Who does what — doctors, MAs, and the mapping list¶

This page is for clinic staff. It is not a technical runbook.

There are two different places people work. They do not automatically update each other.

Fax arrives in Elation inbox
        │
        ▼
  Our system reads it
  (Cloud Run — you do not wait here)
        │
        ├── Codes it is sure about  →  lab values on the patient chart
        │                              MA reviews them in Elation
        │
        └── Codes it is not sure about  →  a review list
                                           a clinician publishes the mapping list

Everyday lab review (medical assistant)¶

Where: Elation — the patient chart, Add Lab Values for Trending.

What you do: Check that the numbers (and units) are right. Save.

What this does not do: It does not teach the system a better test name → LOINC code. The next fax can make the same coding mistake.

If a code on the chart is wrong, tell the clinician who maintains the mapping list (below). Do not try to “fix the mapper” from Elation.

Teaching the system new / wrong codes (clinician)¶

Where: the fax app in the browser → LOINC review (/loinc-review) after login.

What you do:

Open a case (an unmapped or abstained row from a fax).
Pick the correct LOINC code and write a short rationale.
Publish when the batch of approvals is ready.

What Publish does: Writes the mapping list (registry). The next fax uses that list.

MAs should not live in this screen. Unmapped inbox rows already create cases for you.

Harness upload (testing / training)¶

Where: the same fax app → home page → upload a PDF → File.

Same mapping rules: only a mapped code is sent to Elation. Unmapped rows go to LOINC review. Publishing still happens only on LOINC review → Publish.

Short answers¶

Question	Answer
Where does the MA work?	Elation chart / trending
Where do new aliases get saved?	LOINC review → Publish
If MA corrects a code in Elation, is the next fax smarter?	No
Does the doctor need the harness for normal charting?	No — charting stays in Elation
Login on the fax app	Cookie login (password shared out of band). Does not replace Elation login.

No patient names, MRNs, or fax numbers belong in this documentation.