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
Tania Bechtel
I would also like to add a topic to the call regarding reporting when multiple laboratories are involved.  We have encountered some situations where a provider in our state orders testing from a laboratory and then that laboratory sends that order to a third laboratory.  When laboratories send testing to a third lab, sometimes the patient address information is not provided by the intermediate laboratory.  Since the ordering facility is then the intermediate lab rather than the original ordering provider, the results are then reported to the state where the intermediate lab is located (or if that state has different reporting laws, the results may not be reported at all).  If the state where the laboratory is located does receive the results, it then falls on that state to follow-up and make sure the results are reported to the original state of origin.  How do other jurisdictions handle reporting via pass through labs?  
Thanks!

Comments & Events

Nancy Barrett, Epi 4/PH Informatics Specialist
Good topic.
Afua Sanders Kim
We are also grappling with the issue of multiple referrals at NYC .  In addition to losing some patient information, we also tend to lose the provider and originating facility data making follow up difficult. The laboratories do not have a place to put the originating facility and pass that information along. Some options include:
1.  Adding an HL7 field to accommodate originating facility (may be costly to reconfigure reporting)
2. Require the originating facility to report the result (may delay reporting)