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Nov 14
2011
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Healthcare Technical Services Projects for November 13Posted by admin in Untagged |
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- HIE LAB Gap Analysis Internal Meeting – Attended and participated in this meeting to discuss solution to map Meditech LAB/MIC Department Prefix to HIE Lab Test Category.
- LAB Results POC Interface – Coordinated and participated in this meeting to discuss the POC interface to Meditech via e*Gate. Remote install scheduled for next week.
- HIE Patient Consent Internal Meeting – Attended this meeting to discuss with the hospital team to define the hospital strategy for meeting requirements associated with patient consent and sending highly confidential data to HIE.
- HIE Patient Consent Meeting – Attended this meeting to discuss with other HIE early adopter Meditech organizations the plan for addressing legal and resulting technical requirements associated with patient consent and sending highly confidential data to HIE.
- HIE ADT Gap Analysis – Closed out issues with DG1.6 (Diagnosis Type) and PR1.6 (Procedure Type) fields within BAR^P01 messages based on research provided to and response received from Brian Nerzig of MCHIE. Provena will not attempt to default values into these fields when Meditech doesn’t provide one because Brian Nerzig stated that the impact was negligible on the MCHIE side if the fields are left null/empty.
- MCHIE LAB e*Gate Development and Testing (10 hours) – Completed e*Gate development to implement filtering and transformation rules based on the action items list yielded from the LAB Gap Analysis phase. This included creation of placeholder rules for each field that will require either HL7 Code translation or Meditech Mnemonic to Name translation, etc. Completed detailed testing using high volume of production LAB result messages.
- MCHIE ITS (Rad and Departmental) e*Gate Development and Testing (10 hours) – Completed e*Gate development to implement filtering and transformation rules based on the action items list yielded from the ITS Gap Analysis phase. This included creation of placeholder rules for each field that will require either HL7 Code translation or Meditech Mnemonic to Name translation, etc. Completed detailed testing using high volume of production ITS report messages.
- HIE “coded field” (HL7) Translation Requirements Analysis and Documentation – Worked field by field through the HIE Coded Field Translation document (ADT, LAB and ITS) to develop a strategy for mapping from Meditech Mnemonic to HL7 Table Value or replacing a Meditech Mnemonic with a Meditech Name (dictionary lookup) depending on the HIE requirements and direction provided by the HIE team. Subsequently, expanded the document to include columns for tracking the solution strategy (e*Gate inline code translation or “datamap” file based translation) and the strategy for maintaining the resulting mappings (via Meditech dictionary add/change/delete/inactivate notifications from clinical team to integration team within IS department). Generally, updated the document as the week progressed and will use this document to drive the work that will be completed next week to implement each data map file based translation.
- Provided detailed research and resolution ideas for the space problems currently occurring with a couple of the logical drives in the production environment. Resolved an issue with the “VendorFTP” control broker that caused the Datanex “DRA” interface to fail Monday morning 11/7 as reported by Sentry Systems technical support. Cleared a ton of space on the offending drive by deleting all but 30 days of archived data files for the various batch interfaces running in the “VendorFTP” schema along with a control broker shutdown/restart.
- Worked on client’s MEDITECH 5.64 Upgrade.
- Continued correspondence and meetings following ePI activation.
- Meetings regarding Epiphany project. Helped confirm that Epiphany reports could be displayed from Allscripts’ TSC hosted equipment. Review materials pertaining to the setup of camera icon in SCM.
- Meetings regarding ePI/EAD solution to handle registrations from Allscripts Ambulatory.
- Nearly complete with Perl script to extract Labcorp discrete data from McKesson Practice Partner to import into Epic. A few questions remain that need to be answered before continuing:
- Need to get mapping of catalog item codes from Practice Partner to Epic.
- Need to get mapping of ordering provider IDs from Practice Partner to Epic.
- Epic is concerned with grouping of discrete results by date time. Suggested sending one discrete result per message. Need to finalize.
- Completed Perl script to extract note type LabCorp data from PracticePartner.
- Wrote Perl script to create Vitals Signs extract from Practice Partner.
- Wrote Perl script to extract Immunization data from Practice Partner.
- Participated in specification review calls for Labcorp notes and summary notes.
- Started writing Perl script to extract summary report data from Practice Partner. Reviewed initial output with management at client site.
- Participated in call to review conversion related questions. Further related meetings scheduled next week while Epic is on site.
- Wrote program to summarize procedure codes sent in visit backload. Discovered that are a few codes that are shared among many procedures. Need to resolve.
- Working on getting access to Epic. Can begin unit test of visit and results backload when access is ready.
- Performed ADT message testing on five ancillary systems
- Added new functionality to five ancillary systems for batching and ftp
- Updated Ftp data extracts for transfer logs
- Built new mappings to translate GetWell Network and AtStaff from Meditech format to the ancillary systems data format
- Debugged 5010 278 messages for United HealthCare format
- Updated system documentation
- Commenced results analysis on GE Muse and Xcelera messages
- Reviewed Neurophysiology Xcelera system business requirements.
- Reviewed GE Muse system business requirements.
- Performing Muse Results message analysis.
- Assisted in communication testing with charge interface
- Assisted with charge message changes between Epic and GEIDX
- Troubleshooting VPN remote connectivity
- Set up meetings with organizations and vendors regarding middleware selection for Anesthesia.
- Build for anesthesia module
- Content development with Physicians and Cardiac Anesthesia
- Review broken pointers in BLD with Epic
- Bi-weekly meetings Anesthesia and Orders.
- Monthly meeting with Anesthesia Team to discuss project status.
- Discuss future-state sedation workflow with ED sedation physician champion.
- For build, ASAP duplicated navigators, entered department settings, created track board views, duplicated profiles and created a security class.
- Team met to discuss build assignments. Assignments were agreed upon and the team began building tasks. Also reviewed all test scripts from Northern Facility and adjusted scripts to meet any changes in the Southern build.
- Completed final draft copies of workflows with final edits completed on Monday, Printed copies will delivered next week.
- Scope presentation complete.
- Build document was reviewed and proposed assignments were made, waiting for review and comments
- Draft project plan was submitted, waiting for final dates and completion of draft, meeting will be scheduled to review line by line.
- Meeting was completed with materials management, interface development will be needed to support the SUP location.
- Touch base meeting occurred with OpTime and Learning services.
- Radiant DEP build 95% complete in BLD:
- Continued to engage application teams (e.g. Cadence, Resolute, etc) to coordinate non Radiant-specific build items
- Radiant SER build 90% complete:
- Completed documentation of item-level build for new modality SER records
- Documented build ready for handoff to Cadence team

