CSTE National ELR Workgroup

Welcome to the CSTE National ELR Workgroup Basecamp! We hope you will utilize the space to share resources with colleagues, start discussion threads, and identify topics for the workgroup to tackle on future calls. All workgroup members will have the opportunity to join. Please note that you may edit your notification preferences to suit your needs (and your email inbox). If you are not already on the ELR distribution list and would like to receive call communications, please enroll using this subscription form (copy and paste in browser): https://app.smartsheet.com/b/form/5a91a4579952496682084796b82112e6
Michele Clinkscales
Hello Meredith,

I would like to know if we can add the following discussion item to the agenda for the next meeting: “Use of multiple races for a given patient in the HL7 ELR standard”.

We (SD) have noticed that for a given patient’s ELR record, we could have multiple races reported for one ELR. This practice makes it difficult to perform effective EPI analysis on the data. I noticed that the syndromic surveillance HL7 ADT standard only allows for one race to be populated; the ELR standard allows for multiple races. I would like to hear from other jurisdictions how they are handling or plan to handle the multiple race issue, specifically for EPI analysis. In my opinion, the best way to address this issue is to modify the standard so that only one (primary) race is allowed in the ELR standard.

Thanks in advance,
Michele

Michele.clinkscales@state.sd.us<mailto:Michele.clinkscales@state.sd.us>
South Dakota Department of Health
(605)773-2741

Comments & Events

Nancy Barrett, Epi 4/PH Informatics Specialist
Hi Michele, good topic. However, I have to disagree with changing that in the ELR standard, that should be a state decision. The ELR standard should (and does I believe) follow national criteria for race collection set by the US Census and multi-racial identification is important for surveillance and public health follow up. We do multi-race analysis here. That is just my $0.19. I'll be curious what others say.
Michele Clinkscales
Thanks for your comment Nancy. I would very much like to hear how your state handles the multi-race issue for EPI analysis.

Thanks,
Michele