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Agenda

Welcome, Goals (5 minutes, Prachi)

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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) (Hospital UC first, Ambulatory UC second - time permitting)

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DEX Bundle Reception/Processing (MS Team & Quen, 10 minutes)

Automated Bundle Validation

Bundle Upload to EDAV NCHS PartitionBundle Export to Analytics Platform

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 (Quen)

Manual bundle validation (Lori, Andrea)

Sprint Schedule (Allfor QA

Data Validation & Bundle Analysis (e-Health Signs)

HCS Sprint Schedule (Coordination between DEX, Carradora, HCS)

Weekly Tech Team Meetings (Tech Team)

Attendees

Timing

Testing (All)

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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)

Other EHR systems (Cerner, Epic, others)

(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