Remote: Iguana Registry Adaptors

This repository contains adapters for connecting to common health services, applications and registries.

Simply add this repository from github https://github.com/interfaceware/iguana-registry-adaptors

If you need help with these or with creating your own adapter, please contact us at support@interfaceware.com.

Athena [top]

Connecting to Athena had been coming up more and more with our customers, so we decided to have a crack at creating a generic Athena adapter.

You will need your own Athena credentials, consumer key (user name) and consumer secret (password) when you want to see real data – the examples comes with credentials for a generic sandbox.

We have several  Athena example channels.

Athena – ADT CSV Writer

This channel shows read reads changed patient data using Athena Health web service adapter, and converts it to CSV format.

Athena adapter

This channel shows an example Athena Health web service adapter, that uses a wrapper for the Athena RESTful web API.

This channel doesn’t actually do very much with the Athena API. You may prefer to start with the Athena ADT Watcher.

Athena ADT Watcher

Watches an Athena instance for new/updated patient records. When it sees one it pushes the patient ID into the queue for the channel, which then triggers the To Translator destination component to save patient information to a database.

Because the sandbox Athena offers does not provide a way to see changed patient records, the example cheats and queries a list of male patients with the last name “Smith”.

You can use this channel as a template for watching Athena, and adapt the processing in the To Translator to match your own requirements. For example, you can send to LLP,  to a web service, or FTP, etc., etc.

Do feel free to reach out if you would like help with this.

California Immunization Reg [top]

One of the Meaningful Use Stage 2 core objectives is the Immunization Registries Data Submission objective. In the majority of regions in California, this involves data exchange with the California Immunization Registry, also known as CAIR.

This first came on our radar when two of our hospital users, Mission Community Hospital in Los Angeles and Marshall Medical Center in El Dorado County, both contacted our support team for help implementing these CAIR interfaces. Within just three days, we had a working solution. Both of these sites were using Paragon as their EMR and are happy to share some of their code.

Before we get to the module itself, here’s a little background on the interface in question. The interface is a SOAP-based web interface that involves security certificates (provided by CAIR). The people at CAIR are a friendly bunch and we were able to get our own security certificates for testing.

The CAIR website (http://cairweb.org) contains the necessary instructions to get started. You will need to register with the California Department of Public Health (CDPH) HIE Gateway. It is important to note that this process applies to all providers within the following regions: Northern Cal, Greater Sac, Bay Area, Central Valley, Central Coast, LA-Orange and Inland Empire.

After you’ve registered with the CDPH HIE Gateway, you will need to enroll with CAIR. You’ll then receive further instructions via email. These instructions will explain how to get a certification and specific instructions for your particular site type.

You’ll also have the option of setting up SOAP UI, which is a very good SOAP troubleshooting tool. This is option if you are using IGUANA since the XML fragment generate by SOAP UI is already incorporated into our translator project. SOAP UI is very useful for debugging soap issues. Iguana is a perfect platform for setting up a production, real-time SOAP interface. The nice thing about using Iguana is that you own the entire interfacing process. It’s transparent at all levels.

An important step is to convert the PFX certificate (received from CAIR) into the PEM certificate format. This is required as IGUANA only understands the PEM format. This is a very easy process. All you need to do is use the OpenSSL utility found here: http://slproweb.com/products/Win32OpenSSL.html. We also had to install the Visuals C++ 2008 Redistributables (found on the same page) to get this to work. The end result is that the PFX certificate is converted into three PEMs. The commands to perform this conversion are in the comments of the project within main.lua.

Please feel free to give it a go and don’t hesitate to contact us with questions. We will get you connected and sending immunization data in no time!

CalREDIE Lab Reporting [top]

One of the Meaningful Use Stage 2 core objectives is the Infectious Disease Laboratory Reporting Data Submission objective. In the majority of regions in California, this involves data exchange  with the California Reportable Disease Information Exchange, also known as CalREDIE.

Before we get to the module itself, here’s a little background on the interface in question. The interface is a SOAP-based web interface that involves security certificates (provided by CalREDIE). The people at CalREDIE are a friendly bunch and we were able to get our own security certificates for testing.

The CalREDIE website (http://www.cdph.ca.gov/data/informatics/tech/Pages/CalREDIEELR.aspx) contains the necessary instructions to get started. You will need to register with the California Department of Public Health (CDPH) HIE Gateway. It is important to note that this process applies to all providers within the following regions: Northern Cal, Greater Sac, Bay Area, Central Valley, Central Coast, LA-Orange and Inland Empire.

After you’ve registered with the CDPH HIE Gateway, you will need to enroll with CalREDIE. You’ll then receive further instructions via email. These instructions will explain how to get a certification and specific instructions for your particular site type.

You’ll also have the option of setting up SOAP UI, which is a very good SOAP troubleshooting tool. This is option if you are using IGUANA since the XML fragment generates by SOAP UI is already incorporated into our translator project. SOAP UI is very useful for debugging soap issues. Iguana is a perfect platform for setting up a production, real-time SOAP interface. The nice thing about using Iguana is that you own the entire interfacing process. It’s transparent at all levels.

An important step is to convert the PFX certificate (received from CalREDIE) into the PEM certificate format. This is required as IGUANA only understands the PEM format. This is a very easy process. All you need to do is use the OpenSSL utility found here: http://slproweb.com/products/Win32OpenSSL.html.  We also had to install the Visuals C++ 2008 Redistributables (found on the same page) to get this to work. The end result is that the PFX certificate is converted into three PEMs. The commands to perform this conversion are in the comments of the project within main.lua.

Please feel free to give it a go and don’t hesitate to contact us with questions. We will get you connected and sending immunization data in no time!

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