Release Notes: Enterprise 2022.4.10.0

Overview

The 2022.4.10.0 release from Opala includes the following updates:

• Patient Historical Resource deployed.
• Coverage Hx resource deployed.
• Premera provider directory ETL deployed.
• Updated the UniRoster ETL process to include partOf.
• Deploy Express Scripts interface.
• Advantasure Prior Auth ETL available.
• Provider Directory FHIR repo repositioned.
• Patient Access FHIR repo repositioned.

Developers

Patient Historical Resource Deployed

Opala has ingested the historical patient resource to our main FHIR repository.

Coverage Historical Resource Deployed

Opala has deployed the historical coverage resource to our production environement.

Premera Provider Directory ETL Deployed

Opala has deployed a new Premera provider directory ETL which populates the provider directory FHIR repository.

Updated the UniRoster ETL Process to Include partOf

Opala now ties together NPI-based organizations and Tax ID-based organizations using the partOf Organization attribute in the NPI-based organization. This is done so that providers have both organizations and identifiers available for their downstream workflows.

Note: The tax ID-based organization needs to be created before the NPI-based organization in order to prevent missing some of the links.

Deploy Express Scripts Interface

Opala now ingests bulk data from Express Scripts. Express Scripts hosts a FHIR Bulk API to which we’re connecting using our Data Exchange Importer. The Data Exchange Importer places the FHIR Bulk export request with the ESI API then downloads returned FHIR resources to a staging location in S3. From there a dedicated ESI ETL picks up the downloaded FHIR resources and loads them into Opala's FHIR repository.

The following FHIR resource are available in the Patient Access API:

• Allergyintolerance
• Condition
• Coverage
• ExplanationOfBenefit
• Observation
• Organization
• Patient
• Practitioner

The Data Exchange Importer places bulk data export requests with ESI. The returned, exported resources are then placed in the Data Exchange Staging Bucket for import processing.

The data ingested is limited to members of the Alaska individuals population.

Advantasure Prior Auth ETL Available
Deployed with Four Monthly Files (Reports)

The prior authorization ETL for Advatasure has been deployed with four monthly reports (file uploads). The new ClaimReponse resource has been made available through the Patient Access API; the API’s scopes have been changed to enable external users to access the data.

This is an interm procuess until a daily feed is available.

Resolved Issues

Provider Directory FHIR Repo Repositioned

The Provider Directory API https://provdir.pcinc.io:59101/pcinc/fhir/r4 now points to the newly deployed Provider Directory FHIR Repo. Previously, the Provider Directory was pointing to a repo created from the IRIS instance.

Patient Access FHIR Repo Repositioned

The Patient Access API https://api.opalahealth.io:45000/v1/fhir/r4/ now points to the newly deployed Patient Access API FHIR repo. Previously, the Patient Access API was pointing to a repo created from the IRIS instance. The new repo is refreshed by the ETLs implemented this year.