Agenda
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) (Hospital UC first, Ambulatory UC second - time permitting)
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DEX Bundle Reception/Processing (MS Team, 10 minutes)
Automated Bundle Validation
Bundle Upload to EDAV NCHS Partition
Bundle Export to Analytics Platform
Lessons Learned (10 minutes)
List…
Next Steps (10 minutes)
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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
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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
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6 Engage with EHR vendors re sandbox updates, etc.
Supporting Infrastructure for Sprint Cycles