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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
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
Cody McNeese
Cody McNeese •
Reflections and Strategies for 2024 — Hello All, Happy Valentines Day! Please head on over to CSTE Connect to contribute to the conversation about CSTE ELR Workgroup Planning for 2024. We would like to provide an opportunity for those who were not able to participate on February's ELR Workgroup call to respond to the questions disc...
Devra Barter, CSTE
Devra Barter •
CSTE Connect/Basecamp Reminder — Hi all, We will be transitioning to using CSTE Connect instead of Basecamp beginning March 1, 2024. Until then, we request that posts be made in both forums.   • If you are a CSTE member, you have already been added to the ELR Workgroup Community in CSTE Connect • If you are not a CSTE member, yo... 		1
Riki Merrick, Terminologist at APHL
Riki Merrick •
For Dual Reporting States — Cross-posting from Connect: This question was posted to the NIST V2Reportable googlegroup by Donna Featherston donna.featherston@cookchildrens.org: For states that are Dual Reporting, tests that are not performed at your facility (instead performed at Reference Labs) have to be reported in the ...
Riki Merrick, Terminologist at APHL
Riki Merrick •
Crowdsourcing LIVD for Reportable Conditions — Also posted in CSTE Connect here: https://connect.cste.org/communities/community-home/digestviewer/viewthread?MessageKey=2b45ec1b-242c-4df5-9050-4693014d2247&CommunityKey=0a8a57e8-cd6c-4fb9-8a43-018a09344624#bm2b45ec1b-242c-4df5-9050-4693014d2247   Happy New Year, As discussed on the last ELR cal...
Kate Goodin, Surveillance Systems and Informatics Program Director
Kate Goodin •
Professional Laboratory Services — Hi ELR colleagues! Professional Laboratory Services (PLS) took over Corrections testing in TN from Garcia last year. We have been working to onboard them to ELR since then. They have been engaged with us and making progress but we recently hit a wall where they may not be able to send Micro resul...
Rocio Ramos
Rocio Ramos •
Quest TB reporting — 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 ...
Cody McNeese
Cody McNeese •
Influx in Quest ELRs from 11.10 to present — Hello,  Are any jurisdictions receiving an abnormally large amount of ELRs from Quest? OR has received many ELR's from Quest since 11.10 and wanting to see if other jurisdictions are having similar issues. Quest is aware that OR is experiencing this problem. I am just trying to identify if the c... 		7
Cody McNeese
Cody McNeese •
November ELR WG Call Topics — Good Morning/Afternoon,  The ELR WG team would like to solicit the ELR WorkGroup for recommendations on topics of discussion for our upcoming calls.  Recently, we've discussed data quality, shared services, and collaboration. What other topics would jurisdictions be interested in for our next w... 		2
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 Off topic NE Regional Epi meeting — Hi, Email lists are not up to date for everyone so I'm posting here again about the NE Regional Epi meeting being held in Mystic CT this year at the Mystic Marriott on November 30 and December 1st. The Northeast states are all members (New England states, NY, NYC, PA, NJ) and can attend. Of speci...
Cody McNeese
👋 Other by Cody McNeese •
👋 POSIT/R Studio Resources — Hey Everyone, Here are some good resources for POSIT/R that I brought up on yesterday's call. I am also working on creating some other lists with links for things like accessibility, parameterized reporting, etc. and will share when that is ready.  POSIT Conf 2023: https://posit-conf-2023.gith...
Shaily Krishan, Program Manager at CSTE
👋 Other by Shaily Krishan •
👋 Influenza & RSV related updates in RCKMS — [This post is eCR-related and cross-posted in eCR/RCKMS Basecamp & CSTE eCR Workgroup Connect forums. Sharing here for any feedback from the ELR community] Ahead of the anticipated respiratory disease season, the RCKMS team is updating the conditions listed below primarily with the addition of t...
Jennifer Floch
Jennifer Floch •
Interpartner Connection Out of State Labs — Hi, MT is wondering what states do with out of state labs once an interpartner connection is complete. MT currently sends the labs to the other state as well as into our own surveillance system. We are looking to not send it to our own surveillance system, but wanting to get an idea of what other... 		3
Devra Barter, CSTE
Devra Barter •
2023 CMS Promoting Interoperability Requirements for ELR and eCR Reporting — Hello all,  CMS’s Promoting Interoperability Programs released 2023 requirements for eligible hospitals and critical access hospitals, including changes to eCR and ELR reporting. CMS and CDC have asked CSTE to gather any questions from the community, and they will work to provide answers.  Do y... 		20
Doug York, Specialist, Terminologist Datapult at Association of Public Health Laboratories
Doug York •
Lab Developed Test Information — Greetings,   We are preparing to onboard Sonic Healthcare USA to our Expanded ELR solution. In looking over Sonic’s test compendium, they appear to have some lab developed multiplex tests that do not have LOINC (or PLT) codes for OBR-4 (Universal Service Identifier). Their tests do (mostly) have ... 		16
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Off Topic - looking for state based ETOR Guides — hi, We are starting to build an ETOR process for our state public health lab and are looking for any guides from states who have done this already. Please email me with a copy (if you can share) or a link - that would be greatly appreciated! nancy.l.barrett@ct.gov Thanks! Nancy
Carmen Pugh, Labcorp Manager State Reporting at LabCorp
Carmen Pugh •
Medicaid number assigning authority — I am in need of the assigning authority for reporting Medicaid numbers in PID 3.  This would be the value in PID 3.4 when reporting a patient's Medicaid number.  Appreciate any information anyone can provide as I cannot find this information in the given tables. Carmen Pugh - Labcorp 		2
Millie Malai
📈 Other ELR by Millie Malai •
📈 Are you still getting paper lab results? — If this is not the right "forum" for this question, I apologize! Is anyone still receiving a paper test result? I am looking to understand the extent of the "paper" issue to determine if we should dedicate some resources to looking at ways to help you solve receiving paper. I appreciate if anyone... 		4
Cody McNeese
Cody McNeese •
Q & A from WA DOH DQA Presentation on ELR WG call — Hi All, [Copy of All Notifiable Conditions WKSHT.rev.3.26.23 (002).xlsx] Please see Michelle's responses below. Also please see the attached "All Notifiable Conditions" worksheet - Logan Smith-VA- What is the custom app you’re using for structural validation- The WA DOH ELR team uses a custom... 		4
Devra Barter, CSTE
😊 ELR Staffing by Devra Barter •
😊 Updates to ELR Contact List on CSTE Website — Hi all, Just a friendly reminder to please review the ELR Contacts listed for your jurisdiction on the CSTE website, and email me (dbarter@cste.org) any updates you'd like to make. Thank you! 		5
Teri Bills
Teri Bills •
Utah minimum data set — Hey, everyone! I know a few of you were asking about our minimum data set on the last workgroup call. I've attached a document with that minimum data set and our test suite. This is the start of our onboarding process with our reporters. Sometimes it can be hard to distinguish between "are they s... 		3
Devra Barter, CSTE
Devra Barter •
AIMS InterPartner Data Exchange Dashboard — APHL has an InterPartner Dashboard available to the public where jurisdictions can review and declare their willingness to engage status and list jurisdiction-specific contacts.  For additional background and specifications on the InterPartner data exchange, please also visit the InterPartner ELR...
Logan Smith
Logan Smith •
Hepatitis genomic sequence data- coding — Is anyone currently receiving hepatitis (HAV or HCV) genomic sequence data? If so, are you receiving it via ELR or manually? Is anyone aware of standard coding or HL7 2.5.1 guidance for hepatitis genomic sequencing or aware of any efforts in this area?  Thanks! 		1
Paula Shoup
Paula Shoup •
Creative Testing Solutions — Hi - does anyone receive ELR results from Creative Testing Solutions (for blood donor testing)? 
Jennifer Floch
Jennifer Floch •
HBV Labs — Good afternoon. This is Jennifer from MT. We are looking to change what labs we receive for Hep B through our ELR, and I was wondering what other states do regarding Hep B labs. Do you receive only positive HBV labs or negative and positive HBV labs through the ELR. Also, how do you get total bil... 		9
Jimmy Davila
Jimmy Davila •
Contact for Warde Medical Lab, Michigan — Good afternoon, Does anyone have a contact for Warde Medical Lab, Ann Arbor, MI?  And if they're using HL7 2.5.1?  Thanks! 		2
Shaily Krishan, Program Manager at CSTE
👋 Other by Shaily Krishan •
👋 CSTE Draft Comments for HTI-1 Proposed Rule — Greetings ELR Workgroup: CSTE has drafted comments on certain sections of the Health Data, Technology, and Interoperability: Certification Program Updates, Algorithm Transparency, and Information Sharing (HTI-1) Proposed Rule Please review the attached document with comments on the sections liste... 		1
Devra Barter, CSTE
Devra Barter •
Feedback requested on drafted comments regarding Lab Data Interoperability in ONC's HTI-1 Proposed Rule — APHL has shared some drafted feedback on the request for public comments from ONC around Laboratory Data Interoperability in the HTI-1 Proposed Rule. Overall, CSTE supports including lab orders in the promoting interoperability program and including lab technology & standards in certification cri... 		3
Lori Walker
Lori Walker •
COVID-19 Interstate Notifications — With the ending of the PHE, Oklahoma is trying to determine which states still need/want to receive COVID-19 interstate notifications to update our internal processes. Oklahoma does still need them as our state rules still require individual COVID-19 case/lab reporting. Thank you! 		23
John Satre, Informatician at Iowa Department of Public Health
John Satre •
BioAgilytix Lab Point of Contact? — Does anyone have an ELR or lab contact at BioAgilytix (https://www.bioagilytix.com/bioagilytix-diagnostics/)? 		2
Brooke Beaulieu, APHL
Brooke Beaulieu •
CELR as an optional activity following the end of the PHE — On 4/24, CDC announced via email that as of the PHE ending on May 11, line level COVID-19 electronic laboratory reporting (CELR) from state public health agencies to CDC will become an optional activity under the ELC Cooperative Agreement.     As we've discussed on recent APHL ELR open calls, we ... 		3
Devra Barter, CSTE
😢 Issues with Labs by Devra Barter •
😢 Issue with LabCorp sending reports from drug or alcohol treatment agency — CSTE has recently become aware that LabCorp is no longer sending notifiable condition reports for infectious diseases like HIV or Hepatitis C to public health agencies if the person receiving the test was being treated in a drug or alcohol treatment agency. LabCorp is citing CFR 42 Part 2 as the ... 		1
Devra Barter, CSTE
🛠 ELR Workflow by Devra Barter •
🛠 Secure file transport mechanisms — Hi all, as a follow up to today's ELR Workgroup call, we'd like to know the following: 1) What secure file transport mechanisms are you using for ELR in your jurisdiction, e.g., PHINMS, AIMS AWS S3, other AWS S3, SFTP, etc. (please list all of them) 2) Briefly explain why your jurisdiction is u... 		12
Cody McNeese
Cody McNeese •
Rhapsody Users- Upgrade to 7 and AIMS S3 Commpoint — Hello,  Has anyone upgraded from Rhapsody 6.x to Rhapsody 7? OR is attempting to upgrade from 6.8 to 7 but is running into issues with AIMS S3 commpoint and we are searching for solutions.  Thank you,  Cody 		12
Nancy Barrett, Epi 4/PH Informatics Specialist
📈 Other ELR by Nancy Barrett •
📈 Looking for FLU LIVD file and Codes for new test — Hello, I need the URL to find the influenza flu encoding guidelines (last version I have is August 2022). Also, we have heard about a new one step test by Henry Schein - OneStep+Ultra Flu A&B test kit CLIA waived that I'm having trouble determining the codes for this flu Ag test.  Thanks! 		2
Annie Fine, CSTE
Annie Fine •
What are your questions about the ending of the PHE? — Hi all, We have been trying to get CDC to come onto our SI calls to talk to the community about what to expect with the ending of the COVID-19 public health emergency. They have asked what types of questions folks have. Could you please let us know what some of your questions are?  I am attachin... 		5
Danny Power
🛠 ELR Workflow by Danny Power •
🛠 Geocoding with NBS — Are any states currently using Geocoding to assign ELR/eCR Jurisdiction in NBS? Montana currently uses the non-customized classification system which hits off of patient zip code to determine jurisdiction. However, this presents problems because our tribal boundaries are poorly represented by zip...
