MedMorph 9/29/2023 Mini-Connectathon

Agenda

Welcome, Goals (5 minutes)

Public Health Reporting Architecture (5 minutes)

Use Cases/Bundles and MELD System (5 minutes)

HDEA Processing (15 minutes)

HDEA Initiation (Hospital UC)

HDEA Workflow Progression

HDEA-Generated Bundle Review

DEX Bundle Reception/Processing (10 minutes)

 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

  • 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?

• C34 recap

  • MedMorph C34 Report Out

• Fed Retrospective of Connectathon 34 / Guidance for Future Connectathons

• DEX/HCS/RESP-NET testing going forward

  • Integrate HDEA updates made during C34 (done)

    • https://github.com/isaacraj777/eCRNow/tree/feat/isaac/cdc-integration

  • 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

• 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

• DEX updates

• RNOF updates

• HCS updates