State of Georgia INTRODUCTION. I. Complete the Necessary GRITS Forms. Export/Install the GRITS SSL Certificate. Install the PHINMS Client Software

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State of Georgia Georgia Registry of Immunization Transactions and Services GRITS PHINMS Client Installation Guide Last Updated: 8/20/2012 INTRODUCTION PHINMS is the Public Health Information Network Messaging System (pronounced FIN-M-S); it was developed by the CDC as a method to provide secure data transmission. In the state of Georgia, PHINMS is used by public and private providers to securely send HL7 (version 2.4) messages to and from the Georgia Registry of Immunization Transactions and Services (GRITS). This document contains instructions for installing the PHINMS Client application and configuring it to communicate with GRITS. The required steps are as follows: I. Complete the Necessary GRITS Forms II. III. IV. Export/Install the GRITS SSL Certificate Install the PHINMS Client Software Import the GRITS SSL Certificate into PHINMS V. Configuring the Test Route VI. VII. Configure Folder Polling Configure GRITS Response File location VIII. PHINMS Testing IX. PHINMS Production Configuration GRITS - PHINMS Client Installation Guide - 20130228.docx 1 of 24

I. COMPLETE THE NECESSARY GRITS FORMS FORM 1 GRITS SOFTWARE USER AGREEMENT: If your provider organization is new to GRITS, a GRITS Software User Agreement must be completed. This form will be used to uniquely identify your organization, the organizations primary point of contact, etc. A GRITS partyid will NOT be created until Software User Agreement has been completed. Please contact Nikki Griffin at njgriffin@dhr.state.ga.us for the GRITS Software User Agreement. FORM 2 BUSINESS ASSOCIATE AGREEMENT (BAA): If your interface is being installed by a third party vendor or anyone outside of your organization, it is required that a Business Associate Agreement (BAA) be signed. The BAA is between the Immunization Registry (which is a HIPAA Covered Entity) and the software vendor or individual that will be exposed to Protected Health Information (PHI). This agreement is necessary to ensure vendor or individual fulfills the responsibilities associated with protecting this very sensitive information. Although testing can proceed without a BAA, you will not be allowed to proceed with production installation until a Business Associate Agreement has been completed. Please contact Nikki Griffin at njgriffin@dhr.state.ga.us for the Business Associated Agreement. THIS CONCLUDES COMPLETE THE NECESSARY GRITS FORMS GRITS - PHINMS Client Installation Guide - 20130228.docx 2 of 24

II. EXPORT THE GRITS SSL CERTIFICATE The following instructions describe the process for obtaining the GRITS SSL certificate using Internet Explorer. Instructions for importing the certificate into the PHINMS client certificate store are also given. If you are not using the PHINMS client software version 2.8.0.1 or higher, follow the export instructions and contact your company technical support team for help with importing the certificate file into your company certificate store. For testing, log into: https://www.gritstest.state.ga.us/ For production, log into: https://www.grits.state.ga.us/ GRITS - PHINMS Client Installation Guide - 20130228.docx 3 of 24

If presented with a Certificate Prompt, select Yes. (This prompt will appear only for first time users.) Double-click on the locked padlock icon on your screen. The location of the padlock will vary depending which browser version is being used. A Certificate window will appear (see below). Certificate window Click on the Details tab at the top of the screen. GRITS - PHINMS Client Installation Guide - 20130228.docx 4 of 24

Details tab Click on the Copy to File button in the lower-right corner of the screen. GRITS - PHINMS Client Installation Guide - 20130228.docx 5 of 24

Click Next > Click the Base-64 encoded X.509 (.CER) radio button, then click Next > GRITS - PHINMS Client Installation Guide - 20130228.docx 6 of 24

Type a file name to contain the exported certificate. (Take note of the path and file name; they will be needed in a later step when importing the certificate.) Click Next > Click Finish. GRITS - PHINMS Client Installation Guide - 20130228.docx 7 of 24