Nicole Kikuchi
Nicole Kikuchi •
New LOINC Codes for Reporting Lyme Modified Two-Tiered Testing (MTTT) — Hi everyone,  Last month's LOINC release (v2.74) contains the highly anticipated LOINC codes to standardize Lyme MTTT reporting: Order LOINC 101352-3 Borrelia burgdorferi Ab.IgG and IgM with reflex to immunoassay panel - Serum or Plasma   Observation LOINCs - 101353-1 Borrelia burgdorferi Ab [I... 		9
Riki Merrick, Terminologist at APHL
Riki Merrick •
Is Haemophilus haemolyticus reportable in any of the states? — I got a request from NLM to find out, if this code is being used: “470511000124104 |Haemophilus, not Haemophilus haemolyticus (organism)|” - the question is if it should be promoted to the International Edition or stay in the US Extension for now (if not commonly used, then will keep in US extens... 		5
Riki Merrick, Terminologist at APHL
Riki Merrick •
Race / Ethnicity value set and use Nullflavors — Can we get national guidance on use of nullflavors on how to deal with concepts like unknown, refused to answer, asked, but unknown etc? we did have the survey in December (only 11 PHAs participated, so maybe getting a bit more input might be good - can we re-open?)  In FHIR there is a valueset c... 		3
Logan Smith
🛠 ELR Workflow by Logan Smith •
🛠 HL7 Validation Software — What HL7  validation software do other states use for reviewing, editing, & validating HL7 V2x messages? We have been using 7Edit, but may need to change this. If you don't use 7Edit, what are the pros and cons of what you are using? Thanks! Logan E. Smith, MPH, MLS (ASCP)  ELR Coordinator Divi... 		1
Doug York, Specialist, Terminologist Datapult at Association of Public Health Laboratories
Doug York •
Proposed Change for Over-the-Counter ELR HL7 Messages — Datapult has heard from a jurisdiction that they are having issues validating the date when the specimen collection date/time (OBR-7, OBX-14, SPM-17) and the test result date/time (OBX-19) are the same. As you are aware, over-the-counter (OTC) tests are typically reported by the patient via an ap... 		7
Millie Malai
📈 Other ELR by Millie Malai •
📈 Update to Expanded ELR — Hi everyone, Several of you asked in December to get an update on Datapult’s Expanded ELR service posted to Base Camp. Here are the updates. Please let me know if you have any questions or comments to share! millie.malai@aphl.org or post to this thread When will the Expanded ELR use case be used... 		6
Annie Fine, CSTE
Annie Fine •
HHS Protect access — Hi all, Just a quick question. How many people here have access to the HHS Protect data for COVID-19. e.g., aggregate case, ELR data, home test data etc (honestly I am not sure what is even there since I do not have access as a CSTE staff person). Or know how to access the data? Asking because N... 		2
Michael Nuss, Informatician at Nebraska Department of Health and Human Services
Michael Nuss •
Respiratory Panel Question — Good Morning/Afternoon, I have a quick question regarding how you handle your panels. When you have multiple results in a panel there are times when a certain results should be assigned to a specific program area.  A good example is if an OBX is FLU A, another OBX is FLU B, and the third OBX is... 		11
Shaily Krishan, Program Manager at CSTE
Shaily Krishan •
January 3 ELR Workgroup call is cancelled — Happy New Year! The January ELR Workgroup call today (January 3) is cancelled, and the next call will be held on Tuesday, February 7, 2023. We will be sending a new meeting invite soon- Thank you! Shaily 		3
Annie Fine, CSTE
Annie Fine •
Forwarding of pos SARS-CoV-2 specimens from commercial labs for WGS — Hi everyone, and happy holidays!  For those of you who are working, we just had an issue come up where a commercial lab (ARUP) raised the issue of being required to forward all positive SARS-CoV-2 specimens to some state health departments, and within a short timeframe. CDC informed us that ARUP ... 		15
Sarah Boneske
Sarah Boneske •
CDC ELIMS TB Susceptibility Message Assistance — Has anyone had success with CDC ELIMS TB Susceptibility messages? The MDH PHL identifies the organism and then passes it onto to CDC for the susceptibility testing. When the HL7 comes back to us, there is no organism/parent OBR to link it to and we cannot get the message into our surveillance sys... 		9
Shaily Krishan, Program Manager at CSTE
Shaily Krishan •
12/6 ELR Workgroup Call Rescheduled to 12/13 @ 1-2 ET — Please note that the CSTE National ELR Workgroup call is rescheduled (from December 6th) to Tuesday, December 13th at 1-2 pm ET. More information about the agenda is forthcoming. 		5
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
New Covid19 Variant SNOMEDS? — Hi, is there an updated SNOMED list for variant lineages? thanks 		2
Sita Smith
Sita Smith •
Cytocheck — Has anyone had success with a lab called Cytocheck? They do a significant amount of testing for STI, and we've had trouble getting them to report to MA. I believe they are based in Kansas? Would appreciate any input. 		3
Shaily Krishan, Program Manager at CSTE
Shaily Krishan •
Response requested: Poll for HL7 Race Value Set — Hello everyone, Following up from the November 1 CSTE National ELR Workgroup call, please use the link below to respond to a quick poll with some questions to collect more feedback on how jurisdictions are collecting Race data using the HL7 Race Value Set. Please use the link below to respond b... 		6
Annie Fine, CSTE
Annie Fine •
LDX notifications to FDA — Just wanted to share a list of labs that have notified FDA that they have Laboratory-developed monkeypox tests - so you are aware, and ask whether you are receiving ELR from these labs for these tests?  THANK YOU! See https://www.fda.gov/medical-devices/emergency-situations-medical-devices/monke... 		6
Keilina
Keilina •
MonkeyPox Sequencing Standard Codes? — Hello, We have a submitter in LA County running MP Sequencing. Would any jurisdictions know if there are standard codes or preliminary standard codes floating around? The results may be in 3 parts.  1. Clade 2. Linage 3. GISAID Thank you,  Keilina 		8
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
FDA EUA for Monkeypox LDT — Hi, The FDA has published procedures for high complexity laboratories to be able to develop PCR tests for monkeypox/orthopoxvirus and get them approved under EUA. So far only Quest is listed, but one of our large hospitals is nearing completion of their test. Our State PHL Director mentioned thi... 		2
Tania Bechtel
Tania Bechtel •
ASCEND CLINICAL and Dynix Diagnostic contacts — Does anyone have contacts for either of these laboratories? ASCEND CLINICAL, LLC 1400 INDUSTRIAL WAY REDWOOD CITY, CA 94063-1101 Dynix Diagnostic 2260 N US HWY 1 FORT PIERCE, FL 34946 		4
David DiCesare
David DiCesare •
VAs Testing Monkeypox — Does anyone know if the VAs have been given authority to test for Monkeypox?  If so, any chance on getting them to report it through AIMS as they do covid?  We have an issue where one of the VAs in NY has a monkeypox case but will not release any information on the testing.
