisitions in the drop-down list, and then select Add to add that format to the list of available requisitions when users generate blank requisitions. Select the Default checkbox for each format on the list that the system should select to print by default. You must define the requisition list here or on the Locations administration page in order to allow users to create blank requisitions.

Note

The system uses the requisition list defined for the user's signed-in location, if available, in place of the list on this page. If the location list is set to use the system default requisition list, then the system uses the system default list. If the location's list is set to use the system default requisition list, but there are no selected formats at the system default-level, then the system does not allow users to create blank requisitions. See the  Order Patient Samples  topic.

ABN Medicare (English)

ABN Medicare (Spanish)

ABN Non-Medicare (English)

ABN Non-Medicare (Spanish)

Select the appropriate ABN format for each Medicare option. These drop-down fields contain the system default ABNs, as well as any ABNs created on the Layout Templates administration page. Note that users may select english and spanish ABN formats on the Insurance Types administration page, and those ABN settings override the selections set here.

Single Standing Order Summary

Select the drop-down list to select a standing order summary.

Billing Summary

Select the drop-down list to select a billing summary.

Multiple Standing Orders Report 

Select the drop-down list to select a standing order report template.

Route Group Report

Select the drop-down list to select a route group report.

Patient Password

Select the drop-down list to select a patient password.

Staff Password

Select the drop-down list to select a staff password.

Query Results

Select the drop-down list to select a scheduled query result.

Utilization Report 

Select the drop-down list to select a utilization report template.

Batch Orders 

Select the drop-down list to select a batch orders template.

Orders Report

Select the drop-down list to select an orders report template.

Completion Report

Select the drop-down list to select a completion report template.

Result Delivery Report

Select the drop-down list to select a result delivery report template.

Inbox Report Summary

Select the drop-down list to select an inbox report summary.

Show time zone on result reports

Select the option to display an abbreviation of the system's time zone after all dates on patient reports. Note the following:

  • In general, the time zone on the report is based on the time zone for the recipient of the report. For example, a report sent to the Location Inbox will be set to the time zone of the location.
  • If the patient report is viewed from the Location Inbox or User Inbox pages, the report may not show the time zone. Reports viewed from these two pages are saved into the database after their first viewing, so if this option was not enabled when the reports were originally viewed from the Location Inbox or  User Inbox pages, then those reports will never display the time zone.
History can show results from different order choices

Select the option to control whether or not historic results for an order choice will also display results for the same tests on different order choices in addition to the same tests on the same order choice. When not selected, the system only looks at past results for the current patient (or linked patients) that have posted to the same order choice as the one in the report. With this option enabled, historic results can span different order choices and be based solely on the test results.

Show history across linked patients on location result reports

Select the option to display on reports delivered to the Location Inbox all of the historic data across the selected order's patient, as well as all patients who are linked to the selected order's patient, regardless of their practices.

Use the location recipient's time zone when viewing location result reports

Select the option to force result reports delivered to a location's inbox to use that location recipient's time zone for the result report. The system will force result reports delivered to a location's inbox to use the location recipient's time zone on the report instead of the user's time zone.

Show toolbar on all PDFs

Select the option to make the Acrobat Reader toolbar be visible when viewing reports and other printable items in PDF format. This toolbar has a Save button that allows users to save the PDF to disk, if desired.

Use the browser's native viewer to display all PDFs

Select the checkbox to display all embedded PDF documents in the same universal PDF viewer. When this setting is selected, the PDF is displayed as before this change, relying on your browser's native PDF capabilities. Note that this new PDF viewer is not used for Internet Explorer browsers.

Save result report PDFs to the database 

Select the option to save result report PDFs to a specific database. Select Purge ___ Saved PDFs to purge the number of saved PDF files.

Create PDFs when a scheduled report is sent (Not when results are received): Select this option to create PDF files when a scheduled report is sent, but not when results are received.

Mask SSN on Reports

Select the option to have the system mask SSNs on any reports it generates. The system will mask any characters or numbers a pound sign (#). You can control how many characters of the SSN appear with the When masking an SSN, show the last __ digits option (see the "Adding or Editing Miscellaneous Settings" section below).

Attach this order choice to orders when an order choice is cancelled

Enter one or more characters in the field and then select Search to select the order choice to attach from the Order Choice Search page. See the Order Choice Search topic. If this order choice is defined, the system will try to attach it to the order when an order choice is cancelled on that order. This, in essence, acts as a "reporting event" when order choices are cancelled, so you will generally wish to select an auto-completing order choice and to allow it to exist on a single order more than once.

Prevent attaching order choice if cancellation reason contains: Enter text in the field to allow a case-insensitive string to be entered, and if found in a contains search of the cancellation reason, then the parent settings order choice will not be attached to the order.

Copy placer information in attached order choice: Select the option to have the system retain placer information from the original order choice in the added cancelled order choice when paired with the setting Attach this order choice to order when an order choice is cancelled.

Use this form letter 

Select the option when removing the last linked document for an order choice drop-down list to select a form letter template to be used when removing the last linked document for an order choice.

Force a page feed when switching to and from host-specific header templates

Select the option to force a page feed when switching to and from host-specific header templates.

Force a page feed when switching to and from host-specific page footer templates

Select the option to force a page feed when switching to and from host-specific page footer templates.

Orders with held results will not be delivered as final until after result release

Select the option to suppress the final delivery of orders with held results until after result release.

Suppress all HTML versions of administration reports

Select the option to suppress all HTML versions of administration reports.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Defining How Users Receive Results

Suppress system-generated report content if all results are linked documents

Select the option to have the system simply report out whatever it receives in the linked documents without adding any information to the report.

Delivery Method

For each Delivery Method, you may create the default settings for how the results are delivered with the following fields. Note that the options available depend on the delivery method you are customizing.

Report Engine

Select an option from the drop-down list to choose between generating internal, external, or mixed result reports. Select one of the following options from the drop-down list:

  • Internal: Select to generate an internal result report.
  • External: Select to make the result report external. You may then select an option from the External Report drop-down list.
  • Mixed: Select to generate both internal and external reports. Select to use both the External Report selection and Report Header, Report Body, Report Footer, and Report Page Footer menus.
External Report

Select an option from the drop-down list to select an external report for the results.

Append Reportable Order Linked Documents

The ability to attach Order-level Linked Documents to SSRS and Internal Delivery Reports.

Append Reportable Patient Linked Documents

The ability to attach Patient-level Linked Documents to SSRS and Internal Delivery Reports.

Report Header/Report Body/Report Footer/Report Page Footer

The system selects the Standard Format patient report format settings automatically; however, you may select a different format for the header, body, footer, and/or page footer of patient lab reports. This list includes the Standard Format and Alternate Format 1 options, as well as any result header, body, footer, and/or page footer templates defined in the Layout Templates administration page that have been made live in the system. See the  Layout Templates topic. The system uses these settings when printing the lab report from the User Inbox. Once the system creates a report using these settings, it will not update the report if you make changes to the header, body, footer, and/or page footer. Note that the system uses the location's report format settings when printing the lab report from the Location Inbox, and it uses the system default report delivery format settings when printing the lab report from other locations within the system. If you select Alternate Format 1, the system groups order choices together by their assigned reporting groups, adds them to the report in the designated print order, and suppresses or displays result headers according to the setting for the reporting group. See the  Order Choices topic.

Mailing AddressSelect this option to show a mailing address on a result report viewed from the User Inbox. You may also modify this setting on the Result Delivery page in the TaskCenter section of the program. The mailing address will only appear if the report body is set to Alternate Format 1. The mailing address is shown in the bottom left corner on the first page of a result report. The address shown is the ordering location's address. You may work with Orchard Software Technical Support to adjust the margin settings around the mailing address, if necessary.
Show History

Select this option to display by default results for order choices from previous orders in addition to the current results for the selected delivery method.

