EHI Export Configuration 2

	Configuration 2
Applicable to	MPM 6.08 (Ambulatory only) Client/Server (Acute & Ambulatory) MAGIC (Acute & Ambulatory)
Configured for use with	Medical Records (MRI) Data Repository (DR)

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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
SCHEMA.txt	Contains Documentation URL (directs to this page) and Product Version
JSONTOC.txt	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: the file type is .txt but the contents inside are ndjson.

Product Sections Index

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

Included Sections
Patient Data (CSV) Files
FHIR Resource Bundle
Clinical Reports/Documents
Provider and Patient Messages
Financial Reports
Structured Clinical Documents
External Documents/Images
Point of Contact Scanned Documents

Included Sections

Patient Data (CSV) Files

FHIR Resource Bundle

Clinical Reports/Documents

Provider and Patient Messages

Financial Reports

Structured Clinical Documents

External Documents/Images

Point of Contact Scanned Documents

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
Patient Data (CSV) Files	Folder: AANNNNNNNNNN - The folder name represents the internal patient’s medical record identifier. File: AaAaaAaaa Each file name represents the namespace where the included data was documented. File format is .CSV CSV tables/columns included Client/Server Acute & Ambulatory MAGIC Acute & Ambulatory MPM 6.08 Ambulatory
FHIR Resource Bundle	File: FHIR Resources.json, FHIR Ambulatory 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
Clinical Reports/Documents	The contents in this section will vary by MEDITECH platform. MEDITECH Client/Server Folder: AANNNNNNNNNN_Patient_Name - the folder name represents the account number concatenated with the patient name Folder: Imaging and Phys Doc File: ServiceDate_ReportName~#.<file type> Contains physician documentation and radiology reports/documents File type can be .DOC or .PDF Folder: Pathology File: ReceivedDate_Pathology Report_NN.<file type> Contains Pathology report documents suffixed by the date the specimen was received into the Pathology Department (YYYYMMDD format) and prefixed by an incremental report counter (NN) File type can be .DOC or .PDF Folder: Nursing Image Documentation File: Nursing_Images.pdf Contains Image documentation associated to Nursing Interventions MEDITECH MAGIC Folder: Imaging and Phys Doc File: ServiceDate_ReportName~#.<file type> Contains physician documentation and radiology reports/documents File type will be .TXT File: ServiceDate_ReportName~#_Image#.<file type> Contains images associated with physician documentation and radiology reports/documentation File type will be .PNG Folder: Departmental and Phys Doc File: ServiceDate_ReportName~#.<file type> Contains physician documentation and departmental reports/documents File type will be .TXT File: ServiceDate_ReportName~#_Image#.<file type> Contains images associated with physician documentation and departmental reports/documentation. File type will be .PNG Folder: Radiology Reports File: Date_ExamName~#.<file type> Contains radiology reports/documents Date will display the report's dictation date if available, else the report/addendum date will be used File type will be .TXT Folder: Pathology Contains Pathology report documents and image files suffixed by the date the specimen was received into the Pathology Department (YYYYMMDD format) and prefixed by an incremental report counter (NN). Includes any images from the Pathology Report and an additional Manifest file with additional details about each image. File: ReceivedDate_Pathology Report_NN.txt Contains Pathology report document File: ReceivedDate_Pathology Report_NN-IMAGE#.<file type> Contains Pathology report images File type can be .jpg or .bmp File: ReceivedDate_Pathology Report_NN-MANIFEST.txt Contains the image manifest for all image files from within the Pathology Report MEDITECH MAGIC Ambulatory Folder: AmbDocs Folder: <Document number>-<PBR Database> File: <Document Name> Contains the text from the physician document or nurse note File type is .TXT File: <DocumentName>_ImageN Contains images that were included in the physician document or nurse note File Type is .PNG MEDITECH MPM 6.08 Ambulatory Folder: AANNNNNNNNNN_Patient_Name - the folder name represents the account number concatenated with the patient name. Folder: Imaging and Phys Doc File: ServiceDate_ReportName~#.<file type> Contains the text from the physician document or nurse note File type is .PDF
Provider and Patient Messages	The contents in this section will vary by MEDITECH platform MEDITECH Client/Server File: Provider Messages.pdf Contains Provider to Provider and Provider to Patient messaging MEDITECH MAGIC File: Provider Messages.txt Contains Provider to Provider and Provider to Patient messaging File: Provider Messages_Image#.<file type> Images which were embedded in the Provider and Provider to Patient messaging File type will be .PNG
Financial Reports	File: FinancialEHI.txt Contains a Patient Accounting report that includes financial transactions for the patient
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
External Documents/Images	The contents in this section will vary by MEDITECH platform MEDITECH Client/Server Ambulatory and MPM 6.08 Ambulatory Folder: AmbScans File: <Date.Time>-<document description>-<internal document identifier>-<page number>.<file extension> Contains external documents scanned or imported into the ambulatory setting File formats may include .PDF, .DOCX, .DOC, .TXT, .MTDD, .HTML, .HTM, .RTF, .ODT, .TIF, .TIFF, .PNG, .JPG, .JPEG, .BMP, and .GIF MEDITECH MAGIC Ambulatory Folder: AmbScans File: <Date.Time>-<document description>-<internal document identifier>-<page number>-<PBR database>.<file extension> Contains external documents scanned or imported into the ambulatory setting File formats may include .PDF, .DOCX, .DOC, .TXT, .MTDD, .HTML, .HTM, .RTF, .ODT, .TIF, .TIFF, .PNG, .JPG, .JPEG, .BMP, and .GIF
Point of Contact Scanned Documents	Folder: MPM POC Scans Contains scanned documents

JSONTOC 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 2