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Met with Altarum on September 25 and re-ran all of the test data that had failed validation in their tool previously: the demonstration showed the four test files to pass. Then, I sent a file that they did not have beforehand (that I purposely saved for this occasion) and that file failed basic validation; of note is that this same file passes the CDC validator. Altarum is to investigate and get back to us again--my subsequent analysis determined that the underlying schema for the Cancer Report format is "CDA R2.0", which is different than "C-CDA R2.1", and it appears that the validator used by Altarum is checking to the C-CDA schema; I asked them to get additional test data to run before the next demonstration. I also asked them to get additional test data to run before the next demonstration.  

October 15:

From: Laura Rappleye
Sent: Monday, October 15, 2018 11:51 AM
To: 'Chaput, Daniel (OS/ONC)' <Daniel.Chaput@hhs.gov>; Snyder, John (OS/ONC) <John.Snyder2@hhs.gov>; Timothy DeMint <Timothy.DeMint@altarum.org>
Cc: Davis, Seon (OS/ONC) <Seon.Davis@hhs.gov>; Rick Duncan <Rick.Duncan@altarum.org>; Wu, Lauren (OS/ONC) <Lauren.Wu@hhs.gov>; Marshall, Carmelita (OS/ONC) <Carmelita.Marshall@hhs.gov>; Janzen, Glenn (OS/ONC) <Glenn.Janzen@hhs.gov>; Troy Abrahams <Troy.Abrahams@altarum.org>
Subject: RE: Altarum Alternate Test Method - (f)(4) Cancer Testing Demo

We have separated out the Michigan specific requirements. The validation tool we are proposing to use for an alternative testing method follows the implementation guides stated in the final rule.

We also are proposing to have the alternative testing method in Altarum’s secure network or Amazon cloud. We would not use the Validator at the MiHIN.

Dec 7, 2018:

Reviewed additional documentation from Altarum; requested Altarum 1) submit a draft Test Procedure, 2) provide the location of the Altarum validator and an outline of the plans to operationalize if this differs from the current MIHIN approach.

Criteria

170.315 (f)(4) - Transmission to cancer registries

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5/1/18 - Altarum Completed Worksheet

Communications

11/20/18 Altarum Alternative Testing Method Next Step (email)

6/1/18 eCR Traceability Document Submission & Acknowledgment (email)

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