Content

Select an option to determine what results the system includes in the report.

All Results

Select this option to receive all of the results that have been received for the order, including those that may have been reported previously. When this is selected, each time order choices in an order are resulted or approved and sent back to the system, it creates a new lab report that includes the latest results for every order choice in the order, regardless of approved/unapproved status. The system displays unapproved order choices as Pending. Note that in the User Inbox page, you may select Reprint Past Print Jobs to view or print any of the previous lab reports created for the selected order.

New Results Only

Select this option to receive only the results that have come in for the order since the last report you received. When this is selected, each time order choices in an order are resulted or approved and sent back to the system, it creates a new lab report that includes only the results for the order choices that were received. Note that in the User Inbox page, the system creates a lab report that contains all approved results that have accumulated since the last time a user selected  Acknowledge Selected for the selected order. This means that lab reports you create in the User Inbox page could appear differently from the reports the system sends via email or fax when this setting is enabled.

Stop Delivery

Select an option to determine how result delivery rules will fire. Note that these settings are not available for the inbox delivery method.

Copies

Enter the number of copies of the report the system should create by default for each delivery method. You can modify the number of copies delivered for a location on the Locations administration page, for users on the Users administration page or Result Delivery page.

Deliver to All

Select this option to have all result delivery rules fire if they qualify for the associated delivery method.

Stop Delivery to Address

Select this option to only allow one result delivery rule to fire per address.

Stop Delivery to All

Select this option to cease to fire any result delivery rules after one rule has been fired for that delivery method.

Schedule

Select this button to set specific schedules on the Delivery Scheduling page for when the system should deliver accumulated results to this user via the selected delivery method. See the Delivery Scheduling topic.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Defining When User Results Are Received

Use the When User Results Are Received section of the System Defaults page to configure the system default or practice-specific result delivery rules for users.

The system displays the default result delivery rules automatically. The system considers these settings the system default settings. You may modify the system default settings, or select Add Practice Result Delivery and select a practice in the Practice Search page to create a new, practice-level result delivery rule. See the  Practice Search  topic. Once established, users may select one of the delivery rules you define here, or create their own default and/or practice-specific delivery rules in the Users administration page or the Result Delivery page. See the Users or Result Delivery topics.

Add Practice Delivery

Select and select a practice in the Practice Search page to create a new, practice-level result delivery rule. See the Practice Search topic. Once established, users may select one of the delivery rules you define here, or create their own default and/or practice-specific delivery rules in the Users administration page or the Result Delivery page. See the Users or Result Delivery topics.

Deliver this User's Reports to the Ordering Location (using the location's delivery rules)

Deliver this User's Reports to this User (using this user's delivery rules)

Once you scroll to the default or practice-specific result delivery rule you wish to modify or create, select one or both checkboxes to indicate which set of delivery rules will control when the system delivers the results. 

Deliver this User's Reports to the Ordering Location (using the location's delivery rules): Select this option to have the system use the ordering location's delivery rules when delivering the user's reports.

Deliver this User's Reports to this User (using this user's delivery rules): Select this option to have the system use the signed-in user's delivery rules when delivering the user's reports.

Inbox delivery method

For each delivery method, you may add one or more delivery rules. By default, the Inbox delivery method checkbox is selected for the system default schedule. This indicates that results will be sent to the user's system account (User Inbox).

Note

The system does not select any delivery methods by default for practice-specific delivery rules, so you must add at least one rule, or the user will not receive results for the practice until a rule is defined.

Add

To add additional delivery rules, select Add. The Result Delivery Rule page appears, allowing you to set up when the results are sent. See the  Result Delivery Rule topic.

Delivery Method

The type of delivery that will be used (Inbox, Email, Fax, RAPSDirect PrintingHL7, or Direct Dial).

Select the name of the delivery method to open the Result Delivery Rule page and make any necessary changes.

Delivery Destination Override

The number, address, printer, etc. that the system should use in place of whatever the user's default number, address, printer, etc. is. This is available for all methods except inbox.

Day of Week

The days of the week that results will be sent to the user using this method.

New Reports Generated

The circumstances in which that type of report is created and sent (when any new result is received, when any order choice is final, or when all order choices are final; with or without exceptions).

Priority/Severity

The status of the order (e.g., ASAP, Routine, STAT, or Normal, Abnormal, or Critical).

Ordering Provider is

Whether the ordering provider is the selected user, someone else, or both.

Ordering Location Condition

The ordering locations that should receive results via the selected delivery method.

Order Choice Condition

The order choices that should be included or excluded from the result delivery for the selected delivery method.

Order Choice Type Condition

The order choice type condition that should be included or excluded from the result delivery for the selected delivery method.

Notification

Whether or not the system sends email notifications for triggered result delivery rules for the user's selected delivery method (yes or no).

Scheduled

Whether or not the Delivery Scheduling option to send the results by delivery method schedule is enabled for the selected rule on the Result Delivery Rule page.

Active

By default the Active checkbox is selected to indicate that the system will use the settings when delivering results. Clear this checkbox if the system should not deliver results using the method.

Sort Order

Allows you to sort the result delivery rules within a specific delivery method (e.g., all faxing rules). Select the up or down arrows to set the precedence order in which the system applies the rules for a method. By default, the system will deliver results for the method (fax, email, inbox, etc.) using the first unique delivery rule that fits the result's criteria. It will evaluate the rules for the method in the order you set here.

X

To remove a delivery rule, select the X button that corresponds to the delivery rule you wish to delete. The system immediately deletes the delivery rule. This action cannot be undone.

Delete

To remove the delivery rules for a practice, select the Delete link next to the schedule's title, and select OK on the confirmation dialog.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Defining How Locations Receive Results

For each delivery method, you may create the default settings for how the results are delivered with the following fields. Note that the options available depend on the delivery method you are customizing.

Suppress system-generated report content if all results are linked documents

Select the option to have the system simply report out whatever it receives in the linked documents without adding any information to the report.

Report Engine

Select an option from the drop-down list to choose between generating internal, external, or mixed result reports. Select one of the following options from the drop-down list:

  • Internal: Select to generate an internal result report.
  • External: Select to make the result report external. You may then select an option from the External Report drop-down list.
  • Mixed: Select to generate both internal and external reports. Select to use both the External Report selection and Report Header, Report Body, Report Footer, and Report Page Footer menus.
External Report

Select an option from the drop-down list to select an external report for the results.

Append Reportable Order Linked Documents

The ability to attach Order-level Linked Documents to SSRS and Internal Delivery Reports.

Append Reportable Patient Linked Documents

The ability to attach Patient-level Linked Documents to SSRS and Internal Delivery Reports.

Report Header/Report Body/Report Footer/Report Page Footer

The system selects the Standard Format patient report format settings automatically; however, you may select a different format for the header, body, footer, and/or page footer of patient lab reports. This list includes the standard format and alternate format 1 options, as well as any result header, body, footer, and/or page footer templates defined in the Layout Templates administration page that have been made live in the system. See the  Layout Templates topic. The system uses these settings when printing the lab report from the User Inbox. Once the system creates a report using these settings, it will not update the report if you make changes to the header, body, footer, and/or page footer. Note that the system uses the location's report format settings when printing the lab report from the Location Inbox, and it uses the system default report delivery format settings when printing the lab report from other locations within the system. If you select  Alternate Format 1, the system groups order choices together by their assigned reporting groups, adds them to the report in the designated print order, and suppresses or displays result headers according to the setting for the reporting group. See the Order Choices topic.

