Transcript ADT Interface Progress - University of Michigan

• Data Field Changes
Data Field Changes
May 12, 2011
ADT Interface Progress
• Decision to provide data to downstream partners in the current
HealthQuest format where appropriate
• Met with the 37 downstream applications customers for
confirmation of the current data mapping
• Worked with the HL7 Standards Committee to discuss field changes
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Pathology
Radiology
Pharmacy
CDR
Carelink
• Met with the downstream applications customers to document
application requirements and issues
• Additional meetings to resolve issues, as necessary
• Almost completed initial round of unit testing
Outstanding Work
Work to be completed:
• Completion of unit testing by August 1, 2011
• Completion of category lists (i.e., Field Values)
• Integrated testing
Issues
• Process for transferring HealthQuest Location data to downstream
applications
• MRN SCD (Self Check Digit)
• Physician Address Sequence Number
• Some fields will not be available from the HL7 interface (will be available
using an extract or reporting): Attachment 1
– Smoker’s Flag
• Some fields will not be available at all: Attachment 1
Field Discussion
MiChart has many new field names, most are related to HealthQuest
field names, but the size, format and function may differ greatly. Few
of the key fields discussed below convert directly, between MiChart
and HealthQuest.
Key fields include the following:
Application Name - Michart
MRN
Contact Service Number (CSN)
Patient Class
Patient Type
Department ID/Unit
Service Codes
HealthQuest
CPI
Visit number
Patient Type
Several Fields
Location or Resource ID /Unit
Service Codes
Key Data Fields - MRN - CSN
MRN - CPI
The MiChart application will implement Epic’s recommendation of using the Medical Record Number (MRN) to identify
the patient. The MRN will be assigned in the same manner as the CPI/ MRN are currently assigned in HealthQuest. The
MiChart MRN will replace the CPI as the Patient Identifier. MiChart will use all 9 digits and will start the number at
‘100,000,000’. Patient demographics in HealthQuest will be loaded into MiChart and the CPI numbers will turn into
their MRN number.
MiChart MRN
100000000
HealthQuest CPI
010000000
CSN – Visit +Date or Service (EWS used Appointment number)
The Contact Serial Number (CSN) will be a numerical sequential number that is unique for every encounter,
appointment, visit, or admission for every patient in MiChart. It will replace the ‘cpi+ visit’ as a unique identifier for
patient care. This number will be up to 10 digits long and will start at ‘10000’. We have over 1.5 million appointments a
year and will reach 7 digits within the first year of implementation. Since the CSN is a unique number and is assigned at
the encounter level we will have the highest level of granularity. This will improve our ability to tie back directly to the
patient for any encounter/visit record such as order, result, charge or document. For the most part, the CSN will be
used when submitting Charges.
Downstream applications will receive the CSN in place of the Visit Number
MiChart CSN
1000000000
HealthQuest Visit Number
1000
Key Data Fields – HAR
– Department ID
HAR – Account Number (CPI+ Visit)
The Hospital Account Record (HAR) is a unique number that is assigned based on Hospital Billing Rules. Since the HAR is
a unique number it gives us the flexibility of attaching Multiple CSN’s based on the needs of Hospital Billing. This
method separates Patient Care from Billing while providing us the highest level of granularity. This will increase our
ability to provide the best patient care without compromising our billing. The HAR won’t be used in patient care.
Downstream applications will receive the HAR in place of the Account Number
MiChart HAR
HealthQuest Account Number
100000000
123456789 1000
Department ID – Location (Outpatient)/Unit (Inpatient)
Department ID in MiChart is the HealthQuest Location or the EWS Resource ID. It has been expanded to be more
descriptive of the location and more beneficial for reporting.
Examples:
Outpatient
MiChart Department Name
MiChart ID Number
HealthQuest Location
EWS Resource unit
BHC Gastroenterology
102040304
BHC
GI-BHC
Inpatient:
MiChart Department Name
MiChart ID Number
HQ Unit Location
HealthQuest Description
UH 4A Surg Acute Care
100016101
4A
Sur Acute Care
Key Data Fields - Patient Class –
Patient Type
Patient Class – Patient Type
Patient Class is a billing tool in MiChart. It is used primarily to support billing and suggest the correct HAR
Downstream applications will receive the HealthQuest Patient Type (e.g., I, O , G, E)
Patient Type – Patient Class + VIP+ Destination Program + Confidential + Corporate Level User Codes
Patient Type indicates a special patient characterization, such as Employee or Anonymous. It can also be used to drive
confidentiality. UMHS will also use Patient Type to identify our Destination Program patients.
ADT-HL7 MiChart to CDR Requirements
Attachment 1
Fields going AWAY:
ZPID 2 Advance Directive Date
ZPID 3 Advance Directive Flag
ZPID 4 Patient Address Review Date
ZPID 6 Last forms review date
ZPID 7 Last full registration date
ZPID 16 msp review by
ZPID 17 temp mailing name
ZPID 33 smoker flag
ZPID 41 visit number of ipi
ZPID 34-37 NPP date, response, by, visit
number
In MiChart, not in message.
In MiChart, not in message.
Not in MiChart.
Not in MiChart.
Not in MiChart.
In MiChart.
Not in MiChart.
In MiChart, not in message.
Not in MiChart
In MiChart except for visit number, in CON segment.
ZPID 38-41 IPI date, response, by, visit
number
In MiChart except for visit number, in CON segment.
ZPID 42-45 CONSENT date, response, by,
visit number
In MiChart except for visit number, in CON segment.
ZPID 46-49 MESSAGE date, response,
by, visit number
Not in MiChart.
ZPID 55 Confidential Commun lock field
(centricity & morecare)
Will be in Patient FYI flag field.
ZPID 56 Bad address indicator
ZPID 57 Preferred name (centricity &
morecare)
Not in MiChart.
Preferred name is in primary name. Additionally there are
confidential and temporary names in MiChart.
ZPID 58 Language Verification date
(centricity & morecare)
Not in MiChart. Indicated as a ‘Y’ or ‘N’ in MiChart, not sent in
message? CDR uses the language verified flag not the date.
ZPV3 12 msps answers (morecare) do
they want it?
In MiChart.
ZPV3 8 Risk Code
ZPV3 19 registration date
Will be in Patient FYI Flag field.
Not in MiChart.
NK1 Patient Employment Information
NK1 10 Employment Occupation
Not Collected in MiChart unless it’s a workers comp case.
Not in MiChart.
PV1 20 Financial Class
IN 1 3 Insurance Company ID
ZPID 12 Corporate Level User Code
Can be 3 digits .Not 1 character letter.
Can be 9 digits and not 3-character TPC.
Need mapping from Tracy?
ZPV3 4.7 PCP Address Seq. Nbr.
ZPV3 6.7 Referring Physician Address
Seq. Nbr
Not in MiChart
Not in MiChart