New Bi-Directional Quest Diagnostics Interface Access Form

Congratulations,

you have been approved for a new lab interface! We are

excited to start this process with you, but first we need a little

information to make this process run as quickly and efficiently as possible. Please complete the information below and we can get started!

Practice Name

We will need direct access to a command shell on your server. How can we gain access to your server?

SSH (Preferred Option)

VPN

Remote Desktop (Windows)

Remote Access like Team Viewer

If we can gain access through SSH, we need the following information: SSH IP or FQDN Address

SSH Username

SSH Password

If you have chosen an option that is not SSH, please provide all information concerning connectivity in detail below. (The more information you can provide the better).

Please provide the host operating system and version for your server.

Is your server physical or virtual?

Physical

Virtual

We will need access to your OpenEMR system for install, customization and testing

purposes. Please provide the admin login information below.

OEMR Username

OEMR Password

What is the path to your production install of OpenEMR?

How many copies of OpenEMR are you currently running and how many databases do you currently use?

Only one copy of OpenEMR and using one database.

Only one copy of OpenEMR and using multiple databases.

Multiple copies of OpenEMR and using one database.

Multiple copies of OpenEMR and using multiple databases.

Do you currently have a test system for OpenEMR in addition to your live production system?

Yes

No

If you answered Yes above, please write the path to your test site below.

What version of OpenEMR are you currently using? (Must be version 6.1 or newer)

Please detail any and all customizations that have been done to your system, in particular any changes to the navigation menus, system options and messaging interface.

Project Manager: Sherwin Gaddis

E-mail: support@ehrcommunityhelpdesk.com

Phone: 833-693-1972

Quest Bi-Directional Interface Questionaire

New Bi-Directional Quest Diagnostics Interface Access Form

Quest
Bi-Directional Interface
Questionaire