RALS results won't cross to Epic

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Anyone have any issues before with RALS RESULTS on all devices (different tests) not crossing to Epic/beaker. RALS says ADT messages hadn't crossed since yesterday. We have put in a ticket to reset the LIS...if this doesn't work what next?

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Hello, I am out of office and shall return 4/7/2025. If you require immediate assistance, please contact the main lab at 5872 for Southlake and 4247 for Northlake. Thank you.

Monika Bibbs, MHA, H(ASCP)

Lab, Point of Care Coordinator

Southlake Campus

8701 Broadway

Merrillville, IN 46410

(219) 757-7340

Northlake Campus

600 Grant Street

Gary, IN 46402

(219) 881-5183

mbibbs@methodisthospitals.org
*** Disclaimer Notice: This e-mail, and any attachments, are the legitimate intellectual property of The Methodist Hospitals, Inc and contain proprietary information which is intended only for dissemination to its intended recipients. Further, this e-mail may also contain Protected Health Information and related materials whose usage & disclosure is further governed by HIPAA and other federal regulations. If you are not the intended recipient, be advised that any unauthorized use, disclosure, copying, distribution, or the taking of any action in reliance on the information contained herein is strictly prohibited. If you have received this e-mail and are not the intended recipient, you are instructed to notify The Methodist Hospital's IT Security Department by forwarding the inappropriately received email to INFOSEC@methodisthospitals.org.***

Sounds like you need to get an emergent conference between your LIS and RALS to figure out what is going on. 

we have at time had to have RALS, cycle the interface server. Does RALS indicate the server is running ? 

Hello, when we have this issue, we are asking our App Engineer to restart MIG. Not sure what it stands for, the IT people know for sure, but it helped in 90% cases.

Do you have a server that sits between? We use a Corepoint and Synapse server and we had to reboot (and apply a patch) it in order to get rid of ADT errors. There should be someone from your LIS/IT/IM and RALS IT that can look at message errors behind the scenes.

Angeline Glomb, MBA, MLS(ASCP)
Manager, Phlebotomy & Point of Care Testing
Don't adapt to the energy in the room; influence it. ~ Unknown

If results are flowing from your devices into RALS, the MIG is likely ok.  If not, ask them to restart it.  We have a program called Cloverleaf that is in between RALS and Epic.  Occasionally that needs to be rebooted to get results from RALS to Epic.  If your RALS server is client-hosted (i.e. your IT manages it), you might ask them to reboot the server to see if it starts talking properly with all of the other services.  

Critical ticket with IP. It is either Cloverleaf is down and needs to be rebooted.  IT may also need to reboot the server.  If there is no ADT coming into RALS then RALS will not know where to send the results.  Good Luck.  Always happens on a Friday.

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