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Agenda

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Welcome, Goals

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Public Health Reporting Architecture

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Use Cases/Bundles and MELD System

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HDEA Initiation (Hospital UC)

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HDEA Workflow Progression

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HDEA-Generated Bundle Review

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EDAV

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Next Steps

Welcome, Goals (5 minutes)

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Weekly Tech Team Meetings

Attendees

Timing

Testing

Additional bundles (add more patients, more invalid bundle testing to cover known/expected issues)

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Explore/address issues uncovered by pilot project

Topics for this week

  • Update on 9/29 end-to-end bundle testing

    • HCS 9/29 Bundle Testing Project Plan

    • IG with dual profile (US Core and base FHIR profiles accepted)

      • Dragon is testing with MELD

      • Looking at issues with generated bundles

    • Extension/reference handling in bundles

      • Status: Dragon is making code changes to filter these out (on hold pending review of bundles generated using MELD)

    • Data entry into MELD

      • CHI will provide a patient data in a clean format for data entry purposes

  • Friday issues from 9/26 call:

    • Use MELD with an external HDEA (CHI/Drajer/NewWave)

      • Done

    • Get clean patient data into FHIR resources (CHI → NewWave)

      • JSON can be loaded quickly

      • Share spreadsheet with clean data when available

      • Can FHIR shorthand be used to facilitate transfer from CSV?

    • Send IG link to DEX team before EOD 9/26 (Dragon)

  • Schedule ongoing technical meetings

    • Weekly

    • Thursday afternoons?

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C34 recap

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Fed Retrospective of Connectathon 34 / Guidance for Future Connectathons

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DEX/HCS/RESP-NET testing going forward

  • Integrate HDEA updates made during C34 (done)

  • Fed suggestions

    • Code base move to CDC?

    • Aim for integration of changes / successful testing by 9/29?

      • 2 meetings/week

        • One track: code base (validation sync) (next meeting Thursday 4pm)

        • One track: data (entry into MELD {Cerner/Epic unlikely} ) (timing tbd)

    • Run against MELD, Epic, Cerner

    • Dev team review discrepancies (Prachi to send spreadsheet)

  • Continue with testing of HCS bundles

  • PlanDefinition issues discovered

    • Prachi slides

  • Work with HCS team when bundles are loaded into analytics platform

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Bundles for C34 (and forward)

  • Continue working on clinically valid bundles (Core1, Core2, Core3)

  • Ask Cerner/Steve Hill to enter data as new, separate patients

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DEX updates

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RNOF updates

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