Annie Fine, CSTE
Annie Fine •
Another MPV ELR question - need a "sense of the room" — Hi everyone, How do folks feel about the possibility of federal regulation, similar to the CARES act, but for MPV. So the question would be if it would be helpful or not to have something which would require reporting of ELR for MPV, along with associated fields. Specific questions: 1) Helpful ... 		17
Annie Fine, CSTE
Annie Fine •
Monkeypox ELR data — Hi everyone, Just a quick question regarding MPOX ELR data. How complete are they in terms of getting results as required to your jurisdictions from all testing labs?  Any data quality issues of note?  Thank you so much! Annie 		6
Abhilasha Saxena, ELR Coordinator/Epidemiologist
Abhilasha Saxena •
Parent-child messages in 2.5.1 - lessons learned? — Can any of the jurisdictions here share information on how parent-child relationships for antibiotic susceptibility tests or reflex tests are handled in 2.5.1? What has been your experience with partners reporting parent-child relationships? Is it a relatively common practice or can we expect som... 		8
Millie Malai
Millie Malai •
Sonic Reference Lab to Send Monkeypox ELR via AIMS — We are working with Sonic for them to report their Monkeypox ELR via their existing Centralized ELR connection. These ELR will be all results initially but we are working on the PHA logic which may take a few weeks. The format will follow the COVID ELR spec and Doug will be reviewing a sample fil...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
CDC Monkeypox call at 1 PM ET today — Hi, if you don't know about this call, Annie Fine shared it with me for the community. Today's agenda is: From: CDC IMS 2022 Multi-National MPX Policy <eocevent434@cdc.gov> Sent: Thursday, July 14, 2022 12:01 PM To: CDC IMS 2022 Multi-National MPX Policy <eocevent434@cdc.gov> Subject: CDC Mo...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Aegis Labs using HL7 2.5.1? — hi, I searched past posts and couldn't find anything about Aegis using 2.5.1 - right now they send us csv, but for MPOX we want 2.5.1 - has anyone been able to have them use 2.5.1?  Thanks! 		10
Becky Lampkins, Manager, Surveillance/Informatics Program at CSTE
📢 Workgroup Housekeeping by Becky Lampkins •
📢 Reminder - No ELR Workgroup Call on 7/5 — Good morning all, a friendly reminder that the workgroup will not meet on Tuesday, July 5th. We will resume monthly calls on Tuesday, August 2nd at 1 pm ET. thanks, Becky Lampkins
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Looking for new workgroup lead — Hi all, At CSTE I said I was looking for someone new to be the ELR workgroup lead. It's been a great honor and pleasure to serve as the workgroup lead and I will still be part of the community, but time to pass this on to someone so I can free up time for other CSTE related activities.  I was a...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Monkeypox Testing updates — Hi all,  No official CDC guidance on test reporting yet, but I've seen two commercial labs who are being engaged by CDC to do testing say they will be using this LOINC-SNOMED set 100434-0              ORTHOPOXVIRUS.NON-VARIOLA DNA 260373001           Detected 260415000           Not Detected 419... 		26
Amanda Jones
Amanda Jones •
Louisville CSTE - 2022 - ELR Workgroup Photo — Picture following the ELR Workgroup meeting at CSTE. :) (Many had left by then so if you attended and aren't pictured - apologies!) I'm including all 3 versions to accurately reflect the joy that is all of our amazing folks together. [20220621_185906_2.jpg][20220621_185902_2.jpg][20220621_185911_... 		2
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Monkeypox Testing LOINC-SNOMED codes — Good morning, I've emailed Riki Merrick about any codes for Monkeypox testing, but thought I'd post here also. In CT, we are going to request labs report these results • Detection of monkeypox virus (MPXV) or orthopoxvirus DNA by PCR testing in a clinical specimen • Detection of presence of orth... 		15
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Question on use of PHINMS vs other secure messaging platforms — Hi all, We are trying to move our data tiers to 2019 SQL servers at our state data centers but PHINMS is not compatible with that. CDC so far says we are the first state that has brought this up. What are other states thinking of for moving forward? Keep PHINMS Migrate to using AWS S3 Other? Pl... 		6
Brooke Beaulieu, APHL
Brooke Beaulieu •
Survey on COVID Lab Reporting Regulation Changes - Please Respond by EOD 5/25 — Hi all, As mentioned on the 5/12 ELR Open Call, we are interested in learning how/if jurisdictions are revising their own state reporting requirements for COVID lab results following the revision to the national guidance (effective 4/4). Please take 5-10 minutes to complete this brief survey on...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
ELR Call Topics for Today or do we cancel call? — hello, We had a presentation lined up but the state involved had to postpone. We aren't seeing any hot topics for the call today, but wanted to ask to be sure. If there are none, we can cancel today's call. Next month there will be some topics. Also wanted to use next month to touchbase before ...
Shaily Krishan, Program Manager at CSTE
Shaily Krishan •
Patient Visit group in ELR: Feedback requested — During the HL7 Public Health workgroup call today, a JIRA ticket regarding PV1 in ELR was discussed. The link to the ticket is https://jira.hl7.org/browse/V2-25344 The original ticket comment asked “In LRI_PH the visit group is RE, but in LOI it is O for any profile, except the LOI_FI. Shouldn... 		29
Brooke Beaulieu, APHL
Brooke Beaulieu •
Accepting NullFlavor codes — This question on NullFlavor codes was raised by the AIMS team on the 4/14 APHL ELR Open Call – interested to get more feedback from the community. In the past, the AIMS team has had jurisdictions come back to them that their systems cannot accept the Null Flavor codes. They would like to determin... 		2
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
COVID-19 test reporting changes in CT — Hi, our memos and info on test reporting changes are available on our website. I see there is a minor correction for something else but the HHS related info is there.  https://portal.ct.gov/DPH/Epidemiology-and-Emerging-Infections/Electronic-Laboratory-Reporting Thanks! 		1
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
HHS COVID Reporting Changes Part 2 — Hi  A couple of items. 1. Our lab licensing section has told us they had not gotten the official letter yet from CMS about the COVID-19 reporting changes, CMS is trying to get proper approvals by April 4. I am guessing this may impact what facilities reporting via NHSN have heard? 2. Would it b...
Tamara Hennessy Burt
Tamara Hennessy Burt •
Assistance requested - de-identified ELR data sets for testing purposes — Wondering if anyone out there has either a de-identified data set that they use for ELR testing or if anyone knows of any good tools that can be used to create such a data set?  		5
Logan Smith
Logan Smith •
HHS COVID Reporting Requirements changes — Hi, not sure if there is already a thread open on this (didn't see one), but I have a question about the changes to be effective on 4/4/22 per the CARES Act Section 18115. It is clear that both positives and negatives are required to be reported for NAAT testing from CLIA certified high-to-mod co... 		1
Riki Merrick, Terminologist at APHL
Riki Merrick •
How to send SOGI data in Lab orders (and probalby results, too) to accommodate state legislation — In preparation for our Open ELR call this week (Thursday 3/24/2022 4 - 5 PM EDT): On the HL7 Lab call on Friday (https://confluence.hl7.org/display/OO/2022-03-18+LAB) we discussed how to send SOGI data in Lab order messages and came up with a few options: https://confluence.hl7.org/pages/viewpag... 		22
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
What would you like to see AIMS help with? — Hi all, for ELR, what would jurisdictions like to see AIMS help with more beyond COVID-19? Some ideas: 1. Continue to assist with getting lab results from labs and sorting them for different states? Both HL7 and interpartner formats? 2. More validation at AIMS on messages? 3. Assisting labs to m... 		2
Michelle Miller, Informatics
Michelle Miller •
Moving from PLR to SNOMED codes? — This question was posed by our staff and many here at DOH were thinking the same thing. It appears that APHL is now listing SNOMED codes along with PLR codes for sequencing. Is APHL sunsetting the PLR codes or will they continue to be updating them? My understanding from previous communications... 		3
Becky Lampkins, Manager, Surveillance/Informatics Program at CSTE
📢 Workgroup Housekeeping by Becky Lampkins •
📢 March ELR Workgroup Call (rescheduled to 3/8) — Hello! Friendly reminder that due to the ELC Annual Meeting March 1-3, the CSTE National ELR Workgroup call is rescheduled. We will meet next Tuesday, March 8th at 1:00 pm ET (not today, March 1). A call agenda will be sent later this week. Thank you, Becky
Becky Lampkins, Manager, Surveillance/Informatics Program at CSTE
Becky Lampkins •
March 1 ELR Workgroup Call — The upcoming March 1st National ELR Workgroup Call (1 pm ET) conflicts with the virtual 2022 ELC Annual Meeting (March 1-3 from 1-5 pm ET). Please respond to this thread and let us know if you are planning to join the ELC Annual Meeting on March 1 and would miss the ELR workgroup call. If a signi... 		5
Riki Merrick, Terminologist at APHL
Riki Merrick •
SARS-CoV-2 Variant Reporting and OTC reporting — As a follow up from the Open ELR call last week (2/17) I am posting the 2 documents shared on the call to get broader input - please provide by EOD 2/23 via email to riki.merrick@aphl.org (I will also monitor responses here, if folks prefer.[OPEN CELR call topicAtHome Testing_Final_20210318_MMEdi... 		5
Logan Smith
Logan Smith •
Doctor's Clinical Laboratory — Nancy asked about this back in January ("scam" alert), but I have not seen anyone discuss details about what dealings they may have had. Have other states received lab results (not necessarily ELR) from this facility? Did you enter any results from them prior to their being shut down? How have ot... 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
ELR monitoring dashboard — Hello all, I know that we've seen some of your dashboards for monitoring ELR (and future eCR), but can y'all post what you use and who built it? or homegrown? We need to put in a better monitoring dashboard and I'd like to get some ideas. thanks so much! 		7
Shaily Krishan, Program Manager at CSTE
📢 Workgroup Housekeeping by Shaily Krishan •
📢 No CSTE ELR Workgroup Call Today 2/1 — Please note that today’s ELR Workgroup call has been cancelled. We will reconvene on Tuesday, March 1st at 1:00 PM ET. 
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Agenda requests for 2/1 ELR Workgroup call? — Hi all, Does anyone have questions or agenda items they would like addressed on next week's 2/1 ELR Workgroup call at 1:00 PM ET? If so, please reply to this thread and we will work to coordinate. Best, Brooke
Michelle Miller, Informatics
Michelle Miller •
USDS sending results with Collection DTTM after result DTTM — WA state has an ongoing issue with USDS sending results with a collection DTTM after result DTTM.  It may be an issue with time zones, however they have not yet fixed the issue, which we started seeing in November 2021.   Have any other jurisdictions run into this issue with USDS? 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
'scam' testing location? — Hello, I missed it in the ELR call chat, but saw reference to a possible scam testing location? what location was that? thanks! 		2
Riki Merrick, Terminologist at APHL
Riki Merrick •
Adding Nullflavors to race value set — Follow up from the Open ELR call on 1/6/2022: NHSN is reporting these 2 nullflavors in their race element: Unknown and Declined to answer (this one is mapped to ASKU = Asked, but unknown from the V3 Nullflavor code system) Currently the official PHINVADS valueset associated with PID-10 in the ELR... 		13
Michelle Miller, Informatics
Michelle Miller •
Z segments from CVS — Hello all, WA is working to onboard CVS, and we are having an issue with them submitting Z segments. We don't allow Z segments and have successfully had submitters strip them out on their end if they use them. CVS is in our structural validation and we've asked CVS to stop sending them,  and in ... 		1
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Clarification: LOINC for Sample Identifier — Hi, Clarification - if states are already receiving the PLT in lineage reports that contains the specimen ID, Quest would like to not have to change that. We had to have that change for our state, but Wendy tells me they would to leave states as is due to resource limitations on the Quest side. T... 		4
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
📢 Workgroup Housekeeping by Brooke Beaulieu •
📢 January call rescheduled to 1/11 and new Zoom call information — Hello all, Happy New Year! Please note that the January CSTE ELR Workgroup call has been rescheduled to Tuesday 1/11 at 1:00 PM ET. We will not have a call today 1/4.  Please also see below for the updated Zoom call information. The recurring calendar appointments have also been updated to incl...
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Receiving identified at-home test results from USDS — Did any jurisdictions opt to receive identified at-home test results from the US Digital Service (USDS)? If so, what is that data quality like and how are you using the data? Annie - Feel free to add anything else I missed. 		5
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Variant Sequence Reporting and Related — Hello, Thank you everyone for a great ELR monthly call yesterday! The presentation by Duncan MacCannell from CDC covered a lot of ground. So much so that it was decided to continue this conversation on the open ELR call tomorrow at 4 PM ET. Brooke is putting together some notes and we are asking... 		5
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Reminder and Agenda: CSTE ELR Workgroup Call Tomorrow 12/7 at 1:00 PM ET *Special Session on Variant Sequencing* — Please excuse any redundant communications. Good afternoon,   This is a friendly reminder of our upcoming CSTE National ELR Workgroup call, scheduled for tomorrow, 12/7 at 1:00 PM ET. We are dedicating December’s call to a special session on variant sequencing and reporting, and broadly extendin...
