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Midmark EKG users

CPS, C-EMR, PM

Last Post by Anonymous 1 second ago

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tleonard

(@tleonard)

Posts: 31

Eminent Member

Topic starter

Looking for some help from users who have already solved this. We've purchased the Midmark ECG interface and have issues when the attachment is signed to the chart. Running SP8 the UNC path of the attachement was '\<server>\share folder'. With SP10 it now signs and saves as '\\\<server>\share folder'. Yes we know there's a way to fix the attachment, but there's gotta be a way to solve this without have to edit every EKG attachment. Other than editing the form or building our own, what else have others done.

Posted : September 22, 2015 1:21 pm

petemarkey

(@petemarkey)

Posts: 373

Honorable Member

we are on emr 9.8 SP 10 and have not noticed any problems.

i have script to update image paths based on string compares if you need to do a bulk fix.

What "Form" are talking about editing? are you not using the midmark Link Logic interface to get the EKG car files in?

Posted : September 22, 2015 1:45 pm

jryan

(@jryan)

Posts: 119

Estimable Member

We had this issue ever since we upgraded to 9.5 way back and GE and Midmark went back and forth on conference calls with me and never got resolved. We have fixed path ever since. We use the encounter form to launch and it brings in url with missing backslash and we fix it. car files. They said we could use mapped drive to bring it in and then we wouldn't need to fix but then you are stuck with that forever unless you run a script later to update. We have a lot of citrix servers so we didn't want to do that. We used a script with Kryptiq to move indexing servrs that I may have also. I did see somehting in SP10 release notes that made me hopeful it was fixed. We just went live with it a week or two ago and waiting to hear back from clinic on whether they are still manually correcting link.Ours also crashes after every exam ever since the url issue.

Posted : September 22, 2015 2:36 pm

SLHV

(@slhv)

Posts: 478

Honorable Member

I think it's quite unlikely this is a GE issue, but that is easy to determine. Take a look at the HL7 MDM file generated by IQMark. If the path is wrong there, it is an IQMark problem.

On the client machine(s) with IQMark, open the IQiC Interface Configuration utility properties. You will first want to change the properties to add "-defaultuser" on the end in the target field for the shortcut. It should look like this:

"C:\Program Files (x86)\Midmark Diagnostics Group\IQiCv6.4\IQiCIfConfig.exe" -defaultuser

This will make your config changes apply to all users of that computer (assuming the IQiC Interface Application shortcut is modified with a -go at the end).

Now open the IQiC Interface Configuration Utility. Click on the Report/Observations tab. Ensure those paths are accurate.

Posted : September 23, 2015 3:25 am

tleonard

(@tleonard)

Posts: 31

Eminent Member

Topic starter

Pete, we are trying to use the llogic midmark interface to do this. We're a citrix environment so that made the most sense to us, as well as using UNC save paths to save the .car files. The form in question is the form given to us by midmark called Midmark ECG.

Dave, the HL7 file shows the correct path, but when GE saves the .car file, it's adding the extra \ to the path. I confirmed with midmark this morning that this is not a midmark issue but a GE issue that they tried to address in SP10 but got it wrong again. Since I can export the form into VFE, editing the form and over writing the UNC path code with our code seems like the quickest solution. GE has been "working" on this issue for over a year now and still hasn't gotten it addressed.

Posted : September 23, 2015 6:56 am

SLHV

(@slhv)

Posts: 478

Honorable Member

We don't use a Midmark VFE form, so I'm not sure how that works. In our environment, CPS never touches the .car file except when displaying it. Linklogic imports the HL7 file generated by IQMark, which contains the paths I previously referred to.

You said when GE saves the .car file it adds an extra \. Do you mean after Linklogic reads the HL7 message, the extra \ ends up at the beginning of the attachment file path?

If the HL7 file shows the correct path, then the extra \ must be added after it is read by Linklogic. I know it's a hack, but what if you drop one of the \ in the IQMark configuration?

Alternatively, you could run the HL7 through an intermediate interface engine (we run all of our interfaces through Mirth first) which can make HL7 manipulation easier, and easier to revert since it is in one place.

Posted : September 23, 2015 7:15 am

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