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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DEX Bundle Reception/Processing
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EDAV
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Next Steps
Welcome, Goals (5 minutes, Prachi)
Public MedMorph Health Reporting Care Surveys Solution Architecture (5 minutes, Prachi)
Use Cases/Bundles and MELD System (5 minutes, Mike)
Hospital use case patient: Brigg Dishman
Individual resource files for Brigg Dishman for loading into MELD/elsewhere
Brigg Dishman bundle produced/sent during Mini-Connectathon
Ambulatory use case patient: Fleming Strathman
Individual resource files for Fleming Strathman for loading into MELD/elsewhere
Fleming Strathman bundle produced/sent during Mini-Connectathon
HDEA Processing (15 minutes, Dragon)
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(Hospital UC first, Ambulatory UC second - time permitting)
Provisioning Workflow
HDEA Initiation
HDEA Workflow Progression (Notification, Report Creation, Report Submission)
HDEA-Generated Bundle Review
DEX Bundle Reception/Processing (MS Team, 10 minutes)
Bundle Automated Bundle Validation
Bundle Upload to EDAV
Lessons Learned (10 minutes)
List…
Next Steps (10 minutes)
Sprint Schedule
Weekly Tech Team Meetings
Testing
Additional bundles (add more patients, more invalid bundle testing to cover known/expected issues)
Other EHR systems (Cerner, Epic, others)
Explore/address issues uncovered by pilot project
Topics for this week
Update on 9/29 end-to-end bundle testing
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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NCHS Partition
Testing notes:
Multiple bundles (3) are being sent due to retries
Smoking status data is invalid - update
References can cause an infinite loop
FHIR data from real-world systems have profile and extension issues (previously documented)
Provide patient data as individual resources for loading into MELD/elsewhere (see Dishman/Strathman resources above), resources as returned from MELD/elsewhere to HDEA, bundles as sent to DEX (see Dishman/Strathman bundles above)
Discussion (All, 10 minutes)
Next Steps (All, 10 minutes)
Bundle Export to Analytics Platform
Export from Analytics Platform for QA
Data Validation & Bundle Analysis (e-Health Signs)
HCS Sprint Schedule (Coordination between DEX, Carradora, HCS)
Weekly Tech Team Meetings
Attendees: DEX, Drajer, Carradora, MS, NewWave, DHCS, Cindy Bush (Optional)
Timing - determine in email (Mike to send)
Testing for Upcoming Sprint Cycles (All)
1 Rerun HDEA on Cerner, Epic sandboxes (using existing data)
2 Rerun HDEA on Cerner, Epic using clinically valid data
3 Add additional bundles (add more patients, more invalid bundle testing to cover known/expected issues) (Synthea or other tools?)
4 Review of data content against reporting requirements
5 Explore/address issues uncovered by pilot project
6 Engage with EHR vendors re sandbox updates, etc.
Supporting Infrastructure for Sprint Cycles