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Feedback on National Flat File Governance Process - Due EOD Tuesday 11/9 — On our 11/2 ELR Workgroup call, we reviewed the proposed draft change control process for the National ELR Flat File. The draft proposal is attached for your feedback by EOD Tuesday, November 9th. [Proposed governance process for national ELR flat file_Revised 11_2.docx] You can provide feedba... 		5
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Blood lead reporting — Hi all, A question for our lab partners. CDC has lowered the action level for childhood blood lead to 3.5 (ug/dL I believe). Are labs able to report these levels with one decimal place and not rounded? thanks! 		2
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Ellume Covid-19 test recall — FYI Company Announcement | Ellume COVID-19 Home Test (ellumecovidtest.com)
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
SARS-CoV-2 Variant Reporting — Hello, On the weekly extended ELR call discussing variant reporting, getting GISAID IDs, info back from CDC, etc. I suggested we have a call about this. I think it would be good to include some of the epi staff who work with the info in our states (not all of us on those calls do both capture of ... 		12
Riki Merrick, Terminologist at APHL
Riki Merrick •
Nov 2 Nat ELR call topic — Hi all, I have been made aware of new regulation in CO to include patient email and preferred language - which starts the conversation about updating the csv file format of the National Flatfile HL7 Generator. I am attaching the Change request (I may have more info around the LOE by the call, but... 		4
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Any topics for the October 5 Monthly call? — An early call for topics or if anyone has a presentation they would like to share.  thanks! Nancy 		1
Riki Merrick, Terminologist at APHL
Riki Merrick •
Vaccine information in ELR — One of the projects is thinking of adding a question about COVID-19 vaccination status using this LOINC (and the described proposed LOINC answers): https://loinc.org/97155-6/ I have the following questions: #1 - Will inclusion of an OBX with this LOINC cause your ELR receiver to reject the messa... 		29
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
📢 Workgroup Housekeeping by Brooke Beaulieu •
📢 Instructions for Updating CSTE ELR Points of Contact by 9/30 — Hello all, As you may recall, in Fall 2020 CSTE first compiled the ELR Points of Contact list in order to facilitate more direct and streamlined outreach to jurisdiction ELR colleagues. The contact list is posted publicly on the CSTE website. CSTE would like to verify that we have the correct c...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Veterans Affairs covid reporting — Hi all, we got the following message from the VA in CT. If we can find out from APHL if states will receive VA covid 19 test results via interpartner via AIMS and what about states being able to get case information i.e. symptoms, underlying conditions, occupation etc. for those who test positive...
Michelle Miller, Informatics
Michelle Miller •
Looking for the Fake CLIA list — Hello all, I'm looking for the list or link to the list of fake CLIA's Riki created for the jurisdictions. I can't find it and wasn't on the email she sent out.  		2
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Capture of Ct values in HL7 — hi, I've been asked to now have labs doing SARS-CoV-2 sequencing to report the Ct values. How are folks capturing that in HL7 that is not NTE? thanks 		6
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
K-12 Reporting Presentation on 8/26 APHL Open ELR Call — Hi all, Tomorrow's APHL Open ELR call will feature a presentation on Operation Expanded Testing (K-12 reporting) from the three hubs (Eurofins, Battelle, Perkin Elmer). Attendance on tomorrow's call is open - see below for call coordinates if you are interested in attending the presentation: Co...
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Preference on September ELR Workgroup Call Date? — Hi all, Our next regularly scheduled 9/7 ELR workgroup call falls right after Labor Day. Given the proximity to the holiday weekend, I want to get a sense of if folks would like to keep the call on that date or push to 9/14. Please respond to this thread with which of the following options you p... 		11
Michelle Miller, Informatics
Michelle Miller •
School athletic event COVID test reporting — I asked on today's national call, and putting it out to everyone again. How are states getting testing from school athletic events reported?  Is it lumped in with all school testing or separated out? Thanks everyone!
Randi Hathaway
Randi Hathaway •
PLR code list for covid variants — Hi,  Working with labs in TN to report covid variants. Some have requested a PLR code list. I can share with them lists that other labs have sent us (Quest/LabCorp) but wasn't sure if these were available for download somewhere for the labs to access.  Thanks,  Randi Hathaway (TN) 		2
Robb Byres
🛠 ELR Workflow by Robb Byres •
🛠 Inter-State transfer via AIMS Interpartner — As requested by Nancy this is the forum for discussing Inter-state ELR transfers using the AIMS Interpartner process.  This process is being used by multiple State's to transfer out-of-State HL7 ELR's to the appropriate jurisdiction.  The forum is for any questions or hints related to the process.   		10
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 Need ELR contact for New Jersey — Hi, Could folks from New Jersey Epi-Informatics send me an email to nancy.l.barrett@ct.gov please? We are trying to stop paper faxing of covid-19 test results printed from the NJ surveillance system and need to figure out a better way. I apologize - I should have a contact list for every state,... 		9
Emily Roberts
Emily Roberts •
At-home Abbott BinaxNOW results — If a person takes an at-home BinaxNOW test, should that result be sent to the jurisdiction via Centralized ELR? Thanks! Emily Roberts, Utah Dept of Health
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Discussion on K-12 COVID-19 Reporting on 7/22 APHL Open ELR Call — Hi all, As an FYI - APHL is coordinating a discussion on tomorrow's 4:00 PM ET Open ELR call to solicit feedback on how to set up reporting for COVID-19 in K-12 schools. We want to ensure CSTE ELR workgroup members have the call information in case you would like to participate (all are welcome)...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
New Curative Multiplex test — Hello, This is a question for our APHL-AIMS partners. Curative announced it is putting out a new testing platform for Covid-19 to include influenza and RSV. We are going to get these flu and RSV results in interpartner, correct? Do we need to ask about other labs doing this flu/RSV testing - thi... 		4
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
S3 switch over - anyone in production? — Hi all, Has anyone gotten S3 in production for the switch over from interpartner/Quest for ELR or for eCR? My tech team has a few questions so if you could let me know your email so I can connect them with your tech team, that would be great. We are testing, but want to know a few things before w... 		4
Megan Tompkins
Megan Tompkins •
Cruise ship results reporting — Hello all, is anyone else working on cruise lines results reporting? I'd love some collaboration regarding what others states are requiring (all testing, same as all other sites vs. something pared down as they have other substantial federal regs??). Thanks much! 		2
Michelle Miller, Informatics
📈 Other ELR by Michelle Miller •
📈 USDS and School Reporting — Washington State has begun working with USDS to provide the reporting for School Testing, for our schools not already using Curative.  Our Surveillance teams have requested we receive School Name, School District and Staff/Student designation.  We have the School Name and District coming from STR... 		2
Emily Roberts
Emily Roberts •
Genova Diagnostics — Hi All,  Does anyone have a contact for Genova Diagnostics? Has anyone been able to onboard them for ELR? Any info is helpful. Thank you! Emily Roberts Utah Department of Health 		7
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Info on FHIR — Hi, I need to be pointed to a "FHIR for Dummies" explanation/guide. Any suggestions?  thanks, Nancy 		4
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Covid Lab Reporting Changes — hi all, Based on conversations the ELR community members attending CSTE had yesterday on the ELR meet and greet and the ELR round table discussion, I drafted a statement that Bryant Karras said he and Steve Eichner would be willing bring to the PH Data Standards workgroup (that is not the comple... 		1
Kristy Lunquest, Maryland Department of Health
Kristy Lunquest •
Processing sequencing data sent via CSV — Hi, Our current process allows labs to share sequencing data via Redcap. We do have a lab that has started to send sequencing results via HL7, but have several labs that do not have HL7 capability and are sending COVID results via CSV.  In MD, we have our own CSV template. I am considering how we... 		2
Emily Roberts
Emily Roberts •
Encompass Health ELR — Hi,  In Utah, we are receiving ELR messages from AIMS for Encompass Health that have no LOINC in the OBX for the COVID-19 result (all the AOE OBXs do contain a LOINC). Are other states experiencing this with AIMS messages from Encompass Health? AIMS Team- is this a known issue/something you're ...
John Satre, Informatician at Iowa Department of Public Health
😢 Issues with Labs by John Satre •
😢 Biocerna/Matrix Clinical Labs Backlog — Good afternoon,  Iowa just received a backlog of positive results from Matrix Clinical Labs. The positive lab results are all from May and June of 2020. Has any other state received a similar backlog from Matrix? Thanks. John Satre 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 Quest Cancer Registry Reporting — Hi, Can someone who has gone through the Quest Cancer Registry reporting project please contact me? I have a few questions. the first one is - how did they distinguish the CR messages from ELR? Did they follow HL7 conventions? thanks, Nancy nancy.l.barrett@ct.gov 		3
Riki Merrick, Terminologist at APHL
Riki Merrick •
Question received about reporting COVID-19 results related to traveling — Hi Patina, I wanted to reach out for advice on the reporting requirements are for the SARS testing performed for travel requirements (i.e., flying out of the country, SARs testing to be completed in 72 hours from flight).   Thanks for any information you can provide, Shelley    |  |  |  |  |  | S...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Contact for Precision Health Solutions — Hi, We are receiving covid-19 test results from Precision Health Solutions in Petersburg, Florida but these seem to be re-reports of Lab Corp results. We are having trouble reaching someone at Precision to discuss this.  Anyone have any contacts for this location that we can try? thanks! Nancy 		2
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
CSTE Meeting Info — Hi all, The ELR Meet and Greet is on Tuesday June 15 at 2:15 - 3 PM A few of put in for another roundtable to discuss Covid-19 impacts. That presentation is on Tuesday June 15 from 4:15 to 5 PM  (15008) "Traffic Jam on the COVID-19 Data Highway: Experiences and Solutions from the ELR Community"... 		7
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
FW: APHL Lab Alert #125 — Please see below for information from a recently released APHL Lab Alert. You may access the full contents of the alert, including resources and contact information, via this web link: http://www.magnetmail.net/actions/email_web_version.cfm?ep=ILOQpgl6ksVIy3fud_QpQKWqZ8BPuuC7HAWF4T0cr9N7G21fZ0g4m...
