EHI Export Configuration 1

	Configuration 1
Applicable to	Expanse 2.2 (Acute & Ambulatory) Expanse 2.1 (Acute & Ambulatory) 6.15 (Acute & Ambulatory) 6.08 (Acute only) Client Server (Acute only) MAGIC (Acute only)
Configured for use with	Health Information Management (HIM) Scanning and Archiving with eChart (SCN) Patient and Consumer Health Portal (PHM) *

* not required

Return to EHI Export homepage.

Export Zip Overview

The export zip contains files to help a consumer understand and navigate the folder tree and files contained within.

File	Description
README.txt	Contains a description of the export zip file, including Table of Contents for documents within various sub folders anything not in parentheses corresponds to a folder or file name found after extracting the zip file anything in parentheses is additional descriptive data
EHIEXPORTSCHEMA.txt	Contains Documentation URL (directs to this page) and Product Version
ACCOUNTS_INDEX.html or ACCOUNTS_INDEX.xml	Enables human readability of parts of the export package via a web browser
Table of Contents.ndjson	Contains metadata for every data file in the export zip to aid in machine readability Format is ndjson DocumentReference resources conform to the EHI Export API Implementation Guide (draft). More details below

Note: All MEDITECH product versions contain at a minimum the files listed above. Some product versions may contain extra files inside of a ZCOMMON folder used to aid in human readability.

Product Sections Index

The table below outlines what sections will be included within the export zip file for a given MEDITECH product version.

Product Version	Included Sections
MEDITECH Expanse 2.2	Electronic Chart Structured Clinical Documents FHIR Resource Bundle Ambulatory Results Authorization & Referral Management Reports Financial Reports Immunization History Population Health Utilization Review Historical Ambulatory Data
MEDITECH Expanse 2.1	Electronic Chart Structured Clinical Documents FHIR Resource Bundle Ambulatory Results Authorization & Referral Management Reports Financial Reports Immunization History Population Health Utilization Review Historical Ambulatory Data
MEDITECH 6.15	Electronic Chart Structured Clinical Documents FHIR Resource Bundle Ambulatory Results Authorization & Referral Management Reports Financial Reports Immunization History Utilization Review Historical Ambulatory Data
MEDITECH 6.08 Acute	Electronic Chart Structured Clinical Documents FHIR Resource Bundle Financial Reports Immunization History Ambulatory Order Summary Patient Notices
MEDITECH Client/Server 5.67 Acute	Electronic Chart Structured Clinical Documents FHIR Resource Bundle Financial Reports Provider Messages Implantable Devices Immunizations
MEDITECH MAGIC 5.67 Acute	Electronic Chart Structured Clinical Documents FHIR Resource Bundle Financial Reports Provider Messages Implantable Devices
MEDITECH HCA MAGIC 5.67 Acute	Electronic Chart Structured Clinical Documents FHIR Resource Bundle Provider Messages Implantable Devices

Section Information

Each section exists as a folder or file within the export zip. This table provides details about what is contained within each section.

