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For CCD generation, select one of the following. For Consolidated Clinical Data Architecture (C-CDA) generation, select one or more of the following as applicable.
Category | Option | Value |
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CDA Export | ||
CDA Content Selection Filter | Use to exclude information, such as advanced directives, allergies, lab results, and so on, and related section information from a CDA document. For example, if you exclude resolved allergies, they are not included in the document, but unresolved allergies are. To configure this filter,
If you use both the options CDA Content Selection Filter and Content Generation Filter, then the effects of the filters combine. That is, a category is omitted from CDAs if it is excluded by either filter. Of these two filters, the Content Generation Filter has the advantage of lowering agent overhead, because it limits the information that the agent collects. By contrast, the CDA Content Selection Filter specifies what portion of the collected information is exported. The other difference between these options is that they present slightly different categories of information for filtering.
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Include Prior Names | Include prior last and first name of the patient when generating CDA documents. The default is No.
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CDA Validation | ||
Enable CDA Validation | If this option is enabled, the agent attempts to validate the CDA document.
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On Validation Failure – Cancel Export | If this option is enabled, the agent does not export the CDA if there are validation errors.
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On Validator Error – Cancel Export | If this option is enabled, the agent does not export the CDA if validation could not be performed.
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Cross References | ||
Continue exporting even when no cross reference internal values present | When this option is enabled, the agent continues exporting even if the values of any cross reference items are not present in the database. The default value is No. <add key="Continue_Exporting_When_No_Cross_Reference_Internal_Values_Present" value="No" /> | |
Provider ID Option | Select one of the following options to determine how the Provider ID is handled:
<add key="Provider_ID_Option" value="{[Provider GUID]}" /> | |
Demographics | ||
Gender Export Value | Specifies whether to use birth sex or current gender to fill the administrative gender field. Following are the possible values and their meanings:
The default value is Current Gender. <add key="Gender_Export_Value" value="{[Current Gender]}" /> | |
Dispatcher | ||
Is Dispatcher | If set to Yes, this agent becomes a dispatcher that assigns tasks to workers in a pool. The use of multiple workers can improve export speed in some cases.
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Worker Pool | If Is Dispatcher is Yes, then you can use this option to select which workers are assigned to this dispatcher. If you remove a worker from the worker pool, then you must also delete the worker agent. Otherwise, an error is displayed when you try to apply agent option changes.
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Events | ||
Locked Encounter – Queue Records | If this agent does not use the Locked Encounters Monitor process, set the value to Yes.
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Locked Encounter Monitor Service - Queue Records | If this agent uses the Locked Encounters Monitor process, set the value to Yes.
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Export | ||
Allow export of duplicates CCDs | Set the value to Yes to export duplicate CCDs.
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Automatically Include Sensitive Encounter Information | When the value is set to Yes, the agent includes data whether the data is from sensitive encounters. When the value is set to No, the system uses the Use Portal Sensitive Encounter Indicator agent option to determine which sensitive encounters to export. The default value of Automatically Include Sensitive Encounter Information is No. This option does not affect exports from the Data Share module, the Medical Summary Utility, or the Referral Orders template in NextGen® Enterprise EHR. The system prevents you from setting the Automatically Include Sensitive Encounter Information option and the Use Portal Sensitive Encounter Indicator option to Yes at the same time.
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Confidentiality Code Source | This option provides a way to preserve the behavior of the discontinued Read Confidentiality Code From CDA option. Select one of the following values:
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Content Generation Filter | Use to exclude information, such as advanced directives, allergies, lab results, and so on, from a CDA document. For example, if you exclude lab results, the results are not included in the document, but the section is, therefore enabling Consolidated Clinical Data Architecture (C-CDA) validation. However, excluding information can invalidate Meaningful Use requirements. To configure this filter:
For further information, refer to the CDA Content Selection Filter option mentioned earlier.
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Deprecate previous exported CCD | The value is set to Yes to deprecate previously exported CCDs.