Mailing Address

Select this option to show a mailing address on a result report viewed from the User Inbox. You may also modify this setting on the Result Delivery page in the  TaskCenter section of the program. The mailing address will only appear if the report body is set to Alternate Format 1. The mailing address is shown in the bottom left corner on the first page of a result report. The address shown is the ordering location's address. You may work with Orchard Software Technical Support to adjust the margin settings around the mailing address, if necessary.

Show History

Select this option to display by default results for order choices from previous orders in addition to the current results for the selected delivery method.

Content

Select an option to determine what results the system includes in the report.

All Results

Select this option to receive all of the results that have been received for the order, including those that may have been reported previously. When this is selected, each time order choices in an order are resulted or approved and sent back to the system, it creates a new lab report that includes the latest results for every order choice in the order, regardless of approved/unapproved status. The system displays unapproved order choices as Pending. Note that in the User Inbox page, you may select Reprint Past Print Jobs to view or print any of the previous lab reports created for the selected order.

New Results Only

Select this option to receive only the results that have come in for the order since the last report you received. When this is selected, each time order choices in an order are resulted or approved and sent back to the system, it creates a new lab report that includes only the results for the order choices that were received. Note that in the User Inbox page, the system creates a lab report that contains all approved results that have accumulated since the last time a user selected  Acknowledge Selected for the selected order. This means that lab reports you create in the User Inbox page could appear differently from the reports the system sends via email or fax when this setting is enabled.

Stop Delivery

Select an option to determine how result delivery rules will fire. Note that these settings are not available for the inbox delivery method.

Copies

Enter the number of copies of the report the system should create by default for each delivery method. You can modify the number of copies delivered for a location on the Locations administration page, for users on the Users administration page or Result Delivery page.

Deliver to All

Select this option to have all result delivery rules fire if they qualify for the associated delivery method.

Stop Delivery to Address

Select this option to only allow one result delivery rule to fire per address.

Stop Delivery to All

Select this option to cease to fire any result delivery rules after one rule has been fired for that delivery method.

Schedule

Select this button to set specific schedules on the Delivery Scheduling page for when the system should deliver accumulated results to this user via the selected delivery method. See the Delivery Scheduling topic.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Defining When Location Results Are Received

Use the When Location Results Are Received section of the System Defaults page to configure the system default result delivery rules for locations.

The system displays the default result delivery rules automatically. The system considers these settings the system default settings. Once established, users may select the schedule you define here, or create their own default delivery rules on the Locations administration page or the Result Delivery page. See the Locations or Result Delivery topics.

Inbox delivery method

For each delivery method, you may add one or more result delivery rules. By default, the Inbox delivery method checkbox is selected for the system default schedule. This indicates that results will be sent to the location's system account (Location Inbox).

AddSelect to add additional delivery rules. The Result Delivery Rule page appears, allowing you to set up when the results are sent. See the  Result Delivery Rule  topic.
Delivery Method

The type of delivery that will be used (Inbox, Email, Fax, RAPS, Direct Printing, HL7, or Direct Dial).

Select the name of a delivery method to open the Result Delivery Rule page and make any necessary changes.

Delivery Destination Override

The number, address, printer, etc. that the system should use in place of whatever the user's default number, address, printer, etc. is. This is available for all methods except inbox.

Day of Week

The days of the week that results will be sent to the user using this method.

New Reports Generated

The circumstances in which that type of report is created and sent (when any new result is received, when any order choice is final, or when all order choices are final; with or without exceptions).

Ordering Provider is

Whether the ordering provider is the selected user, someone else, or both.

Ordering Location Condition

The ordering locations that should receive results via the selected delivery method.

Order Choice Condition

The order choices that should be included or excluded from the result delivery for the selected delivery method.

Order Choice Type Condition

The order choice type condition that should be included or excluded from the result delivery for the selected delivery method.

Priority/Severity

The status of the order (e.g., ASAP, Routine, STAT, or Normal, Abnormal, or Critical).

Notification

Whether or not the system sends email notifications for triggered result delivery rules for the location's selected delivery method (yes or no).

Scheduled

Whether or not the Delivery Scheduling option to send the results by delivery method schedule is enabled for the selected rule on the Result Delivery Rule page.

Active

By default the Active checkbox is selected to indicate that the system will use the settings when delivering results. Clear this checkbox if the system should not deliver results using the method.

Sort Order

Allows you to sort the result delivery rules within a specific delivery method (e.g., all faxing rules). Select the up or down arrows to set the precedence order in which the system applies the rules for a method. By default, the system will deliver results for the method (fax, email, inbox, etc.) using the first unique delivery rule that fits the result's criteria. It will evaluate the rules for the method in the order you set here.

X

To remove a delivery rule, select the X button that corresponds to the delivery settings you wish to delete. The system immediately deletes the result delivery rule. This action cannot be undone.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Adding or Editing the System Default Result Printer

Use the System Default Result Printer section of the System Defaults page to send results for users and locations that have no result delivery rules or delivery destinations to the selected default printer.

Printer

To set the default printer, select Local or RAPS from the drop-down list, and then either type one or more characters of the desired printer's name in the printer name field, select inside the search field, or select the magnifying glass icon to search, and select the printer from the list.

Send failed outbound queue messages to the default printer

Send results for users and locations that have no result delivery rules or delivery destinations to the default printer

Once you set a default printer, select the options for using the default printer.

  • Send failed outbound queue messages to the default printer
  • Send results for users and locations that have no result delivery rules or delivery destinations to the default printer
Do not suppress result delivery if no destination

Select the  option to always attempt to deliver results for users and locations whether or not they have a delivery destination setup for a delivery method. When this setting is turned off, the system will not attempt to send results to users or locations that do not have a delivery destination set up for a delivery method.

  • If this option is enabled and the Send results for users and locations that have no result delivery rules or delivery destinations to the default printer option (see above) is also enabled, the user and location result delivery setup pages will display System Default Result Printer.
  • If this option is enabled but the Send results for users and locations that have no result delivery rules or delivery destinations to the default printer option (see above) is disabled, results will be sent and will get stuck in the queue as not having a destination defined, and the user and location result delivery setup pages will display Delivery With No Destination.
  • If this option is disabled but the Send results for users and locations that have no result delivery rules or delivery destinations to the default printer option (see above) is enabled, results will be sent, and the user and location result delivery setup pages will display Delivery Method Not Used.
Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save.


Adding or Editing Miscellaneous Settings

Use the Miscellaneous Settings tab of the System Defaults page to enable features that affect various parts of the program.

Column Views

Select this button to configure in the Column View Rules Setup page which column view settings the system will apply to the Patient Search, Order Search,  Pending Orders, Pending Collection, Inbox, Order History, Scheduled  Delivery, and Collection  List pages when users are signed into this location. These settings apply unless a user is signed into a location that has location-level column view rule settings defined. See the Column View Setup topic.

Work in Progress Tab Configuration

Select this button to open the Work in Progress Tab Configurations pop-up. Select Add/Edit to open the New or Edit Tab Configuration Pop-up with only the  New/Edit tab configuration section of the pop-up displayed.

Default AP Processing List Saved Criteria

Select in or enter text into the field to search for and select the default saved criteria to be used on the AP Processing List page. Select Edit to edit the selected saved criteria or select Add to add a new saved criteria. 

Default AP Work Request Saved Criteria

Select in or enter text into the field to search for and select the default saved criteria to be used on the AP Work Request page. Select Edit to edit the selected saved criteria or select Add to add a new saved criteria. 

Disable the download directory page

Select the checkbox to have the system disable the download directory page.

