[MT-L] Magic 5.66 PP8 Patient Portal info missing

[Paul Goedicke]

I have been through our parameters and settings several times, but we’re still missing data in the Patient Portal Health Summary. The fields/sections are populated in the Patient Health Summary we run from within Meditech. Examples are marital status, ethnicity, primary language, and religion, as well as care team and meds.

Obviously, we’ve missed something in the setup, but can’t figure it out. What pulls from Meditech looks good and complete, but a lot of it is missing in the Patient Portal.

 

Any suggestions or ideas would be appreciated. I think we have all the updated (post PP8)  DTS’s related to CCD/PHS.

Thanks,

Paul

 

Paul Goedicke

Clinical Analyst III

Jackson County Memorial Hospital

1200 East Pecan

Altus, OK 73521

(580)379-5565

paulgo...@jcmh.com

 

I hope to be the kind of person my dog thinks I am.

- anonymous

 

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[Tim Richardson]

We had this same issue. First we had some mapping that had to be done in NMI for the data fields. Our particular missing data was race (std field), ethnicity & preferred language (queries). We were referred to this training article:  https://www.meditech.com/prnmi/Materials/NMIcbTRvsmmg.pdf

After some trial and error we were able to get those fields populating. However, even though the fields were populated in the Patient Portal for view, download, or print, when we transmitted the PHS to our HISP the fields showed up as unpopulated. MIS 12012 & 2354 were loaded to correct this, and they did. But, now the transmitted PHS was unformatted (raw HTML like this, <city>EDEN</city>
<state>NC</state>
<postalCode>27288-8188</postalCode>

We felt like since the data was there we meet the letter of the requirement, but we are still working with Meditech to get the transmitted PHS formatted correctly. If you need to reference it, our task # is 79461204.

 

Tim Richardson

Business Systems Analyst

Morehead Memorial Hospital

336.623.9711  ext 2202

tim.ric...@morehead.org

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[Julie Carlson]

Paul,

We are also missing information on our PHS (Magic 5.66 PP8), including weight in pounds and ounces (we get kilos just fine), and height in feet and inches (we get cms just fine as well), ethnicity, preferred language, and author info (our facility address and phone show as unavailable). I entered a task with Meditech and they tell me it is related to the fact that we don’t have our Direct messaging completely set up (we don’t have a HISP yet), but I’m not fully convinced yet……..

 

Julie Carlson

Information Systems|Senior Analyst

CASCADE VALLEY HOSPITAL AND CLINICS

Close to Home. Close to Heart.

330 S. Stillaguamish Ave., Arlington WA  98223-1603

ph.  360.618.7866| fax. 360.618.7657 | www.cascadevalley.org

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[Freeman, Gale]

Do you transmit the CCD ? That is what we use instead of the PHS. We found it has all the data , but when we sent to our HISP, it was missing ethnicity, preferred language and race. Turns out Meditech was sending it but something called the style sheet on our HISP side wasnt setup to properly deal with those fields. The HISP got a new style sheet , whatever that is, and we are in process of testing it.

 

Gale Y. Freeman , MIS Systems Analyst

Samaritan Medical Center MIS Dept 
830 Washington St , Watertown, NY 13601 315-785-5751 , gfre...@shsny.com

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How am I doing ? Feel free to email my manager, Joan Varsics @ jvar...@shsny.com for any suggestions or comments.

 

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From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Tim Richardson
Sent: Friday, August 08, 2014 12:13 PM
To: Paul Goedicke
Cc: medit...@mtusers.com
Subject: Re: [MT-L] Magic 5.66 PP8 Patient Portal info missing

[Freeman, Gale]

sounds like your value mapping isnt right.

 

Gale Y. Freeman , MIS Systems Analyst

Samaritan Medical Center MIS Dept 
830 Washington St , Watertown, NY 13601 315-785-5751 , gfre...@shsny.com

Please consider the environment before printing this e-mail. This message and any attachments may contain information that is protected by law as privileged and confidential, and is transmitted for the sole use of the intended recipient. If you are not the intended recipient, you are hereby notified that any use, dissemination, copying or retention of the e-mail or the information contained herein is strictly prohibited. If you received this e-mail in error, please immediately notify the sender by e-mail and permanently delete this e-mail.

How am I doing ? Feel free to email my manager, Joan Varsics @ jvar...@shsny.com for any suggestions or comments.

 

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From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Paul Goedicke
Sent: Friday, August 08, 2014 11:01 AM
To: medit...@mtusers.com
Subject: [MT-L] Magic 5.66 PP8 Patient Portal info missing

[Freeman, Gale]

In Client server if you print the PHS from within the MRI module , it doesnt go to the HISP. If it has all the information there, but

the HISP isnt showing it all, then your direct messaging needs some work probably on the HISP side.

 

Gale Y. Freeman , MIS Systems Analyst

Samaritan Medical Center MIS Dept 
830 Washington St , Watertown, NY 13601 315-785-5751 , gfre...@shsny.com

Please consider the environment before printing this e-mail. This message and any attachments may contain information that is protected by law as privileged and confidential, and is transmitted for the sole use of the intended recipient. If you are not the intended recipient, you are hereby notified that any use, dissemination, copying or retention of the e-mail or the information contained herein is strictly prohibited. If you received this e-mail in error, please immediately notify the sender by e-mail and permanently delete this e-mail.

How am I doing ? Feel free to email my manager, Joan Varsics @ jvar...@shsny.com for any suggestions or comments.