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Document Level Confidentiality Code | Specifies the level of confidentiality for the document:
The default value is N.
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Do Not Encode Ampersand | If the value is set to Yes, prevents the & (ampersand) character from being encoded as & when the ampersand is used as part of a code for another character, such as ' (single quote) or " (double quote). The default value is No.
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Do Not Export Locked Encounters With All Zero Time | Some clients have custom processes that create encounters with the time portion of the encounter time stamp set to all zeroes (for example, '2016-08-01 00:00:00.000'). Such encounters should not be exported. When this option is set to Yes, NextGen® Enterprise Rosetta Interface Messenger ignores locked encounters whose time is all zeroes. The record is skipped and the status in the interface queue is set to IGNORED. The following message is issued in the queue comments: "This encounter (Number-XXX) has all-zero time and 'Do Not Export Locked Encounters With All Zero Time' option is set to 'Yes'." The default value for new option is No, so all locked encounters are sent regardless of their time values.
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Enterprises For Export | If needed, select specific enterprises to export data. If none are selected, all are exported.
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Excluded Locked Encounters Created By Users | Optionally, exclude encounters from being exported if they are created by anyone on a selected list of users or applications. Select the button to select the users and applications to exclude.
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Export External Person | Specify whether to prevent export of CCDs that lack an external ID for a person.
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Generate a longitudinal record | The value is set to Yes to generate a longitudinal record.
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Generate New GUID for CDA Document ID Extension | If the value is set to Yes, sets the id root and extension in the C-CDA document to a unique value that does not match the XDSDocumentEntry.uniqueID value in the SOAP envelope. If the value is set to No, sets the id root and extension in the C-CDA document so they match the XDSDocumentEntry.uniqueID value in the SOAP envelope. In this case, the XDSDocumentEntry.uniqueID value is compounded of the id root value, followed by a carat (^), followed by the extension value.
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Include email in CCD Documents | This option can include or exclude a provider’s email in the Author section of a CCD. The default value is Yes to include the email.
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Include Inactive Provider | Include information for providers who are inactive.
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Include Legacy Template Ids | Specifies whether to include legacy template IDs in addition to the current template IDs. The default is No.
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Include Provenance At | Specifies the level at which provenance should be included in the document:
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Legal Authenticator - Designated User Id | Specifies the user ID of the legal authenticator to be used when the Legal Authenticator Selection agent option is set to Designated User Id. If another Legal Authenticator Selection value is selected, this option is ignored.
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Legal Authenticator Selection | Specifies which user should be listed as the legal authenticator in an exported C-CDA.
The default value is Intrf_queue User.
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Location For Sensitive Data Warning | Specifies when to include the sensitive warning message in the document. Select one of the following:
The default value is SectionLevel. The sensitive warning message is specified by the Sensitive Warning Message agent option.
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Locations For Export | If needed, select specific locations to export data. If none are selected, all are exported.
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Maximum Export Records Per Cycle | The value is set to 100. Setting a lower value can cause a performance degradation when exporting longitudinal CCDs. If you want to limit the number of items in each exported file, use the Transport option Number of Items Per File instead.
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Maximum Previous Addresses For Export | The maximum number of previous addresses to include for each export. If there are more previous addresses than the maximum, then the oldest addresses are omitted. The default is 9999 . If the value is 0 , then no previous addresses are included.
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Only Send Updated Reports on Data Changes | The value is set to Yes, if you want to export the document only when data, such as diagnostics or staging information, are updated. The default value is No.
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Practices For Export | If needed, select specific practices to export data. If none are selected, all are exported.
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Select Confidentiality Code Option | Select one of the following:
You can change the list of available values for this option by editing the XDS Confidentiality master list in File Maintenance.
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Sensitive Warning Message | Specifies the warning message to be added to the document when sensitive information is excluded. The default value is 'As per patient privacy policy, some of the clinical information may not be visible'. You can enter a string of any text. The Location For Sensitive Data Warning agent option specifies where and when this message is included in documents.
