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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)for QA

Data Validation & Bundle Analysis (e-Health Signs)

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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)

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3 Add additional bundles (add more patients, more invalid bundle testing to cover known/expected issues) (Synthea or other tools?)

4

Other EHR systems (Cerner, Epic, others)

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