Agenda
Welcome, Goals (5 minutes, Prachi)
MedMorph Health Care Surveys Solution Architecture (5 minutes, Prachi)
Use Cases/Bundles and MELD System (5 minutes, Mike)
Hospital use case patient: Brigg Dishman
Ambulatory use case patient: Fleming Strathman
HDEA Processing (15 minutes, Dragon) (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)
Automated Bundle Validation
Bundle Upload to EDAV 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, resources as returned from MELD/elsewhere to HDEA, bundles as sent to DEX
Discussion (All, 10 minutes)
Outcome of Lori et al analysis, data analysis results,
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