We have a similar situation with our affiliated hospital (we are a physicians practice associated with the hospital). Since the hospital is our reference lab we have decided to automate the order process. Instead of sending separate ADT/ORM messages and worrying about queueing, etc., we are sending one “super order” which has patient demographics, insurance, diagnosis and order information. The hospital registers the patient based on the ADT portion of the message and uses the order portion as it needs to create the order to send to the lab system.
Hope this helps,
Bob
Robert Milfajt
Northwestern Medicine
Chicago, IL