Click OK. Details screen Click OK. IF YOU RUN INTO PROBLEMS EXPORTING THE GRITS SSL CERTIFICATE, PLEASE IMPORT THE FOLLOWING CERTIFICATES IN STEP IV GRITSroot.cer GRITSintermediate.c er THIS CONCLUDES EXPORTING THE SSL CERTIFICATE GRITS - PHINMS Client Installation Guide - 20130228.docx 8 of 24

III. INSTALLING THE PHINMS CLIENT SOFTWARE For the purposes of your installation, the process has been streamlined, however, if you d like to view the information published by the CDC regarding PHINMS please do so via the following link: http://www.cdc.gov/phin/tools/phinms/installation.html. A Java Runtime Environment (JRE) is required for PHINMS. If you don t have Java on your server, please download the 32-bit version at www.java.com. Once you ve confirmed and/or installed Java, please proceed to log into the CDCs FTP server and download the latest version of PHINMS using the following link: ftp://sftp.cdc.gov Login: phinusr <case sensitive> Password: MsSys4U* <case sensitive> From here, select the latest version of the PHINMS Installs (at the time of this document 2.8.0.1 was the latest version, but a newer version may now be available) GRITS - PHINMS Client Installation Guide - 20130228.docx 9 of 24

Proceed to installing PHINMS on your server During the installation process, when prompted for the domain and partyid, please supply the following: IMPORTANT: YOU MUST USE THE PARTYID PROVIDED BY THE GRITS TEAM HERE. USE OF ANY PARTYID OTHER THAN THE ONE SUPPLIED BY GRITS WILL REQUIRE YOU TO UNINSTALL THEN REINSTALL PHINMS USING THE CORRECT PARTY ID. GRITS - PHINMS Client Installation Guide - 20130228.docx 10 of 24

GRITS - PHINMS Client Installation Guide - 20130228.docx 11 of 24

GRITS - PHINMS Client Installation Guide - 20130228.docx 12 of 24

Once the PHINMS console is installed, you will be prompted for userid and password. Please provide the following: User Name: system <case sensitive> Password: Phinms123 <case sensitive> THIS CONCLUDES INSTALLING PHINMS GRITS - PHINMS Client Installation Guide - 20130228.docx 13 of 24

IV. IMPORTING THE GRITS SSL CERTIFICATE Select Tools ->Import Trusted Cert From here, navigate to the location of the GRITS cert imported in the previous step and select Ok. THIS CONCLUDES IMPORTING THE SSL CERTIFICATE INTO PHINMS GRITS - PHINMS Client Installation Guide - 20130228.docx 14 of 24

V. CONFIGURING THE TEST ROUTE Select configure sender routemap add Your routemap must configured EXACTLY as follows: i) For Route Name enter: GRITS_Staging ii) For the To Party ID Enter: GRITS_STG iii) For the Path enter: stg-phinms/receivefile iv) For the Host use the IP address: 167.192.39.40 Once complete, the staging routemap should look like this: THIS CONCLUDES CONFIGURING THE ROUTE IN PHINMS GRITS - PHINMS Client Installation Guide - 20130228.docx 15 of 24

VI. CONFIGURING FOLDER POLLING When folder polling is selected, anytime a new message is placed in the outgoing folder (user defined), PHINMS will send the record to GRITS. Once the record is processed, it is moved from the outgoing folder to the processed folder (user defined). Select configure sender folder polling add Required fields are indicated by the red asterisk * i) The Name should be something that indicates you are connection to your respective environment. In this case we used GRITS_STG_POLL to indicate Polling properties for the GRITS Staging environment ii) Select the staging route from the dropdown list iii) The Service MUST be gritstransfer <case sensitive> iv) The Action MUST be realtime <case sensitive> v) Outgoing folder is the location where the messages you intend to send to GRITS from your production system are stored vi) The Processed Folder is the location where outgoing messages are moved to once they have been processed by PHINMS vii) Acknowledge Folder is the location where acknowledgement records will be sent. For detailed error messages that come from GRITS, please access messages located in : <installation directory>shared/senderincoming GRITS - PHINMS Client Installation Guide - 20130228.docx 16 of 24

viii) Confirm that the Folder Based Polling box is checked in the Sender Configuration menu THIS CONCLUDES CONFIGURING FOLDER POLLING IN PHINMS GRITS - PHINMS Client Installation Guide - 20130228.docx 17 of 24