Capitalization

Select the format for capitalizing patient names on the page. Note that you may modify patient name capitalization for outbound HL7 transmissions on the  Outbound Interface tab of the Interface Configuration page.

  • No change: Select this option to have the system leave the capitalization of transferred information as it exists in the files.
  • Entire patient name upper: Select this option to have the system format patients' names as "LAST, FIRST M."
  • All of patient last name and first letter of first name upper: Select this option to have the system format patients' names as "LAST, First m."
  • First letter of each patient name upper: Select this option to have the system format patients' names as "Last, First M." In addition to capitalizing the initial letters, the system capitalizes any letter following an apostrophe ('), hyphen, or space, and it automatically formats common name suffixes (MD, Ph.D., Jr., Sr., III, IV, etc.).
  • Entire patient name lower: Select this option to have the system format patients' names as "last, first m."
  • All of patient last name and first letter of first name and middle initial upper: Select this option to have the system format patients' names as "LAST, First M."
Show linked patients by default on Patient Order History

Select this checkbox to have the system display linked patients by default on the Patient Order History page.

Prevent duplicate sample IDs

Select this checkbox to prevent system-wide duplicate sample ID generation. For Anatomic Pathology, selecting this checkbox will prevent duplicate Case IDs. 

If you have this setting enabled, your system will require that the sample ID generation use the sequence number code (seq). See ID Generation.

Prevent system assigned duplicate order IDs

Select this checkbox to prevent system-wide duplicate order ID generation.

If you have this setting enabled, your system will require that the order ID generation use the sequence number code (seq). See ID Generation.

Check for duplicate patient IDs upon saving a new patient (Warning: This could degrade system performance)

Select this checkbox to have the system check for duplicate patient IDs on patients before saving. This setting only applies to manually entered patient information. Matching is case insensitive.

Check for duplicate encounter IDs upon saving a patient (Warning: This could degrade system performance)

Select this checkbox to have the system check for duplicate encounter IDs on patients before saving. This setting only applies to manually entered patient information. Matching is case insensitive.

EPL printer darkness ___ (0 - 15)

Enter a value into the field to configure EPL printer darkness. The system defaults to 15.

ZPL printer darkness ___ (0 - 30)

Enter a value into the field to configure ZPL printer darkness. The system defaults to 25.

Labeler executable path

Enter a directory path for a labeler installation on the Web Resource Tomcat server. Select Test to test the validity of the directory path.

Enable patient images

Select this option to enable the patient photo feature. When enabled, users may upload patient photos for the Demographics page. See the Demographics topic.

Enable insurance images

Select this option to enable the insurance photo feature. When enabled, users may upload photos for the Insurance page. See the Insurance topic.

Enable ZIP Code lookup

Select this option to have the system automatically fill in the city and state associated with the ZIP code when you enter a value in a ZIP code field in the program that exists on the  administration page. See the  ZIP Codes topic. This option is enabled by default. If you select this option, you may then require the system to update the city and state data that corresponds with the ZIP code you enter in the program (see below). If users enter a 5+4 formatted ZIP code and the system does not find an exact match, it searches for an exact match on the first 5 digits. If both of those searches fail, the system leaves the field blank.

Force city/state update upon editing ZIP Code: Select this option to have the system update the city and state data that corresponds with the ZIP code you enter in the program, even if there are values already in those fields.

Disable city/state when ZIP Code has been entered: Select this option to have the system allow users to enter ZIP codes anywhere in the system. The entered ZIP code will override and disable the City and State fields.

Only allow existing ZIP Codes: Select this option to have the system allow users to enter only existing ZIP codes anywhere in the system.

On pages using a Tab Order, selecting a ZIP Code auto tabs to the next field: Select this option to have the system auto tab to the next field when selecting a ZIP code on pages using a tab order.

Search order choices using a "contains" search instead of a "starts with" search

Select this option to have the system broaden searches on the Order Choice Pick List page during order entry so that the text you enter as you search for an order choice may be anywhere within the names of order choices, instead of the beginning of the names of order choices. See the Order Patient Samples topic.

Include information visible to associates in patient/order searches:

Select this option to allow access to patients on during patient or order searches on the Order Patient Samples, Patient Search, Pending Orders, Collect Samples, Pending Collection, and Order  History pages. You may use this setting in conjunction with the Restrict patient access to only those visible through an associate option set on the Users administration page.

  • If this setting is enabled, but the user setting is not, users have access to any patients they would normally have access to, as well as any patients visible to users for whom they are associates. On the Order Patient Samples page, the system takes into account associate settings for including or restricting displayed patients to those ordered for. On all other affected pages, the system displays only patients that associates have been ordering providers for.
  • If both this setting and the user setting are enabled, then the system only includes in searches those patients who have been added through enabling this setting.
  • If this setting is disabled but the user setting is enabled, then no patients/orders will be available to search.
Display Order Choices in alphabetical order when print orders are the same

Select this option to display order choices in alphabetical order when print orders are the same.

Keep Profile components together on Order Patient Samples

Select this option to keep profile components together on the Order Patient Samples page.

Profile Modifier Text

Enter profile modifier text into this field (for example, ~Append!@#$). The user can now modify the text that is appended to the end of profile names when searching for profiles. This setting will allow the user to define their own custom text that will be appended to the end of the names of profiles in certain sections of the application.

Custom Patient Menu

Use this field to select a custom patient menu, or type text inside the field to search. This is a search-as-you-type field. When no option is selected, the field will display Default. This is also the default state of the field. Custom Patient Menu fields will display custom menus that use the Patient menu type. Select the X button to remove text from the field.

Custom Order Menu

Use this field to select a custom order menu, or type text inside the field to search. This is a search-as-you-type field. When no option is selected, the field will display Default. This is also the default state of the field. Custom Order Menu fields will display custom menus that use the Order menu type. Select the X button to remove text from the field.

Display clinical information questions alphabetically

Select this option to sort clinical information questions alphabetically on the Clinical Info page. See the Clinical Info topic. If you do not select this option, the system displays the clinical information questions for the first order choice added to the order, then display those for the order choice added to the order second, and so on. If multiple order choices reference the same question, the system displays the question in the order according to the first order choice.

When displaying clinical information, display

Select this drop-down list to select a format when displaying clinical information. Select Collected order choices first or Not based on collected status.

Display sample ID when displaying non-combinable clinical information

Select this option to control if the sample ID is displayed next to the order choice abbreviation when viewing non-combinable clinical information questions.

Show test list on order choice detail page

Select this option to allow the system to display the list of tests related to the ordered order choices when users open the Order Choice Details page during order entry. See the Order Choice Details Pop-up topic. In addition to enabling this setting, you must select the Show Test List checkbox on the Order Choices administration details page for each order choice for which the system should display test lists. See the Order Choices topic.

Suppress "A unique patient ID has been assigned" pop-up alert

Select this option to suppress the "A unique patient ID has been assigned" pop-up alert.

Suppress "A unique Owner ID has been assigned" pop-up alert

Select this option to suppress the "A unique Owner ID has been assigned" pop-up alert.

Enforce unique location sales person

Select this option to have the system require a sales person for a specified location.

Enforce unique location region

Select this option to have the system require a region for a specified location.

Enforce unique Practice IDs

Select this option to have the system require all practice IDs entered in the system to be unique.

Automatically create Practice ID when left blank on the Practice Setup page

Select this option to have the system automatically create practice IDs when left blank on the Practice Setup page.

Practice Phone Number Format 

Select an option from the drop-down list to specify the format appearance of the practice phone number. Select either No formatting, 999-999-9999, or (999) 999-9999 from the list.

Enforce unique Location IDs

Select this option to have the system require all location IDs entered in the system to be unique.

