ARRA ONC MU Project Issues List

Date Added	Issue/Question	From	Status	Note
12/07/09	How much Interop (HIE) should we include in this prj	JohnW	Resolved	Anything that can easily be included, low risk, in a module that is targeted for a SPRINT. Team decision at the time.
12/07/09	Location of Advanced Directive needs to be promonant	SamB	Resolved	John Wong will propose as solution
12/07/09	John Wong needs SVN access	TonyM	Resolved	Jeremy will provide
12/07/09	Jeremy having difficulty getting Surescripts online	JeremyW	Resolved	Sprint target effected, modified to contact only deliverable
12/07/09	Should we test under Windows	Selvi	Resolved	Yes, but not as a gate on Sprint 1 deliverables
12/14/09	Selvi getting some error copying the trunk into the branch	Selvi	Resolved	Jeremy will check
12/14/09	BPPC Policies, mismatch on need and request	Konda	Resolved	Konda will provide
12/14/09	Lab interface must be HL7	Dianne	Resolved	decided
12/14/09	Should focus on the HL7 requirements – only	TonyM	Resolved	basic lab interface to meet meaningful use
12/14/09	Medication and Drug Decision support may need to be tied, e-prescribing requires a drug list. RxNorm or commercial product. NDC codes contained (Diane)	Nathan	Open	This is related to supporting Meds and Allergies as well. NLM code base could be provided are supported for the free market
12/14/09	Jude Pierre Labcorp interface is still out there	SamB	None	Should we proceed with Intesync?
12/21/09	Create a Review Only catg in SF Tracker for patches	Brady	Resolved	Tony will do that
12/21/09	Concurrent access to records (they are not locked now)	Rod	Resolved	Common logic needed for Add, Update, Get etc.
12/21/09	Vetting against the SVN tip checked against	Rod	Resolved	Give Brady access to SVN
12/21/09	Visolve needs input re Data Integ from SF community	Selvi	None	developers need to respond
12/28/09	Nearly no code or artifacts checked in	TonyM	Resolved
12/28/09	QA test will be against the tip of the SVN source	GSHS	Resolved
12/28/09	Need Docs on WebService Doc of PDQ,e tc	JohnW	Resolved	Dennis with Misys
12/28/09	Audit questions re HIE, user id required	JohnW	Resolved	See wiki and discuss
12/28/09	No new items added from Backlog for Sprint 3	TonyM	None
01/04/10	Access to SureScripts has been poor	Nathan	resolved	put off until April, pending, waiting on beneficiary and formulary
01/04/10	Percentage of completion by project	SamB	resolved	Visolve nearing 100%
01/04/10	No code from PhyAura as yet	SamB	None
01/11/10	Timely time tracking and estimates needed	TonyM	resolved	getting much better
01/11/10	Used stored procedures for the de-identification. Hope this is a acceptable solution	Selvi	ongoing	still researching, go ahead and check it in to refine in
01/18/10	Changes to MU required list, what drops/adds	TonyM	resolved	numerical changes as well
01/18/10	OpenATNA server – MISYS Connect	Toby	resolved	OpenHealth Tools, many issues via visolve, test site
01/18/10	CDA module	JohnW	resolved	meeting with CDA/CCR issue group meeting in progress
01/25/10	E-Claims: Posted need 3rd party verification need (CAQHC)	Paul	resolved	see wiki
01/25/10	Trunk vs Tip delivery model	TonyM	resolved	publish model and sync tip
02/15/10	Security QA issues	paulF	Resolved	emergency access procedure? Not complete yet, how will alerts be handled without email...