Section	Details
Electronic Chart	Folder: AANNNNNNNNNN_Patient_Name - the folder name represents the account number concatenated with the patient name. Folder: NNNN_Category - the folder name includes an internal sort value (NNNN) and is concatenated with the category name. It contains folders representing subcategories defined by the organization Folder: NNNN_Subcategory - the folder name includes an internal sort (NNNN) and is concatenated with the subcategory name. It contains one or more files representing one or more documents Within the folders are documents associated with the account within each category/subcategory. File formats may include images (png, jpg, tif, bmp) or pdf files Folder: Record_Documents_Patient_Name - the folder name represents patient level (not account specific) concatenated with the patient name. Folder: NNNN_Category Folder: NNNN_Subcategory Within the folders are documents associated with the account within each category/subcategory. File formats may include images (png, jpg, tif, bmp) or pdf files Folder: Global_Documents_Patient_Name - the folder name indicates global documents (apply across all encounters) and is concatenated with the patient name Folder: NNNN_Category Folder: NNNN_Subcategory Within the folders are documents associated with the account within each category/subcategory. File formats may include images (png, jpg, tif, bmp) or pdf files
Ambulatory Results	Folder: Ambulatory Results Ambulatory (Manual Entry) Results.pdf Contains Ambulatory results entered manually for micro and lab Ambulatory OV Results.pdf Contains Ambulatory results coming from an outside/other vendor for micro and lab
Authorization & Referral Management Reports	Folder: ARMEHI ARMEHI-ArmAuthData.pdf Contains data of all authorizations and referrals for a particular patient ARMEHI-InsEligCopayDeductData.pdf Contains insurance eligibility and deduction data
Financial Reports	Folder: Financial EHI File: FinancialEHI.txt Contains a Patient Accounting report that includes financial transactions for the patient File: ResidentTrustEHI.txt Contains a Resident Trust report that contains financial transaction for the patient (Expanse, 6.1x only) File: CostEstimation.txt Contains cost estimates for the patient (Expanse only)
FHIR Resource Bundle	File: US Core FHIR Resources.json Contains all available FHIR resources for the exported patient leveraging Patient $everything FHIR R4: US Core STU 3.1.1 Implementation Guide More information at fhir.meditech.com
Historical Ambulatory Data	Folder: Historical Ambulatory Data Within the folder are document files or folders associated with the account(s) and/or record named by document title concatenated with a unique record identifier. File formats may include images (png, jpg, tif, bmp), text, or pdf files Contains historical ambulatory documentation migrated from a previous version of the software
Immunization History	Folder: Patient Immunization History File: Patient Immunization History.pdf Contains a list the patient's immunization history
Immunizations	Folder: Immunization Record File: Immunization Record.txt Contains patient immunization data
Implantable Devices	Folder: Implantable Devices Data File: Implantable Devices Data.txt Contains patient medical/implantable devices
Patient Notices	Folder: Patient Notices File: Patient Notices.pdf Contains patient and physician interactive message
Population Health	Folder: Population Health File: Population Health.pdf Contains population health external data (aggregated data received from a vendor)
Provider Messages	Folder: Provider Messages File: Provider Messages.txt Contains patient and physician interactive message
Structured Clinical Documents	Folder: CCDA Contains all structured Consolidated-CDA documents that have been created and possibly sent outside of the organization. The document format will match one of the following releases. C-CDA R2.1: C-CDA Templates for Clinical Notes R2.1 Companion Guide, Release 2 C-CDA R1.1: HL7 Implementation Guide: S&I Framework Transitions of Care Companion Guide to Consolidated-CDA for Meaningful Use Stage 2, Release 1 – US Realm
Utilization Review	Folder: Utilization Review File: Utilization Review.pdf Contains case management utilization reviews

Note: Some folders may contain a CHART.xml file which is leveraged when rendering parts of the chart for human readability.

Table of Contents.ndjson Schema

The ndjson file contains an array of file metadata (FHIR Document Reference resources) for all of the patient data files contained within the export zip file. The pseudo-JSON below explains what each field represents.

{ "resourceType":"DocumentReference", "id": <<Identifier of this DocumentReference>>, "meta": { "id": <<Identifier of this metadata>>, "versionId": <<Identifier of this version>>, "lastUpdated": <<When this was last updated>>, "source": <<Where the resource came from>>, "profile": [ "http://fhir.org/argonaut/ehi-api/StructureDefinition/ehi-document-reference" ], "tag": [ { "code": "ehi-export", "display": "generated as part of an ehi-export request" } ] }, "implicitRules": <<A set of rules under which this content was created>>, "language": <<Language of the resource content>>, "status": "current", "docStatus": <<Status options - preliminary | final | amended | entered-in-error>>, "type": <<CodeableConcept indicating kind of document>>, "subject": { "reference": <<Patient Reference, resource is available in the US Core FHIR Resources.json>> }, "date": <<Date the file was created>>, "description": <<File description>>, "content": [ { "attachment": { "id": <<Identifier of this attachment>>, "contentType": <<File type>>, "url": <<Pathway to the location of the file>>, "size": <<File size>>, "title": <<Title>>, "creation": <<Date the file was created>> } } ], "context": { "id": <<Identifier of this context>>, "encounter": [ { "reference": <<Encounter Reference, resource is available in the US Core FHIR Resources.json>> } ], "period": { "start": <<Beginning of the context period>>, "end": <<End of the context period>> } } }

Configuration 1

Export Zip Overview

File

Description

Note: All MEDITECH product versions contain at a minimum the files listed above. Some product versions may contain extra files inside of a ZCOMMON folder used to aid in human readability.

Product Sections Index

Product Version

Included Sections

Section Information

Section

Details

Electronic Chart

Ambulatory Results

Authorization & Referral

Management Reports

Financial Reports

FHIR Resource Bundle

Historical Ambulatory Data

Immunization History

Immunizations

Implantable Devices

Patient Notices

Population Health

Provider Messages

Structured Clinical Documents

Utilization Review

Note: Some folders may contain a CHART.xml file which is leveraged when rendering parts of the chart for human readability.

Table of Contents.ndjson Schema