Nov 19, 2024 -
Dec 03, 2018
Looking for something specific? You can type Ctrl+F (for Windows or Linux) or ⌘-F (on Macs) to find something on this page using your browser’s built-in search.
Do you have any questions you would like addressed on the next ELR workgroup call?
David DiCesare
Has there been any progress with the implementation of centralized ELR reporting from the VA? Haven't heard anything in quite some time.
Thanks
Dave DiCesare
NYS
Thanks
Dave DiCesare
NYS
Laura Lemonds
Hello!
Labcorp is receiving feedback during our 2.5.1 validation that some states cannot accept Local Codes in place of Order LOINCs in OBR 4.1.
We are unable to assign test specific LOINCs for some of our more complex panels or Superpanels. Is there a general LOINC that can be used in these cases that will be accepted by states?
Other recommendations?
Thank you,
Laura Lemonds
Labcorp State Reporting
Labcorp is receiving feedback during our 2.5.1 validation that some states cannot accept Local Codes in place of Order LOINCs in OBR 4.1.
We are unable to assign test specific LOINCs for some of our more complex panels or Superpanels. Is there a general LOINC that can be used in these cases that will be accepted by states?
Other recommendations?
Thank you,
Laura Lemonds
Labcorp State Reporting
Riki Merrick
I would 2 very brief topics:
#1 Reminder to still add your reportable condition coding to this googlesheet: https://docs.google.com/spreadsheets/d/1OR6XXZz08ZZgWtKj4uMbvrlI91lkY6HJoHCmqQh_F9I/edit?gid=2018141041#gid=2018141041
#2 Letting folks know, the Lyme LIVD file has been updated
Thanks,
Riki
#1 Reminder to still add your reportable condition coding to this googlesheet: https://docs.google.com/spreadsheets/d/1OR6XXZz08ZZgWtKj4uMbvrlI91lkY6HJoHCmqQh_F9I/edit?gid=2018141041#gid=2018141041
#2 Letting folks know, the Lyme LIVD file has been updated
Thanks,
Riki
Mark Dittman
Interested in how many states are actually having successful inter-partner transactions/onboardings without having to implement extensive logic to clean up ELRs to send/receive.
Mark Dittman | Project Manager, PA-ELR
PA Office of Administration | Health and Human Services Delivery Center
2525 North 7th Street, 3rd Floor| Harrisburg, PA 17110
Phone: 717.836.3512 | Fax: 717.783.3695
www.oa.pa.gov<http://www.oa.pa.gov/>
Mark Dittman | Project Manager, PA-ELR
PA Office of Administration | Health and Human Services Delivery Center
2525 North 7th Street, 3rd Floor| Harrisburg, PA 17110
Phone: 717.836.3512 | Fax: 717.783.3695
www.oa.pa.gov<http://www.oa.pa.gov/>
Rocio Ramos
Is anyone else seeing an issue with the way Quest is reporting Tspot and IGRA? We have noticed there is a shared LOINC and the only thing that differentiates the Tspot is the local code (86024531 (T-SPOT.TB)). The LOINC we are seeing used is 71773-6
Please let me know if you have a solution for this?
Please let me know if you have a solution for this?
Nancy Barrett
Hi - I was asked recently about ELR of genetic sequencing - has anyone done this and how? I know we get sequencing for HIV, but have not tried to figure out how to process it in our data exchange system for eHARs. thanks
Angela Herbert
Could someone explain (at a high level) how the new Simple Report & Report Stream work and if it is required for BP5?
Logan Smith
Has there been any discussion nationally regarding the cessation of consumption of negative COVID ELRs and possible exclusion of it from the CELR data extract?
Sita Smith
One of the challenges we are faced with post pandemic is setting up quality assurance systems - the landscape has changed dramatically because of the sheer volume of data, and tools that we used pre-pandemic don't necessarily work as well anymore. I would love to have a discussion around how people are approaching this, what tools/platforms are in play, what works/what does not
Heather Crawford
I'd like to learn how many states have implemented the National .csv ELR specifications and the percent of sites in that state that utilize the .csv instead of HL7 . If known, do any appear to be organizations that also need to provide results to other states?
Joyce Boyd-Lee
With the custom rules Lyme MTTT, there appears to different test result rules per lab per LOINC. How are are other surveillance systems handling this request?
So far, there are three major labs reporting results three different ways. Is there a perferred or standard results method all labs will and can use?
Thank you!