 

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From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Julie Carlson
Sent: Friday, August 08, 2014 12:45 PM
To: 'Paul Goedicke'; 'medit...@mtusers.com'
Subject: Re: [MT-L] Magic 5.66 PP8 Patient Portal info missing

[Sherman, Allison]

Our HISP rep told us the following in reference to Orion because we’re having problems showing the Care Team even though Meditech is sending it: “Orion is working to update their style sheet to ensure that all the patient demographic fields are incorporated as part of Meaningful Use. However, we may continue to see an issue with the care team information as I believe that is a customized field. I have not yet seen a definitive response from Meditech if they are in fact sending their own style sheet as part of the message. A proper “message” is actually a package of several files, one is the CCD itself, and another is the Style sheet.”

 

Meditech sends the SOAP+xml file, but Orion says that they have seen other vendors that send the “stylesheet” as part of the out message as well.

 

Thank you,

 

Allison Sherman x6800

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[Kevin Dorsey-Tyler]

We are C/S 5.66 PP8 rather than Magic, but I suspect it’s similar.

 

The PHS is internally generated without an interface (and is not mapped to standard nomenclatures).

 

The CCD is what is both transmitted via Direct and is displayed via the portal.  It goes through one of the interfaces (DIR XDR OUT in our case), and mapping is done there.  Direct does not have to be fully configured with a HISP for that, but there are parameters to be set by Meditech to use that interface generator.

Then, to get that generator configured to display the mapped values, there are several steps, mostly in MIS Interface Value Set Mapping:

1.        You need to make sure you have installed the correct Value Sets for those, into the correct Code Set(s).  The CCD uses the CDA Code Set by default.  Make sure you have the Value Sets for Marital Status, Ethnicity, Language, Religious Affiliation, Participation Function (for Care Team).  There are others too, but these are the ones you are referring to.

2.       Then you need to map your dictionaries for Marital Status, Religion, Doc Type (to Participation Function) to those Value Sets/Code Systems.

3.       You need to map your Language and Ethnicity queries to the appropriate Value Sets/Code Systems.

4.       You need to make sure the interface message generator hook points for the interface used (DIR XDR OUT, for us) correspond to the maps you have created.

5.       Now, it should take your internal mnemonics, map them to standardized nomenclatures, and insert them into the right fields in the CCD (and portal).

 

Kevin Dorsey-Tyler, M.D., Ph.D.

Medical Director, Clinical Analytics

Enloe Medical Center

Chico CA 95926

 

 

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[Kevin Dorsey-Tyler]

The full value set is here:

http://www.hl7.org/implement/standards/fhir/v3/ParticipationFunction/index.html

I have not found an importable file, but the items are easy to input manually.

There is no item for "Consulting Physician" as yet!

Kevin.

"does anyone have a value set for this....Participation Function (for Care Team). 

 
Gale Y. Freeman , MIS Systems Analyst
Samaritan Medical Center MIS Dept 
830 Washington St , Watertown, NY 13601 315-785-5751 , gfre...@shsny.com"

This message, including attachments, contains information from Enloe Medical Center that is
considered confidential. The information is intended solely for the use of the addressee(s).
If you are not an addressee, your disclosure, copying, distribution or use of the contents
of this message is prohibited. If this message has been sent to you in error,
please notify the sender by return e-mail and then delete this
entire message. Thank you.

[Freeman, Gale]

does anyone have a value set for this....Participation Function (for Care Team). 

 

Gale Y. Freeman , MIS Systems Analyst

Samaritan Medical Center MIS Dept 
830 Washington St , Watertown, NY 13601 315-785-5751 , gfre...@shsny.com

Please consider the environment before printing this e-mail. This message and any attachments may contain information that is protected by law as privileged and confidential, and is transmitted for the sole use of the intended recipient. If you are not the intended recipient, you are hereby notified that any use, dissemination, copying or retention of the e-mail or the information contained herein is strictly prohibited. If you received this e-mail in error, please immediately notify the sender by e-mail and permanently delete this e-mail.

How am I doing ? Feel free to email my manager, Joan Varsics @ jvar...@shsny.com for any suggestions or comments.

 

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From: Meditech-l [mailto:meditech-...@mtusers.com] On Behalf Of Kevin Dorsey-Tyler
Sent: Tuesday, August 12, 2014 11:54 AM
To: 'medit...@mtusers.com'
Subject: [MT-L] Magic 5.66 PP8 Patient Portal info missing

[Freeman, Gale]

MEDITECH does not send the stylesheet. According to my person at NMI, that is up to the HISP to provide.

 

Gale Y. Freeman , MIS Systems Analyst

Samaritan Medical Center MIS Dept 
830 Washington St , Watertown, NY 13601 315-785-5751 , gfre...@shsny.com

Please consider the environment before printing this e-mail. This message and any attachments may contain information that is protected by law as privileged and confidential, and is transmitted for the sole use of the intended recipient. If you are not the intended recipient, you are hereby notified that any use, dissemination, copying or retention of the e-mail or the information contained herein is strictly prohibited. If you received this e-mail in error, please immediately notify the sender by e-mail and permanently delete this e-mail.

How am I doing ? Feel free to email my manager, Joan Varsics @ jvar...@shsny.com for any suggestions or comments.

 

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From: Sherman, Allison [mailto:AShe...@ehr.org]
Sent: Monday, August 11, 2014 9:27 AM
To: Freeman, Gale; 'Tim Richardson'; Paul Goedicke
Cc: medit...@mtusers.com
Subject: RE: [MT-L] Magic 5.66 PP8 Patient Portal info missing