V11 Order and Result Dictionary Build and Synchronization
This page is designed to walk someone through the build process for the TouchWorks v11 Order and Results dictionary build. In TouchWorks v11 you have to syncronize your order and result items with the Touchworks Order Concept Dictionary (OCD) in order for things such as care plans and specialty favorites to work correctly with orders. If you are using multiple vendors, you also must go through the process of syncronizing the multiple vendors together. Once you have the order side complete, you must go through the process of syncronizing results to the Results Concept Dictionary (RCD).
Step 1: Request the Order/Result Compendium from the various vendors
The first step is to gather the order/result compendiums from the various lab vendors. In most cases people will ask for a utilization report and only focus their effort on the top 80% of labs ordered for their locations. There are a bunch of possible orders that aren't used often or at all, so it can cut down on the effort and future maintenance if you focus your efforts. If you do use this approach, you will need to have a process for ordering labs not found in the system, which will most likely be the current paper process. When the results are returned through the interface the dictionary values may need to be enered for the results to file.
When requesting the compendium from the vendor, be sure to ask for CPT4 and LOINC codes as well. This helps dramatically when going through the sycronization process. This will allow you to group the various vendors by CPT4 and/or LOINC and help determine which orders are indeed the same. It is not always one for one, but it usually narrows it quite a bit.