So far, there are three major labs reporting results three different ways. Is there a perferred or standard results method all labs will and can use?
Thank you!
Abhilasha Saxena
What is the precedent for labs sending pregnancy status for conditions that require pregnancy status (for eg. Hepatitis B, Hepatitis C, HIV)? Has any jurisdiction been successful in getting their labs to send pregnancy status other than AOE questions? Maybe through their IPs via paper?
Kesia Walker
Hi I am no longer ELR Coordinator.
Can you remove me from this email chain?
Thanks1
KesiaWalker, MS, MPH, MCHES
Region 1 Health Disparities Strategist
1450 Poydras | Suite 1202
New Orleans, LA 70112
504-568-2993
Kesia.Walker@La.Gov
[LDH_PH_Stcked]
Can you remove me from this email chain?
Thanks1
KesiaWalker, MS, MPH, MCHES
Region 1 Health Disparities Strategist
1450 Poydras | Suite 1202
New Orleans, LA 70112
504-568-2993
Kesia.Walker@La.Gov
[LDH_PH_Stcked]
Riki Merrick
HL7 needs help with defining the value sets for Gender Identity and Sexual Orientation that will work for ALL states - this is a rather urgent topic, as NU introduced legislation that requires this to be included in lab messages (orders and in ELR), and CA already requires that in ELR for COVID tests and I am sure there are more rules that I don't know about. While HL7 is working on where to include this in ANY HL7 v2 message (not just lab), we need help ensuring that ALL PHAs use the same vocabulary (maybe not all need to support all terms, but ALL terms need to be codified the same way). Thank you!
Riki
Riki
Sita Smith
MA has not made any changes to COVID reporting requirements since the HHS guidelines were shifted. I'd be interested to hear what stance other states are taking and what the impact has been.
Cody McNeese
Hello,
Can we review the following specific to todays call:
Are any states receiving emails ELR notification emails from DOD? If so are you opening the emails or ignoring? Has anyone successfully contacted anyone at DOD?
Do any states have providers that work with Athena EHR and are having trouble with their reporting and/or building out reports for ELR?
Is there a group working with EHR's to address the reporting requirements at a federal or state level? If not, is a workgroup for this something people would be interested in?
Thank you!
Can we review the following specific to todays call:
Are any states receiving emails ELR notification emails from DOD? If so are you opening the emails or ignoring? Has anyone successfully contacted anyone at DOD?
Do any states have providers that work with Athena EHR and are having trouble with their reporting and/or building out reports for ELR?
Is there a group working with EHR's to address the reporting requirements at a federal or state level? If not, is a workgroup for this something people would be interested in?
Thank you!
Bobby Dixon
Hello,
When is the next call, I did not get the link.
Bobby Dixon
Due to the COVID-19 outbreak, the State Reporting team is now working remotely. However, we are checking our emails frequently and will respond as soon as possible.
State Reporting - Program Administrator
National Office of Quality
LabCorp
128 Maple Avenue
Burlington NC 27215
[Logo Description automatically generated]
Important Warning: This email and any files transmitted with it may contain CONFIDENTIAL information, including PRIVATE AND CONFIDENTIAL HEALTH INFORMATION which is intended for the use of the person to whom it is addressed. If the reader of this email/attachment is not the intended recipient, you are hereby notified that any dissemination, distribution, reproduction, reading, or copying of this information is STRICTLY PROHIBITED. If you have received this email in error, please delete the related email and all attachments and notify the sender immediately (by reply email) and/or the Labcorp Privacy Officer at privacyofficer@labcorp.com<mailto:privacyofficer@labcorp.com> or by phone at (877)23-HIPAA / (877) 234-4722.
When is the next call, I did not get the link.
Bobby Dixon
Due to the COVID-19 outbreak, the State Reporting team is now working remotely. However, we are checking our emails frequently and will respond as soon as possible.
State Reporting - Program Administrator
National Office of Quality
LabCorp
128 Maple Avenue
Burlington NC 27215
[Logo Description automatically generated]
Important Warning: This email and any files transmitted with it may contain CONFIDENTIAL information, including PRIVATE AND CONFIDENTIAL HEALTH INFORMATION which is intended for the use of the person to whom it is addressed. If the reader of this email/attachment is not the intended recipient, you are hereby notified that any dissemination, distribution, reproduction, reading, or copying of this information is STRICTLY PROHIBITED. If you have received this email in error, please delete the related email and all attachments and notify the sender immediately (by reply email) and/or the Labcorp Privacy Officer at privacyofficer@labcorp.com<mailto:privacyofficer@labcorp.com> or by phone at (877)23-HIPAA / (877) 234-4722.