Automatically create Location ID when left blank on the Location Setup page

Select this option to have the system automatically create location IDs when left blank on the Location Setup page.

Populate Location ID on page load for new locations: Select this checkbox to have the system automatically populate the location ID when the page is loaded for new locations.

  • Populate location host codes on page load for new locations: Select this checkbox to have the system automatically populate location host codes when the page is loaded for new locations.
Enforce entry of CLIA ID for users

Select this checkbox to cause the CLIA ID to be required in order to save a user. The field cannot be left blank.

Require unique CLIA ID for users

Select this checkbox to require any non-blank CLIA ID for users to be unique. An error message will appear if the CLIA ID is not unique.

Enforce SSN entry validation

Select this option to have the system force all values entered into a field labeled SSN (Social Security Number) to be 9 digits, all of which must be numbers. This option does not affect whether or not the field is required. However, if there is any entry, the system requires it to be valid. When this setting is enabled, the system also removes spaces and hyphens from social security numbers in incoming HL7 messages.

When SSN is masked, show the last __ digits

Enter the number of characters in SSNs that the system should display without masking when the SSN is masked by any rights or settings. The system defaults to 4 digits.

Location Phone Number Format

Select an option from the drop-down list to specify the format appearance of the location phone number. Select either No formatting999-999-9999, or (999) 999-9999 from the list.

Location Fax Number Format 

Select an option from the drop-down list to specify the format appearance of the location fax number. Select either No formatting999-999-9999, or (999) 999-9999 from the list.

Include country in addresses in layout template fields

Select this option to include the name of the country in addresses in the layout template fields.

Max Cache Size

Enter a value in the field to allow users to increase the max cache size for all caches. Note that this value cannot be reduced. The new value must be greater than the previous value to be saved. The default value of this new setting is 10,000. This means that all caches in the system will default to a maximum size of 10,000.

User Phone Number Format 

Select an option from the drop-down list to specify the format appearance of the user phone number. Select either No formatting999-999-9999, or (999) 999-9999 from the list.

User Fax Number Format 

Select an option from the drop-down list to specify the format appearance of the user fax number. Select either No formatting999-999-9999, or (999) 999-9999 from the list.

User Mobile Number Format 

Select an option from the drop-down list to specify the format appearance of the user mobile number. Select either No formatting999-999-9999, or (999) 999-9999 from the list.

Set Visible Default Staff Authentication Questions

Use the checkboxes in the Set visible Default Staff Authentication Questions section to enable/disable the current Default Staff Authentication Questions available for password recovery.

Father's middle name

Select this option to use your father's middle name as the password recovery question.

Favorite movie

Select this option to use your favorite movie as the password recovery question.

Favorite teacher

Select this option to use your favorite teacher as the password recovery question.

First supervisor

Select this option to use your first supervisor as the password recovery question.

Last four digits of your credit card number

Select this option to use the last four digits of your credit card number as the password recovery question.

Last four digits of your social security number

Select this option to use the last four digits of your social security number as the password recovery question.

Mother's maiden name

Select this option to use your mother's maiden name as the password recovery question.

Make/model of your first car

Select this option to use the make/model of your first car as the password recovery question.

Name of the hospital in which you were born

Select this option to use the name of the hospital in which you were born as the password recovery question.

Name of your favorite pet

Select this option to use the name of your favorite pet as the password recovery question.

Number of previous Mapper script versions to store

Select this option to specify the number of previous Mapper Script versions you would like to store in your system. The system defaults to 5.

Mapper Script timeout ___ seconds

Select this option to specify the amount of time to wait before Mapper Script times out at the System Defaults level. The default value is 10 seconds. A value between 10 and 999 seconds can be entered.

The Order Choice Font Settings Below will Apply to These Specific Pages

In The order choice font settings below will apply to these specific pages section, you are able to configure font settings to specific pages, such as Order Search, Patient Order History, Pending Orders, Location Inbox, User Inbox, Pending Collection, Release Samples, Collect Samples, and/or Work in Progress

Show uncollected order choices with no results as ___ using the color

This setting allows the order choice font settings to be configured by text format (unformatted, bold, italics, or bold and italic) and color, which can be selected by the drop-down list or the color selector to the right of the settings.




Show order choices collected with no results as ___ using the colorThis setting allows the order choice font settings to be configured by text format (unformatted, bold, italics, or bold and italic) and color, which can be selected by the drop-down list or the color selector to the right of the settings.
Show order choices with preliminary results as ___ using the colorThis setting allows the order choice font settings to be configured by text format (unformatted, bold, italics, or bold and italic) and color, which can be selected by the drop-down list or the color selector to the right of the settings.
Show order choices with final results as ___ using the colorThis setting allows the order choice font settings to be configured by text format (unformatted, bold, italics, or bold and italic) and color, which can be selected by the drop-down list or the color selector to the right of the settings.
Show order choices with corrected results as ___ using the colorThis setting allows the order choice font settings to be configured by text format (unformatted, bold, italics, or bold and italic) and color, which can be selected by the drop-down list or the color selector to the right of the settings.
When a user does not have access to a page in the navigation menu

Select the drop-down list to select an option for what the system should do when a user does not have access to a page in the navigation menu:

  • hide the menu option from display
  • allow users to navigate to the page  
  • display an alert when the menu option is clicked
Show time zone of signed-in user

Select the option to display an abbreviation of the signed-in user's time zone beneath the user's user name and signed-in location on the bottom, left side of the page under the menu items.

Show order choice catalog page

Select the option to make the Order Choice Catalog page available from the Manage Orders menu. This option is not selected by default. See the  Order Choice Catalog topic.

Order Cancellation Options

Cancel all order choices when cancelling an order 

Select the option to have the system cancel all order choices on an order when an order is cancelled.

Cancel order when the last uncancelled order choice is cancelled 

Select the option to have the system cancel an order when the last uncancelled order choice is cancelled.

Keep all saved order choices during order choice cancellation

Select the option to have the system always keep a record of the order choice being part of the order, even if it is cancelled. If you do not select this option, then when you cancel an order choice that has not been marked as collected and that is not a "skip collection" order choice, then the system deletes the order choice from the order entirely, with no record that it was a part of the order.

Select cancelled order choice by default when cancelling an order choice

Select the option to select the cancelled order choice by default when cancelling an order choice. When an order choice is chosen to be cancelled, the user is taken to the Cancel Order Choice page. With the System Defaults administration page setting enabled, the chosen order choice will automatically be marked to be cancelled when the page draws.

Retain profile associations in an order when cancelling an order choice from the profile 

Select the option to have the system allow users to order partial profiles. When this setting is turned on and a user cancels an order choice that was part of a profile on a new order, the system will not remove the profile association from any remaining order choices that were from the same profile.

Use a list of predefined cancellation reasons

Select the checkbox to have the system use a predefined list of reasons an order was cancelled.

Allow additional free-from text when using predefined reasons: Select the checkbox to allow a user to have the ability to add free-form text when using predefined reasons for a cancellation. If the user wants, they can add extra text about why the order was cancelled.

Require additional free-from text when using predefined reasons: Select the checkbox to have the system require additional free-form text when using predefined reasons. This requires additional text about why the order was cancelled.

Order Cancellation Reasons: Select the button to go to the Order Cancellation Reasons page to define predefined cancellation reasons for orders.

Require NPI Field On Provider Save

Select the option to have the system require an entry into NPI field when saving a provider so that there will not be a blank field.

Validate NPI Fields On Save

Select the option to have the system check the checksum digit of NPI values manually entered throughout the program and prevent users from saving invalid NPIs, although it will allow users to enter blank NPIs. The system uses the NPI Prefix value as part of the checksum calculation. If the setting is blank, the system uses 80840. Note that the system does not use this this setting for electronic interfaces, including synching.

