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Direct Messaging Guide- Secure clinical direct messaging in Elation

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Direct Messaging Guide- Secure clinical direct messaging in Elation

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What is Direct Messaging?

Direct Messaging is a safe and secure way for Providers to engage in point-to-point communication and share of patient clinical data with Providers in other EHRs. Elation's Direct Messaging feature is powered by Surescripts and can only be used by Provider Level Users.

Elation’s Direct Messaging feature allows Provider Level Users to send and receive secure Direct messages directly within their EHR. Provider Level Users can communicate and collaborate with providers from other EHRs all within one system. 
 

Important Note: If you are a Premium EHR user, go to the Premium EHR features section below to learn more about allowing Staff Level Users to send Direct messages on a Provider Level User's behalf.
 

 

What does my Direct Address look like?

Elation will assign a Direct Address to each Provider Level User’s account during the EHR account setup process. If you do not have a Direct Address and wish to obtain one, please click the "I need help" button and request one from our Support Team.

The Direct Address for Provider Level Users will be in the following format: firstname.lastname@practiceID#.direct.elationemr.com 

  • For example: john.smith@12345.direct.elationemr.com

 

Provider Level Users Only: To view your Direct Address, click on your name in the top right hand corner of your account and click "Settings" -> "Account Details".




 

 

Sending Direct Messages

Sending Overview

Elation will send Provider Letters or Referrals as a Direct message if the Contact in your Elation Directory has a Direct Address documented in their Profile Details. 
  • Important Note: If the Contact is an Elation EHR User or an Elation Provider Passport User, the message will be sent as a regular Provider Letter or Referral instead of a Direct Message (even if the Contact has a Direct Address on file) as this routing method is more immediate and secure. The Letter will arrive in the user’s Provider Letters queue on their Practice Home page and in the Requiring Action section of their patient’s chart in their own Elation account.
     

    Supported file types - Sending 

    You can attach and send the following file types when sending Direct messages via the Letter to Provider or Referrals features:
    • .jpeg
    • .pdf
    • .png
    • .tiff
    • .xml (CCDA files)
     

    How to send a Direct message

    1. Click the "Referral" button or click "Letter" -> "To Provider" button to start a Letter or Referral draft.
    2. Select the recipient you would like to send a Direct message to from your Directory. To ensure the provider can send and receive Direct. messages, open their profile and check if they have a Direct Address on file. You can also add their Direct Address to their Profile Details if you obtained it.
    1. Click “Select Chart Items to Attach” to attach the patient documents or reports you would like to include in your message.

    1. Click "Sign & Send".
    2. You will see a status at the top of the Letter or Referral once the Direct message is sent (as shown below).


     

    Receiving Direct Messages

    Receiving Overview

    Provider Level Users can view received Direct messages in the Provider Letters queue on the Practice Home page and in the Requiring Action section of the patient’s chart. 
     

    Supported file types - Receiving 

    Elation supports receiving the following file types when attached to Direct messages. Attachments that cannot be converted to an image directly in the Elation chart can still be received, but are converted to hyperlinks. To view hyperlinked files, click and download the file to your computer. 

    • .csv
    • .doc
    • .docx
    • .html
    • .jpeg
    • .pdf
    • .png
    • .rtf
    • .tiff
    • .xlsx
    • .xml (CCDA files)
     

    How to receive a Direct message

    To receive Direct messages in Elation, share your Direct Address with the sending provider or facility. As a Provider Level User, you can view your Direct Address in the Account Details section of your Profile settings.
    1. Check your Provider Letters inbox on your Practice Home page and/or the Requiring Action section of a patient’s chart to view incoming Direct messages. Provider Level Users must sign off on Direct messages to file them into the Chronological Record of the patient’s chart.
    1. Click on each attachment in the Direct message to view them.
    2. If there is a patient summary (CCD or CCDA file) attached to the message, it will appear above the Direct message. 
      • If you receive a Direct message for a patient that does not have patient chart yet, Elation will automatically import the data from the patient summary into the patient's chart to create the chart.
      • If you receive a Direct message for a patient that already has a patient chart, Elation will not automatically import any data from the CCD or CCDA file into the patient's chart. You can open the patient summary and select which sections of the summary you want to import. 


    Premium EHR features

    Premium EHR users can request a feature to allow Staff Level Users to send Direct messages on a Provider Level User's behalf. Staff Level Users will use the same workflow as Provider Levels Users to send Direct messages via a Provider Letter or Referral. This feature will not allow Staff Level Users to received Direct messages.
     

    Important Note: This feature is part of Elation's Premium EHR offering.
    • If you are already a Premium EHR user and you are interested in using this feature, click the "I need help" button to notify Elation and a member of the Elation Team will activate the feature for you.
    • If you are interested in upgrading to Premium EHR to use this feature, click the "I need help" -> "Contract Elation Support" button and a member of the Elation team will assist you.

     


    Frequently Asked Questions 

    How are Direct messages routed if I work in multiple Elation accounts?

    Elation will route the Direct message to the first Provider Level User account that you registered with Elation. 
     

    Can Staff Level Users send or receive Direct messages in Elation? 

    No, Staff Level Users cannot send or receive Direct messages in Elation. This feature is only available for Provider Level Users.
     

    How do I update a Direct Address for a Directory Contact when I work in multiple Elation instances?

    You must update the contact in each Elation instance you work in as updating a Directory Contact in a single Elation instance will not update the contact for other Elation instances. 

     

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