1. Rhapsody in Public Health (RIPH)
RUG May 12 – 15
Richard Kurzban
Thanks to:
Rob Byers – Idaho
Doug Hamaker - Texas

2. Public Health Surveillance Systems
Lab Corp
Mayo
Hospital
HMO 1
N-MSS
Health Dept.
Immunization Registry
N-MSS
Local Health Dept.
N-MSS
STD*MIS
Immunization Registry
N-MSS N : M S
N-MSS
STD*MIS
NEDSS System
N-MSS
N-MSS
NEDSS System
eHARS N : M S
N-MSS
eHARS
N-MSS
PH Lab Systems
N-MSS
N-MSS
PH Lab Systems
N-MSS
Cancer Registry
N-MSS
Cancer Registry
N-MSS
N-MSS
N-MSS
CDC

3. Rhapsody What is Rhapsody? Some of the uses Rhapsody Applications
Generic and Multiple Routes
Use as message broker
Communications Points Rhapsody supports
Rhapsody Filters
Supported Standard Message Formats
Hardware and Software Requirements
Some of the uses
Labs to surveillance systems
Conversion of data formats
CSV, XML, HL7, Databases
Public Health Laboratory Interoperability Project (PHLIP)
Rhapsody Applications
The Rhapsody Administrator
The Rhapsody Web Monitoring System
Symphonia Toolkit
EDI Message Designer
EDI Explorer
XML Designer
Map Builder
Rhapsody is an integration engine that accepts messages in virtually any format, from a wide range of sources, manages formats and routes the messages to their correct destinations. Rhapsody includes a user-friendly administration interface, a secure remotely accessible monitoring system and a platform independent engine.
Interface view can only be changed if nothing is checked out
Duplicate names are detected during a merge
Note other options in the display tab
Open all folders on startup
Hide all toolbars at startup

4. NEDSS-MSS Architecture
MSS Portal
NBS
National Lab
STD*MIS
State PH Lab
Rhapsody Integration Engine
Fixed
Other
2.3.z
2.3.1
2.5
Vocabulary
Translation
Vocabulary
Validation
Message Subscription
Message Splitter
Registry
JMS Handler
Message Archive
LIMS
State
Surveillance
Systems
The software component of NMS is Message Subscription Service. It consists of Orion Rhapsody and NEDSS Brokering Tool. To serve public health purposes, we need something beyond message mapping. From example, we commonly messages with non-standard codes. We need standard codes to be used to ensure the interoperability between systems, the same messages also needed to be send to multiple destinations. To solve this problem, CDC has developed a set of tools, NBT ,to address these issues. As this picture shows, some NBT components resides in Rhapsody and tightly coupled with Rhapsody. Other component, such as MSS portal, is used to configure and manage the system.
State Surveillance
System
Receiver
Sender
Vocabulary Management UI
(PHINVADS)
NBT Components

5. Laboratory Reporting (Current)
Lab Report on reportable disease generated by automated or manual processes
Lab Report
Local Health Departments
Report is sent to the local health department
Yes No
UDOH calls local health department or lab to get demographic information, then updates NETSS with new information
UDOH
Local Health Departments
Local Health Departments
Report Faxed to UDOH or local health department
Is report complete with demographic info (Name, Address, etc.)
Introduction: The reportable disease interface will replace a manual system whereby occurrences of reportable diseases are reported to the state health department by fax. The required information will be sent to the health department in a real-time HL7 interface. The purpose of this document is to specify the format of the HL7 message and the contents of the segments and fields that make up the message. The information to create the message will be gathered from data in the Electronic Medical Record (EMR) and Electronic Laboratory Record (ELR).
Report manually entered in NETSS
NETSS

6. Laboratory Reporting from ARUP (Proposed)
ARUP generates lab report for a notifiable disease complete with demographic information
Rhapsody
Notification is sent to the local health department
HL7 Lab Report
Local Health Departments
HL7
Web CMR
ARUP submits HL7 message to UDOH which gets parsed and inserted into database
UT-NEDSS
Users access laboratory reports directly from the UT-NEDSS database through web or application interface

