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Files can be imported (uploaded) directly to the state registry. The options that display depend on your user access level and permissions. The following options are available:
There are different file specifications depending on the billing system.
Once the file is imported by the facility, the state will import it into the registry.
TIP: A scheduler, such as the Microsoft Scheduler, can be used to set up automatic running/processing of files or reports, such as the DTT imports. |
When importing batch vaccinations, the vaccination that ends up in the master record is the one that contains the most information. (For example, the specific vaccine type, administered shot, lot number, combination vaccine, etc.) A procedure is used to score the immunization to determine if the incoming or existing shot is the "winner" for the master record. The score is determined as follows:
Administered shot (historical is null) | 1 |
Specific vaccine type | 2 |
Has a lot number | 3 |
Combination vaccine | 1 |
Total possible score | 7 |
This option (Imports > DTT/HL7 from the menu) allows users to send patient information files that original in the facility's patient management system (or other source that matches the import type requirements). This includes Remote Clinic contraindications and ENCD data. Users need the DTT Imports and the Define Profile permissions.
NOTE: ENCD is used to notify the state when a person under the age of 18 has died. This data can be accepted in order to stop mailings from being sent to deceased children. The ENCD file is loaded through the DTT and run through the normal deduplication logic. All records from this file will be marked with an inactive status of deceased. If a record already exists for the patient, that record is updated. If a record does not exist, a new record is created. |
The following tasks can be performed from the DTT/HL7 Import window:
The maximum import file size is 100 MB.
The DTT will commit 50,000 records to the database at one time, which is about every ten minutes. This varies, however, depending on machine speed and how many columns are in the DTT profile.
A new feature of the application allows new DTT profiles to be created in order to include Patient School and Grade information.
Authorized users can import lead files. Click the Imports > DTT/HL7 link to open the DTT/HL7 Import page. Select the lead profile from the Select Import Profile drop-down list. (To define the data profile, click the Define Data Profile button, enter the required information, and click Evaluate Sample Line. Map the fields to the database fields and click Submit Definitions when finished.) Browse and select the file to import, then click Import. Click View Import Logs to verify the results.
The DTT import process will correctly identify the records with the following common problems from the ACS file:
There are several state-configurable options that can be configured to help with DTT/HL7 imports/uploads.
A state-configurable option is available that may require the following fields to be entered when performing a DTT import: Patient VFC Status, Patient Race, Patient Ethnicity, and Patient Gender (sex).
A state-configurable option can be set to prevent short names from overwriting full names during a batch DTT/HL7 import. For example, if "Chris" is imported, the short name "Chris" does not overwrite the full name "Christopher."
Another state-configurable option can be set to prevent incoming unnamed babies (i.e., Baby, Baby Boy, Baby Girl, Newborn Boy, Girl, FC1, FC2, FC3, MC1, MC2, MC3) to overwrite demographic information. This option operates as though the user selected the Do Not Overwrite Demographic Information flag when importing via the DTT. For more information, see the Update Settings section of the HL7 Uploads Settings topic.
The vaccination deduplication logic merges and treats the vaccination date as the same date if the dates are within the number of dates set (via a state-configurable administrative property - see the Administration Settings topic for more information). The current logic for checking if vaccinations are on the same day continues to check only against the current date for that direct data entry. This new logic applies to deduplication of batch loads and any scenario where vaccinations are re-linked.
If the Allow Imports to Decrement IRMS Inventory option is enabled for the facility (see Search/Add/Edit Facilities), IRMS-associated lots are able to be decremented by immunizations given at facilities, especially for RPMS sites using the HL7 Realtime data upload.
If inventory is imported into HL7 or DTT with this decrement option selected, the logic will first look at the facility for available inventory and, if no inventory exists, the inventory will be decremented at the IRMS level.
If no inventory exists for either the facility or the IRMS, the import line will show an error with the existing message that the inventory cannot be decremented.
If the facility does not have the Allow Imports to Decrement IRMS Inventory option is not selected (disabled), the existing functionality will apply. The facility must have inventory or else the line will show an error.
The DTT field names beginning with "Lot Import" are used to import the actual inventory information. This functionality was added during H1N1 to allow the registry to interface with external inventory systems used to track the SNS inventory. More than likely, this is not currently used by any state because inventory is added through the ordering system. However, this functionality could be used to import inventory from a particular provider from an Excel file or text file. A potential use for this would be to quickly populate the initial inventory for a new provider. Refer to the DTT Specification Guide for more information.
Lot Number and Manufacturer Code reference the details of the dose used for a specific administered shot.
To load the Fishbowl file into the DTT, follow these steps:
Log in as a Registry Client user. If necessary, select the Organization (IRMS) and Facility.
Click Facilities > Search/Add on the menu. Search for the facility and click on the arrow next to the facility's name on the list.
On the Facility Maintenance (Detail) page for that facility, click Edit.
Enter a value in the External Facility Inventory ID field to map the Fishbowl facilities to the IRMS/facilities in IWeb and click Save. The External Facility Inventory ID must be unique across all facilities, or the "This External Facility Inventory ID is already in use by <IRMS/Facility>" error message will appear if a duplicate is found.
The DTT Import option now allows users to run a lot number file when an IRMS is not selected. However, all other file types will still require an IRMS.
The following fields have been added to the DTT Profile Creator:
Field | Description |
Lot Import Facility ID |
Enter the unique ID that matches the ID defined on the Facility page. This field is required. |
Lot Import Manufacturer Code |
Enter the manufacturer code. This field is required. |
Lot Import Lot Number |
Enter the lot number. This field is required. |
Lot Import Expiration Date |
Enter the expiration date. This field is required. |
Lot Import Publicly Supplied |
Select whether or not the lot is supplied publicly. Set to N if this information is not sent. |
Lot Import Dose Count |
Enter the dose count. This field is required. |
Lot Import
CPT Code |
Enter at least one of these: CPT code, CVX code, and/or vaccine code. |
Lot Import Action Code |
Enter the mapping for valid action codes in the system. This field is required. This can also be set as a default value for the entire file (existing functionality). |
Lot Import Update Type |
Select the update type:
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The DTT Import detects and processes the Lot Import file type. The Lot Import file must not include other values (e.g., vaccination, patient information, etc.). If a Lot Import field is sent with non-Lot Import fields, the file will display an error indicating that the Lot Number information must be imported in a separate file.
If the Lot Import file is in the correct format, the fields are validated and the Lot Number Log is populated.
This option (Imports > HL7 Realtime from the menu) allows authorized users to upload patient information via HL7 in "realtime" (as it happens).
This option is used to import the Vaccine Order History file.
Information about temperature can be uploaded into the application for tracking purposes. This link is not available in versions of IWeb where SSO and the stand-alone VOMS application are enabled.
The Upload Temperature Data option must be set in order to be able to upload the data. To set this option for an Organization (IRMS):
To disable the option, follow the above instructions to return to the page, select the option remove the checkmark from the checkbox, and click Save.
To set the temperature monitoring settings and data profile information, follow these steps:
Assuming you are already logged in, follow these steps to import the file:
To verify the file was successfully uploaded and imported, follow these steps: