877.303.3377
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Nov 07
2011
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Healthcare Technical Services Projects for November 6Posted by admin in Untagged |
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- Attended meeting with Microsoft to generally discuss the HIE requirements for sending HL7 Table Values for “coded” fields.
- Attended and participated in this meeting to discuss LAB Gap Analysis findings and action items.
- Received notice that the VPN tunnel re-build was complete and was shocked to find that the connections started functioning properly again for all 4 data feeds to HIE. Subsequently, worked at length to re-queue (via new e*Gate feeder components) the backlog of 400,000+ messages that built up while the connectivity issues were experienced. Notified the HIE team and the facility integration team that the issues were resolved and the backlog was completely processed.
- HIE ADT Gap Analysis – Received research and feedback on the ADT Response / Action Items document and incorporated his feedback into the “gold” copy. Subsequently, completed some research and production data mining for the one open issue involving PR1 segments from the ABS messages and shared that research via detailed email and attachment of the PR1 data in spreadsheet format. Also, reviewed and responded to all questions posed in the “Microsoft Comments” column he added to the spreadsheet per the Meditech Dictionary / HL7 Table Value tracking spreadsheet. In each case, cited these questions alongside the facility response.
- HIE LAB Gap Analysis – Researched, developed and documented proposed solution for mapping LAB/MIC department prefix values (extracted from Specimen Number in OBR.19) to the HIE Lab Test Category values and emailed the proposal for review and approval. Subsequently, scheduled meeting for Monday morning 11/7. Updated LAB Gap Analysis action items list based on the LAB Gap Analysis meeting with HIE. Also, updated facility/HIE dictionary translation document based on that meeting and follow up internal meetings.
- HIE ITS Gap Analysis – Received HIE categories for both Radiology and Transcription of HIE and updated the facility/HIE dictionary translation document to include both lists of category values and associated HIE descriptions. Completed review of the HIE categories against the fields (and dictionary values) supported in the ITS messages (procedure and report) and concluded that we will have to translate Meditech Procedure Categories to HIE Radiology Categories for Radiology Reports and Meditech Report Type to MCHIE Transcription Category for Departmental Reports.
- HIE ADT e*Gate Development and Testing – Completed e*Gate development to implement filtering and transformation rules based on the action items list yielded from the ADT 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, filtering out “empty” PD1, GT1, UB2 and MRG segments, normalizing “unknown” SSN values, filtering out BAR^P01 messages that do not contain diagnosis or procedure data, etc. Completed detailed testing using high volume of production ADT/BAR messages.
- ITS to Meditech e*Gate Development and Testing – Completed e*Gate development and testing support of collaboration rules script for this interface that transforms and sends progress reports to Meditech via the inbound HL7 ITS interface. Mapped Referring Provider (PV1.7) to both the Ordering Provider (OBR.16) and Dictated By (OBR.32) fields on the Meditech ITS side. Completed detailed testing of five reports all the way into Meditech and verified that the report filed properly. Subsequently, requested the creation of a new generic transcriptionist within Meditech and updated the interface code to default OBR.25 to the generic transcriptionist for these reports into Meditech.
- e*Gate Update 2 Schema Migration Documentation – Pulled the schema migration documentation out of the e*Gate U2 Installation document and moved it into a separate “Schema Migration” document. Completed some research based on previous Epic schema migrations to Update 2 and enhanced the document to include up front steps required to updated the various e*Gate configuration artifacts (HL7 e*Ways, JMS e*Way Connections, IQ Manager DB Settings, etc.) and provided the updated document to the team for future planning of schema migrations to Update 2.
- Continued correspondence and meetings following ePI activation.
- Meetings and development of Objects Plus tab to allow Epiphany WebAPI to show up in SCM.
- 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.
- Took sample timings of program Labcorp extract program above and found that 11,955 result lines took 2 minutes and 20 seconds. Scaled to the full Labcorp discrete result conversion, it should take around 5 hours, generating a 180 MB file.
- Wrote Perl script to call DLL converting HTML files to RTF, which is a supported document format for Epic. By utilizing this DLL, bypassed need to purchase programs to handle translation. Observed throughput translating 200 files was 2 seconds.
- Wrote script to look for duplicate patients in the Practice Partner database, ranking output by how many matched demographics exist. Provided report to management.
- Began work writing script to extract note type Labcorp data from Practice Partner. This program will be able to modify slightly to handle every other note type conversion from Practice Partner.
- Performed ADT message testing on GE-Sax, Emageon and X ancillary systems
- Completed DFT billing message analysis on GE/IDX messages and Epic messages
- Delivered mapping requirements for Epic outbound billing interface.
- Generated mocked up DFT message for testing.
- Reviewed and verified charge triggers through Epic application TST and POC environments.
- Reviewed Neurophysiology XLTek system business requirements.
- Reviewed GE Muse system business requirements.
- Performing Muse Results message analysis.
- Assisted in communication testing with charge interface
- Commenced requirements gathering for Velos notes interface
- Developed a duplicate MRN route to check for Oacis duplicate patients.
- Continued provisioning of Practice Nodes on the Hospital Node; continued deployment, training, & support of iNexx Inbox for independent ambulatory practices.
- ProAccess: Identifying practice for validation of Hospital Interface in ProAccess 5.3 CERT.
- Inbox: Installed iNexx Platform for a number of practices; scheduled meeting with facility SMEs on solution for issue of routing results by facility.
- ProAccess 5.3 Upgrade: Executing Phase – continued validation of 5.3; planning for PROD build & deployment; continued monitoring of project status and tracking of deliverables.
- Advance Directives Interface: Controlling Phase – completed testing with vendors; tracking & escalation of testing issues; scheduled demo for physician & executive sponsors; monitoring project status.
- Greenway Gateway: Executing Phase – conducted Kick Off Call with vendors & facility; gathered & compiled all technical & site-specific interface information for vendors; continued completion of Practice Planners for eHP practices for Phase 1 HL7 interfaces.
- Sansum-PDL Orders Interface: Executing Phase – provisioning of users in PDL Work List; final go-live preparations with PDL for next week; continued monitoring of project status and tracking of deliverables.
- SB Cardio-PDL Interface: Controlling Phase – coordination of results validation between facility & PDL and Prime Clinical EHR; continued monitoring of project status and preparations for go-live.
- Medicity Training: Continued training of Hospital & PDL staff on DropBox, EHR Interfaces, and ProAccess. Continued training of independent ambulatory practices on Dropbox.
- Documentation: Grid-EHR Interface Process; Interface Configuration Matrix; Medicity Practice Planners; status reporting and updating of project documentation.
Orchestrate was sensitive to our budget constraints. They were easy to work with ... overall a very upbeat and positive experience.