877.303.3377
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Oct 10
2011
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Healthcare Technical Services Projects for October 9Posted by admin in Untagged |
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- ADT Interface – Completed a series of test registrations in DB.TEST while working client remote site to address issues that were reported with the initial set of integrated test patients. Based on their feedback, had to modify the e*Gate routing and transformation rules to only send a single NK1 segment, default the value “EP” in NK1.7 for that single NK1, filter out all ADT events except the A01, A04, A05, A08 and A18 (translated from A34) and to filter out all OBX segments from output to their location. After making the changes, completed series of detailed unit tests to ensure the changes functioned as designed. Subsequently, completed another set of test registrations in DB.TEST and to confirm that the new test patients filed properly.
- Created site specific Interface Requirements document for this interface and completed implementation within e*Gate production environment. Sent out the standard email to the interface team regarding the go-live including the requirement document, updated the downtime list and provided information on the new event type to track in the Queue Status scripts.
- Completed production implementation of the ADT interface to Project 1A for the final 3 ministries. This e*Gate build was extensive, requiring a new BOB and File e*Way for each ministry and a new JMS bridge e*Way for an interface to bridge ADT messages to the CS Schema for delivery to Project 1A on a single port / feed. As part of the process, first built new modules in the conversion environment, using the same e*Gate routing/transformation code from the first 3 ministries and followed this up with the same build steps in the production environment. Once the process was complete, sent the standard notification email to the Integration Team to address the downtime list, support information and new event types. Also, sent an email to the Project 1A Team notifying them of the new data feeds for the final 3 ministries.
- Cardiology ITS Reports Interface – Worked to support troubleshooting emails with the IT support team. The issue reported was the same issue from the past where they fail to return an ACK in a timely fashion and e*Gate re-sends the previous message which results in duplicate reports within Allscripts. Ultimately, bumped the read timeout for ACK’s from 10 seconds to 30 seconds and sent out detailed email to all interested parties that we would keep an eye on things, but to expect this issue to occur if Allscripts does not send an ACK back within 30 seconds of message receipt.
- Interface Team Support (1 hour) – Based on emails regarding issue with messages backing up for recently implemented JMS “Bridge” e*Ways. Researched the issue and provided log file evidence that the backups were related to inadvertently triggered collaboration shutdown/restarts based on users accessing the shared collaboration rule “crPassThru”. Shared my findings in email to the team, instructing them to take care when working within the production environment with shared components like “crPassThru”.
- Completed gap analysis for the ADT (including ABS generated BAR^P01 messages) interface between Meditech and HL7 Specifications including some additional updates to the “Site Health Comments” section of the Meditech HL7 Specifications. I documented the gap analysis information via Word Comments added to the MCHIE provided “Default Message Set” HL7 ADT Interface Specification. Notes were added at the field level to document the fields that are not supported/sent by the Meditech ADM/ABS outbound HL7 interfaces. Also, general notes were added regarding supported event types and in some cases field level value notes were included for critical fields (e.g. Meditech Patient Type Values for PV1.18).
- ePI activation preparation and calls.
- Review and finalize ePI Administration documentation.
- Began review of items to be backloaded into Epic.
- Analysis of source tables containing data to be backloaded.
- Meetings regarding backload and Radiology interface.
- Finished coding the SQL tables to maintain proper procedure codes for Radiology orders and tested it
- Finished testing Nuclear Medicine exams
- Worked on finishing up Radiology Charge route
- Medicity 5.5.1 Workplan Completed
- Educated technical analyst on the project management and organization’s processes for technical deployments.
- Identified project risks and began developing mitigation plan.
- Advised hospital staff on course of action for issues identified throughout the week.
- ADT Gap Analysis Meeting – Attended this meeting on Friday 10/7 and took detailed notes on each issue that the HIE reported.
- Received report that the “archive” piece of the e*Gate solution for one site was not working at all. Completed detailed follow up research/testing and discovered that an additional collaboration was needed to support the SFTP component of the solution. Completed creation of the new collaboration which isolates the SFTP processing and then modified the existing collaboration to only handle the creation of the file itself. Once these changes were complete and testing was successful (including archive of files) had to complete some work to remove older versions of the e*Way’s and collaboration rules in order to ensure that TEST and PROD were synchronized with the latest copy of the interface solution. Subsequently, worked to utilize the “proxy” SFTP server that I defined on ACN013 for this and future testing and worked with her to help her understand how to the use the “proxy” SFTP server.
- LAB Gap Analysis – Completed gap analysis for the LAB Results (currently LAB and MIC only) interface between Meditech and HIE HL7 Specifications including some additional updates to the “Site Health Comments” section of the Meditech HL7 Specification. I documented the gap analysis information via Word Comments added to the HIE provided “Default Message Set” HL7 Lab Results Interface Specification. Notes were added at the field level to document the fields that are not supported/sent by the Meditech LAB Results outbound HL7 interfaces. Also, general notes were added regarding supported event types and in some cases field level value notes were included for critical fields (e.g. Meditech Lab Result Status Values – OBR.25 / OBX.11).
- HIE Project – ITS Gap Analysis – Completed gap analysis for the Radiology Reports (currently LAB and MIC only) interface between Meditech and HIE HL7 Specifications including some additional updates to the “Site Health Comments” section of the Meditech HL7 Specification. I documented the gap analysis information via Word Comments added to the HIE provided “Default Message Set” HL7 Radiology Reports Interface Specification. Notes were added at the field level to document the fields that are not supported/sent by the Meditech Radiology Reports outbound HL7 interfaces. Also, general notes were added regarding supported event types and in some cases field level value notes were included for critical fields (e.g. Meditech Report Department/Type – OBR.20 / OBR.21).
- HIE Project – Created document to list all of the issues reported by HIE in the ADT Gap Analysis meeting along with the solutions that were discussed and/or proposed for each issue.
- LAB Interface – Completed requirements gathering with the team and received confirmation from them that we need to send only lab results associated with the following Meditech lab test mneonics “PT” and “PROTIME” which are the “Coumadin” tests within Meditech. Began developing the e*Gate components that will process lab results (already bridged from EICU to CS schemas in production) based on the requirements for OBR and OBX from the HL7 Interface Specification document.
- Received report regarding the format of files being incorrect for Meditech extract files for the WE interface. Subsequently, worked to open a heat log with an assignment to a knowledgeable resource to see if he can solve the issues with changes to the extract. If this path doesn’t work out, I will have to modify e*Gate to “transform/translate” the data according to the issues reported and this will take some time because it is currently a pass through interface.
- Continued testing and modification of custom command setup
- Continued testing and modification to Web Account Creation custom cache routine
- Updated documentation on custom command design and cache routine
- Custom Command/Cache routine communicated with the .Net application
- Communicated with Epic about command setup and data availability
- Migrated changes to testing custom cache routine back from TST to POC
- Migrated changes to Web Account Creation custom cache routine back from TST to POC
- In progress FTP log/DB logger to capture Financial transaction between Meditech/Lawson/LSS (Testing)
- Added additional data to the FTP Log for file transfer detection
- Added functionality to all ADT routes to provide a log of all messages processed
- Debugged Meditech to Computrition Javascript filtering.
- Tested Pyxis javascript Adt filter
- The ASAP team has started configuring the preference lists to closely match the preference lists that were used in. We are also researching build design requests from the Ops team and preparing for the upcoming build.
- This past week I went back over all of our workflows and started to look at the gap analysis documentation in detail to decide assignments of build work. Held a team meeting on Friday to discuss plan to attack the build.
Orchestrate was sensitive to our budget constraints. They were easy to work with ... overall a very upbeat and positive experience.