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Data Field Changes Data Field Changes May 12, 2011.

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Presentation on theme: "Data Field Changes Data Field Changes May 12, 2011."— Presentation transcript:

1 Data Field Changes Data Field Changes May 12, 2011

2 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 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

3 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

4 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 HealthQuest MRNCPI Contact Service Number (CSN) Visit number Patient Class Patient Type Patient Type Several Fields Department ID/Unit Location or Resource ID /Unit Service Codes

5 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 MRNHealthQuest CPI 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 HealthQuest Visit Number

6 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 HARHealthQuest Account Number 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 BHC GI-BHC Inpatient: MiChart Department Name MiChart ID Number HQ Unit Location HealthQuest Description UH 4A Surg Acute Care A Sur Acute Care

7 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.

8 ADT-HL7 MiChart to CDR Requirements Attachment 1 Fields going AWAY: ZPID 2 Advance Directive Date In MiChart, not in message. ZPID 3 Advance Directive Flag In MiChart, not in message. ZPID 4 Patient Address Review Date Not in MiChart. ZPID 6 Last forms review date Not in MiChart. ZPID 7 Last full registration date Not in MiChart. ZPID 16 msp review by In MiChart. ZPID 17 temp mailing name Not in MiChart. ZPID 33 smoker flag In MiChart, not in message. ZPID 41 visit number of ipi Not in MiChart ZPID NPP date, response, by, visit number In MiChart except for visit number, in CON segment. ZPID IPI date, response, by, visit number In MiChart except for visit number, in CON segment. ZPID CONSENT date, response, by, visit number In MiChart except for visit number, in CON segment. ZPID 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 Not in MiChart. ZPID 57 Preferred name (centricity & morecare) 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 CodeWill be in Patient FYI Flag field. ZPV3 19 registration date Not in MiChart. NK1 Patient Employment InformationNot Collected in MiChart unless it’s a workers comp case. NK1 10 Employment OccupationNot in MiChart. PV1 20 Financial ClassCan be 3 digits.Not 1 character letter. IN 1 3 Insurance Company IDCan be 9 digits and not 3-character TPC. ZPID 12 Corporate Level User CodeNeed mapping from Tracy? ZPV3 4.7 PCP Address Seq. Nbr.Not in MiChart ZPV3 6.7 Referring Physician Address Seq. Nbr Not in MiChart


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