Editable transcription Document Types are defined in OnBase Configuration. These Document Types can be used for Edit Transcription deficiencies, Missing Dictation deficiencies, and Dual Dictation deficiencies.
If transcriptions are being managed or retrieved from an external system, OnBase can send HL7 messages to the external application when transcriptions are edited or signed by the physician in OnBase.
The maximum size for HL7 Transcription messages is 250K. If the transcription contains multiple revisions, only the latest revision is sent.
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In the Configuration module, select Medical | Transcription | Document Types. The Transcription Document Type Selection dialog box is displayed.
- Available Document Types displays all medical record Document Types. Select a Document Type from the Available Document Types list and click Add to add it to the Selected Document Types list. Repeat for all editable transcription Document Types.
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Select a Document Type from the Selected Document Types list and click Settings. The Transcription Settings dialog box is displayed.
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Select the appropriate HL7 message types and their destination:
HL7 Option
Description
HL7 Edit and Save Message
This setting instructs OnBase to send an HL7 message to the configured destination when:
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A physician or secondary signer edits and saves the transcription.
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A transcription header is edited in the OnBase Client.
Select the HL7 message type for notifying the transcription application that a transcription has been edited in OnBase. If <<None>> is selected, no message is sent.
See Sending Transcriptions Using HL7 for Message Template requirements.
HL7 Edit and Sign Message
This setting instructs OnBase to send an HL7 message to the configured destination after a physician or secondary signer signs the transcription.
Select the HL7 message type for notifying the transcription application that a transcription has been signed in OnBase, regardless of whether it has been edited. If <<None>> is selected, no message is sent.
See Sending Transcriptions Using HL7 for Message Template requirements.
HL7 Destination
This setting controls where HL7 messages are sent when transcriptions are edited or signed.
Select the HL7 export destination configured for the external transcription system. Destinations are configured in OnBase Configuration under Medical | HL7 | Export Destination.
Destinations are displayed using the following format: Network Address : Port Number; [Display Name]
See the HL7 module reference guide or help for more information about configuring destinations.
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Enter the number of lines for the header and footer in the fields provided:
Line Counts Option
Description
Header
Type the number of lines to include in the transcription header, if applicable. Physicians will be unable to edit lines included in the header.
The Deficiency Settings in step 6 will let you choose whether the header should be printed at the top of all pages in the document. The first line of the header also can be burned into the footer.
Footer
Type the number of lines to include in the transcription footer, if applicable. Physicians will be unable to edit lines included in the footer.
The footer is burned only at the end of the final page of the transcription.
Note:Increasing the Header and Footer will affect physicians' ability to edit existing transcriptions in OnBase. When a physician opens a transcription to edit it, the lines included in the transcription header and footer will be unavailable for editing. Make sure your changes will not prevent physicians from editing transcription text that should be editable. Changes to the Header and Footer will not affect transcriptions that have already been burned.
Note:Ensure the number of characters in headers and footers does not exceed the Characters Per Line setting for the transcription Document Type.
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Select the necessary Deficiency Settings.
Deficiency Setting
Description
Apply Automatic Deficiency to Text Documents only
This option applies to Document Types that have been configured for automatic deficiencies, as selected under Medical | Deficiency Configuration | Automatic Document Type Deficiency.
Select this option if automatic deficiencies should be applied to text documents only. This option prevents deficiencies from being automatically applied to scanned image documents based on this Document Type.
Burn Header across all Pages
Select this option to have the header burned across all pages in the document.
Clear this option to prevent the header from being burned into pages other than the first page.
Burn Top Header Line into Footer across all Pages
Select this option to have the first non-blank line of the header burned at the bottom of each page in the document.
For example, if the first line in the header is blank, and the second line is Hyland Hospital, then Hyland Hospital would be centered and burned at the bottom of each page.
Clear this option to prevent the top header line from being burned at the bottom of each page.
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Select Split transcription data to one line per OBX segment to have the transcription data split into one line per OBX segment.
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This feature requires the transcription data value ($^TXDATA) to be assigned to the OBX.5 field.
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The OBX.2 field must specify a text data format (TX, FT, or ST).
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See Sending Transcriptions Using HL7 for more configuration information.
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- Click Save when finished.