INPC

  1. Are the applications which will be contributing data to INPC capable of sending HL7 messages?
  2. Please provide a list of all interfaces we can expect, along with corresponding values of MSH 3,4,5,6 for each interface.
  3. If network connection does not already exist between your facility and Regenstrief, provide contact information for the individual responsible for establishing a VPN connection between your facility and Regenstrief. VPN configuration worksheet will be provided by our Network Admin.
  4. Does your facility share a Medical Record Number pool with any other facility? If so, which facilities? Do all your applications utilize the same MRN pool?
  5. What is the length and format of your facility’s MRN (i.e. 9 characters, alpha-numeric, etc)?
  6. Does each patient receive a unique patient ID that is used each time the patient visits your facility?
  7. Provide a copy of your patient registry files in pipedelimited format from your registration systemfor all patients registered during the last 2 years. Please remove all excluding sample patients, test patients, and convenience named patients from the list.

This data will be used to pre-populate the INPC data store for your facility. At a minimum, we requirepatient name, patient medical record number, date of birth, and social security number (if available); however, all available patient data is preferred.Sample data format is attached (inpc_load_registry.txt) – To be coordinated with go live of ADT interface.

  1. Provide a list of all possible codes for PID-15 primary language, PID-16 marital status, and PID-17 religion.
  1. Confirm that all relationship codes in IN1, NK1, and GT1 segments adhere to the HL7 standard Table 0063 for relationship codes. These codes should be which is mnemonic, and not numeric. Examples of fields where containing relationship codes include, but are not limited to IN1-17, NK1-3, and GT1-11.
  1. If available, provide a copy of all historical lab results completed during the last 2 years. This data will be used to pre-populate the INPC data store for your facility. HL7 format is preferred; however, we can also accept delimited files. If you choose to use a delimited file format, please notify us so we can provide you with a file layout.
  1. Provide a copy of your laboratorysystem’s lab test master file. Sample file attached (Partial Lab Master File Sample.xls). Lab test master fileto include the following information to be used for mapping of the lab results to LOINC:
  2. OBR Code (OBR 4.1)
  3. OBR Text Name (OBR 4.2)
  4. OBX Code (OBX 3.1)
  5. OBX Text Name (Usually this is the test name) (OBX3.2)
  6. Reporting Units (OBX 6)
  7. Normal range (OBX 7)
  8. Sample answers (OBX 5)
  9. If a panel, need to know all the tests that will be reported in the panel; will they be reported as separate OBXcodes or as one OBX code with a glob of information?
  10. For example, if a toxicology panel, what are the drugs being tested? Need to know particular OBX for the drug. Will they be reported quantitatively (number and units) or as positive or negative?
  11. If a 24 hour urine sample, what will be included in the report-collection time, volume, creatinine,etc. besides the actual analyte being tested? Usually, the 24 hour urine tests are reported with various separate OBX codes for each element, like volume, creatinine, etc.
  12. Sample type (typically appear as containers or collection instructions)
  13. Reference Lab Name (if test is sent out)

If possible we would prefer to receive this data in two delimited data files. The 1st file would contain each test code, using the following format. Sample data file is attached (Lab Data Sample.xls).

ID | OBR CODE | OBR TEXT | OBR CODESYSTEM | OBX CODE | OBX TEXT | OBX CODESYSTEM | UNITS | SAMPLE TYPE | REFERENCE LAB NAME

The second file would be linked to the 1st via the ID field. It would contain one record for each possible categorical answer and enough numeric answers to give our mappers the information they need. The format of the 2nd file would be:

ID | ANSWER | UNITS | NORMALRANGE | ABNORMAL FLAG

If ASCII file format is not possible, an access database or excel spreadsheet containing the above mentioned information would also be accepted.

  1. Provide a list of the laboratories you send lab tests out to for processing. Include a list of the lab tests that are sent to each of these facilities.
  2. Provide a list of all Radiology document type codes and associated test names.
  3. Provide contact information for the lab director or other key individual that can respond to questions about the tests performed in your facility’s lab.
  4. Provide static IP addresses (or an IP range) for the devices that will be set up for INPC access in your facility (i.e., printer and PCs). If static IPs are not available, other options can be discussed with our Network Admin.
  5. Provide a list of staff from your facility who will be users of the INPC application. See attached INPC user template that contains the list of identifying attributes we request for each user (2007 09 INPC_UserId_Template.xls)
  6. Provide contact information for the designee at your facilitywho will take possession of INPC user IDs and passwords and distribute them to users. Individual will also be responsible for notifying Regenstrief of any additions / deletions to user pool.