Michelle Miller, Informatics
📈 Other ELR by Michelle Miller •
📈 Need APHL/CDC guidance for school testing reporting. — WA State is seeking guidance for reporting school/school district testing data to the CDC. We would like to discuss at our next call. Because there are no standard fields within the HL7 message segments to house information which would allow us to track a result back to a school or district, wha... 		1
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
📢 Workgroup Housekeeping by Brooke Beaulieu •
📢 5/4 ELR Call Follow-Up: APHL Survey, Specimen ID codes — 1) Here is the link to APHL's survey on jurisdiction preferences for point of care and at home test reporting: https://app.smartsheet.com/b/publish?EQBCT=01675cb298ea4afaafbe9bb4d856dade 2) Here are the codes Riki supplied regarding specimen ID:  LAB202^Specimen ID^PHINQUESTION  and send it as... 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
T-Detect test — hi all, Adaptive Biotechnologies has been reporting results for a T-Detect test that is TCR beta gene sequences specific for SARS-CoV2 Do y'all consider this similar to an antibody test or a 'PCR' for active infection? thanks! 		3
Michelle Miller, Informatics
Michelle Miller •
Taking vaccine info with positive COVID lab results — Washington is being asked, by labs, how to report patients that have had their vaccination and are now COVID positive. There is internal discussion here, and we wanted to find out from other states who have done or are considering. 		1
Will Cox
Will Cox •
Eurofins data completeness issue — Hi all -  Are any other states having issues with Eurofins data completeness? From the data we have been receiving in Washington State, the main issues are that ordering provider zipcode and phone number are missing for all records we have received. Ordering provider zipcode and phone number are... 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Stage 3 Promoting Interoperability — Hi all, it just may be me that is behind the times, but the CT Dept Social Services (the state Medicaid agency), has told me that ELR is not even on the list for public health reporting for Promoting Interoperability. See below. So there goes our carrot?   [PH_Stage3.jpg] 		3
Cody McNeese
Cody McNeese •
Athena EHR & COVID-19 Reporting — Hello,  We have a handful of clinical sites that utilize Athena EHR in Oregon. I was wondering if anyone has had success in getting Athena to either develop a report similar to the national spec for CSV OR allow their customers/clinics to create the reports on their own. The sites in Oregon are ...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
CDC Sequencing Guidance — is published https://www.cdc.gov/coronavirus/2019-ncov/lab/resources/reporting-sequencing-guidance.html
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Kameo Health in FL — Hi, We received faxes of covid-19 tests with the ordering provider being Kameo Health in Palm Beach Florida? Does this ring any bells for folks? Performing Accula PCR test. thanks! 		4
Jordyn Dinwiddie, ELR Coordinator at NMDOH
Jordyn Dinwiddie •
Simple Report — Hello,  Has anyone successfully onboarded and are receiving messages via Simple Report?  Thanks so much! Jordyn 		8
Brick Green, Interoperability Supervisor
Brick Green •
NPI for pharmacist administered POC? — We're onboarding Prescryptive and they kicked back on our requirement for NPI: "For this, these tests are self-elected for by the patient through our mobile app., where they schedule time with a pharmacy near them (and that is onboarded to our platform). At the appointment, the pharmacist admini... 		1
Emily Roberts
Emily Roberts •
Cue At-Home Test Reporting — Does anyone know how (or if) the Cue At-Home COVID-19 test (https://www.cuehealth.com/) will be reported? Will it be through AIMS or through an organization such as Ellkay or Lifepoint? Any info is helpful. Thank you! -Emily Roberts Utah Department of Health 		1
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Need Lab contacts — Hello, Looking for contacts for  Aegis Sciences based in Nashville. They need to turn off paper reporting! Eurofins NTD Genetics in Melville NY turn paper off QAnswer Lab in Edison NJ to switch to electronic Pathnostics Irvine CA thanks! Nancy 		18
Megan Tompkins
📈 Other ELR by Megan Tompkins •
📈 Miami FL Hard Rock test site — Hello-  Alaska is getting COVID results from the Hard Rock Stadium COVID test site, which Google tells me is in Miami, FL. Seems like perhaps when patient address isn't known, someone there is consistently entering this: Street Address 1: Pp   Street Address 2:   City:  Pp   State: Alaska   Zip: ... 		1
Corinne Davis, HL7 Implementation SME
📈 Other ELR by Corinne Davis •
📈 Ochsner Health COVID Clinical Trial Reporting — The APHL AIMS ELR Implementation Team is working to onboard Ochsner Health for COVID ELR reporting via AIMS. Ochsner is working with Pfizer on a clinical trial where they will be testing participants for COVID twice during the duration of the trial. The sample collection will be at home, but test... 		6
Emily Roberts
Emily Roberts •
Ellume COVID-19 results — For anyone who has received COVID-19 at-home testing results from Ellume - what LOINC are they using? Does the LOINC they use indicate "at-home" testing? Thanks! -Emily Roberts Utah Department of Health 		2
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
SonicHealth method mixup — Hi all, we just found out by accident (thanks to a question from a LHD doing a contact interview) that SonicHealth had incorrectly sent Serology results under a PCR LOINC 94500-6. We have a list of 156 to correct dating back to August. We have to correct these by hand, because old results can't b... 		5
Riki Merrick, Terminologist at APHL
Riki Merrick •
COVID reporting Facility Type — Hi all, on the CELR side we are creating a categorization of performing facilities / ordering facilities and reporting facilities to facility types (hospital, public health, national etc) but running into issues, when the CLIA / NPI numbers are NOT sent to CELR. Do the jurisidictions have a categ... 		5
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Not an AIMS Issue! — Hello, It seems my post caused some concern at APHL so I wanted to update it.  The problem as it turned out, was that a SQL server hosted by our IT shop had the logs fill up so the PHINMS feed stopped processing. Once that was identified as the problem it could be cleared up and messages flowin... 		3
Kristy Lunquest, Maryland Department of Health
Kristy Lunquest •
Navica — Hi all, Sorry if I have missed information on this. Can someone provide more information about Navica? I have been contacting universities lately to set up reporting and am hearing some say they will be reporting through Navica, which seems to be an app for BinaxNOW results. Will these results b... 		2
Megan Tompkins
Megan Tompkins •
Seafaring vessels reporting — Hi all, is anyone else currently coordinating receiving results from seafaring vessels such as floating fish catcher-processors or cruise ships? They have questions regarding our legal authority to require results depending on if testing was performed while in international vs AK waters. Also, it... 		1
Annie Fine
Annie Fine •
Interjurisdictional notification — Hi all, I feel like I should have been paying more attention before and likely missed important information. So, with tail between my legs, I humbly ask for a quick 101 on what is possible for electronic interjurisdictional notification using HL7, possibly via the AIMS platform?  Or any other wa... 		7
Brick Green, Interoperability Supervisor
Brick Green •
HL7 staging system — I have view a demonstration of the Electronic Messaging Staging Area developed in Utah. I think it's great! But are there other options on the market to make a comparison? As you all know, we will never receive perfect ELR. So we are looking to install a system to assist with finding improperly f... 		6
Kristy Lunquest, Maryland Department of Health
Kristy Lunquest •
DxTerity Diagnostics — Hi, Has anyone been able to communicate with DxTerity Diagnostics? We are receiving the results through AIMS, but on 3 occasions I have reported large amounts of results with missing DOBs and the lab has not responded. I found the issue again today. Just wondering if anyone else is having this i... 		2
Brick Green, Interoperability Supervisor
😢 Issues with Labs by Brick Green •
😢 Refusal to report NPI — We have a number of laboratories that are unable to report provider NPI. But they say they're working to implement that data element in their system. Then they will be able to report. That seems reasonable to me. They may or may not actually be working on it. But we take them at their word. Unfor... 		1
Annie Fine
📈 Other ELR by Annie Fine •
📈 How are you handling indeterminate or inconclusive results for COVID-19? — Hi all,  We had been regarding indeterminate or inconclusive results as negative for COVID but just recently received some results on a Cobas RT-PCR test run by some of our major hospitals that indicated that an indeterminate result should be regarded as positive. Was wondering how all of you ar... 		7
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Curative Possible False Positives — Hello all, FDA put out a notice of risk of false positives for the Curative SARS CoV 2 test Risk of False Results with the Curative SARS-Cov-2 Test for COVID-19: FDA Safety Communication | FDA Not sure if folks knew or have heard of problems. Thanks! Nancy
Riki Merrick, Terminologist at APHL
Riki Merrick •
Centralized ELR - NHSN feed question — Hi all, NHSN is trying to see, if it would make a difference to you if they grouped the HL7 messages into batches of POC test result data parsed by positive, negative or corrected? I had meant to post this before the holidays and it totally slipped through the cracks. If this would be helpful I w... 		12
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
State Epi call — Hello! I'm sure this reminder will go out from Brooke as well. Any particular topics for the Tuesday call. I would like to suggest something - State Epis have a call every week at 4 PM. Would the community like to ask CSTE to set up a call with State Epis to go over our suggestions on collection... 		1
Emily Roberts
Emily Roberts •
Adaptive Biotech - T-Detect results — Hi All,  Here in Utah we have started receiving results from Adaptive Biotechnologies. They are sending us results with the LOINC 95970-0, SARS-CoV-2 (COVID-19) specific TCRB gene rearrangements [Presence] in Blood by Sequencing.  The T-Detect test from Adaptive Biotechnologies has more info he...
Kristy Lunquest, Maryland Department of Health
Kristy Lunquest •
Pathnostics, ConnectDx, ReOpen Diagnostics — Hi,  Does anyone have contacts for any of the following labs: Pathnostics, ConnectDx, ReOpen Diagnostics ? My attempts to contact them have been unsuccessful. Thanks, Kristy  		5
Sita Smith
Sita Smith •
Aurora Diagnostics in North Carolina — Does anyone have a contact/email phone for this facility? They are sending us faxes, and none of the listed numbers online respond. 		1
Andrew Horvath - CDPHE
Andrew Horvath - CDPHE •
Ellume and at home data completeness — Hi everyone! Happy holidays!  We're working with Ellume to onboard for ELR for at home tests, but they can't seem to send even basic patient demographics like address and phone. Are other states receiving their data without this? How are you handling it? 		8
Michelle Barber
Michelle Barber •
InterPartner~ELR messages — Greetings all -- apologies for sending this after the fact... on 12/18, Oregon implemented an InterPartner~ELR message to send data via AIMS for non-Oregon residents. Our last review showed that nearly 8% of our data are for out of state residents and we're already struggling under the weight, so... 		14
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Lab questions — Hi, Did I already ask this - need contacts for  Aegis Lab Corp -- 501 Great Circle Rd, Nashville, TN -- we've called and faxed and no reply on going electronic AIT Labs - 1500 Interstate 35W, Denton, TX 76207 -- same as above Thanks! Nancy 		4
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Happy Holidays! — Hello all! No matter which holidays you celebrate, here's wishing all of you a safe and happy holiday. Try to take at least some time to relax. Thank you for all you are doing -- and being part of this community! We all appreciate you even if it seems others do not. The work our community does i...
