Hi All. Our organization uses Orchard Software, for our Labs. Centricity sends the order using HL7. presently, the order contains both the ICD-9 and ICD-10 codes (I9 and I10), in that order. after completing testing for ICD-10 compatibility with Orchard, I was asked a question. Will Centricity12 send only ICD-10 codes 10/1/2015 or will it remain both? if it is both, the script for Orchard will look for the first code. if it is 9, the script will fail. If 10...good. My question is; does anyone know what Centricity 12 will output on HL7 orders this October? Second question, is there a way to modify / edit the order that ICD-9 / 10 are listed on the HL7 order?
This may or may not help you, but I'll tell you why I wouldn't be concerned in our environment. We run every interface through Mirth Connect ( https://www.mirth.com/Products-and-Services/Mirth-Connect). It's a free interface engine that is quite powerful. In the scenario you describe, I'd imagine that would take about 15-30 minutes to fix in Mirth.
I highly recommend Mirth Connect as a common interface engine. It allows us to separate the direct interaction (and blame) between disparate interface applications. I can accept a message from vendor A in Mirth. Then I can send it to production, or dev, or both if I wish, just by enabling a single export path (called a channel destination). Message archiving and searching are so much faster and easier than using find or grep to go through historical HL7 files archived by DTS.
There is quite a learning curve. At least there was for me. The community, forums, and wiki are much better than they used to be though.
There are many other features that we don't use (direct database access for example), but could be useful in other environments. Feel free to ask if you have any questions about it.
SP10 addresses this topic.