Healthcare organizations who have connected through Centralis Health to the national eHealth Exchange (eHX) now have access query records from 5 federal agencies, 77% of state and regional HIEs, 75% of hospitals, and 85% of dialysis centers. For a full list of connected participants take a look at this link: https://ehealthexchange.org/participants/
When to use the national eHealth Exchange search option: due to the nature of the national exchange you can not query nationally for all patient records, but rather you need to know the data source you are seeking records from prior to the query.
Example Use Case Scenario: Patient comes in and says "6 months ago I was in New York on vacation and I was seen at hospital x for chest pain", if hospital x is a member of the national exchange you would follow the below steps to obtain those records without the need to call or fax a records request.
Please note that if you don't have these options it mean you do not have the appropriate user permission to access the eHX, contract your account designee or firstname.lastname@example.org for assistance.
1. Log into the Centralis Health secure web portal and click on Patient Lookup in the left menu bar
2. Enter all required fields (Last Name, First Name, Gender) and DOB to narrow the search on common names, then click Find Patient
3. Review the results, and after confirming you have the right patient select it by clicking their hyperlinked name
4. If you have never viewed this patient before in the Centralis Health web portal then you will see the below attestation, you must click Accept & Proceed to move on to the next page
5. You are now on the Patient Home screen, the records highlighted in Centralis blue squares are available records from Centralis Health participants who are connected in your healthcare community.
but to get to the national Exchange (eHX) you will want to click on the eHealth Exchange button on the top ribbon as seen below
6. Select the healthcare organization you wish to query, enter a date range to narrow and speed up your search, then click Search eHx
This may take a moment, but at least it is faster than a faxed request or a phone call!
7. Your results will display in list like shown below, to view the record click on the hyper link in the title column.
Records can be displayed as a CCD document or a PDF, here is what you can do with both:
If CCD document is displayed you can use the Download CCD button to save encrypted xml file than can then be imported into your EMR
For a PDF file, you can save file to upload to your EMR, or print to then scan/shred
If you run into issues, or experience wonkiness, please contact Support@Centralishealth.com WHEN you are experiencing the issue. National HIE is a fairly new adventure for everyone, and sometimes some adjustments still need to be made!
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