Tania Bechtel
Tania Bechtel •
Ordering Facility for at-home sample collection — For laboratories that are offering at-home sample collection, what information are other states requesting for ORC-21 through ORC-23 (Ordering Facility Name, Address, and Phone)? 		8
Riki Merrick, Terminologist at APHL
Riki Merrick •
NHSN identifying the role of the tested person: Resident, Staff or Visitor — NHSN will send results for 3 different types of patients = people being tested: and here is how that is being identified in the messages Residents: PID-3.5 = PI AOE responses: For resident of LTCF = Yes, Healthcare worker = No Staff: PID-3.5 = PN AOE responses: For resident of LTCF = No, Healthc... 		2
Riki Merrick, Terminologist at APHL
Riki Merrick •
MSH-4 content when NO CLIA is available (e.g. data aggregators or companies providing at home testing) — We talked about the problem of how to populate MSH-4 on the Open CELR call last week. To iterate here are the issues: #1: MSH-4.2 MUST be a CLIA number; we agreed that for DoD (and potentially the VA) CLIP number can be used instead.  #2: Some prefer for the MSH-4 = OBX-15.1 = OBX-23.10 #3: Other... 		11
Riki Merrick, Terminologist at APHL
Riki Merrick •
Dealing with patient executed testing — How do PHAs expect to have the results of the patient performed new FDA approved test Lucira resported?  Here is the link to the package insert: https://www.fda.gov/media/143809/download  How would you expect to indicate that this was not generated at a lab = no CLIA number etc? Riki 		5
Emily Roberts
Emily Roberts •
NHSN Feed — Hi,  We received a large batch of messages through NHSN's AIMS feed that have no value in MSH.4.1, which has the facility code. We are not able to process these messages without a value in MSH.4.1. Did any other jurisdiction have this problem today? Not sure if this is an issue on the facility s... 		12
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
USCDI overview — Hi -- I'm on the PEW research call about ELR and the USCDI has been brought up as the place where demographic data is defined. Chris - would you be able to run through that on the December call? Or is there another person (Steve Lane?) maybe it's just me, but I was not familiar with it. https:... 		10
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Providing a list of sites submitting for CLIA certification — Hey all, Hoping to get additional offline feedback on the topic raised on the 11/10 ELR call regarding providing information on sites submitting for CLIA certification.  CSTE is working with APHL and CMS to be able to provide an updated, comprehensive list of sites that are applying for CLIA ce... 		1
Emily Roberts
Emily Roberts •
NHSN routing — Hi,  I am not sure if this question has been asked before, so apologies if so. Does NHSN route messages to jurisdictions based on patient address or facility address? We are concerned that patient address might not accurately reflect where the patient is residing, and we would miss results if NH... 		8
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Additional NHSN trainings scheduled for 11/5 and 11/6 — Hi all, just want folks to be aware the two new NHSN training opportunities have been posted on the NHSN website for tomorrow 11/5 (12:30 PM ET) and Friday 11/6 (11:30 AM ET): Upcoming Trainings **Please note: the webinars have the same link. Attendees will be able to choose which session they ... 		6
Riki Merrick, Terminologist at APHL
Riki Merrick •
Centralized ELR - updating data elements — All, with more and more PHAs updatign their systems it seems we may be able to support more of the HHS profile elements described here: https://confluence.hl7.org/display/OO/Proposed+HHS+ELR+Submission+Guidance+using+HL7+v2+Messages  and explictly described in the currenlty balloted (Sep2020) LRI... 		3
Riki Merrick, Terminologist at APHL
Riki Merrick •
Dealing with State Specific COVID-19 requirements — We have the national flatfile - and then we have STATE specific ADDITIONS - how do we update the file, will all stats take new elements etc? examples are: NY requiring employer information / school attendance UT requiring list of co-morbiditities I am sure there are others. Labs that have to repo... 		4
Michelle Meigs, Deputy Director, APHL Informatics Program
Michelle Meigs •
NHSN AIMS data feed update — Dear all, APHL just released a message alerting all PHAs that the NHSN will resume sending production SARS-CoV-2 data starting tomorrow morning- October 28th. Please see a copy of that announcement below as well as the updated NHSN facilities list  mentioned in the email announcement. [UPDATE AI... 		13
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Healthcare Esoterics contact — hi all, one of our LHDs is still getting faxes from Healthcare Esoterics, even though she and I have contacted the lab to make it stop. Anyone have a higher level lab director contact I can call to get them to stop this faxing? Thanks! Nancy 		1
Emily Roberts
Emily Roberts •
CELR Influenza reporting — Hi CELR Team,  Are there any plans to include Influenza reporting for those organizations that are utilizing the CELR/AIMS feed to states? Thanks! Emily Roberts Utah Department of Health 		2
Brick Green, Interoperability Supervisor
Brick Green •
At-Home collection kit via AZOVA — One of our EPIs sent me a link to some at home collection kits they found on the costco website: https://www.costco.com/.product.1499696.html From the description I think the patient collects the sample then mails it into AZOVA for resulting. Has anyone had been in contact with AZOVA for reporting? 		5
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Csv validation tool and upload? (non national csv) — Hi, if anyone has developed for their state csv files either or both of the following, could you email me please? nancy.l.barrett@ct.gov A csv validation tool (Excel macro?) that can be served to a location to upload a test file to validate their file structure and content. We have smartsheet so...
Michelle Meigs, Deputy Director, APHL Informatics Program
Michelle Meigs •
AIMS Go Live Alert- Centralized ELR: NHSN — Dear all, The NHSN will begin sending production SARS-CoV-2 result data through the AIMS Centralized ELR feed starting either Friday October 23 OR Monday October 26. Please see attachments (2) for full announcement and important details. [NHSN_FAC_CLIA_ELR_Onboarding_20201021_BATCH1.xlsx][AIMS G...
Riki Merrick, Terminologist at APHL
Riki Merrick •
Need information about Influenza / SARS-CoV-2 panel result Reporting requirements — All, I am getting lots of questions around Influenza reporting and since there is not really a nice easy way to find current information (I know the SCRA has data from 2018) in one spot yet (keeping my fingers crossed, that RCKMS will help with that at some point or another) I had asked these on ... 		20
Rachelle Boulton
Rachelle Boulton •
Semi-anonymous COVID-19 negative test results — Hi all! Do we have any jurisdictions that are accepting anonymous or semi-anonymous COVID-19 negative test results? If so, what demographic information are you allowing reporters to exclude?
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Oct 16 updates to CDC/HHS reporting — Hi, does anyone have the quick summary of what the Oct 16 changes to the CDC/HHS lab reporting? Its not apparent to me but was there anything that might concern our ELR community? https://www.cdc.gov/coronavirus/2019-ncov/lab/reporting-lab-data.html thanks, Nancy
Sita Smith
Sita Smith •
Maven processing time — We've recently started seeing a slowdown in Maven processing time -  tending to see an hour or two backlog between when a batch is imported into Maven and when the report actually appears in an event. Is anyone else seeing this? We're consuming around 100,000 reports a day. Looking for strategies...
Emily Roberts
Emily Roberts •
NHSN LTCF reporting — Hi,  We had a LTCF reach out to us today to let us know they were reporting to NHSN, and ask if they needed to report to us, as well. If a LTCF is reporting to NHSN, are those being routed to the states? If yes, how so? Would this come through CELR? Any guidance is helpful! Thanks-  Emily Rober... 		2
Michelle Barber
Michelle Barber •
Unsolicited DOD ELRs via email? — Hey all -- Twice in the last week I've received emails from what looks like DOD with instructions to download a CSV. I've not had any communication or outreach, just these unsolicited messages - which at any other time I would have just deleted because they seem sketchy. Is this how others are re... 		20
Riki Merrick, Terminologist at APHL
Riki Merrick •
Question about changing ELR R1 handling reports of specimen collection date, when unknown — All, I got this question from Quest: Several departments of health have asked us to not report “0000” in the OBR-7, OBX-14 and SPM-17 fields when we don’t have a specimen collection date and time to report. Because these fields are required in the first and last fields, leaving the fields blank i... 		3
Emily Roberts
Emily Roberts •
CELR - Base64 encoding of messages — Hi,  In Utah, as we've been working to set up our integration engine to onboard messages received from CELR partners via AIMS Platform, we've noticed that all messages from CELR partners appear to be Base64-encoded.  We haven't encountered this with any other messages received via AIMS Platform,... 		1
Michelle Meigs, Deputy Director, APHL Informatics Program
Michelle Meigs •
AIMS GO LIVE ALERT: ABBOTT — Abbott will begin sending production SARS-CoV-2 result data through the AIMS Centralized ELR feed starting Tuesday October 6. Please see attachment for full announcement and important details.   IF YOU DID NOT RECEIVE THE ORIGINAL EMAIL MESSAGE FROM APHL BUT WISH TO RECEIVE FUTURE EMAIL NOTIFICAT... 		2
Carmen Pugh, Labcorp Manager State Reporting at LabCorp
Carmen Pugh •
Individual State Requirements — Is there any national document available for labs that detail each individual state's various data elements that are required for COVID-19 reporting?  This would be in addition to the HHS required and requested data elements.  It would be very beneficial if there was one document that labs could ... 		3
Emily Roberts
Emily Roberts •
HCA Age at Specimen Collection OBX — Here in Utah, we have been receiving the "Age at Specimen Collection" information from HCA as an OBX, but under the SPM segment rather than under the OBR. Our system is not set-up to be able to process an OBX like this, but HCA has responded indicating that they are formatting it according to the...
Michelle Meigs, Deputy Director, APHL Informatics Program
Michelle Meigs •
AIMS GO LIVE ALERT: COVID-19 CENTRALIZED ELR PARTNER- HELIX — APHL sent an email last night to alert PHAs that Helix will begin sending production SARS-CoV-2 result data through the AIMS Centralized ELR feed starting Thursday October 1 to all AIMS PHA data exchange partners. Please see attachment for full announcement    IF YOU DID NOT RECEIVE THE ORIGINAL ...
Sarah Solarz
Sarah Solarz •
Solaris and missing specimen dates — Hi all, is anyone else getting submissions from Solaris labs?  We are having a lot of issues with missing specimen collection dates in their messages and wondering if other jurisdictions are experiencing the same.  If others have this same issue, we would be interested in working together to reso... 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
BinaxNOW testing in K-12 schools — Hi all,  If you haven't seen the letter from the White House published yesterday it is https://www.whitehouse.gov/briefings-statements/president-trumps-letter-americas-governors/ We are trying to determine how these tests will be administered (school nurses likely, do they each need a CLIA of wa...
Megan Tompkins
Megan Tompkins •
CoreBio in OH COVID — Hi all, is anyone working with CoreBio in Ohio? They're conducting lots of testing for some drive-up and outbreaks sites in Alaska. The rep seemed unsure if they can produce HL7 2.5.1 or not, but also mentioned that they're working with about 8 states so far (I believe she mentioned OH, TN, FL, C... 		4
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
OOS reporting COVID-19 — Hi all, Just asking -- we try to include lab information when we sent a report to another state about test results we have received for a resident in that state. However, we receive reports from other states for CT residents tested OOS that don't always include that info. It's hard to put this in...