VII. CONFIGURING GRITS RESPONSE FILES IN PHINMS HSQLDB is the default database and it has default settings. If folder polling is used, and you would like to see the GRITS responses to the HL7 files that are transmited, these defaults need to change. To see GRITS responses, please do the following: Select Sender Transport Queues The following appears: GRITS - PHINMS Client Installation Guide - 20130228.docx 18 of 24

Select the hsqldb default and click Update Then click Queues for this database and the following appears GRITS - PHINMS Client Installation Guide - 20130228.docx 19 of 24

From here, select the transport queue that needs to be updated and select Update GRITS - PHINMS Client Installation Guide - 20130228.docx 20 of 24

The Response To Database checkbox is select by default. UNCHECK the Response To Database checkbox so that responses are returned to a directory on your server. Response files are place in the [installation folder]\shared\senderincoming\ directory THIS CONCLUDES CONFIGURING GRITS RESPONSE FILES IN PHINMS GRITS - PHINMS Client Installation Guide - 20130228.docx 21 of 24

VIII. PHINMS TESTING Once PHINMS has been successfully installed for testing, please ensure the following are accomplished during the testing phase: 1) Confirm that your messages are successfully processed in GRITS. To do this, you ll need to look in your <installation directory>shared/senderincoming directory on your server for GRITS response messages (<installation directory> is the directory where you installed the PHINMS program. By default this is C:/Program Files/PHINMS, however, you may have changed it during installation. 2) Error messages such as a valid eligibility code is required for new immunization or any other errors must be resolved during the testing phase. Messages noted in the response file as Informational should be resolved, however, resolving these errors is not as critical as noninformational error messages. 3) The format of the response files is <partyid>.default.default.<phinms record id>. Where the PHINMS record can be tied directly to the message sent from the host system and can be seen when viewing responses in PHINMS 4) Be sure your system is equipped to notify the user who initiated the request of the error. For example if GRITS rejects the record because the immunization is administered before the patients date of birth, that transaction was never successfully loaded to GRITS and the end user will not know this unless he or she is notified by your system. THIS CONCLUDES PHINMS TESTING GRITS - PHINMS Client Installation Guide - 20130228.docx 22 of 24

IX. PHINMS PRODUCTION CONFIGURATION The PHINMS installation used for Staging (test) can also be used for production. However, for production, a few changes are required. Please note that you will not be permitted to configure/utilize your production route until testing is complete. Configure the Production Routemap: Select configure sender routemap add Your routemap must configured EXACTLY as follows: i) For Route Name enter: GRITS_Production ii) For the To Party ID Enter: GRITS_PRD iii) For the Path enter: prd-phinms/receivefile iv) For the Host use the IP address: 167.192.38.40 Once complete, the staging routemap should look like this: GRITS - PHINMS Client Installation Guide - 20130228.docx 23 of 24

Configure the Production Folder Poll: Select configure sender folder polling add Required fields are indicated by the red asterisk * i) The Name should be something that indicates you are connection to your respective environment. In this case we used GRITS_PRD_POLL to indicate Polling properties for the GRITS Staging environment ii) Select the production route from the dropdown list iii) The Service MUST be gritstransfer <case sensitive> iv) The Action MUST be realtime <case sensitive> v) Outgoing folder is the location where the messages you intend to send to GRITS from your production system are stored vi) The Processed Folder is the location where outgoing messages are moved to once they have been processed by PHINMS vii) Acknowledge Folder is the location where acknowledgement records will be sent. For detailed error messages that come from GRITS, please access messages located in : <installation directory>shared/senderincoming THIS CONCLUDES PHINMS PRODUCTION INSTALLATION GRITS - PHINMS Client Installation Guide - 20130228.docx 24 of 24