EMR Integration Services

Krames On-Demand integrates with your Health Information Systems and is designed for use in a wide variety of healthcare environments. The Krames On-Demand Interface Engine enables transmission of patient and education results data between Krames On-Demand and a client EMR using HL7 messaging.

User functions
Integration capability links Krames On-Demand and EMR data and provides the following user functionality to the Krames On-Demand system:

Display a list of patients and their visits in Krames On-Demand that are currently registered or admitted via the EMR
Deliver notifications to the EMR system that Krames On-Demand education has been given to a registered or admitted patient

Available HL7 Interfaces
Krames On-Demand has two HL7 Interfaces for communications to and from an EMR.

To your HIS:	From your HIS:
Results Interface	Admissions, Discharge and Transfer (ADT) Interface
Sends patient education transaction data (patient, date/time, educator, education topics, notes, and education assessments) to the HIS	Allows Krames On-Demand to receive patient demographics data (name, patient and visit identification numbers, date of birth, sex, and address) and registration information (admission and discharge dates/times, status, unit)

About the Krames On-Demand Interface Engine
The Krames On-Demand Interface Engine is a program that runs as a configurable service on Microsoft-based servers.

Receive HL7 Messages from the HIS
The program receives HL7 messages from the HIS or the site interface engine via TCP/IP using HL7's MLLP (Minimum Lower Layer Protocol). The TCP/IP port number is configurable per site. The messages are logged, validated, and delivered to Krames On-Demand using the Web Services Protocol. HL7 acknowledgements are sent as required.

Deliver Messages to the HIS from Krames On-Demand
The program receives Web Services messages from Krames On-Demand. The interface engine logs them and then forms the HL7 messages from the received data and delivers the data via TCP/IP using HL7's MLLP (Minimum Lower Layer Protocol). The IP Address and TCP/IP port number is configurable per site. HL7 acknowledgements are expected for each message.

Technical Requirements
These recommendations assume that the host computer is only running the Interface engine. If it is shared with other applications, the hardware requirements may be affected.

Hardware Requirements
There are some minimum system requirements for installing the .NET framework and SQL Server. Consult the Microsoft Knowledge Base to determine those requirements of the versions installed on the host computer.

Processor and RAM requirements depend on expected traffic.

If less than 1,000 messages per day, a Pentium III processor with a 256 MB RAM is recommended*
If 1,000+ messages a day, a Pentium 4 with 500 MB RAM is recommended*

*Or the minimum CPU and RAM required to the operating system, whichever is higher.

An overview of Krames On-Demand integration