Bill Storm, ELR Coordinator
Bill Storm •
COVID Reporting for Blood Banks — Out of curiosity, are there are other states who have informed Blood Banks (e.g. American Red Cross, CSL Plasma Center, etc.) that they are exempted from reporting COVID-19 test results since they are not a healthcare provider? ARC does provide a weekly summary of results, but this is not the sam...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Pooled testing — Hi all, not sure if someone asked this before, but has anyone worked with a lab that is using pooled testing? I see on the FDA website that only 6 molecular methods were approved for pooling. https://www.fda.gov/medical-devices/coronavirus-disease-2019-covid-19-emergency-use-authorizations-medica... 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Multi-plex testing reporting — Hi, just posting here for consideration on the next COVID-19 ELR call or reply here. Any updated information on how to code multi-plex testing and resulting? Our State Lab wants to know (so do we) and is planning to report the individual targets. Also, info on the roll out of this to PH labs, us...
Riki Merrick, Terminologist at APHL
Riki Merrick •
Device ID in OBX-17 - length restrictions — We are reconciling ballot comments on LRI this week at the WGM and the following suggestion came up in dealing with the length restriction in OBX-17.1: Rather than using an NTE, could the longer description just be sent in OBX_17.2, when OBX-17.1 has to be truncated? Example would look like this:... 		5
Kristy Lunquest, Maryland Department of Health
Kristy Lunquest •
COVID results in a respiratory panel (with AOEs) — Hi, One of the hospital labs that we have been trying to onboard (one of the last for us) is sending a respiratory panel that includes SARS-CoV-2. It also includes influenza, which would be in our FLU Program area. In the past if we have results that cross 2 program areas, we have separated the ...
Riki Merrick, Terminologist at APHL
Riki Merrick •
MSH-4 values for messages from DOD labs — I am trying to help some of the DOD labs with reporting - they don't have a CLIA number, but a CLIP# - do you want that in MSH-4? If yes, what do I put for MSH-4.3? Or will you accept an OID? 		16
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Additional reporting requirements for pooled specimen for COVID-19 — Hi folks, Trying to get some insight from the public health perspective on the importance and priority of implementing additional reporting requirements for pooled specimen for COVID-19. Currently results from pooled testing, when performed under CLIA regulation, are reported to providers and P...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Biocerna COVID-19 blood spot tests — Hi all, Are blood spot tests for COVID-19 an acceptable method? This is the first I've seen some. Are other states accepting these as valid tests? Maybe I'm just behind the times. Here's a snip of the result and description. [image.png] 		3
Kristy Lunquest, Maryland Department of Health
Kristy Lunquest •
Wild Health in Kentucky — Hi, Has anyone had success in onboarding Wild Health in Kentucky? I have had a hard time getting a response from them. Also, they have said they are CLIA-certified, but does anyone know what that CLIA is? I cannot find it. Thanks, Kristy, MD Dept of Health
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Health Quest esoterics contact — hi all, Does anyone have a contact for HealthQuest esoterics -- they are faxing results to one of our local health depts that aren't even CT results. The person from local health has called them several times and not gotten a response.  thanks! Nancy 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Nursing Home testing - getting results — HI all, Does anyone have experience with a nursing home getting the BD Veritor or Quidel Sofia antigen test instruments results? What have you done? Assistance that nursing homes needed? Barriers, issues? BD Veritor has a USB port where it can be linked to a computer and a csv file sent.  Quide... 		6
Emily Roberts
Emily Roberts •
At-home COVID-19 testing — Hi,  Does anyone have any experience with HL7 reporting of at-home, or self-administered COVID-19 tests? More specifically, if a COVID-19 test is ordered and performed by the patient, at home, what is being reported in the "Ordering Provider" and "Performing Lab" fields in the HL7 messages? Any... 		1
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Other call topics - small ones — Pooled testing -- are states seeing this occur Status of multiplex testing 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
New CMS Rule — Hi all -- are folks familiar with the new CMS interim final rule that was published yesterday? I got a copy from our facility licensing group. This clearly states: Please note that health care facilities using Point of Care COVID-19 testing devices under a CLIA Certificate of Waiver, including nu... 		1
Veronica Fialkowski, Infectious Disease Epidemiogloist
Veronica Fialkowski •
HHS Diagnostic Antigen Testing Machine Delivery to LTCF - ELR reporting? — Hi,  As long term care facilities receive the antigen testing machines, how are states handling electronic lab reporting? I imagine many facilities don't have the IT capacity to even get these connected to their health record systems? Let alone, ELR onboarding?  Any tips would be great! Thanks - ... 		6
Michelle Meigs, Deputy Director, APHL Informatics Program
Michelle Meigs •
AIMS COVID-19 Centralized ELR initiative — Dear all, As many of you are aware, APHL has been working closely with CSTE and CDC to support a number of COVID-19 data exchange efforts. The intent of this communication is to outline how APHL will manage the COVID-19 Centralized ELR initiative. APHL is working with several individual testing f... 		6
Steve Barber, eCR Coordinator
Steve Barber •
Looking for clarification on AOE's — I have two concerns raised by reporting facilities and I want to make sure I respond correctly. Any guidance will be appreciated. 1. Concerning the ICU question, is this question conditional on the "if hospitalized" question is answered "Yes"? Or should it be answered in all records? 2. For the ... 		6
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
COVID 19 Antigen testing questions — Hi all, AS you may know, antigen test results are now part of the CSTE most recent position paper on COVID-19. Also, I've been told and another sate said also, that nursing homes/LTCF will be receiving Quidel Sofia Ag testing instruments, but may not have ways to connect to a computer to send fil... 		12
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
ELR Call is Sept 1 — Hi all, because I have no brain, Brooke pointed out that Labor Day is Sept 6. So the first Tuesday, Sept 1 is still the date for our September call. Thanks all! Nancy
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
HHS Lab Reporting Aug 7 updates — I notice on the webpage for COVID-19 Laboratory Data reporting, that the update of August 7, 2020 has a what appears to be a change in the Who Must Report section.   But antigen testing can be in a patient care setting under a CLIA Certificate of Waiver?  So now I'm confused. So we have these set... 		4
Amy Drake, NM
Amy Drake •
Easy ELR wins? — Hi all, We are struggling with prioritizing laboratories for ELR onboarding.  Two of the criteria we are using are 1. Number of COVID tests done on NM citizens, and 2. Laboratories that can produce an HL7 (and/or HHS) compliant result without much babysitting. Obviously, y'all can't help us wit... 		20
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
HHS updates — Hi all, We'll have this as a more formal agenda item on Tuesday, but Abbigail Tumpey just let me know that the CDC website has been updated https://www.cdc.gov/coronavirus/2019-ncov/lab/reporting-lab-data.html The emphasis will be on the 18 listed requirements for CDC reporting and the addition... 		14
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Submit Questions for 7/30 Adhoc ELR Workgroup Call — Hi all, We have decided to convene an adhoc ELR workgroup call this Thursday, 7/30 at 3:00 PM ET to address existing questions surrounding the HHS lab reporting requirements.  Please use this dedicated discussion thread to post specific questions you would like covered on that call so that we h... 		4
Nancy Barrett, Epi 4/PH Informatics Specialist
🛠 ELR Workflow by Nancy Barrett •
🛠 Secure ELR transport options - topic for Aug ELR call? — Hi, we will probably be still going through a lot of HHS requirements on the August call, but I just wanted to ask if we could get some of the experts on the call about PHINMS, S3, AIMS options etc. Transport issues have become another key item for covid reporting and I'm guessing folks have iss... 		1
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
S3 -- anyone have info? — Hi, PHINMS, although a beloved workhorse, is not working that well for one of our major hospital systems. Anyone have info on an alternative such as S3? I don't want to use sFTP because that does not give us the same monitoring capabilities. Or other options. Thanks! 		1
Kristy Lunquest, Maryland Department of Health
Kristy Lunquest •
HHS COVID reporting requirements — Hi all, Excuse my ignorance, as I haven't been able to regularly attend calls. Hospitals have been contacting me asking for updates regarding these HHS reporting requirements and if they need to alter their messages, but I haven't been able to give any direction. Have there been any standardized... 		29
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Warde Medical Lab contact — hi, does anyone have a good contact for Warde Medical labs who will actually get back to me? About stopping their paper and going to an electronic file. thanks! 		2
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
July ELR Call topics — Hi all, I'd like to see if we could get some clarification from CDC/HHS about the new guidance as a separate topic from the universal csv progress. Brooke -- any chance we can get our community an update and also get more feedback from the community?  Anyone else have any thoughts/topics? than... 		9
Amy Drake, NM
Amy Drake •
Using Lexis Nexis (or similar) to update incoming ELR — Hi, Do any other states have experience updating contact information for incoming ELR using a batch lookup service from Lexis Nexis?  If yes, was it worth doing? And did you need any tools other than Rhapsody? Thanks for your input! Amy 		1
Sita Smith
📈 Other ELR by Sita Smith •
📈 Cormeum Labs CA — I just spoke with Bo Silliman from Cormeum Labs in Marrero, LA. The lab is gearing up for testing, and he is looking to contact PH jurisdictions (California in particular). Email Bo@zdxhealth.com, phone number # (828) 551-2591
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
AOE Question Clarifications — Hi all, On today's ELDR subcommittee call, we posed the following questions related to clarifying the intent and interpretation of the AOE questions included in the HHS Lab Reporting guidance. We captured some feedback on the call, and are posting here in case anyone else want to comment. We app... 		1
Tania Bechtel
📈 Other ELR by Tania Bechtel •
📈 LOINC for BioFire Respiratory 2.1 Panel with SARS-CoV-2 — Have other sites started seeing the BioFire® Respiratory 2.1 (RP2.1) Panel with SARS-CoV-2.  What LOINC codes are you seeing associated with the SARS-CoV-2 component? https://www.biofiredx.com/covid-19/ 		1
Megan Tompkins
Megan Tompkins •
Cerner COVID reporting- HealthCentry phase out — Hi all. Alaska is having some issues with initiating new ELR connections to facilities on a large statewide Tribal Health instance of Cerner. Their reasoning is that they're phasing out the HealthSentry companion product and don't want to initiate any new connections using it. Their replacement (... 		2
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Follow-Up from 6/2 ELR WG Call, Feedback Requested by 6/5 — Thanks for the great discussion on the ELR workgroup call today! Please see below for a few items of follow-up from the call. For items 2 and 3, we are requesting feedback by COB this Friday, June 5th. There are two methods to provide feedback: • Email your comments to the specified contact (or b...
