Data Migrations powered by GalenETL
- 1. Data Migrations Powered by GalenETL The webcast will begin shortly...
- 2. Confidential © 2017 Galen Healthcare Solutions You have been automatically muted. Please use the Q&A panel to submit questions during the presentation
- 3. About Us
- 4. Confidential © 2017 Galen Healthcare Solutions Our Vendor Expertise
- 5. Confidential © 2017 Galen Healthcare Solutions Introduction Confidential © 2016 Galen Healthcare Solutions August Borie • Lead Technical Consultant • Epic Bridges Certified • 6+ years in healthcare IT • Deep experience in data migrations across multiple vendors • Co-developer of GalenETL
- 6. Data Migrations Powered by GalenETL 1. What is GalenETL? 2. What Makes GalenETL Unique? 3. Mappings and Translations 4. Document Transformation 5. GalenETL Outputs 6. Vendor Specific Functionality 7. Extractors/Parsers 8. Managing Customizations 9. Auditing 10. Validation Script Generator 11. GalenETL Demo Overview
- 7. Confidential © 2017 Galen Healthcare Solutions What is GalenETL? • Internal tool used to provide data migration services • ETL – Extract, Transform, Load • Components • Database • Plugins o Vendor Specific: Cerner, Epic, Allscripts, Meditech etc. o Agnostic: compatible with any source system o Document Transformation o HL7 o CCD • Job Service • Collective knowledge of entire team GalenETL
- 8. Confidential © 2017 Galen Healthcare Solutions What Makes GalenETL Unique? • Standard data model • Can handle any type of clinical/demographic data • System agnostic • Constantly evolving and improving • Scalable • Consistent output and execution • Audit trail • Don’t need to reinvent the wheel • Tasks are processed linearly GalenETL
- 9. Confidential © 2017 Galen Healthcare Solutions GalenETL Mapping • Completely integrated translations • Mappings stored in GalenETL database • Fully formatted outputs • Do not require additional scrubbing • Customizable • System specific dictionary entries • Standard code sets o ICD-9/ICD-10 o RxNorm o CVX o SNOMED o NDC • Can reduce manual mapping effort Mappings and Translations
- 10. Confidential © 2017 Galen Healthcare Solutions Inputs and Outputs • PDF Generation • TIF • RTF • HTML/XML • JPEG/Bitmap/PNG etc. • TIF Manipulation and Generation • Formatting/compression issues • PDF -> TIF • Microsoft Word • Word -> PDF • Word -> RTF Document Transformation
- 11. Confidential © 2017 Galen Healthcare Solutions Document Transformation: TIF Compression and Colormap • Group4 compression – bitonal images • LZW compression – smaller file size, lossless • JPEG compression – color images • JPEG2000 compression – JP2 file inside TIF • Obscure fixes • Correct PhotometricInterpretation tag • Convert to black/white • Single page or multipage Document Transformation
- 12. Confidential © 2017 Galen Healthcare Solutions Documents/Images • Exported as files on disk • Associated index flat file • PDF, TIF, RTF, TXT etc. • Custom naming convention • Usually single file per document • Can be imported to Document Management System (DMS) • Custom plugins to deal with encryption, compression, proprietary file formats • Add-ons • Page numbers • Headers/footers GalenETL Outputs
- 13. Confidential © 2017 Galen Healthcare Solutions GalenETL Outputs Continuity of Care Document (CCD) • Single document per patient that can be ingested into target EHR • Conforms to Healthcare IT standards • Uses standard code sets – RxNorm, ICD-9, ICD-10, SNOMED, NDC, CVX • Consistent regardless of source data • Flexible architecture • Choose data elements to include • Map only what is necessary • Clinical items available for reconciliation depending on target EHR
- 14. Confidential © 2017 Galen Healthcare Solutions HL7 Messages • Can support any message type/version type • Fully formatted • Does not require integration/interface engine • Translations done on generation • Consistent regardless of source • Customizable • Number of messages per file • Choose which fields are populated • Excellent throughput • Base64 encoded image files GalenETL Outputs
- 15. Confidential © 2017 Galen Healthcare Solutions Galen’s Own - Chart Summary • Single PDF combining all clinical data for patient into concise, readable format • Separate section per data element • Goal: reflection of data as it exists in source system • Minimal mapping required • Typically imported as a scanned image • Can also be exported to disk • Common theme • Customizable • Cover page • Table of contents • Headers/footers • Ordering of data • Consistent regardless of source GalenETL Outputs
- 16. Confidential © 2017 Galen Healthcare Solutions Chart Summary
- 17. Confidential © 2017 Galen Healthcare Solutions Custom Plugins by Vendor