Todd Davis
What are others doing with data coming in with Chinese characters, Spanish accents and now nicknames in quotes as part of the name? These will load using our interface engine however our Java Application is having issues with this data and we are spending a lot of time deleting this data or changing it so it will import correctly. Do others have issues with this?
Thanks
Todd
Thanks
Todd
Anne Peruski
Would it be possible to have a brief discussion on the collection of sex at birth vs gender from ELR. I'd like to hear about current practices concerning the collection (or not) and any concerns about the quality of sex at birth and/or gender sent via ELR, particularly related to HIV surveillance.
Neetha Mony
For some reason, tomorrow's meeting isn't appearing on my calendar. Just want to confirm it's at the usual time, 10-11am PT. Thanks!
Brooke Beaulieu
We want to reserve some time on our 8/3 ELR Workgroup call to revisit staging areas for negative COVID-19 lab results.
WA State will provide an overview of their process, however it would be helpful to hear what other jurisdictions are doing as well. Are there other jurisdictions that would like to share on the call next Tuesday?
WA State will provide an overview of their process, however it would be helpful to hear what other jurisdictions are doing as well. Are there other jurisdictions that would like to share on the call next Tuesday?
Brooke Beaulieu
Please disregard this automatic check-in - we do not have an ELR workgroup call tomorrow 6/8.
Thank you!
Brooke
Thank you!
Brooke
Nereida Corral
Hello, I don't think I have an invite. May I be added please? Nereida.Corral@state.co.us
Chris Baumgartner
I'd like to see if any other states have developed a sentinel surveillance model and if they can share it.
Carmen Pugh
Is there a consensus among the states for AOE reporting in ELR in terms of once per COVID test, once per message, or perhaps only wanting it on direct detection (PCR, Antigen) and not on the Antibody tests?
Brooke Beaulieu
Good afternoon,
Just a note that our January ELR workgroup call has been pushed to Tuesday, 1/12 at 1:00 PM ET. We will not meet tomorrow, however please feel free to submit topic suggestions here for consideration on next week's call.
Thanks!
Brooke
Just a note that our January ELR workgroup call has been pushed to Tuesday, 1/12 at 1:00 PM ET. We will not meet tomorrow, however please feel free to submit topic suggestions here for consideration on next week's call.
Thanks!
Brooke
Brooke Beaulieu
Hi folks,
Just a note that we will be rescheduling this month's workgroup call to November 10th at 1:00 PM in order to accommodate Election Day tomorrow. Email communication will be going out shortly.
Thanks!
Brooke
Just a note that we will be rescheduling this month's workgroup call to November 10th at 1:00 PM in order to accommodate Election Day tomorrow. Email communication will be going out shortly.
Thanks!
Brooke
Nancy Barrett
Quest not sending addresses!!!! Or even including the state of residence!
Nancy Barrett
Hi all - is everyone full up with COVID-19 and SARS-CoV-2 follow up and testing? Is there to having a discussion to see what's going on ELR and CDC reporting-wise in states?
Megan Tompkins
Hi all, I'd be interested in discussing the Quest Cancer reporting project on the call tomorrow please. Thanks!
Nancy Barrett
Hi all,
something I would like to see on an upcoming call (maybe September) is a discussion of HAI reporting from the ELR-surveillance system point of view. What are the common issues in ELR for getting these reports and susceptibilities? Are there vendor specific issues/concerns? How about reporting requirements -- e.g., in CT our requirement is any suggestion of a CR, even if not confirmed. Issues with getting this data into surveillance systems and use?
Ideas, comments?
something I would like to see on an upcoming call (maybe September) is a discussion of HAI reporting from the ELR-surveillance system point of view. What are the common issues in ELR for getting these reports and susceptibilities? Are there vendor specific issues/concerns? How about reporting requirements -- e.g., in CT our requirement is any suggestion of a CR, even if not confirmed. Issues with getting this data into surveillance systems and use?
Ideas, comments?