NPI Prefix 

If desired, enter the value to set the prefix to use when validating NPI fields (see above). This value should always be 80840. It will appear on-page in front of the text fields where users enter NPIs. If this setting is blank, the system still uses 80840 as the prefix when the option to validate NPI is enabled, but it will not appear on-page.

Fax Number Validation

Email Validation

Direct Dial Validation

You may define numeric/alphanumeric patterns in the Pattern fields that the system applies to ensure users enter valid fax numbers and email addresses. Once you have defined a pattern, select Test to display a field where you may enter characters and have the system display "Pass" or "Fail" to indicate if what you entered matches the pattern you set. Once you are finished testing, select the X button to hide the field. Enter a description, if desired. The system displays this text throughout the program (except on the Inbound Queue and Outbound Queue pages) when users enter fax numbers and email addresses.


Match Pattern Examples:
Fax Number: [\s0-9]{0,1}[\,]{0,1}[-()\s0-9]{4,6}[-\s0-9]{2,3}[\s0-9]{4} This allows you to have 3 digits for the area code, 3 digits for the prefix, and then 4 digits. Parentheses are allowed for area code. Pauses are allowed, but only if "," is within the first 2 character positions. There may only be 1 digit before the pause.Email Address: [-._\sA-Za-z0-9]{2,20}@orchardsoft.com This allows you to have up to 20 chars before the @. Characters allowed: _ - . Only orchardsoft addresses are valid.

Force Fax Number double entry confirmation

Force Email Address double entry confirmation

Select the Force Fax Number double entry confirmation checkbox to control whether or not users are required to enter information twice in fax fields. This only applies to fax fields that can be used to deliver results. 

Select the Force Email Address double entry confirmation checkbox to control whether or not users are required to enter information twice in email fields. This only applies to email fields that can be used to deliver results. 

When double entry confirmation is enabled for a certain field, focusing that "original" field will open a [field label] Confirmation pop-up with a text input field, OK button, and Cancel button. The text input field has a label Enter [field label]. If the original field already had text content, that content will be filled in to the pop-up's text input field. Selecting OK once clears the text input field and changes its label to Confirm [field label]. When OK is selected, the two values are compared. If the values match, the Confirmation pop-up closes and the confirmed value is inserted into the original field. If the values do not match, an alert will display with the message "Entered values are not equal" and the Confirmation pop-up will reset. The initial text content will be filled in to the text input when the pop-up resets. Selecting Cancel at any time will close the Confirmation pop-up and the original field's content will not change. When the Confirmation pop-up closes, tab order will advance automatically. If a field uses validation, that validation will also apply to the text field on the Confirmation pop-up. If a fax field uses either the Location Fax Number Format or the User Fax Number Format settings from the System Defaults administration page, the format will apply to the text field on the Confirmation pop-up instead of validation.

Default Order Comment Settings

Set the default display and transmission settings for order-level comments in the Default Order Comment Settings section. You may only modify these settings on the Add or Edit Order Choice Comment Pop-up, if you have the necessary security. 

Display on lab report: Select this option to include this comment on the printed report for the order.

Display on requisition and manifest: Select this option to include this comment on the printed requisition and manifest.

Display on form letter: Select this option to include this comment on form letters.

Send to host electronically: Select this option to include this comment in the host system transmission.

Default Order Choice Comment Settings

Set the default display and transmission settings for order choice-level comments in the Default Order Choice Comment Settings section. You may only modify these settings on the Add or Edit Order Choice Comment Pop-up, if you have the necessary security. 

Display on lab report: Select this option to include this comment on the printed report for the order choice.

Display on requisition and manifest: Select this option to include this comment on the printed requisition and manifest.

Send to host electronically: Select this option to include this comment in the host system transmission.

Default Patient Comment Settings

Set the default display and transmission settings for patient-level comments in the Default Patient Comment Settings section. You may only modify these settings on the Add/Edit Patient Comments page, if you have the necessary security. See the Add or Edit Patient Comment topic.

Display on lab report: Select this option to include this comment on the printed report for the order.

Display on requisition and manifest: Select this option to include this comment on the printed requisition and manifest.

Display on form letter: Select this option to include this comment on form letters.

Send to host electronically: Select this option to include this comment in the host system transmission.

Default Patient Alert Settings

Set the default display and alert settings for patient-level alerts in the Default Patient Alert Settings section. You may only modify these settings on the Add/Edit Patient Comments page, if you have the necessary security. See the Add or Edit Patient Comment topic.

Automatically select "Display alert at order": Select this option to have the system automatically display an alert at order.

Automatically select " Display alert at collection": Select this option to have the system automatically display an alert at collection.

Show Patient MRN in patient section of application header

Select the option to display the patient MRN for the selected patient in the Patient Information tab at the top of the TaskCenter pages in the program.

Show Patient ID in patient section of application header

Select the option to display the patient ID for the selected patient in the Patient Information tab at the top of the TaskCenter pages in the program.

Show ___ in patient section of application header

Select the option to display either the DOB, Age, or DOB/Age for the selected patient in the patient information tab at the top of the TaskCenter pages in the program.

Display patient age in hours up to ___ hours old

Select the option to display patient age in hours on reports, browsers, and in the user interface up to a maximum of 72 hours. Enter the max number of hours in the field.

Store patient name change as alias ___

Select an option from the drop-down list to set whether the system always or never stores changes to the patient name as aliases on the Patient Aliases page. See the Patient Aliases topic.

Display ___ months on calendar 

Select an option from the drop-down list to select whether the system displays the Current and Next months or the Previous and Current months when users access the calendar feature throughout the program.

Graph Values for Zero

Select Add Value next to the Graph Values for Zero option to define text values the system should interpret as 0 (zero) when graphing. The system displays a prompt. Enter the text value, and select OK to add the value to the list. Select an existing value on the list to edit it. Select an X button on the list to remove the corresponding value from the list.

Output Date/Time Format

Select an option from the drop-down list to select whether the system displays date/time values in AM/PM, Military, or AM/PM (with space before) format.

Generate Master Patient ID at patient creation 

Select the option to have the system assign a Master Patient ID to new patients when they are created.

Automatic Patient Linking

Select the default display and transmission settings for patient linking in the Automatic Patient Linking section. You may only modify these settings if you have the necessary security.

Select the first drop-down list to determine what type of linking will be used. Linking can be done in three ways:

  • Link Manually: Select this option to turn off automatic linking.
  • Automatically Link at Patient Creation: Select this option to determine that automatic linking will only be attempted for new patients.
  • Automatically Link at Patient Creation and Edit: Select this option to determine that automatic linking will be attempted whenever a patient record is created/edited.

Select the next two drop-down lists to determine patient linking criteria. When turned on, the system will attempt to automatically link patients based on the selected criteria:

  • ___ patient first name when linking patients: Select this option to match patients based on first name.
  • ___ patient last name when linking patients: Select this option to match patients based on last name.
  • Match patients on name suffix: Select this option to match patients based on name suffix.
  • Match patients on date of birth: Select this option to match patients based on date of birth.
  • Match patients on Sex: Select this option to match patients based on sex.
  • Match patients on MRN: Select this option to match patients based on MRN.
  • Match patients on SSN: Select this option to match patients based on SSN.

These settings can only be modified by a superuser. If linking is set to use one of these fields, and the patient being linked does not contain a value for that field, or if no linking criteria is defined, linking will not be attempted. Linking will also not be performed if both of the patients that match the linking criteria are already assigned a Master Patient ID.

