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May 07
2011
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Healthcare Technical Services Projects for May 6Posted by admin in Untagged |
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- Assisted with Medicity integration backlog management.
- Worked on Medicity client grid setup, opt out options for subscribers, fielded data output questions.
- Performed testing on ODM data flow through the Medicity Grid.
- Prepared the systems for a Medicity CERT deployment on Wednesday.
- Centura Issues resolution handled via Medicity Grid.
- Ran approximately 700 ADT and 200 Rad messages from Medicity Prod to cert. Documentation and triage of issues as well as troubleshooting of issues with QA.
- Completed PM 101 training with client; reviewed all PM gate documentation that is expected for each project
- Scheduled 3 hours with project member on 5/10 to complete an abbreviated EPM training class
- established EPM connectivity to MS Project Pro and oriented to client’s MS Project Server project portfolio, timesheet functionality, and project websites for Reference Lab, e-Prescribing, Rad ClinDoc
- Quest & LabCorp Reference Lab Interfaces Project
- simplified Sharepoint website
- started new project timeline
- participated in physician meeting where two major decisions were reached; created decision log for project website and added physician decisions to the log
- reviewed all existing timelines and all other PM gate documentation
- Project is ‘on hold’ until contracts are complete
- My determination is that project is currently in the clients“Planning” phase and will assist to finalize project scope.
- Radiology Clinical Documentation Project:
- simplified Sharepoint website
- reviewed existing timelines and all other PM gate documentation
- sedation documentation detail is the only piece of the project that has been worked on extensively with the ASAP team since sedation is going live with ASAP in the next few months.
- e-Prescribing Project:
- This project is scheduled to go-live in the next month. Assisted with training and project management to ensure timeline success. Attended certification call with Surescripts, which will determine the feasibility of it’s golive date. Other than my current duties, working with the client and adding my assistance where needed to help meet a successful go-live during the project timeline.
- Radiology Build is 90% complete. Now waiting on Vendor and Epic to finish their changes to test.
- Connected the new Carestream routes to input and output routes.
- ADT messages process from input all the way to tcp client outgoing. Test system not ready to receive.
- Order messages process from input all the way to outgoing but test system not ready to receive.
- Scheduling messages process from input all way to outgoing but test system not ready to receive. These will have some tweaks required once Carestream gets their test system set up.
- Route for physician updates is completed but EPIC does not have their output piece built yet. Waiting on EPIC.
- Update of charge logic completed and processing to EPIC and stripping off the MRN for IDX is complete.
- Results and Order modification route processes messages from start to finish properly.
- Took over all radiology calls for the duration
- Mentored two other team members in Rhapsody.
- Set up a weekly interface call for Carestream Interfacing.
- Started work on ScottCare TeleRehab Advantage intersystem.
- Meditech ORU & ORM interfaces deployed to test.
- Designed, coded & deployed custom Ensemble service to auto-update NPI table instead of current manual process.
- Finished Rhapsody testing of client’s Imaging Interfaces.
- Was assigned new Rhapsody interfaces to test. Began preparing Test Scripts and testing.
- Created folder of 25 MDM HL7 messages for Doctors practice.
- Created folder of 50 MDM Hl7 messages for Family practice.
- Conversion for eMDS Lab Results Interface initial planning meeting – Coordinated and scheduled meeting with Physician Practice along with eMDS vendor representative. Hosted the meeting on Tuesday 5/3 after providing an agenda and supporting documentation for the meeting.
- Physician EMR Interface project kick-off call – Attended meeting on Tuesday 5/3 to discuss this project. The meeting went well, but due to the ambitious nature of representative’s plans (wants to place orders in Meditech via HL7 interface inbound to Meditech), decided to request a second meeting with additional team member participation and guidance this time around.
- e*Gate Update 2 Project – Worked to obtain remote desktop access to the lap top that was recently updated to install a virtual machine (VMWare). The machine already has the current version of e*Gate installed, so designated the virtual machine for the e*Gate Update 2 install. Completed installation of the full e*Gate Update 2 suite (Participating, Registry, GUI’s, e*Way Addons and ETD Addons) to the virtual machine. Subsequently, completed a series of e*Gate build tasks (created e*Way configuration, created e*Way Connection configuration, created collaboration, etc.) against the “Epic_Test” schema on registry AEGT11T:3700 and did not experience any issues. Early returns are showing the virtual machine strategy to be a fully functional and extremely convenient solution to supporting both e*Gate environments from a single lap top.
