If you have an integrated EMR, as of January 2017, you can now see if a billing item has failed to send to your EMR. If you execute a treatment that is supposed to be billed, such as Acepromazine, and it does not reach your EMR, you will get a red stripe on the top of your Flowsheet, indicating that sending has failed. 

You can press on the red stripe to view which items failed to send, and you can chose to manually try again. 

Should your EMR be offline, or not working, failed events will collect on the Smart Flow side and can later be resent manually once the EMR is back online/working again. Please note that during discharge, Smart Flow will automatically try to resent all failed events.