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CSTE National ELR Workgroup

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Becky Lampkins, Manager, Surveillance/Informatics Program at CSTEMegan Toe, CSTEScott Troppy, Surveillance Epidemiologist at MA DPHMeredith Lichtenstein, CSTEAmy Drake, NMJohn RobertsNancy Barrett, Epi 4/PH Informatics SpecialistErin Holt, TDHRita Altamore, EpidemiologistDavid DiCesareJason HallWalter Kemper, ELR Coordinator, NC DHHS Div of Public HealthJulie LuepkeCarmen Pugh, Labcorp Manager State Reporting at LabCorpTom Safranek +399 others
Posted by Tania Bechtel ·

COVID-19 Laboratories in other states

Hi All-
With COVID-19 testing, we are seeing a lot of new laboratories running tests for our state that are not sending via ELR.  Is anyone getting ELR from these laboratories and would you be willing to share your contacts?  You can also email me directly at tania.bechtel@la.gov
  • MicroGen Diagnostics, TX
  • AIT Laboratories, TX
  • MedArbor Diagnostics, PA
  • Lehigh Valley Genomics, PA
  • QualiTOX Laboratories, PA
  • Medical Diagnostic Laboratories, LLC, NJ
  • Viracor Eurofins, MO
  • Vikor Scientific, SC
Thank You!

Comments & Events

Michael Bartlett Michael Bartlett
Arkansas is getting Viracor as well as AEL electronically. We had to come up with an unconventional solution though, due to the fact that Viracor nor AEL are capable of creating or sending HL7 messages.

We used our HIE (OHIT/SHARE) to create an electronic feed –sFTP I believe – where Viracor and AEL send csv files with the most basic and pertinent information. Our HIE’s programmers have developed an application that takes these csv files and makes an array of each row, iterating over each one and creating HL7s out of them. Our HIE then sends this to us over a SOAP connection to our Rhapsody which ingests them.

It took us a couple of weeks to get them clearing validation and ensuring the data was complete but we’re happy to report getting results electronically now.

I have both Viracor and AEL continuing to send faxes so my team can validate the ELR exists for every fax received.

Complicated, I know – but these are complicated times that require out-of-the-box thinking to solve real world problems.

Thanks,

Michael Bartlett
NBS Section Chief • Epidemiology
Arkansas Department of Health
4815 W. Markham, #32
Little Rock, AR 72205
(o) 501.280.4433

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image001.png 10 KB • Download
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Tania Bechtel Tania Bechtel
Thanks Michael!  Would you be willing to share your contacts?
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Jason Browne Jason Browne
Michael, can you share the CSV format they are using? We're trying to develop the same type of delivery method, but I'm going to have to convert the CSVs to HL7 myself. I'm trying to nail down a CSV format that will have all the info we need.
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Riki Merrick, Terminologist at APHL Riki Merrick, Terminologist at APHL
Let's discuss this on the call today and maybe APHL can help with the csv to HL7 v2.5.1 ELR R1 conversion (unless someone has already built it)

Riki
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Rita Altamore, Epidemiologist Rita Altamore, Epidemiologist
YES YES YES

That is what we totally need
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Michael Bartlett Michael Bartlett
Hi Jason,
Unfortunately I do not. Since it is our HIE that receives these csv files and converts into HL7s—sending to us…all I see is the HL7 messages. I spearheaded the project, worked with their developers, and validated structure/content though. I can reach out to our HIE and have them provide some sort of data dictionary, or a template at the least of how they are receiving this. Will take me a bit of time but I’ll get to you ASAP.

Please provide me with your direct email address.
michael
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Corinne Davis, ELR Specialist at TN Corinne Davis, ELR Specialist
Hello,

TN is converting tab-delimited files into HL7 messages. We are offering this option for labs that are not onboarded for ELR and perform a high volume of COVID testing for TN residents.

The attached file contains the initial two routes that we use to convert the tab delimited spreadsheet files to HL7. In the first route, “0A – CloverleafImport”, there is a java script filter named “Is this file Pathgroup, Solstas, SS or PTBMIS?”. This is where we distinguish the different partners, using the tab delimited header (first line in the file). The second route, “0B - PG and Solstas”, is a bit more complicated, but the different mappers are located within that handle the conversion.

I have also attached the template we share with our labs. We recently included 5 additional auxiliary fields as placeholders (AUX_1 to AUX_5) just in case we want to add more columns to the spreadsheet after moving it to production. Hope this helps!

