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Healthcare Technical Services Projects for October 30 |
- HIE HL7 Tables Meeting – Attended meeting with Microsoft to generally discuss the HIE requirements for sending HL7 Table Values for “coded” fields on Thursday 10/27.
- HIE ITS Reports Gap Analysis – Attended and participated in this meeting to discuss ITS Report gap analysis findings and action items on Thursday 10/27.
- Doctor EMR Interface Kick-off Meeting – Attended and participated in this meeting with multiple EMR Vendors on Thursday 10/27.
- HIE Patient Consent Requirements Meeting – Attending this meeting to discuss Patient Consent and Opt-in / Opt-out requirements for HIE early adopters whose EMR system is Meditech on Friday 10/28.
- Integration Team Support – Per request from the team, completed log level report for the PACS_CONV schema on AEGT023 to aid the process of clearing disk space for the Upgrade project parallel testing. Worked to troubleshoot connectivity and timeout issues that we are experiencing with the reports interface connection.
- HIE ADT Gap Analysis – Completed series of updates to the ADT Gap Analysis document based on discussions and research that I completed for the production ADT message content. The goal is to close out each of the issues and provide definitive responses to HIE by COB 11/1.
- HIE ITS Gap Analysis – Completed final updates to the ITS Gap Analysis document and shared with HIE prior to our meeting with them.
- Received Procedures extract from Jyoti and updated the content to include references to the associated HL7 fields for the Procedure dictionary data items (Category Mnemonic and Procedure Mnemonic)
- HIE LAB Gap Analysis – Worked at length to discuss and agree on our combined response document to HIE including completion of analysis. Once the document was complete, shared with HIE in a detailed email describing the current status of our side of the gap analysis, the meeting for LAB is next Monday 10/31.
- HIE LAB e*Gate Transformation/Routing Rules Development – Completed e*Gate configuration and coding changes to incorporate the standard HL7 ETD for Meditech Lab Result messages as a replacement for the HL7GenericInEvent that was used for the initial deployment of pass through business rules. Completed build of all collaboration rules to send to MCHIE the full complement of HL7 segments present in Lab Result messages (MSH, PID, PV1, IN1, OBR, OBX and NTE).
- HIE Connectivity / VPN Issue – On Tuesday morning 10/25, identified connectivity problems that actually first occurred Friday 10/21. Shared this information with Microsoft and worked at length with their VPN technical resource and team members on our side to attempt to troubleshoot these issues. On Saturday 10/29, installed the Microsoft Network Monitor software on ACN016 and implemented packet capture hoping to use the evidence to compel the network team to complete a VPN tunnel rebuild on Monday morning 10/31. As of Saturday evening 10/29, the problem was not resolved, so worked to unload the message backlogs from e*Gate so that they can be re-sent later when the connection is back up.
- Doctor’s EMR Interface Project – Per request, pulled together sample HL7 messages from production (Doctor as Ordering Provider) for a lab result, a radiology report and a departmental report. Completed manual changes to each sample to de-identify all patient data inside the message. Subsequently, delivered detailed email to the entire team with the following attachments: VPN Request Form, production sample messages, ITS Reports Dictionary extract from PSMH and ITS Procedure Dictionary extract along with a list of next steps required for the team to move forward with the build and testing.
- HIE HL7 Tables and Meditech Dictionaries Spreadsheet – Completed a series of updates to this document based on the work regarding the overall issue of HL7 Table and Meditech Dictionary requirements. Added details on HL7 data types associated with each coded field, added column with detail on whether descriptions (for mnemonics) are currently included in the HL7 messages and added “Microsoft Comments” column based on feedback received for each “coded” field.
- ITS Reports Interface – Completed test of first report message all the way into Meditech by taking the raw message delivered adjusting to meet Meditech ITS Inbound HL7 reports requirements. Based on analysis of the messages, provided with a couple action items on the remote facility side. First thing was to have her adjust the format to use single OBX rather than multiple OBX segments and also to ensure that the Meditech Patient Account Number (PID.18) is returned in the same field for reports returned from the remote site.
- Continued work on creating Objects Plus functionality to allow Epiphany EKG application to show up in a tab in SCM.
- Calls/correspondence related to Epiphany project.
- Post ePI activation calls and correspondence.
- Created technical conversion specifications for visits (from Oacis), lab (Labcorp from Practice Partner), lab (from Oacis), Pathology (from Oacis), Micro (from Oacis), and RAD (from Oacis).
- Conducted technical reviews for visits and Labcorp conversions.
- Writing Perl script to extract Labcorp results from Practice Partner to a flat file.
- Performed ADT message testing on Responder, Formfast, and Ecin ancillary systems
- Debugged and modified mapping file to handle Allergy Descriptions from Meditech
- Debugged X12 5010 278 message map with Centura to handle empty fields.
- Updated system documentation
- Meet and greet, submitted hospital documentation and orientation forms.
- Performed billing message analysis on GE/IDX DFT messages and Epic DFT messages.
- Epic/Hospital interface team meeting, discussed interface testing and status updates
- Billing Kickoff Team meeting to discuss professional billing interface from GE/IDX to Epic
- Documented Field by Field analysis of billing messages.
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