- 18. Confidential © 2017 Galen Healthcare Solutions Cerner • Create data import files per specification • Multiple data types Meditech • Create PDFs and associated import file per specification • Import notes, scanned images, and Chart Summaries Epic • Create HL7 messages for import to Epic • Multiple data types Custom Plugins
- 19. Confidential © 2017 Galen Healthcare Solutions Greenway Prime Suite • Documents • 3 basic document formats: TIF, PDF and Greenway Medication Technologies (GMT) • Stored as compressed binary • GMT notes stored as XML requiring stylesheet • TIF not stored as TIF eClinicalWorks • Progress Notes • Stored as encrypted XML • Associated stylesheet • Output to PDF, HTML, XML Custom Plugins
- 20. Confidential © 2017 Galen Healthcare Solutions eMDs • Lab Results • Stored in QL7 format – like HL7 • Need to parse QL7 and generate PDF results display CPSI • Scanned Images • Stored in proprietary format • Notes/Results • Multiple layers of compression • Eventually plain text • Archived vs. Active data Custom Plugins
- 21. Confidential © 2017 Galen Healthcare Solutions Allscripts TouchWorks • Scanned Image Loader • Scanned Image Extractor • Annotations • Forms Extractor • Discrete Data Loader • Notes, Medications, Results, Allergies etc. • Chart Summary Loader • Patient Matcher Custom Plugins
- 22. Confidential © 2017 Galen Healthcare Solutions External Data -> GalenETL • Plugin to import data into GalenETL from external sources • Generic SQL Extractor • Most common type of extractor • Execute SQL query to extract data from source database • Can be set up to run at various times with a scheduler • Usually limited to single data type per instance of execution (Problems, Medications etc.) • Provides consistency throughout the project Extractors
- 23. Confidential © 2017 Galen Healthcare Solutions External Data -> GalenETL • A parser is a type of extractor • Imports data into GalenETL that is not stored in a database • HL7 Parser • Turns a HL7 message into GalenETL item record • Saves data to GalenETL data model for further manipulation • All HL7 versions • CCD Parser • Reads in XML CCD • Saves all clinical/demographic data to GalenETL • Stores standard coding system values (ICD-9, ICD-10, RxNorm) • Many data types Parsers
- 24. Confidential © 2017 Galen Healthcare Solutions Managing Customizations Safe Customizations • Occasionally customizations are needed • Validation issue • Customer request • Plugin architecture allows safe introduction of customizations at any point in the project • A GalenETL customization: • Does not affect functionality of any other plugin • Drops in without reinstallation or reconfiguration of GalenETL • Does not require regression testing
- 25. Confidential © 2017 Galen Healthcare Solutions Managing Customizations Original Scope Convert TIF documents to PDF and load into MyEHR Changes Week 3 Add support for HTML files. Week 5 Add support for overlaying page numbers and patient demographics on top of PDFs. MyEHR Patient Matcher TIF to PDF Converter MyEHR Document Loader MyEHR Patient Matcher TIF and HTML to PDF Converter MyEHR Document Loader Initial Tests Add HTML Support MyEHR Patient Matcher TIF and HTML to PDF Converter MyEHR Document Loader Overlay Patient Info and Page Number PDF Overlay Renderer Time Plugin A Plugin A Plugin A Plugin B 2.0 Plugin D Plugin C Plugin B 2.0Plugin B Plugin C Plugin C
- 26. Confidential © 2017 Galen Healthcare Solutions Auditing with GalenETL • Every action taken is recorded and stored in the database • Helps answer common testing and post-live questions • What data was loaded/exported for “this” patient? • How long will the data take to load/export for all patients? • Why was data loaded in “this” manner? • Quickly identify errors during load/export of data • Easily provide report to project team for error resolution Audit Trail
- 27. Confidential © 2017 Galen Healthcare Solutions Validation Script Generator Automated Validation Scripts • Plugin creates Microsoft Excel workbooks to assist with validation • 1 workbook per patient containing information about each clinical item • Item name • Clinical date • Ancillary info • Allows users to easily test migrated data • Efficient pass/fail methodology • Easily translate issues to Data Migration Issue Tracker
- 28. Confidential © 2017 Galen Healthcare Solutions GalenETL Demo
- 29. Confidential © 2017 Galen Healthcare Solutions Conclusion
- 30. Confidential © 2016 Galen Healthcare Solutions OUR PHILOSOPHY
- 31. Confidential © 2017 Galen Healthcare Solutions Thank you for joining us today. To access the slides from today’s presentation, please visit: http://wiki.galenhealthcare.com/Category:Webcasts For additional assistance or to request information about our many services and products, please contact us through our website: www.galenhealthcare.com