COVID-19 routes.rlc 1.51 MB • Download
COVID-19 Spreadsheet Reporting Template.xlsx 11.7 KB • Download
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Amy Drake, NM Amy Drake
So...  I thought/hoped i was done with ELR for good until February and took myself off these calls.  Can someone send me the info for the call?

amy.drake@state.nm.us
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Merylyn Huitz Merylyn Huitz
VA is requesting a pipe delimited flat file. I have attached our file requirements. We are still in the process of developing an HL7 message based off of this.
VDH_FlatFileFormat_Apr2020.xlsx 13.2 KB • Download
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Jason Browne Jason Browne
Corinne,

The routes in that RLC won't load, the comms points weren't included in the save. The definitions and maps did load though.
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Corinne Davis, ELR Specialist at TN Corinne Davis, ELR Specialist
Hey Jason,

Our Rhapsody programmer said you should only need to load the routes and then add your comm points. Our comm points that are used consist of the directory pickup and a sink. Our directory comm points would only work if you are setup to pick up from the same location that our Rhapsody does.

I'm happy to put you in touch with our programmer if needed.
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Jason Browne Jason Browne
At least in Rhapsody 6.2, the RLC won’t load the routes without their comms points. Even if the location is different, the comms points will load if they’re in the save, they just won’t turn on, which is fine.
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Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE Brooke Beaulieu, Surveillance/Informatics Program Analyst
As discussed on the 4/15 ELDR Subcommittee call, we are exploring developing a national standard flat file based on examples posted so far. If you would like to post the flat file that your jurisdiction has developed, please post in: Doc and Files >> Covid-19 Related >> Flat File Examples.
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Rachelle Boulton Rachelle Boulton
Has anyone been able to identify a contact for AIT Laboratories in Texas?
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Tania Bechtel Tania Bechtel
I have not found a contact for AIT yet.
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Theresa Kittle, Epidemiologist/ELR Coordinator Theresa Kittle, Epidemiologist/ELR Coordinator
I have an AIT contact.

AIT Laboratories 
Rebecca Cole, Lab Safety & Quality Manager
rebecca.cole@healthtrackrx.com
972-833-4687
Tania Bechtel Thanks Theresa!
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Richard Thomas Richard Thomas
I just spoke with Jason Dossett of AIT Laboratory.  He is an interface technician.  His email is jason.dossett@healthtrackrx.com.  He prefers you contact him via his email address.  If you need immediate assistance, his telephone number is (317) 506-9205.
Tania Bechtel Thanks Richard!
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Nancy Barrett, Epi 4/PH Informatics Specialist Nancy Barrett, Epi 4/PH Informatics Specialist
Hi Corrine -- we just heard from ViaCor -- they are doing so few tests for CT that we are going to deal with just faxes. However, if someone gets a csv/pipe delimited file from them, let me know, maybe we (CT) can piggyback on that. We are building a non-conventional method for flat files that aren't in a universal format (we have developed our in given COVID-19 testing) so either format would work for us for this tiny volume lab.
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Sita Smith Sita Smith
Nancy, MA gets a flat file from Viacor. SFTP'd through to us once a day.
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Nancy Barrett, Epi 4/PH Informatics Specialist Nancy Barrett, Epi 4/PH Informatics Specialist
Sita -- who did you work with?
I always ask what the lab is doing for other states, but maybe the person I spoke with didn't know.
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Sita Smith Sita Smith
Just checking -  are we talking about the same place? The lab I was referencing was Viracor. C
ontact there is Ryan.Woody@viracor-eorfins.com
Nancy Barrett, Epi 4/PH Informatics Specialist 👍
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Nancy Barrett, Epi 4/PH Informatics Specialist Nancy Barrett, Epi 4/PH Informatics Specialist
yes the same in Lee's Summit MO
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David DiCesare David DiCesare
Nancy,

We are getting our pipe delimited file from them and their sister lab Boston Heart Diagnostics.



Thanks and Stay Safe,


David DiCesare
NYS ELR Coordinator
ECLRS Help Desk
Bureau of Surveillance and Data Systems
Local – 518-402-5943
Long Distance – 866-325-7743
David.dicesare@health.ny.gov
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Nancy Barrett, Epi 4/PH Informatics Specialist Nancy Barrett, Epi 4/PH Informatics Specialist
Hi Dave, thanks. We are getting Boston Heart Dx via e-file. I'll follow up.
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Jenizah Melendez Jenkins Jenizah Melendez Jenkins
We are getting HL7 from Medical Diagnostic Laboratories.

Contact information:
Gary Volochinsky
609-570-1095 ext.1409
Tania Bechtel Thanks
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