Display Delivery Recipient Type

Select the default display and transmission settings for delivery recipients in the Display Delivery Recipient Type section. You may only modify these settings if you have the necessary security.

  • System User: Select this option if you want n system user to be the delivery recipient.
  • External Recipient: Select this option if you want an external source to be the delivery recipient.
  • Location: Select this option if you want a location to be the delivery recipient.
  • Host: Select this option if you want a host to be the delivery recipient.
  • Default  Recipient  Type: Select this drop-down list to determine a default delivery recipient type. You may choose System User, External Recipient, Location, or Host to be the default delivery recipient.
Search-as-you-type Display Settings

Select the default display and transmission settings for controlling search-as-you-type in the Search-as-you-type Display Settings section. You may only modify these settings if you have the necessary security.

  • Show column headers: Select this option if you want column headers to display during search-as-you-type (defaults to "on").
  • Show paging options: Select this option if you want paging options to display during search-as-you-type (defaults to "on").
  • Show search button ___: Select this drop-down list if you want to display the Search button before the Cancel button or after the Cancel button (defaults to "after the Cancel button").
Label Log Settings

Select the default display and transmission settings for controlling label logging language in the Label Log Settings section. You may only modify these settings if you have the necessary security.

  • EPL2: Select this checkbox to have the label log contain labels printed using the EPL2 printing language.
  • Labeler: Select this checkbox to have the label log contain labels printed using the Labeler printing language.
  • ZPL II: Select this checkbox to have the label log contain labels printed using the ZPL II printing language.
  • Purge label log records older than ___ days: Select this checkbox and enter a value in to the field to specify when label log records should be purged from the system. This is turned off by default. The number of days to keep old label log records must be between 1 and 365 days. The default value is 30 days.
Monitor Interfaces Settings
Select the default display and transmission settings for monitoring interfaces in the Monitor Interfaces Settings section. You may only modify these settings if you have the necessary security.

The following settings will be used to populate the Patient Merge search values:

  • MRN*
  • DOB*
  • Sex*
  • First Name* (select the desired number of searchable characters from the drop-down list)
  • Last Name* (select the desired number of searchable characters from the drop-down list)
  • Middle Initial*
  • Do not match on blank values
  • Limit to potential duplicates within the same practice
  • SSN*
  • PID 2*
  • PID 3*
  • City
  • State
  • ZIP Code

Note

In order for the search to be performed, at least one of the settings marked with an asterisk must be selected.

Encounter Auto Close Settings

Select the default display and transmission settings for closing encounters in the Encounter Auto Close Settings section.

Automatically close encounters: Select this option if you would like to automatically close encounters.

  • Close encounter ___ ___ after the encounter open date/time: Select the closing time duration of the encounter in the field. You may enter a specific number into the first field followed by a duration (seconds, minutes, hours, etc.) into the second field. This will display when the encounter will close in relation to the encounter open date/time.

    • Limit to closing encounters with the following System Patient Classes: Select this option if you would like to limit closing encounters based on patient class.

      • Outpatient: Select this option if the patient is not hospitalized overnight but visits a hospital, clinic, or associated facility for treatment.

      • Inpatient: Select this option if the patient is receiving overnight care (food and lodging) as well as treatment.

    • Limit to closing encounters with the following Custom Patient Classes: Select this option if you would like to limit closing encounters based on a custom patient class.

    • Limit to closing encounters with the following Patient Types: Select this option if you would like to limit closing encounters based on a custom patient type.

Error Log Settings

Select an option from the Error Log Type drop-down list to configure what tabs the Error Log administration page displays. Select File Only from the drop-down list to have the Error Log only display the Files tab; Select File and Database from the drop-down list to have the Error Log display both the File and the  Database tabs; or select Database Only from the drop-down list to have the system write error messages to the database and not the error log file (the error log file(s) can still be accessed on the File tab). By default, the drop-down list is set to File Only. Note that if the INI file is not configured to support the Error Log feature in an additional database, the drop-down list will be disabled and an information section will appear above the drop-down list with a message. If the INI file is configured to support recording Error Log messages in an additional database, the Error Log administration page will allow users to view both the Error Log file and records.

Custom Error Page Settings

Enter custom error messages in the Error 302, Error 400, Error 403, Error 404, Error 502, and/or Error 505 fields.

Sanford Guide API Settings

Use the following settings in the Sanford Guide API Settings section:

Enable Sanford Guide API: Select the checkbox to enable the Sanford Guide button to the Location Inbox and User Inbox pop-ups, which shows tests and results that have content available in the Sanford Guide Catalog.

A valid Sanford Guide user name and password must be saved. The latest Sanford Guide Catalog (list of Content Names and Content IDs distributed by  Sanford Guide) must be imported in .csv UTF-8 format.

Enter a valid user name in the Sanford Guide User Name field. This is a required field.

Enter a valid password in the Sanford Guide Password field. This is a required field.

Select Test to test the validity of the user name and password.

Auxiliary Application Versions

Displays version numbers for Labeler, TWAIN, and RAPS.

Issuer

Enter the name of the single sign-on issuer in the field.

Keystorefile directory

Enter a file directory in the field to specify the keystore file directory. Select Test to test the file directory. This must be a .jks file.

Keystorealias

Enter the keystore alias in the field.

Keystorepassword 

Enter the keystore password in the field to configure the sign-in password.

Audience restriction 

Enter restriction text in the field for outgoing single sign on messages. When this field is populated, the system generates outgoing single sign on messages including an audience restriction node within the message with the populated value.

Password Settings

Enforce password minimum character requirements
Select the option to set requirements for password character combinations. After you select this option, complete one or more of the following options:
  • Minimum password length: Enter the minimum length the password must be. The default value is 1 character; however, passwords may be up to 20 characters.
  • Minimum number of alphabetic characters: Enter the number of characters in the password that must be alphabetic (a-z). The default value is 0 characters.
  • Minimum number of numeric characters: Enter the number of characters in the password that must be numeric (0-9). The default value is 0 characters.
  • Minimum number of non-alphabetic, non-numeric characters: Enter the number of characters in the password that must be non-alphabetic and non-numeric (&*@ etc.). The default value is 0 characters.


Note

The system requires you to set at least one of the options to at least 1-4 characters. These settings apply to users changing their own passwords in the Change Password/New Password page and to system administrators changing users' passwords in the Users administration page. In addition, if you modify the settings and users sign in with passwords that do not meet the new standards, the system will immediately prompt the users to change the password.

Lock a user's account after __ failed sign ins

Enter the number of failed sign in attempts a user may have before the system locks that user's account. Once an account has been locked, an the system administrator must reset the user's password on the Users administration page. Every successful sign in resets the user's count of failed sign ins to 0, unless that user's account was already locked. The system defaults to 8 failed attempts.

Automatically lock a user's account after ___ days of inactivity

Select this option to have the system automatically lock a user's account after a specific number of days of inactivity. The system defaults to -1 days.

Automatically unlock a user's account after ___ minutes due to failed sign ins

Select this option to have the system automatically unlock a user's account after a specific number of minutes due to failed sign ins. The system defaults to 3 minute.

Expire passwords after __ number of days

Select this option and enter the number of days the system waits before automatically causing users' passwords to expire. If a user's password is never set to expire, then this setting has no effect. The system defaults to 999 days. To facilitate using this setting, you may use the Start time period for all users and Set all passwords to not expire buttons. Select Start time period for all users to set every user's password to expire in the specified number of days. Select Set all passwords to  not expire to set all users' passwords to not expire.

Require that password reset questions and responses exist after password expires

Select this setting to have the system require password reset questions and answers when a user attempts to reset their password. They will be required to create password reset questions if the user does not already have questions defined.