Annie Fine
Nancy and others - would you like to discuss (again) the issue of specimens transitioning through multiple labs and the problems that introduces regarding getting accurate and complete information on the originating treating health care facility for the patient and provider information? One thing I was wondering was whether we could explore what the steps would be to add or revise the ELR HL7 specification to enable capture of this information, and perhaps the entire "chain of custody". This seems important and I know it is a big effort and will likely take a long time to achieve but I was thinking we could discuss what the steps are and any obstacles - are there ways to get it started? Do others agree? Having the originating facility report is kind of a bandaid and not all facilities can really do it for all results. Thanks for your thoughts!
Eden Dietle
Will there be a call tomorrow since several folks are at CSTE?
Thanks,
Eden
Eden Dietle, Senior Epidemiology Specialist
Bureau of Reportable Disease Informatics
Section for Disease Prevention
Division of Community and Public Health
Missouri Department of Health and Senior Services
930 Wildwood
P.O. Box 570
Jefferson City, Missouri 65102-0570
Phone (573) 526-5271, Fax (573) 751-6417
e-mail: eden.dietle@health.mo.gov
CONFIDENTIALITY STATEMENT
This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient or the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address eden.dietle@health.mo.gov or by calling 573-526-5271. Thank you.
Thanks,
Eden
Eden Dietle, Senior Epidemiology Specialist
Bureau of Reportable Disease Informatics
Section for Disease Prevention
Division of Community and Public Health
Missouri Department of Health and Senior Services
930 Wildwood
P.O. Box 570
Jefferson City, Missouri 65102-0570
Phone (573) 526-5271, Fax (573) 751-6417
e-mail: eden.dietle@health.mo.gov
CONFIDENTIALITY STATEMENT
This electronic communication is from the Missouri Department of Health and Senior Services and is confidential, privileged and intended only for the use of the recipient named above. If you are not the intended recipient or the employee or agent responsible for delivering this information to the intended recipient, unauthorized disclosure, copying, distribution or use of the contents of this transmission is strictly prohibited. If you have received this message in error, please notify the sender immediately at the following email address eden.dietle@health.mo.gov or by calling 573-526-5271. Thank you.
Nancy Barrett
Hi all -- add any items here, but remember our monthly call will be next Tuesday, April 9 at 1 PM ET.
thanks!
Nancy
thanks!
Nancy
Nancy Barrett
In fact, would having this call next month on the second Tuesday be good (April 9)? One of our topics could be the ELC grant ELR related requirements -- we could see if we could get Jason Hall on the call.
Meredith has another topic she is working on as well.
Let me know what y'all think.
Thanks!
Nancy
Meredith has another topic she is working on as well.
Let me know what y'all think.
Thanks!
Nancy
Nancy Barrett
Hi all,
sorry for the late inquiry -- but would it be okay with folks if we reschedule this call to later this month or cancel this month? Meredith and I are both swamped and I'm sure many of you are looking at the new ELC NOFO as well.
Let us know!
thanks!
Nancy
sorry for the late inquiry -- but would it be okay with folks if we reschedule this call to later this month or cancel this month? Meredith and I are both swamped and I'm sure many of you are looking at the new ELC NOFO as well.
Let us know!
thanks!
Nancy
Nancy Barrett
Hi everyone, thanks for the call discussion today! Let us know if you have any topics for next month or want to see any more formal presentations or discussions. Maybe a revisit of topics from the past or was there a presentation at a conference or on another call that you think our ELR group would find of use?
Thanks!
Thanks!
Nancy Barrett
Suggestions for Feb 2019 ELR call -- in no particular order. Hope this helps get folks thinking about the call tomorrow! Thanks! Nancy
1) Andrew from CDPHE had a question about using Rhapsody to call to a web service such as Melissa for geocoding -- any one have any help/guidance for him?
1a) Ancillary question -- are states geocoding ELR messages as they come into for processing or geocoding after cases hit their surveillance systems. Any issues/caveats?
2. Dual reporting -- Ann Kayser MN asked about dual reporting (from reference lab and original submitting lab). Her questions are below.
1. Does your state require dual laboratory reporting?
1) Andrew from CDPHE had a question about using Rhapsody to call to a web service such as Melissa for geocoding -- any one have any help/guidance for him?
1a) Ancillary question -- are states geocoding ELR messages as they come into for processing or geocoding after cases hit their surveillance systems. Any issues/caveats?
2. Dual reporting -- Ann Kayser MN asked about dual reporting (from reference lab and original submitting lab). Her questions are below.