02/22/10	DB Schema re CCR	JohnW	resolved	CCR allergies, type codes, no discrete field need to add
03/01/10	Roles/Default in OpenEMR	JohnW	resolved	See Gacl setup, do we need additional roles, perhaps, HIE access is controlled by the HIE
03/01/10	Mary Alice – can she assist in the SureScripts?		resolved	Not really
03/01/10	ATNA embedded -vs- external server	JohnW	Resolved	Can be configure for either
03/01/10	Privacy Policies for Ambulatories MiSYS (Konda)	JohnW	None
04/12/10	Use of CVS and SVN	TonyM	resolved	send CVS tip to Mike
04/12/10	BPPC – research some more	JohnW	resolved
04/19/10	XUL/SAML conference call needed between Visolve/Garden	JohnW	resolved
04/19/10	NIST validator may be of help	JohnW	resolved	John will email a link
04/19/10	CDA validation may need to be required	JohnW	resolved	Need a new patient report front end
04/19/10	Put up site for e-pres and drug formulary	SamB	resolved
04/19/10	Google Health interface, need some help from board members	johnW	Resolved	John will be talking to a previous interface developer
04/19/10	X12 Version 5010 Transaction Standards	TonyM	future
04/19/10	ICD-10 Support	TonyM	future
04/19/10	What about biometrics in e-pres? Is it required yet?	SamB	defer
04/26/10	Garden needs a sample lab test report	JohnW	Resolved
04/26/10	Status of QA of security, resources	Selvi	Resolved	Garden Paul Freeland gone, need resource, certificates, in use and passwords.
04/26/10	SAML – needs to be a third party service	TonyM	future	May postpone until 2013 …
05/17/10	MU 22 – design requirement – Reporting	TonyM	vague	Do the reports require HIPAA de-identification or similar?, qtrly or annual, no good def of content – what's the denominator
05/17/10	When will they add the newest certification body?	JohnW	Resolved	new cert process, certify the certifier.... 6-9 months ---CCHIT is still it for now
05/17/10	MU 22 – design requirement – merge/diff to meds lists	TonyM	future	What is this for and is it really needed, manual process to review them by hand from a printed list
05/24/10	Lab Exchange – testing need more guidance	Selvi	resolved
05/24/10	Discussions with Weno, still holding for a bit	JohnW	closed
06/14/10	Lexicomp connection to DB is it URL	SamB	Resolved	the connection will requires some fee for connection
06/14/10	E-pres connection to DB is it URL	SamB	Resolved	the connection will requires some fee for connection
06/14/10	Do we need to implement an alternative to come up before SureScript? New Corp, Dr First	SamB	Resolved	RxNow, then subsequently Phyaura offers $50/dr and $25.00/mon as a option
06/14/10	What or how does the procedure entry fit into the CPOE now?	TonyM	Resolved	Got Demo at OSCON, I get it now. Sara was watching so documentation is also possible
06/21/10	Goggle is being hauled into court over privacy issues	SamB	Resolved	several options are good...
06/21/10	access to the Lexi-Comp database	Selvi	Resolved
06/21/10	The documents section could use a serious re-vamp	SamB		Jeremy has a plan …
06/21/10	Garden State needs assistance with completing the UI portions of their interoperability pieces. #18, 19, 20, 21, 23.	JohnW	in progress	need a specific requirements doc – John will do this
06/28/10	SMTP – are there any security options built in	JohnW	Resolved
06/28/10	Need to confirm code types are all available	JohnW	in progress	RxNorm, LOINC,ICD9/10, CPTV, CDC/CVS for Immunizations, Route Admin/NCI concept code C38114/HL7)
07/12/10	CCHIT should be named ONC	Thomas	Resolved	Done
07/12/10	Patient Portal still needs some alternative options	SamB	Resolved	Tony will update wiki
07/12/10	ONC will soon release HIPAA rules for PHRs	JohnW	Resolved	They did
07/12/10	Patches are needed for Selvi to merge Drug/Drug + E-Prescribing	Selvi	Resolved	Sam will provide Patch
07/12/10	Dr Brody needs access to servers at Sam's	Brody		still waiting on access
07/12/10	Status of LabCorp interface	SamB	Resolved	Messages are now flowing
07/26/10	Add feature to manually download labs …	SamB	Resolved	missing requirement, will be added by Jeremy
07/26/10	CPOE portion, lab – load the most common lab data sets for the basic metabolic panel	SamB	waiting... Sam has been burried	This is pretty complex on how to maximize the cross referencing by different labs, Sam's office mgr is working
07/26/10	Need to start using Project Laika to test version of EMR	SamB	Resolved	visolve has it installed, verbus will be ready by week end
07/26/10	Which CMS reports should we use PQRI 2009 or 2010?	Thomas	Resolved	44 is the answer, 432 hrs of work expected: Selvi: need to consider 3 (or 6?) core and 3 basic for the individual provider: Thomas \EHR vendors need to do all 44.