Notify a user that their password will expire __ days before it does

Enter the number of days before the expiration date the system should notify users that their passwords will expire. Set this to 0 to not send notifications. The system defaults to 10.

URL to be used in the password email recovery link

Enter a URL in the field to designate the URL the user wants to use in the AdminCenter Account Credentials link. Users will use that URL when changing passwords via the Send email with link upon save button through the Assign Passwords button on the Users administration page.

Password recovery link remains active for ___ hours

Enter a value in the field to control how long the password reset link is valid for once they are sent to users. The minimum value for the setting is one hour and the maximum value is 24 hours. The default value is 12 hours.

Number of password changes before passwords can be reused

Enter a value in the field to enforce that new passwords are not passwords that have previously been assigned by up to 10 previous passwords. The user can select a number zero to 10 to be the number of passwords to be saved. Zero being that there is no restriction

Require ___ sign in security questions be answered to authenticate (0-3)

Enter a value in the field to specify a maximum of three security questions/answers upon sign in. This will require that the user correctly answers the desired questions in all future sign-in attempts. The default value is 0.

Two-factor Authentication tokens expire after ___ minutes

Enter a value in the field to control how long login tokens remain valid. The default value for the setting is five minutes. Any value between one and 1,440 can be set for how long the token will remain valid. The login attempt for a user will fail if a user waits longer than the specified number of minutes to enter in the login token. If a login attempt fails due to an expired or incorrect two-factor login token, then that information will be recorded in Sign In Attempts on the User Actions Log administration page.

Login Token Email

Login Token Email Subject Line: Enter text in the free-form text field to customize the login token email subject line.

Login Token Email Body: Enter text in the free-form text field to customize the login token email body. This field has a maximum of 2,000 characters.

Patient Portal Account Settings

Send Patient Portal credential email upon creation of new patient

Select this checkbox to generate user names and passwords when patients are created. The Patient Portal module must be enabled for this setting to be used. When the setting is enabled and a patient is created with an email address, the patient email address is added for a user name and a password is generated according to the Enforce password minimum character requirements setting. The patient email address is sent as an attachment with the user name and password. If the email address is added when editing an existing patient, the user name and password is not automatically created.

Email Patient Credential Change Password link: Select the checkbox to send an email with a URL for patients to reset their passwords and gain access to their system. With the setting disabled, the existing method of emailing a PDF document with patient credentials is retained. In order for patient credential password emails to be sent, the existing System Defaults administration page field URL to be used in the password email recovery link must be entered.

Patient Credential Email

Patient Credential Email Subject Line: Enter text in the field to customize the email subject line. If left blank, the default email subject line is used.

Patient Credential Email Body: Enter text in the field to customize the body of the email. If left blank, the default email body is used.

Allow users to create their own Patient Portal Account 

Select the checkbox to allow patients to create their own user name and password.

  • When the setting is enabled, the Create a Patient Portal Account link appears on the Sign In page. When selected, the Create An Account pop-up opens with the patient matching criteria fields selected on the System Defaults administration page.
  • If the information the patient enters matches to an existing patient record, a code is sent to the patient email which allows them to set their user name and password. The patient is then able to sign in with the new credentials.
  • Only patients that do not already have a user name assigned may use this feature. If no email is sent, either the patient demographics did not match, or the patient had an existing user name already and should use the Forgot Password link.


During patient account creation, match patient on: Select relevant checkboxes under this section to enable matching patient criteria when changing user name and passwords in the Patient Portal. The checkboxes are Email (required), Name, Date of Birth, SSN, and ZIP Code.

Reset All Patient PasswordsSelect the red Reset button in this section to reset all patient passwords. The setting runs a process to generate new passwords for all patients that currently have a user name, password, and email address. Emails are sent to each patient's email address that has a new password generated with the attachment containing the new password.

Lab Settings

Testing Section Label

Enter a testing section label to define the testing section. This is the name the system will use to reference a testing section. For example, some labs call testing sections benches.

This is a required field.

Use X days before expiration to determine when certifications are considered "expiring soon"

Enter a number greater than zero to specify the number of days before the expiration that each certification is considered expiring soon. The default value is 30.

Batch Review Results Maximum ___ Order Choices

Enter a value  in the field to specify a number of order choices where X is a number greater than 0 and less than 2,000. X defaults to 50. When a user tries to open Batch Review Results pop-up with a number of selected order choices greater than X, they will receive an error stating that they have more order choices selected than the configured maximum.

Approve Batch Review Results Order Choices In Background

Select the checkbox to have the system batch approve order choices in the background on the Review Results pop-up.

Approve Advanced Review Results Order Choices In BackgroundSelect the checkbox to have the system place order choices in the queue for the background approval process instead of immediately approving them on Advanced Review Results
Approve Hematology Review Results Order Choices In Background

Select the checkbox to have the system place order choices in the queue for the background approval process instead of immediately approving them on Hematology Review Results

Amendments to previously approved order choices will not run through background approval, but will continue to use the normal approval process. 

Time To Wait Between Order Approvals In Background Approval Process: ___ Seconds

Enter a value in the field to specify the amount of time to wait (in seconds) between order approvals during the background approval process on the Review Results pop-up. The default is 5 seconds.

Enable Testing Facility Based Restrictions

Select this checkbox to enable specific restrictions based on your testing facility.

Results that are changed after approval use "amended" in the auto-generated comment

Select this checkbox to use the term "corrected" instead of "amended" for Basic, Advanced, and Hematology order choices for auto-generated comments for amended results on reports.

Restrict Work in Progress date/time range to ___ days

Note

This setting is only available to Orchard Superusers.

Select this checkbox to control the range available for Work in Progress. Using this setting could degrade system performance. The maximum value of days is 730.

Save

If your modifications are complete, select Save to record all changes. Otherwise, complete the remaining sections and then select Save. If you do not wish to save these changes, select Discard Changes and all changes made to Miscellaneous Settings will revert back to previously saved settings.


Enterprise Reopen Reasons

Allows the user to configure how reasons are used when reopening AP cases and also allows for the creation of a predefined list of reasons for reopening cases.

Use a list of predefined reopen reasons for AP CasesSelect the checkbox to use a list of predefined reopen reasons for AP cases.
Allow additional free-form text when using predefined reasonsSelect the checkbox to allow additional free-form text when using predefined reasons.
Require additional free-form text when using predefined reasonsSelect the checkbox to require additional free-form text when using predefined reasons.
AP Reopen ReasonsSelect to open the AP Reopen Reasons pop-up.

Select the Show active only checkboxes in the Amendment reasons and Addendum reasons sections to specify that the reasons are active in the system.

Select Add to add a new reason via the Add Reopen Reason pop-up. Enter a new reason in the free-form text field followed by selecting the Active checkbox. If adding an amendment reason, select the Default for Auto-reopen checkbox to make the new reason the default answer used when an AP order choice is automatically reopened as an amendment due to one of its combined report order choices being amended on the order. Select Save to add the new reason, or select Cancel to close the pop-up without adding the new reason.

Select the blue link text in the table to open the Edit Reopen Reason pop-up. Edit the reason, as desired. Select Save.

Use the Sort column to drag-and-drop reasons into a new order on the table.

Select Save on the pop-up to save changes, or select Cancel to return to the Miscellaneous Settings tab without saving changes.

Reopen Reason Test for Addendum

Select in or enter text in the search-as-you-type field to search for and select a reopen reason test for an addendum.

Select the magnifying glass icon to manually search, or select X to remove the reason from the table.

Reopen Reason Test for Amendment

Select in or enter text in the search-as-you-type field to search for and select a reopen reason test for an amendment.

Select the magnifying glass icon to manually search, or select X to remove the reason from the table.