7. Clinical Health Information Exchange (cHIE)

8. Rhapsody Functionality
Routes
Console

9. Rhapsody Routes Input Process Output Examples Commpoint Filters
Licensing
Process
Filters
Code Conversion
Transformation
Conditional Connector
Routes the message based on the Property
Output
Examples
Commpoint
Rhapsody connects to external systems and applications using a concept called Communication Points. It uses a variety of Communication Points to pass messages into and out of the Integration Engine. If required, administrators can add custom communication points.
Some of the Communications Points Rhapsody supports:
Internet – TCP Server/Client, FTP, SFTP, HTTP(S), SMTP
Database – Oracle, MS SQL, MS Access, MYSQL, Other
Queues - JMS, IBM MQ, MSMQ
Serial (RS-232) - Wrapped Serial, X/Y Modem, Kermit
Application Interface - RMI, COM, SMS, Command Line, Screen Scraping, Web Services
Public Health Information Network (PHIN) – Message Sender, Worker Queue, Route-Not-Read
Other - Directory, Printer, , Notification, Sink
Emphasis placed on the online help
Help requested for additional how tos and documentation for the help files
Copy and paste notes:
Cross-route links will not be hooked up
Auxiliary files will be copied to the new filter – making a duplicate of the original file, not a link to it.
PDF Generation
In beta because we know there are some small issues. However, still log these issues please
We are after feedback on whether that format is useful, or any improvements people can see.

10. Input / Output
Rhapsody connects to external systems and applications using a concept called Communication Points. It uses a variety of Communication Points to pass messages into and out of the Integration Engine. If required, administrators can add custom communication points.
Some of the Communications Points Rhapsody supports:
Internet – TCP Server/Client, FTP, SFTP, HTTP(S), SMTP
Database – Oracle, MS SQL, MS Access, MYSQL, Other
Queues - JMS, IBM MQ, MSMQ
Serial (RS-232) - Wrapped Serial, X/Y Modem, Kermit
Application Interface - RMI, COM, SMS, Command Line, Screen Scraping, Web Services
Public Health Information Network (PHIN) – Message Sender, Worker Queue, Route-Not-Read
Other - Directory, Printer, , Notification, Sink
Emphasis placed on the online help
Help requested for additional how tos and documentation for the help files

11. Filters
Rhapsody uses the concept of a Filter to perform individual operations on messages within a route. Filters can be connected allowing complex processing logic to be built quickly and intuitively.
Rhapsody Filters include:
Base64 Encoding/Decoding, Character Encoding
Acknowledgement Generation
XSD Validation, XSLT Stylesheet, XML to PDF, XML to RTF, ebXML
JavaScript filter, Execute Command, Search and Replace
Batching/De-batching, ZIP/Unzip
Asymmetric/Symmetric Cryptography, Encrypting/Decrypting
EMPI filters
HIPAA filters, X12 Validation
EDI validation, Code validation, Date Validation
Database lookup, query, and Code Translation
DICOM to XML/XML to DICOM, DICOM JPG Extractor
Emphasis placed on the online help
Help requested for additional how tos and documentation for the help files

14. Texas Route

15. Texas Route

16. Console

17. Message Designer Message Wizard Table Validation
Can be customized by Message

18. Message Designer Message Wizard

19. Message Designer Message Wizard

20. Message Designer Table Validation

21. Symphonia Mapper Automated Drag and Drop
ToDo
Drag and Drop
Code - Exceptions, Special Conditions etc.

22. Conclusion Rhapsody receives ELR’s from Commercial Labs Hospitals PHL
Notifiable ELR’s routed to NBS
Influenza, Foodborne
NND’s (National Notifiable Disease’s) including TB routed to CDC
Do not need a NBS (National Electronic Disease Surveillance System Base System)
STD-MIS, EHARS, NETSS, NEDSS, TIMS, WEB Apps, MESU, Tag Cloud, EPI Gnome,Trisano (Utah national electronic disease surveillance system (UT-NEDSS)), Laboratory Information Management Systems (LIMS), Medical Examiner System of Utah (MESU), new born screening, water quality transfer, real-time outbreak and disease surveillance (RODS)