1. Does your state require dual laboratory reporting?
2. Are you currently able to get reference lab results sent from the ordering facility through ELR?
a. If yes, what LIS system(s) seem to be able to do this or is a data integration engine being used?
b. If no, which LIS system(s) seem to have the most struggle with this?
3. Does size of the health system or facility affect dual reporting?
4. Does your state have health information exchange(s)? Does this make a difference in receiving reference lab results from the ordering facility?
3) NEDSS Assessment updates -- ELR survey?
4) Rachelle Boulton UT was asking on the SPIS subcommittee call about NMI experiences/issues. One question that came up was "are we moving too fast with this". That subcommittee is planning a call about that topic. Do we want a similar call for this workgroup? Is anyone validating the lab template for NMI?
5) My question for Meredith -- can we make suggestions for topics for the S&I Sunday pre-CSTE conference workshop?
5a) Ancillary -- how do folks want to see the ELR meet & great organized for CSTE 2019? Do you have any specific topics that you'd like to see addressed? Do folks want a mini-working session at CSTE for brainstorming? Of course, snacks and drinks are definitely on the agenda :-)
3) NEDSS Assessment updates -- ELR survey?
4) Rachelle Boulton UT was asking on the SPIS subcommittee call about NMI experiences/issues. One question that came up was "are we moving too fast with this". That subcommittee is planning a call about that topic. Do we want a similar call for this workgroup? Is anyone validating the lab template for NMI?
5) My question for Meredith -- can we make suggestions for topics for the S&I Sunday pre-CSTE conference workshop?
5a) Ancillary -- how do folks want to see the ELR meet & great organized for CSTE 2019? Do you have any specific topics that you'd like to see addressed? Do folks want a mini-working session at CSTE for brainstorming? Of course, snacks and drinks are definitely on the agenda :-)
Michele Clinkscales
Hello Meredith,
A very Happy New Year to you!!! Prior to Janet Hui's departure, she provided SD with a draft of the CSTE RCTC table. Janet advised that she expected the final version to be completed by December 2018. At this time, I am just checking in with you to see if the RCTC has been finalized?
Thanks in advance for your reply.
Regards,
Michele
Michele.clinkscales@state.sd.us<mailto:Michele.clinkscales@state.sd.us>
South Dakota Department of Health
(605)773-2741
A very Happy New Year to you!!! Prior to Janet Hui's departure, she provided SD with a draft of the CSTE RCTC table. Janet advised that she expected the final version to be completed by December 2018. At this time, I am just checking in with you to see if the RCTC has been finalized?
Thanks in advance for your reply.
Regards,
Michele
Michele.clinkscales@state.sd.us<mailto:Michele.clinkscales@state.sd.us>
South Dakota Department of Health
(605)773-2741
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!
Thanks!
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
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
Nancy Barrett
Some 2018 hold over issues:
1. Specimen source reporting, especially from Quest. When a LOINC code does not give you information, what do you do?
2. White paper on ELR for CSTE or do we need a call with CDC specifically on ongoing issues with standardized lab reporting, staffing, etc.?
3. Any questions/concerns from our commercial lab partners now that we are entering 2019?
1. Specimen source reporting, especially from Quest. When a LOINC code does not give you information, what do you do?
2. White paper on ELR for CSTE or do we need a call with CDC specifically on ongoing issues with standardized lab reporting, staffing, etc.?
3. Any questions/concerns from our commercial lab partners now that we are entering 2019?
Nancy Barrett
Hi Meredith -- I think these are held over from December so we could add.
Logan Smith
The Virginia Department of Health also would like to suggest a topic of discussion. We would like to know how other agencies using an NBS system are consuming Whole Genome Sequencing data, e.g Salmonella. Does anyone receive this data via ELR? If not, how are you receiving it? We are are not currently receiving WGS data via ELR, but would are looking at ways to do this.
Thanks!
Thanks!
Emily Roberts
Can I request a topic for discussion on the January 8th, 2019 call?
Utah Department of Health would like to ask our national partners about how their jurisdiction processes specimen source when sent electronically. For example, do they enter in the specimen as it is sent in the HL7 message or do they standardize to a finite list of approved specimen sources in their surveillance system?
Any discussion on this would be very helpful!
Thank you!
Utah Department of Health would like to ask our national partners about how their jurisdiction processes specimen source when sent electronically. For example, do they enter in the specimen as it is sent in the HL7 message or do they standardize to a finite list of approved specimen sources in their surveillance system?
Any discussion on this would be very helpful!
Thank you!