MOSAIQ External Systems Interfaces (ESI) Product Offerings (Current as of MOSAIQ 2.60) Elekta offers a broad range of external systems interfaces to connect oncology clinician and administrative personnel to the larger medical enterprise and outlying community. The following is an overview of the HL7 clinical data interface offerings. Please see individual specification sheets and the External Systems Interfaces Requirements Specification for more details. Description and Key Features ESI ADT Import Accepts new and updated patient admission, discharge, and transfer (ADT) information from a hospital information system (HIS) or other patient registration system. Includes patient, visit, next of kin, allergy, diagnosis, insurance, and guarantor information. Auto payer and physician insert Automatically inactivate account Unregistered patients HL7 version 2.1 to 2.4 Admit (ADT/A01), Transfer (A02), Discharge (A03), Register (A04), Pre-Admit (A05). Outpatient to Inpatient (A06), Inpatient to Outpatient (A07), Update (A08), Cancel Admit/Visit (A11), Cancel Transfer (A12), Cancel Discharge/End Visit (A13), Swap Location (A17), Merge (A18), Patient Query (A19), Add Person (A28), Merge (A30), Update Person (A31), Merge Patient ID (A34), Cancel Pre-Admit (A38), Merge (A40) Billing Systems Practice Management Systems
ESI Lab Result Import Accepts clinical laboratory results and text from a laboratory information system (LIS) for display as unreviewed results on the MOSAIQ flowsheet. Meets CLIA, ELINC, and LRI standards Automatic data item creation Mapping of result tests from multiple labs Auto status of order to received results (lab order interface required) ESI Lab Instrument Interface Bi-directional interface with MOSAIQ Order and result work queue Print bar code labels Evaluate results before release ESI Document Import Accepts document interface messages and creates them as MOSAIQ documents. Status as unreviewed, pending, approved, or review-required ESI Auto Import of Treatment PDFs Accepts PDF files from treatment planning and treatment delivery systems and associates it with the applicable MOSAIQ course, site, or field in accordance with data in the PDF file name. HL7 version 2.1 to 2.5.1 Unsolicited transmission of an observation message (ORU/R01) HL7 2.5.1 only with MOSAIQ 2.60+ Each analyzer must connect to a workstation via serial cabling housing the Instrument Manager application. A barcode printer is necessary to print labels HL7 version 2.3 and 2.4 Unsolicited transmission of an observation message (ORU/R01) Original document notification and content (MDM/T02) Text, RTF, PDF, JPG, and TIF Image messages either MIMEencoded or reference pointer PDF files with patient medical record number and optional patient, course, site, treatment plan name, and field names in a delimited file name MOSAIQ 2.20+ Clinical Lab Systems Pathology Systems with text to display on the flowsheet Assessment Systems Vital Signs monitors Connect directly to most lab analyzers including: CBC, Chemistry, Coagulation, Urinalysis, and Tumor Marker Radiology Information Systems Pathology Systems Dictation Systems Document Management Systems Treatment Panning Systems Tomotherapy Systems Stereotactic Delivery Systems
ESI Schedule Import Accepts appointment information. Filter by department, location, activity Add patient if not found Automatic queuing (check-in) Import as view-only ESI Charge Import Accepts patient charge information. Automatic creation/update of patient demographic, payer, and guarantor data ESI Schedule Export Transmits appointment information. Filter on department, patient status, staff member, activity, and location Option to send Patient Demographics on appointment book event. Send message when patient arrives ESI Charge Export Exports patient charge information. Filter by technical/professional, patient status, referring facility, procedure code group Send radiation treatment summary (MQ 2.3) HL7 version 2.4 New appointment (SIU/S12), Reschedule (S13), Modification (S14), Cancellation (S15), Deletion (S17), No-show (S26) HL7 version 2.1 to 2.3 Post Detail Financial Transactions (DFT/P03) HL7 version 2.4 New appointment (SIU/S12), Reschedule (S13), Modification (S14), Cancellation (S15), No-show (S26), Register (ADT/A04) HL7 version 2.1 to 2.3 Post Detail Financial Transactions (DFT/P03) Radiology Information Systems Scheduling Systems Kiosks Check-in Systems Oncology Information Systems Laboratory Information Systems Medication Dispensing Systems Oncology Information Systems Scheduling Systems Kiosks Oncology Information Systems Patient portals Billing Systems
ESI Document Export Exports approved MOSAIQ documents (escan, escribe, PhAST Note, and Treatment plan PDF) Filter by document type, source, department and document status Supports multiple formats of documents to send (Text, PDF) by file reference or text embedded within the HL7 message ESI Lab Order Export Transmits approved MOSAIQ lab and/or radiology orders ESI Pharmacy Order Export Transmits approved MOSAIQ medication orders to hospital pharmacy. Can send allergy, BSA, Ht, Wt, protocol information ESI eprescriptions Transmit medication prescription and receive refill requests to/from U.S. community pharmacies. Display patient s medication eligibility and co-pay Display lower cost alternatives Review medication history HL7 Version 2.3 Original document notification and content (MDM/T02/T08/T11) Unsolicited transmission of an observation message (ORU/R01) MOSAIQ 2.50+ HL7 Version 2.3, 2.3.1, 2.4 Order message (ORM/O01), control codes NW and CA HL7 Version 2.3, 2.3.1, 2.4 Order message (ORM/O01), control codes NW and CA MOSAIQ 1.60 and MOSAIQ 2.20+ NCPDP Script Standard Version 10.6 MOSAIQ 2.20+ Document Management Systems Physician portals Lab Information Systems Radiology Information Systems Pharmacy Information Systems Medication Dispensing Systems U.S. community pharmacies
ESI CCDA Export Transmits Consolidated CDA patient summary with 20 sections of patient data. Manually triggered to print, file, portal, DIRECT mail Automatically triggered x days after patient appointment Require patient consent option Filter by appointment type and status Clinical Quality Measures Export 9 measures including 6 recommended Human-readable and XML Immunization Export Immunizations administered Historical Syndromic Surveillance Export Working and Active syndromic problems exported CDA Release 2, DSTU Release 1.1 HTTP POST or File CDA Release 2, DSTU Release 2 QRDA category I and category III HL7 version 2.5.1 VXU/V04 PHIN Messaging Guide Release 1.1 HL7 version 2.5.1 ADT A04 and A03 messages Departmental Systems Patient Portal CMS Quality Measure aggregators Public Health Registries Public Health Registries
System Requirements A workstation with networked connectivity to the MOSAIQ server and dedicated to Elekta interface management is necessary. For support purposes, the PC must have internet access for web conference connectivity. Refer to the latest version of the MOSAIQ System Requirements (LSR9001) for hardware and software specification details. Licensing ESI products are licensed by unit (e.g. one interface is required for each receiving system). Installation, Training & Support ESI products are installed remotely by an implementation specialist. Configuration and testing is coordinated between Elekta and the customer. Data mapping requirements will be coordinated between the customer information systems representative, an Elekta implementation specialist, and the external system vendor.
Manufacturer Elekta Business Area Software Systems IMPAC Medical Systems, Inc. 100 Mathilda Place 5th Floor Sunnyvale, CA 94086 USA IMPAC Medical Systems, Inc., the Elekta logo, and our product names are trademarks of Elekta. All other brand names or trademarks are the property of their respective holders. 2014 IMPAC Medical Systems, Inc.