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Tobacco Procedures | Use this option to specify tobacco procedures. Values of this option are from the 2016 Tobacco measure.
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Use Portal Sensitive Encounter Indicator | Works together with the Automatically Include Sensitive Encounter Information option to specify which types of sensitive encounters are suppressed.
When Automatically Include Sensitive Encounter Information is set toNo the Use Portal Sensitive Encounter Indicator values have the following effects:
When Automatically Include Sensitive Encounter Information is Yes, the Use Portal Sensitive Encounter Indicator option has no effect. All sensitive data is exported. The default value of Use Portal Sensitive Encounter Indicator is No. The system prevents you from setting the Use Portal Sensitive Encounter Indicator and Automatically Include Sensitive Encounter Information options to Yes at the same time. These options do not affect exports from the Data Share module, the Medical Summary Utility, or the Referral Orders template in NextGen® Enterprise EHR.
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Send Billable Encounter | You can use the Send Billable Encounter to include or exclude encounters in the generated CCD/PHR based on the billable indicator.
The default value is Yes.
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Send Clinical Encounter | You can use the Send Clinical Encounter to include or exclude encounters in the generated CCD/PHR based on the clinical indicator.
The default value is Ignore.
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General | ||
Care Plan Document Type | The specific type of Care Plan document that is exported. The default is 18776-5, Plan of Care Note. This option has effect only when the option is set to Care Plan.
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Default C-CDA R2.1 Template | Specifies the default template to use when creating R2.1 documents. The available values are CCD, Care Plan, Referral Note, and History and Physical. The default value is CCD. This option has effect only if the option is set to C-CDA R2.1.
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Enable Agent Activity Serialization | Specify whether the agent should serialize and store all agent activities to the intrf_queue database table. A setting of Yes saves agent activity to conveniently run reports. However, a setting of No causes the agent to run faster. The default selection is Yes.
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External System Name | Select the name of the external system that NextGen® Enterprise Rosetta Interface Messenger exchanges data with.
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External System To Xref Codes In Code Tables | Select the external system used to cross reference codes in Code Tables. The value must be CCDAR21 if the option is C-CDA R2.1. The default is CCDAR21. During agent upgrades to 5.9 from earlier releases, the value is changed to CCDAR21.
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External System To Xref Codes In Mstr Lists | Select the external system used to cross reference codes in Master Lists. The value must be CCDAR21 if the option is C-CDA R2.1. The default is CCDAR21. During agent upgrades to 5.9 from earlier releases, the value is changed to CCDAR21.
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Format | Select one of the following:
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Interface User ID | Select the NextGen User ID for the interface.
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NextGen Practice Identifier | Select the Practice ID (typically 0001) .
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Referral Document Type | The specific type of Referral Note document to export. The default is 57133-1, Referral Note. This option has effect only when the option is set to Referral Note.
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Workflow Notification | ||
Backup Users To Notify | Selects one or more users who receive the notification when the Notify Ordering Provider option is set to No. The list of available users includes all the users defined in System Administrator, regardless of the enterprise or practice they belong to. By default, no users are selected. Prior to 5.9.4, the option name is slightly different (the word User is singular rather than plural), and the option only enabled a single backup user to be selected. After an upgrade, Backup Users To Notify inherits the user that is specified by Backup User To Notify, if any.
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Notify Order Creator | The value is set to No.
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Notify Ordering Provider | The value is set to Yes.
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Notify Workflow Group | The value is set to Yes to send notifications to a group.
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Treat Blank Result Flag as Normal Task Priority | The value is set to Yes to create a Normal Task Priority when the Result Flag is not provided.
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Use Simple Workflow Notification | The value is set to No.
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Workflow Subject | Enter the subject for the task created by this agent. If the value is left blank, the agent exports the default value.
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Workflow Task Category | Select the category name where the notification is sent.
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Include SDOH Patient Information | Selects the corresponding SDOH data to display in the C-CDA document. The default value is set to Yes. |