07/26/10	Dropped Some items and some others changed, need to updated	Brody	Resolved	Need to update the page.
08/02/10	Testing Procedures link, needs review	TonyM		<A HREF="http://healthcare.nist.gov/use_testing/finalized_requirement">http://healthcare.nist.gov/use_testing/finalized_requirement</A>
08/02/10	CCR/CCD needs based on size/type of practice	SamB	in Progr	Garden had a new spec for CCD level 3, will post the spec on wiki for feedback – backing off on level three – need review of CCD requirements
08/02/10	Provider needs to meet 15 core objectives, what's the minimum vendor requirement	Thomas	Resolved	some are required, some are optional the list is bigger for Vendors
08/16/10	CCR/CCD DB support (discrete data requirements)	JohnW	Resolved	need review this list
08/16/10	CQM – database schema updates needed	JohnW	Resolved	in development, Thomas will post on wiki
08/16/10	What is a RDF File?	TonyM	Resolved	Used to normalize the database for data interchange and the rule set required by field
08/16/10	Page 77 of Final says paper OK on 2011	TonyM	Resolved	There is disagreement here on what is required
08/16/10	Codes will need to be preloaded (SNOMED, etc)	TonyM		Are all the code sets free, how can they be gotten
08/16/10	Google Health interface – needs a volunteer developer	JohnW	Resolved	dependency on CCR CCD
08/16/10	CPOE – standalone module or some other why	SamB	In progr	Tony and Sam will try and do a proof case on using Procedure to become Physician Orders
08/16/10	How many labs do we need to be certified with to pass MU cert	JudeP	Reported	results tracking required, but e-lab not necessarily
08/23/10	What is the effort on CQM?	TonyM	Resolved	All of it
08/23/10	Should we use the HQMF format or code directly	JohnW	Reported	Mbrody will review and provide some opinion, direct coding is all that's needed
08/30/10	Clinic Decision Rules, hung up by Brady	JohnW		Thomas says he thinks its fine and new patches have been submitted, some bug fixed. 8/29 submit, OpenCDS suggested
08/30/10	MMF would like to work on some kind of Portal	Adi/MMF		Will look at google health and see
08/30/10	How many NHIN Direct transactions are “CPOE” ?	JohnW	Deferred	not needed for 2011
09/14/10	NIST Testing: Med Allergies	Visolve	Reported	No Option to enter Reactions
09/14/10	NIST Testing: Problems	Visolve	Reported	No Status Displayed, in table but not available to Problems
09/14/10	Some more testing is needed on security issues	SamB	in progress	Sam will do some testing live in his clinic
09/14/10	Clinic Decision Rules and Patient Reminders now owned by Brady.	Thomas		Sam wants to bring it up to test in house. Back-end servers being configured (dependents for Brady) – Need to get a lock on this
09/14/10	MU #22 display of two lists can be done with no chgs	TonyM	Resolved	Update Wiki
09/14/10	Create a wiki page for all NIST Tests results		Resolved
09/14/10	What is the HL7 msg format for Lab results (in/out)	JohnW		Selvi will check
09/14/10	Patient reminders backend → what is up with the interface to the exchange server, email and voice		in progr
09/14/10	Will the ONC Approvers drive the or watch the test run? And how will that effect the costs?	TonyM
09/20/10	No new issues	TonyM
09/27/10	What is the HL7 msg format for Radiology results (in/out)	JohnW
09/27/10	referrals are HITSP C48? XML	JohnW
09/27/10	No updates from Phyaura or MMF on E-Pres status	TonyM	Resolved	Ready for NIST Testing
10/11/2010	New Items 26/27 added	Selvi	New	Patn Educ (generic NLMS or Medline Plus) and Auto Measure Calc, as per CMS Final Rule and NIST Testing standards
11/15/2010	Relay Health	JohnW	new	may require that they are the only e-pres sol installed...
11/08/2010	CPOE Setup is Beyond Tonys Skill Set	Tony	Resolve	Sam did a lot of work
11/22/2010	EMRTS pulling out of DB development	JohnW	Closed	Fei may continue to contribute