Hi All,

For those who have been receiving files interpartner from other states, how have you been handling the influx of new CLIAs? Has anyone instituted an aggregated 'CLIA' such that everything from a specific state comes in with the same MSH-4? Or has the practice been to configure each new lab contained in a partnering state's dictionary?

Thanks all!!

Garrett

It would be an OBX segment - most liky as a string.
Guidance on how to send this information is here:
https://confluence.hl7.org/display/OO/Proposed+HHS+ELR+Submission+Guidance+using+HL7+v2+Messages#ProposedHHSELRSubmissionGuidanceusingHL7v2Messages-Reportingvariants(ofconcern)

Riki

Hi all, potentially of interest: https://www.cms.gov/files/document/clia-sars-cov-2-variant.pdf
Frequently Asked Question (1) related to recent CMS announcement regarding enforcement discretion under a CLIA for SARS-CoV-2 genetic variant testing.

Here is the latest guidance document draft
Riki

WA State has just started to look at how we could receive these results via HL7 and get them into our Surv System...

Sincerely,

Chris Baumgartner
Senior Data Exchange Manager
Office of Public Health Outbreak Coordination, Informatics, and Surveillance (PHOCIS)
Division of Disease Control and Health Statistics
Washington State Department of Health
chris.baumgartner@doh.wa.gov<mailto:chris.baumgartner@doh.wa.gov>
206-418-5530 | www.doh.wa.gov<http://www.doh.wa.gov/>
[cid:image001.png@01D70504.3FCF0960]<https://www.doh.wa.gov/Newsroom/SocialMedia>

P.S. I sometimes work flexible hours, so while it suits me to email now, I don't expect a response or action outside of your own working hours.

"This e-mail message, including any attachments, is for the sole use of the intended recipient(s) and may contain confidential or privileged information. Any unauthorized review, use, disclosure or distribution is prohibited. If you are not the intended recipient, please contact the sender by reply e-mail and destroy the message."

The suggestion is to truncate at 19 characters and add # to make it 20 - if that is your length restriction and then ask that the full length device ID be sent in an NTE.
If folks are using the Flatfile HL7 Generator, that NTE will be after the OBR.

Riki

I'm curious how Walgreens is reporting in other states? Right now in Washington we've got one location reporting for 3, and they want to add on more locations. Is there no national effort for Walgreens reporting?

Don't know if you trust this source, but...
http://www.medyellow.com/m/clia-labs/28536
Connecticut : CLIA Lab
MILFORD HOSPITAL
C/o D Frankel-gramelis 300 Seaside Ave
Milford, CT 06460
Phone : 203-876-4003
CLIA Lab Number : 07D0986637
Laboratory Type : HEALTH FAIR

I understand LOI interface is between lab and CDC. So their electronic data gets reported directly to HHS at CDC or whatever the platform CDC is designated, differently from our PH reporting ELR data.                            I remembered there was a talk in one of HL7 workgroup tried to reconcile the specification of LOI interface and ELR interface (ORU_R01, which is the message type and event type for ELR interface) in the past, but not sure if there was any progress made…. 
To me, the data elements listed below (copied/pasted ) are asked for the LOI interface (Lab Order Interface) which is slightly different from our PH Reporting ELR interface. It has its own HL7 2.5.1 specification document which is similar but not exactly same as the HL7 2.5.1 PH ELR reporting specification.  I think in a way, it will be related and affected later to our ELR interface.

 

Besides, required Data Elements for lab tests that were listed on that guidance are already included in our ELR data elements except for Device Identifier (?) in LOI.

Oops, sorry, my mistake. I clicked enter to get a line break and kept uploaded incomplete comments. Promised to be careful...   It is so glad to hear you are working on a HHS guidance profile component that can be added to LRI/ELR requirements or any other specification. LA County was curious if there  is the plan regarding the new HHS reporting requirement from CARES act to ELR implementation specification for Public Health Reporting as the HHS guidance mentioned about Lab Order Interface, but not clearly about ELR interface although mentioned about PH reporting. Do you have any time line that the ELR HL7 2.5.1 Public Health Reporting specification might be updated reflecting all additional components described in HHS guideline?      
 
Copied/Pasted from the HHS announcement:
The following data fields are specific to SARS-CoV-2 and considered “ask on order entry” (AOE) questions for traditional Electronic Health Records or Laboratory Information Management Systems. These elements should be collected and be conformant with the HL7 Version 2.5.1 Lab Order Interface Implementation Guide and associated standards, and comprehensive of the above data fields. 

1. First test (Y/N/U) 

2. Employed in healthcare? Y/N/U 

3. Symptomatic as defined by CDC? Y/N/U; if yes, then Date of Symptom Onset mm/dd/yy 

4. Hospitalized? Y/N/U 

5. ICU? Y/N/U 

6. Resident in a congregate care setting (including nursing homes, residential care for people with intellectual and developmental disabilities, psychiatric treatment facilities, group homes, board and care homes, homeless shelter, foster care or other setting): (Y/N/U) 

7. Pregnant? Y/N/U 

 Does anyone want to share how your jurisdiction is hanlding this?

It is so glad to hear you are working on a HHS guidance profile component that can be added to LRI/ELR requirements or any other specification.What is the plan regarding the new HHS reporting regs from CARES act. Are you going to update this spreadsheet and incorporate those fields?