We are hoping to go live with ICE at the Mid Yorkshire Hospitals in January 2010. We are using ilab (APEX) and HL7 messaging. We've been doing some testing with ammended reports in blood sciences and we have come across something we never expected. As an example if a U & E profile is reported and then for whatever reason a single test e.g. a sodium is deauthorised in ilab and authorised again, a second report with just a sodium is sent across to ICE and the first U & E report is hidden. The only solution to this problem seems to be to deauthorise the whole U & E and authorise it again. Has anybody else come across this?   

The report messaging usually uses the lab number to cross reference. Therefore if you send out a further copy of the report on the same lab number, if will become the primary report and ICE will hide the older version. It sounds like an APEX issue to me. I think you are right and it would not happen if you unauthorised the whole lot and re-authorised it. As an aside, what does the printed version of the amended report look like?

The printed reports reports display in the same way. Our concern is that there is an inconsistency in the way amended reports display in ICE. If ICE sees the same test group header and the test(s) in the same order as the original report, it hides the original and displays the new report. If for example a potassium result is changed (second test in the group), ICE does not hide the original report. We've just had a conference call with Sunquest and there may be a possible solution to this which will require some development work. We will have to test this before I can comment any further.

I'm pretty sure you can view hidden reports based on the setting of the user roles in Permissions. Choose permissions from the admin section, then hide/show reports. Each user role can be altered to allow/disallow access to hidden and interim reports with, presumably, their associated audit trail but don't quote me on that bit.

As you are a clinical user, you will probably have to speak nicely to your system administrator to make some changes to your user profiles - if it were me, I'd do it for you, especially if you have chocolate