- Conversion for eMDS Lab Results Interface – Worked identify the Excel spreadsheets that document all lab test/result mnemonic changes for the client conversion. Created streamlined versions of these spreadsheets to isolate just the department, mnemonic and description for each Meditech laboratory dictionary entry. Shared the streamlined documents with team members for additional review and discussion. Discussed at length the impacts of these changes (OBR.4 and OBX.3 in the HL7 ORU message) on the eMDS interface. Ultimately, discovered that the eMDS interface will accept and store the new values without any issues. Identified that the “linking” tool on the eMDS side will require some changes once the new HL7 messages and associated lab test/result codes will be received by eMDS in an un-linked state. Integration team member identified to handle this re-linking from 7/1 on as new messages are filed into eMDS.
- Mapped out the changes necessary to support lab results from the new Meditech C/S environment to the eMDS system. The routing and transformation rules changes were: MSH fields used to verify that a given ORU message is from Meditech (as opposed to Alverno), OBR mapping for the accession number, addition of provider checking for the repeating OBR.28 (Copy To) field, modifications to data map and code to support the provider mnemonic change for specific physician practice (PERMI3 to PERMI03). Subsequently, pulled the transaction archives for lab results from DJ.TEST and pushed them through the newly updated interface code to ensure that all routing/transformation rule changes functioned as intended. All tests were ultimately successful, but required some re-work along the way. Once the changes were complete and tested, worked to identify the test patient that we needed. I registered this patient in DJ.TEST, then used the resulting ADT’s PID and PV1 segments to create a set of test messages to be used for next week’s integrated testing after pulling some specific lab result ORU messages from the DJ.TEST archives. Modified these ORU messages to use the test patient PID and PV1 segments and also modified key fields in the PV1 and OBR to point to Dr. Dayhoff’s Meditech provider mnemonic.
- Support for resolution of Lab Mnemonic data map file issue – Received some less than promising feedback from Oracle regarding the data map file issue that we were experiencing. Decided to set up some code to “validate” the data map and ultimately found that the data map file contained 2 records that contained non 7-bit ASCII printable characters. Fixed the 2 records and provided the updated data map file to the client. Received an additional request to “validate” a couple more data map files. Subsequently, set up a simple e*Gate collaboration based utility that reads the data map files one record at a time, checking for characters that are not 7-bit ASCII. Was able to fix a similar issue with the new file that Jan provided and will use this utility in the future if these sort of issues are encountered. Closed the Oracle service request once I confirmed that the issue Jan was experiencing was resolved.
- Support for Physician interface go-live – Worked with Physician to add a “TXA” HL7 segment to the outbound structure for his interface. Worked step by step through the method of using the SSC Wizard to add the new segment to a cloned version of the original ETD that was being used for both input and output.
- Datanex DRA SFTP interface – Supported a couple days of manual SFTP transfers to/from Sentry this week as needed per email requests.
- Participated in Epic Integration Team Meeting
- Made progress on ADT from EPIC to Impac Mosaiq Radiological Oncology System Route.
- Began unit testing Technical Charges interface from Impac Mosaiq Radiological Oncology system to Epic .
- Thoroughly reviewed all documentation available on the NYSIIS Immunization Registry interface.
- Crafted email to NYSIIS contact as to status of initial test file results. Assigned additional interfaces:
- EPIC to/from MedSelect Rx Drug Dispensing System
- ADT FROM EPIC TO MedSelect
- Pharmacy Orders FROM EPIC to MedSelect
- Charges FROM MedSelect to EPIC
- Physician Credentialing system
- Staff Master File Interface to EPIC
- RHIO interfaces
- Results FROM EPIC to Client RHIO
- Orders FROM EPIC to Client RHIO
- ADT FROM EPIC to Client RHIO
- Medicity Project Management correspondence with client regarding remote access and status of pipeline priority list.
- Received training from team member via TeamViewer on creating Interface Test Cases from code in DataGate messages. He provided a sample Rhapsody Test Plan and messages, working through code to develop test case.
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