The report needs to be submitted as a health informatician narrating his/her experience while designing a message employing interoperability standards. Do include all the necessary documentation as part of the message design process. The readers of your report will be the healthcare stakeholders and any future HC EDI learner . Do write the report as though the reader does not have any technical expertise in interoperability and message design and implementation.

This is the scenario:

Joy G. is a 48 year old married mother of 3 active boys, ages 12, 15, and 18. She enjoys attending her sons sporting events and providing Mom - Taxi services for her sons and their friends. She also loves her part time job as a hairdresser at a popular salon. Seven months a go, Joy began noticing stiffness in both hands in the morning that lasted longer and longer. Stiffness now lasted more than 1 hour every morning and included hands, wrists and ankles. She also had increasing difficulty standing for long periods at work or at home due to foot and ankle pain. She began taking ibuprofen 800mg 3 times daily and found it helped her get through her day with less pain and stiffness. Three months ago, Joy noticed pain in her right and left shoulders when she would cut or blow dry her clients hair. She also began feeling extremely tired and short tempered. She had no energy to do her usual activities. Ibuprofen was no longer very effective for her pain or stiffness.One morning, Joy could not lift her arms at all without extreme shoulder pain. She knew it was time to get help. She had been speaking with her friends and they encouraged her to see a doctor. She saw her Primary Care Physician (PCP), who examined her and ran a few preliminary blood tests. The blood tests revealed positive rheumatoid factor, CCP antibodies, elevated ESR and C-reactive protein. Joy was informed of these results and her PCP referred her to a Rheumatologist to be seen as soon as possible.

In order to facilitate a timely consultation, Joy was scheduled with the rheumatology Nurse Practitioner (NP) for her new patient appointment. Upon arrival at the rheumatology office, Joy was asked to provide a complete medical history. At her scheduled appointment time, the Certified Medical Assistant (CMA) escorted Joy into the exam room, where her weight and height were measured and vital signs taken. The CMA reviewed her medications and their dosages with her and documented them in the electronic medical record. The NP introduced herself and proceed ed to take a complete history. She asked about Joys parents and grandparents medical histories, family illnesses, Joys medical and surgical history and information about her family and work lives. A thorough physical examination was conducted, including examination of all of Joys joints, many of which were tender and swollen. Her Rapid 3 Score was 21.8, consistent with severe impairment and significant disease activity. The NP discussed the examination findings with Joy, and reviewed the laboratory tests from her PCP. The NP ordered x-rays of Joys feet, hands and shoulders. Additional laboratories were ordered and drawn by the CMA.

The NP introduced Joy to the Rheumatologist. Together, they discussed with Joy that her most likely diagnosis is Rheumatoid Arthritis (RA). General facts about RA and common treatments were briefly discussed. Joy was prescribed low dose prednisone and corticosteroid injections were administered in each of her shoulders by the NP. Common side effects of the medications and expected responses were discussed with Joy and her questions were answered. She was advised to call the office if she experienced any problems or had questions.

a.Part 1 is a document that should not be more than 4 pages and should contain the rationale of your UML designs and message model with a list of all assumptions (reasonable) and their justification (should be described in separate sections)

i. Attach at least 3 UML models in the appendix for the entire scenario (which includes charts such as class, use -case, interaction, activity, state, but not limited to the said)

ii. Narrate the message design process, after you have chosen one message implementation for any of the message transaction that you have captured in the UML diagrams within the given scenario

iii. Provide a justification why you choose the particular HL7 version for your message implementation.

iv. The message implementation (using HL7 v2.x or v3 ) diagrams/details should be submitted as part of the appendix

v. Provide screen shots on the challenges faced and narrate how you addressed these challenges (screen shots are to be attached in the appendix section)

vi. Appendices are not considered for the page limit specified above)

b.Part 2 should contain an evaluation of any two health informatics standards (this part alone has a word limit -minimum is 2000 word and the maximum is 2250 words) that are used in a hospital information system/health information network, such as LOINC, SNOMED CT, ICD, UMLS, READ CODE.

i.Use appropriate references (APA style only) in the report section (references will not be counted for the page limit)

ii.Use examples to add clarity to your narrative