CSTE eCR Toolkit

Welcome to the CSTE eCR Toolkit project page! We will be managing timelines, to-dos and files via this page.

6. Technical Implementation

This is a message board for discussion about the Technical Implementation section of the eCR Toolkit.

See the Docs and Files section of Basecamp for associated files.

Comments & Events

Kelley Chester
Good Afternoon Team... I need to cancel our check in call for today.  I will be back in touch before Monday via Basecamp.

Have a great weekend.
Kelley Chester
Good Afternoon WG Members... My apologies for canceling our call last Friday.  For this week, I would like for you guys will to begin volunteering to work on specific areas of the Technical Implementation section of the toolkit.  As a reminder the areas are:
  • Technical Architecture
  • Data Flow Diagram
  • Technical Onboarding
  • Trigger Codes
  • CDA Implementation Guide
  • Project Management
  • Document Validation
Please start uploading existing resources for these topics in the Existing Resources area of the Docs & Files areas.  Also, identify tools that do not currently exist and will need to be created from scratch.  For these, I will need volunteers to head up the creation of the tools.
Crystal Snare
Needs: Gap analysis between eICR, CCD, CDA standards and 'public health case report need', represented by either a case reporting form or NNDSS questionsets. 
Janet - if you're willing to share it - your doc would be a great starting place! 
Kelley Chester
Hi Guys... I think this resource might be relevant to this group.  Please review...

[From Crystal Snare]
MDPH is using ESP and has written up some excellent and very clear case detection descriptions - most of this could be reused outside of ESP.

https://espnet.atlassian.net/wiki/spaces/EP/pages/93585410/ESP+Algorithms 

Great collection of case definition/detection descriptions, including a unique pregnancy detection algorithm that I think could be very useful to use in conjunction with the RCTC triggers for eCR. Pregnancy detection is something we've struggled with, though it's critical to know for investigation of so many notifiable conditions. 
Crystal Snare
Another thought -- we could use an open question thread to vendors. Something like AMA (Random best-of: https://www.reddit.com/r/IAmA/comments/5h7gq8/i_was_goofy_at_walt_disney_world_for_over_20/), but open for a longer period of time and open to more than the DB crowd of vendors. For that reason, perhaps CSTE is a better venue...? 

Questions I'm thinking about: How will EHRs present RR back to clinicians? Will they, or will those be logged and archived, never to be seen again? How about errors - something basic like patient data matching problems or missing lab results? Will those be presented back to the clinician, or will that sit in some queue waiting for IT to one day look at it?
Crystal Snare
Not sure this should go under technical implementation, training, or elsewhere, and I'm not sure if we want to _maintain_ such a list, but I've found it useful to ask what other calls folks are on, to figure out who is doing eCR work and where they're getting their info. 

1) HL7 PH work group, CDA examples group and very rarely structured docs
2) CSTE surveillance + practice + implementation calls and ELR/eCR calls 
3) Rhapsody Public Health webinars (thank you Michelle Barber!)
4) Rhapsody user webinars (usually over my head but good to see what's possible and problems that other folks are working on in health IT) 
5) DB public calls 
6) others... ?  (occasional HIMMS calls, CDC eCR calls, C-CDA scorecard calls, etc.... )