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Healthcare Technical Services Projects for October 2 |
- ADT Interface – Completed a series of test registrations in DB.TEST while working with facility 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 the client facility. 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 worked with the facility to confirm that the new test patients filed properly.
- Created 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 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 one interface to bridge a remote site’s ADT messages to the CS Schema for delivery to Project 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.
- Cardiology ITS Reports Interface – Worked to support troubleshooting emails with the IT support team from one of the remote locations. 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 the site’s 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.
- Based on email 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 SITE HL7 Specifications including some additional updates to the “Health Comments” section of the Meditech HL7 Specifications. I documented the gap analysis information via Word Comments added to the SITE 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).
- I did some research on monitors for the team. Unfortunately no major vendor seems to want to do any sort of “on-site” demonstration of their touch screen monitors unless the hospital is looking to buy in “major bulk (1,000 or more) or sign a “long-term replacement contract”. A few on Epic’s list of “preferred vendors” claim they don’t even have them and are not sure what Epic is referring too. So I’m going to do more research of “non-listed” vendors and turn that all over to another team member next week.
- ASAP finished presenting workflows to Ops this week. They also re-presented the physician workflows to Ops so that the physician lead could weigh in with any suggestions he has. Some suggestions are currently being researched to see if the Orlando office can be accommodated. They are also preparing for the upcoming build that will be starting very soon.
- HOD team completed Gap Analysis documentation and completed the final workflows and received sign-off on all with the exception of the integrated Sedation workflow. The team continues to participate in calls and e-mails surrounding that workflow. The team is prepping for the upcoming build sessions.
- OpTime team completed all gap analysis documentation and finalized the sign-off of all workflows. The team is involved in the sedation discussions as well. They are currently prepping for the upcoming build sessions as well.
- Completed all the Orders workflows and the gap analysis documentation. This team, like many others, are involved in the sedation discussions and prepping for upcoming build sessions.
- For Radiant, excluding sedation, all (10) workflows are completed and have obtained Ops signoff. The workflows were uploaded to TeamShare and the workflow tracker updated. The Radiant team met with the PACS team to identify any potential issues or gaps with Radiant/PACS integration. At this time, both teams concur there are no identifiable issues or gaps at this time. The PACS projects (upgrade to Powerscribe 360 & implementation of Poesis) are in early planning phases estimated to be completed in February 2012. The Radiant and PACS team will continue to remain in communication with particular attention to the design/analysis phases of the PACS projects. Gap analysis documentation was completed. The sedation workflows have the potential to moderately impact gap analysis documentation and build plan; gap analysis documentation will be updated in concert with sedation workflow development and documentation.
- Spent time getting updated on the status of the 5.5 Medicity ProAccess Deployment.
- Educated technical anaylst on the the project management and organization’s processes for technical deployments.
- Identified project risks and began developing mitigation plan.
- Advised staff on course of action for issues identified throughout the week.
- Created the Medicity ProAccess 5.5.1 Workplan.
- Continued LAB Business Process Development to ensure all departments meets all CAP testing and validation requirements with this implementation.
- 5 practices are scheduled for go-live the week of 10/9.
- Continued Business Process Development with the Support Team that will be handling Teir 1 support calls for iNexx, eOrders, and Results Delivery.
- EzEMR’s Orders and Results Implementation contract is under review.
- Continued Business Process Development for EMR implmentation communications.
- Worked with the team to mitigate the identified risks to roll-out of iNexx and EMR interfaces.
- Carestream Status”
- Got New build of nuclear medicine tests for ordering in EPIC
- There was no way or no inclination from EPIC to treat these as Panel type tests
- Solution worked out was to use Rhapsody to use a SQL table to store ordered procedure codes with information to match them up with the proper order so when a result is returned the Series code will be returned to EPIC as the result code so it will file
- The problem is one result is returned and it may not be the same one for all exams because the exam consists of individual discrete elements.
- CT Abdomen/Pelvis studies will have ordered code stored and will always send the code 298 to Carestream, any matching result will have the ordered procedure code sent back to EPIC
- Charges- got the billing team to finally map all of their MPI ID values and went from 523 failures out of 854 down to 11 failures out of 854
- On the Safety Surveillor, worked with Med team to facilitate extracting administration date and time from a Chronicles extract
- In progress Route Design FTP log/DB logger to capture Financial transaction between Meditech/Lawson/LSS (Testing)
- Redesigning SQL table for FTP log
- Started populating FTP Log Db for monitoring through put
- Redesign Javascript for FTP log
- Created new HL7 Adt message definitions to handle new interfaces
- Designed new naming convention for ADT interfaces
- Debugged QuickCharge to Lawson Javascript to handle T-2 with client
- Debugged and redesigned Centura Pyxis Javascript to increase msg throughput
- Assisted adding JVM memory to FTP and TCP instances to prevent Memory Errors
- Completed remaining ePI testing scenarios prior to activation.
- Planning for ADT backload into ePI/LAB on 10/3.
- Preparation for ePI activation on 10/10.
- Completed specifications for Allscripts eLink HDOHDecryption interface.
- Completed specifications for Allscripts eLink HDOHCleanup Interface.
- Started HL7Encrypt2Lvl and Allscripts eLink HL7Decrypt2Lvl translator specs.
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