Regional Immunization Data Exchange Meaningful Use Checklist
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1 Reginal Immunizatin Data Exchange Purpse: T define the wrkflw f RIDE and RIDE s Staff t Meaningful Use Attestatin and specifically t test prcedure DTR k-3 as defined by the CDC. RIDE Registratin/Testing Steps Prvider/Vendr will cmplete, sign and send in the Meaningful Use Registratin frm (Appendix C) t RIDE staff. If a Vendr is crdinating this fr multiple Prviders, a registratin frm must be cmpleted fr each prvider. Upn registratin, the RIDE Meaningful Use Testing Crdinatr will prvide the mst recent versin f the RIDE HL7 Implementatin Guide dcument via . Test Message Specificatins: (Current specificatins are fixed. As the system is updated ther ptins will be available) Test data frmat: HL7 v2.3.1 r v2.5.1 Data elements t send: All elements indicated in test data. Standard frmat t use: Standard delimiters and line feeds. Transprt layer specificatins: HTTPS POST r SOAP Prvider/Vendr shuld review the sample HL7 messages included in this dcument and sample data fund in NIST Guidelines. Prvider/Vendr shuld cmplete and return the RIDE Technical Checklist (Appendix A) in advance f meeting. If a Vendr is crdinating this fr multiple Prviders, a checklist must be cmpleted fr each prvider. Once the cmpleted Meaningful Use Registratin frm and RIDE Technical Checklist is received, the RIDE Meaningful Use Testing Crdinatr will cntact yu t schedule an INTRODUCTORY MEETING t discuss the testing prcess and requirements. INTRODUCTORY MEETING: Phne cnference t include the Medical Prvider s team, Prvider s EHR vendr and RIDE staff. Review testing prcess, requirements/ RIDE checklist, any required testing ptins/decisins Cnfirm that nly test r dummy data will be used (data with real patient infrmatin cannt be transmitted t the RIDE test envirnment) Test Messages t include at least tw f the test Data Sets frm NIST test prcedure dcument fund at (tw f which are supplied here in Appendix B) RIDE Frm MUCL Page 1 f 6
2 Reginal Immunizatin Data Exchange Schedule date fr TESTING WINDOW (testing windw will be a fur hur windw f time in which test message may be sent t RIDE and tracking f messages will be perfrmed). Define which test message data sets will be sent. Exchange any fllw-up infrmatin r specificatins requested during abve intrductry meeting. TESTING PROCESS: In advance f the agreed upn TESTING WINDOW timeframe, Prvider/Vendr will send an initial test message with test data nly via fr visual review by RIDE technical staff. During the agreed upn TESTING WINDOW timeframe, Prvider/Vendr will attempt t electrnically submit a Meaningful Use test message. RIDE technical staff will mnitr and review the test message t determine whether r nt it was successful accrding t MU Phase 1 requirements. The RIDE Meaningful Use Testing Crdinatr will send the Prvider/Vendr written Meaningful Use testing results (via ed PDF). If the results f testing are unsuccessful, the Prvider/Vendr may request a FOLLOW-UP MEETING, pending available RIDE resurces. RIDE Cntact Infrmatin Meaningful Use Testing Crdinatr Mickey Bartlett San Jaquin Cunty Public Health Services (209) / supprt@izride.cm Technical Cntact Justin Labadie, Applicatins Analyst San Jaquin Cunty Public Health Services (209) / jlabadie@sjcphs.rg RIDE Frm MUCL Page 2 f 6
3 Reginal Immunizatin Data Exchange Appendix A RIDE Technical Checklist Sending applicatin has the ability t send message in HL7 v2.3.1 r v2.5.1 frmat Sending applicatin s message cmplies with ur HL7 Implementatin Guide Verified that n firewall rules are prhibiting cnnectin frm the server that will be transmitting the HL7 message t (HTTP POST) n TCP Prt 443 and that sending applicatins hst perating system has crrect ruting t hst webapp.sjcphs.rg. (Nte: SOAP URL is ) Sending applicatin has the ability t send messages via https prtcl n TCP Prt 443. Sending applicatin has the ability t transmit messages using the HTTP POST r SOAP methd f sending data. Sending applicatin has the ability t send messages cntaining the fllwing POST r SOAP Variables: USERID PASSWORD FACILITYID MESSAGEDATA USERID, PASSWORD, and FACITLITYID can be set in the sending applicatin t the values given by RIDE Staff. Sending applicatin has the ability t accept results as a General Acknwledgment (ACK) withut errrs. The RIDE Meaningful use Test Server is cnfigured within the RIDE test envirnment fr testing nly. Real r live data shuld nt be sent in test messages. Prvider Name/Lcatin Vendr Name Phne, Sftware Name/Versin Name (Printed) Signature RIDE Frm MUCL Page 3 f 6
4 Reginal Immunizatin Data Exchange Appendix B -Data fr test messages Data Set #1 ID Number ID Number Type Family Name/Surname Given Name Medical Recrd Jhnsn Philip Date f Birth May 26, 2007 Administrative Sex/Gender Race Ethnic Grup Patient Address Street Address City State Male White Nt Hispanic r Latin 3345 Elm Street Aurra Clrad Zip Cde Address Type Telecmmunicatin Use Cde Mailing PRN Telephne Number - Hme CVX Cde 33 Vaccine Name Date/Time Start f Vaccine Administratin Administered Amunt 0.5 Administered Units Vaccine Lt Number Manufacturer Name Manufacturer Cde Pneumcccal Plysaccharide Vaccine April 5, :00PM Ml 1039A MERCK MSD RIDE Frm MUCL Page 4 f 6
5 Reginal Immunizatin Data Exchange Data Set #2 ID Number ID Number Type Family Name/Surname Given Name Medical Recrd Takamura Michael Date f Birth Administrative Sex/Gender Race Ethnic Grup Patient Address Street Address City State Male Asian Nt Hispanic r Latin 3567 Maple Street Oakland Califrnia Zip Cde Address Type Telecmmunicatin Use Cde Mailing PRN Telephne Number - Hme CVX Cde 43 Vaccine Name Hepatitis B, Adult Date/Time Start f Vaccine Administratin June 25, 2010 Administered Amunt 999 Administered Units Vaccine Lt Number Manufacturer Name Manufacturer Cde RIDE Frm MUCL Page 5 f 6
6 Reginal Immunizatin Data Exchange Appendix C Request fr Meaningful Use Immunizatin Transmissin Attestatin Reginal Immunizatin Data Exchange (RIDE) Public Health Services f San Jaquin Cunty Fr questins regarding Meaningful Use, cntact Mickey Bartlett at (209) r supprt@izride.cm Cmpleted frm can be send via fax t (209) r t supprt@izride.cm Once cmpleted and signed frm is received, RIDE staff will cntact yu t schedule a planning meeting and prvide the mst recent RIDE Meaningful Use Testing Specificatins dcument. Organizatin: Date: Administrative/MU Cntact Name: Phne: Infrmatin Systems Cntact Name: Phne: Main cntact fr MU activities (if different): Phne: Street Address Mailing Address (if different than street): City: State: Zip: Meaningful Use Attestatin Planned Start Date: Primary Attestatin: Immunizatins Number f Clinics: Number f Patient Visits per year (estimated): Number f Physicians n staff: Electrnic Health Recrd (EHR) system: EHR vendr cntact: Phne: Cmments/Questins: The RIDE Meaningful use Test Server is cnfigured within the RIDE test envirnment fr testing nly. Real r live data shuld nt be sent in test messages. Name (Printed) Signature RIDE Frm MUCL Page 6 f 6
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