Clinical Exchange Document Interface Webcast

•

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This webcast introduces AE-EHR Clinical Exchange Document (CED) capabilities as well as an approach to exchange an unsolicited CED within the ConnectR interface engine.

Technology

ConnectR Interface
Webcast Series
Clinical Exchange Document

March 2011

Welcome
• What is a Clinical Exchange Document (CED)?
• Continuity of Care Document (CCD)
• Web Services
• Database Components
• ConnectR Superset Source
• ConnectR Interface Mapping & Script
• Output & Formatting
• Q&A – Chat and Live

March 2011

Clinical Exchange Document

• Generally accepted format of patient data that is used to share
information between systems.
• CCR (Continuity of Care Record) and Medical Summary (a CDA)
are the two CED formats that are supported in V11.
• CED is an Allscripts term to cover all the different formats that
are supported.
• Xml documents - essentially encounter summaries containing
allergies, medications, immunizations, problems, vitals, results.
• These extracts can be printed or saved as an xml document.
• The xml document can be imported into other TouchWorks
systems or other EHR's that support the format.
• http://wiki.galenhealthcare.com/Clinical_Exchange_Document

March 2011

Clinical Exchange Document continued

March 2011

Continuity of Care Document

• CCD was developed as a collaborative effort between ASTM and
HL7, combining the benefits of ASTMs Continuity of Care Record
or CCR and the HL7 Clinical Document Architecture (CDA)
specifications.
• It is intended as an alternate implementation to the one specified
in ASTM ADJE2369 for those institutions or organizations
committed to implementation of the HL7 Clinical Document
Architecture

March 2011

Web Services
• http://www.object-ideas.com/web-services.htm
• http://en.wikipedia.org/wiki/Web_service
• A Web service is a method of communication between two electronic devices
over a network.
• Other systems interact with the Web service in a manner prescribed by its
description using SOAP messages, typically conveyed using HTTP with an XML
serialization in conjunction with other Web-related standards
• SOAP
– Messages are exchanged using the Simple Object Access Protocol (SOAP).
– It is used to construct the request & response message(s), to and from the web
service.
– In essence SOAP is the mechanism to make remote procedure calls.
– SOAP uses structured XML messages between the requestor and the supplier of
a web service.

March 2011

Database Components

• Custom Stored Procedure - FileCEDEvent
– Populate event table with CED events based upon predetermined criteria
– For our example, our criteria was those patients with recent demographic
changes
• Custom SQL Server Job
– Run the FileCEDEvent stored procedure at a certain interval
– We chose to run every 5 minutes

March 2011

ConnectR Superset Outbound Source

http://wiki.galenhealthcare.com/ConnectR_Superset_Source

March 2011

ConnectR VBScript – Executes Web Service Call

March 2011

Output & Formatting
• The output xml will not be
formatted.
• Utilize the following Allscripts-
provided xsl to properly format
the document so that it renders
nicely when opened in IE
• Open in notepad, and prefix the
document with the following:
• <?xml-stylesheet type='text/xsl'
href='http://www.allscripts.com/r
esources/tools/STYLES/ALLSCR
IPTS_CED.XSL'?>

March 2011

Thank you for joining us today, for additional
assistance….
You can contact us through our website at
www.galenhealthcare.com

March 2011

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Clinical Exchange Document Interface Webcast

1. ConnectR Interface Webcast Series Clinical Exchange Document March 2011

2. Welcome • What is a Clinical Exchange Document (CED)? • Continuity of Care Document (CCD) • Web Services • Database Components • ConnectR Superset Source • ConnectR Interface Mapping & Script • Output & Formatting • Q&A – Chat and Live March 2011

3. Clinical Exchange Document • Generally accepted format of patient data that is used to share information between systems. • CCR (Continuity of Care Record) and Medical Summary (a CDA) are the two CED formats that are supported in V11. • CED is an Allscripts term to cover all the different formats that are supported. • Xml documents - essentially encounter summaries containing allergies, medications, immunizations, problems, vitals, results. • These extracts can be printed or saved as an xml document. • The xml document can be imported into other TouchWorks systems or other EHR's that support the format. • http://wiki.galenhealthcare.com/Clinical_Exchange_Document March 2011

4. Clinical Exchange Document continued March 2011

5. Continuity of Care Document • CCD was developed as a collaborative effort between ASTM and HL7, combining the benefits of ASTMs Continuity of Care Record or CCR and the HL7 Clinical Document Architecture (CDA) specifications. • It is intended as an alternate implementation to the one specified in ASTM ADJE2369 for those institutions or organizations committed to implementation of the HL7 Clinical Document Architecture March 2011

6. Web Services • http://www.object-ideas.com/web-services.htm • http://en.wikipedia.org/wiki/Web_service • A Web service is a method of communication between two electronic devices over a network. • Other systems interact with the Web service in a manner prescribed by its description using SOAP messages, typically conveyed using HTTP with an XML serialization in conjunction with other Web-related standards • SOAP – Messages are exchanged using the Simple Object Access Protocol (SOAP). – It is used to construct the request & response message(s), to and from the web service. – In essence SOAP is the mechanism to make remote procedure calls. – SOAP uses structured XML messages between the requestor and the supplier of a web service. March 2011

7. Database Components • Custom Stored Procedure - FileCEDEvent – Populate event table with CED events based upon predetermined criteria – For our example, our criteria was those patients with recent demographic changes • Custom SQL Server Job – Run the FileCEDEvent stored procedure at a certain interval – We chose to run every 5 minutes March 2011

8. ConnectR Superset Outbound Source http://wiki.galenhealthcare.com/ConnectR_Superset_Source March 2011

9. ConnectR Interface Mapping March 2011

10. ConnectR VBScript – Executes Web Service Call March 2011

11. Output & Formatting • The output xml will not be formatted. • Utilize the following Allscripts- provided xsl to properly format the document so that it renders nicely when opened in IE • Open in notepad, and prefix the document with the following: • <?xml-stylesheet type='text/xsl' href='http://www.allscripts.com/r esources/tools/STYLES/ALLSCR IPTS_CED.XSL'?> March 2011

12. Thank you for joining us today, for additional assistance…. You can contact us through our website at www.galenhealthcare.com March 2011

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