CSTE AR/ELR Workgroup

Scott Troppy, Surveillance Epidemiologist at MA DPH Home of our workgroup documents -- — Not sure if you all knew where the documents are stored for our CRE documents…..   It lives in the CSTE publications library: http://www.cste.org/?page=CSTEPublications Link to the Best Practices for Surveillance of Antimicrobial Resistance via Electronic Laboratory Reporting: https://www.cste2.... 1
Valerie Haley, NY HL7 needs facility identifier — Hello, I'm from New York State, using our electronically reported lab data to analyze Candida auris cases.  We need to analyze the data by facility, but we can't always identify where the person is at the time of specimen because the HL7 only requires patient billing address and submitting facili... 7
Tom Safranek Nebraska Experience w. automated ELR to track antimicrobial resistance: examples of HL7 2.5.1 culture and susceptibility test, and sample dataset — In 2010 we began to experiment with making antimicrobial susceptibilities reportable on bugs that were on our reportable disease list.  At that time we focused on Strep pneumo, Staph aureus, Acinetobacter, and enterococcus—bugs that were on the CDC’s NHSN  MDRO module.  In 2017 we upgraded our re... 4
Monica Huang, CSTE Link to CRE Case Definition in 2015 CSTE Position Statement — http://c.ymcdn.com/sites/www.cste.org/resource/resmgr/2015PS/2015PSFinal/15-ID-05.pdf
Erin Holt, TDH NEED HELP: ELR Specimen question from HL7 — Hello,    As you know HL7 is currently going through ballot reconciliation for the next release of the Laboratory Reporting Implementation Guide, and specifically the Lab Reporting to Public Health Profile, otherwise known as ELR.    There was a comment included in the ballot regarding specime... 5
Scott Troppy, Surveillance Epidemiologist at MA DPH Link to HL7 Version 2.5.1 Implementation Guide: Orders and Observations; Interoperable Laboratory Result Reporting to EHR (US Realm), Release 1 — URL: http://www.hl7.org/implement/standards/product_brief.cfm?product_id=94 
Scott Troppy, Surveillance Epidemiologist at MA DPH Link to HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1 (US Realm) — URL: http://www.hl7.org/implement/standards/product_brief.cfm?product_id=98  Note: also has a link to the most recent document, R2, STU R1.1 1
Scott Troppy, Surveillance Epidemiologist at MA DPH CRE Case Def from NHSN — https://www.cdc.gov/nhsn/pdfs/pscmanual/12pscmdro_cdadcurrent.pdf    “Any Escherichia coli, Klebsiella oxytoca, Klebsiella pneumoniae, or Enterobacter spp. testing resistant to imipenem, meropenem, doripenem, or ertapenem by standard susceptibility testing methods (i.e., minimum inhibitory concen...
Scott Troppy, Surveillance Epidemiologist at MA DPH Notes from the Field: Pan-Resistant New Delhi Metallo-Beta-Lactamase-Producing Klebsiella pneumoniae — Washoe County, Nevada, 2016 — https://www.cdc.gov/mmwr/volumes/66/wr/mm6601a7.htm?s_cid=mm6601a7_e
Monica Huang, CSTE Article on CRE Diversity — http://reliawire.com/carbapenem-resistant-enterobacteriaceae-diversity/ C. Cerqueira, et al.  Multi-institute analysis of carbapenem resistance reveals remarkable diversity, unexplained mechanisms, and limited clonal outbreaks Full article in PNAS available here:   www.pnas.org/cgi/doi/10.1073/...
Monica Huang, CSTE CRE ELR Pain Points — Please post your jurisdiction's CRE-related ELR pain points here! 4