Rachelle Boulton
Rachelle Boulton •
VA reporting — We've been having increasing challenges with getting COVID data from our VA. Today they told us that "a determination was made by the VA's National Infectious Disease Service (NIDS) to 'NOT REPORT negative COVID-19 test results at this time even when legal authority might exist for a particular S... 		7
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Davita Lab contact — Hi can anyone share a contact for Davita Labs?  Maybe we should keep a list... Thanks! Nancy 		2
Nancy Barrett, Epi 4/PH Informatics Specialist
📈 Other ELR by Nancy Barrett •
📈 Codes for AOE COVID-19 — Hi, while we are also developing the 'universal' csv, in the meantime I'm sure a lot of us are encountering shifting in tests away from the traditional provider ordered to walk-on testing. Some of those sites have screening questions. Does anyone have a handy code set or reference list they've de...
Andrew Horvath - CDPHE
Andrew Horvath - CDPHE •
Issues with Test Volume — Hi everyone! Rhapsody is having issues managing the unprecedented ELR volume we have been experiencing, and we are keenly aware that this volume is only going to increase.  I'm wondering if anyone is having similar issues and have found ways of improving things. Our issues are summarized below:... 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Rite Aid serology testing — Hi all, Our agency Commissioner just waived the requirement for provider pre-approval of testing. So now pharmacies are really jumping in. I found out yesterday that Rite Aid is standing up serology collection at 2 locations in CT. Testing to be done by Bioreference lab (I mentioned in that threa... 		3
Ann Kayser
📈 Other ELR by Ann Kayser •
📈 HHS reporting through state or local public health — Not sure if any other jurisdiction has been asked by their hospital/healthcare systems about FEMA/HHS reporting on their behalf, but it looks like a decision has been made today/yesterday if you are sending your data to CDC: Any U.S. hospital laboratory that is reporting to their state or local ... 		2
Sita Smith
📈 Other ELR by Sita Smith •
📈 Calling Rhode Island — Who can I contact from Rhode Island re collecting reports from MA residents that are reported to the RI DPH? I would love to get a flat file instead of faxed paper!
Kate Goodin, Surveillance Systems and Informatics Program Director
Kate Goodin •
Kroger COVID testing — Has anyone been able to onboard Kroger in house COVID testing?  Any idea what machines they are using?  Any contacts you could share?  We had a County reach out indicating they are doing the testing in their community and before trying to research on my own I figured I would put out a call here. ...
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
Brooke Beaulieu •
Follow-Up from 5/5 ELR WG Call: Seeking Feedback for Development of a National ELR Flat File — In follow up to the discussion regarding development of a national ELR flat file, we are seeking additional feedback on the approach proposed on today's call. We have pulled out some background and discussion questions below. There are two methods to provide feedback, requested by COB, Friday 5/8... 		8
Brooke Beaulieu, Surveillance/Informatics Program Analyst at CSTE
📢 Workgroup Housekeeping by Brooke Beaulieu •
📢 UPDATED Monthly Call Information (as of May 2020) — Please note the updated call information for the monthly ELR workgroup calls:  Workgroup Chair: Nancy Barrett (CT) To join the training session: 1. Go to https://cste.webex.com/cste/k2/j.php?MTID=t4dbd8489e9618459740bcc500c3abe29 2. Enter your name and email address. 3. Enter the session passwo...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Short names for COVID19 Test kits — Hi,  has anyone built a short name/abbrev for the COVID19 test kits they'd be willing to share? 		4
Obed Tompieu, Public Health Informatics Coordinator
Obed Tompieu •
ABBOTT machines instant COVID-19 tests results Reporting LOINC Code? — Does Anyone knows what LOINC code is being used to Report  ABBOTT machines instant COVID-19 tests results? 		2
Randi Hathaway
Randi Hathaway •
Proteus Lab testing for COVID-19 — Hey, I was wondering if anyone else has received COVID-19 results from Proteus Molecular and Clinical Lab LLC based in Homewood, Alabama? We are working with them on flat file to ELR process. There are so many labs we have not heard of before, it would be good to hear if others have experience wo...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Help with Meditech — Hi, anyone have the national public health or equivalent contact for Meditech, so we can get them to respond to our hospitals trying to add testing to ELR in a timely manner? Meditech is not very responsive.  Thanks! 		2
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
COVID19 LOINCs — hi all, not sure if this is the right forum, but does anyone have the LOINC for the Luminex ARIES molecular test that detects the N and ORF genes via NAT? Is this a panel that reports the gene results separately or ?? One of our hospitals is in the process of purchasing this and asked. Thanks! 		2
Michelle Meigs, Deputy Director, APHL Informatics Program
Michelle Meigs •
APHL/CDC ramping up COVID TA for lab data reporting and other needs — Hi all,  I sent out a formal email a bit earlier (a pdf version is attached) - but I wanted to post something here in case it is more convenient than your overflowing email inboxes.  Starting this week, APHL, in collaboration with CDC, will launch the CELR project, focused on the transmission of ...
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Quest Teterboro - ereporting? — Hi all, I've asked Wendy at Quest, but I'm sure she is super busy. Has anyone had luck getting ELR or efile/csv from Teterboro? 		2
Riki Merrick, Terminologist at APHL
Riki Merrick •
COVID-19 related EPI data — I am trying to get clarity around these data element that Janet sent out regarding COVID-19: These were the consensus questions arrived on by the CSTE membership that should be required and submitted to the state health department:    • Employed in healthcare? Y/N/U• QUESTION: Employed in healthc... 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
CVS COVID19 testing — Hi, I may have missed this in another thread, but has anyone encountered the roll out of the Abbott NOW test to CVS or other similar locations? How have you set up getting results to the State or County HD? thanks! 		20
Kate Goodin, Surveillance Systems and Informatics Program Director
Kate Goodin •
ELR state requirements — I looked through previous forum posts and could not readily see if this topic has been addressed previously.  TN might have the opportunity to add legislation mandating ELR, I know some state's have that but now I cannot remember which ones.  If anyone has anything like this I would love to hear,... 		1
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Looking for CEDEP — Hi, We are getting faxed results ordered from one of our hospitals in CT that are coming back from Poplar Health in Memphis TN. They are secure faxes sent from CEDEP - but no from number. Does anyone have an idea where these are from? 		2
Tania Bechtel
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 Diagn... 		27
Rachelle Boulton
Rachelle Boulton •
BioReference Laboratories — I'm assuming there are some states that have ELR feeds from BioReference Laboratories. If so, could you pass along any contact information you may have? Thanks! 		13
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Change in a result for CoV — I'm having a hard time with a title for this one, but have others experienced that you get one result in your ELR feed, but the provider is given a different result, so then the local health comes back and says -- why the difference. Then you contact the lab and they say -- yes it was different o...
Amy Drake, NM
Amy Drake •
Wright-Patterson AFB and VA — Hi,  I'm just trying to catch up with what is going on nationally, so apologies if y'all have already discussed. Is anyone getting results from Wright-Patterson AFB?  If so, can you tell me what format you are getting it in and a contact person?   For VA, if you are getting results from them, do ... 		1
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Quest Chantilly results — Hi, we are still getting Chantilly results faxed to us in huge lists. Has anyone pushed through just COVID19 ELR with Chantilly without having to validate everything? If so, are the files complete for patient demograhics (when available), LOINC, SNOMED, and specimen source SNOMED? thanks! Nancy 		7
David DiCesare
David DiCesare •
Covid Results for Other States — With NYS being the highest volume at this point in time we are receiving a lot of covid results for patients who do not live in NYS.  For those states that we do not have an electronic feed with, please email me directly if you have a secure fax that we can fax the results for patients for your s... 		2
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
List of COVID19 tests — Hi all, did you see the APHL Alert #28 that listed the latest EUAs for tests? Sorry the table formatting is not good. Additional EUAs Issued by FDA  A number of EUAs have been issued in the past few days. A full table of all authorizations follows. More information including instructions for us... 		1
Andrew Horvath - CDPHE
Andrew Horvath - CDPHE •
Incomplete Demographics from Commercial Labs for COVID Results — Hi all, We've noticed that demographic information, and address in particular are less complete for COVID tests for Quest, LabCorp, and Mayo (about 40% incomplete vs. about 10% for other tests). This is causing a lot of problems for our disease reporting staff.  Has anyone else noticed this? Is... 		3
David DiCesare
David DiCesare •
Covid Results for Other States — With NYS being the highest volume at this point in time we are receiving a lot of covid results for patients who do not live in NYS.  For those states that we do not have an electronic feed with, please email me directly if you have a secure fax that we can fax the results for patients for your s... 		2
Rachelle Boulton
Rachelle Boulton •
GTI Laboratories — Today I was contacted by GTI Laboratories (https://www.gtilaboratories.com/). They are bringing on COVID testing, and in Utah, they service mostly LTCFs. I noticed on their website that they also have respiratory and GI panels, although I don't believe they have ever reported to us. Has anyone el... 		5
Ann Kayser
Ann Kayser •
COVID-19 Testing through PWNHealth — Minnesota received an email from PWNHealth that they are doing testing for COVID-19 and needing a way to report results to the health department. Appears it might be connected with Everlywell (https://time.com/5805953/home-covid-19-test-everlywell/) being able to do testing. Wondering if anyone h... 		10
Sarina Leete
👋 Other by Sarina Leete •
👋 ARUP Laboratories - COVID-19/SARS-CoV-2 — Good afternoon all -  I would like to thank you all for the work you are doing in response to the pandemic we are currently facing. We’ve received many requests for information about ARUP’s national testing capacity for 2019 Novel Coronavirus SARS-CoV-2. We've tried to address the most-asked que... 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
COVID-19 PUI Reporting — Hi all, I posted the materials I had received from the DCIPHER folks in a new folder called COVID-19 Related. The first data dictionary we received was in pdf format, so this new one in Excel is an improvement! If I've missed anything, feel free to add to this. For DCIPHER access, you have to co... 		1
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
ELR Call March 3 — Hi all, I've had one state say they would be interested in hearing from commercial labs about plans to develop a test for SARS-CoV-2. Did folks want to join a call about testing, reporting to CDC, etc.? Or are we all booked up with COVID-19 and related issues? I don't think we had any planned top... 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 HIV genotype sequence from Quest CHA — Hi all, remind me -- has anyone successfully gotten full HIV genotype sequence info from Quest CHA in an ELR message? 		2
Meredith Lichtenstein, CSTE
📢 Workgroup Housekeeping by Meredith Lichtenstein •
📢 February 4th Call for Topics! — Hello workgroup members! Nancy and I are trying to plan well in advance of our next call, scheduled for Tuesday, Feb 4 at 1pm EST. Are there any topics or questions you would like to raise to the group on the call? Please respond below, or email us at mlichtenstein@cste.org and Nancy.L.Barrett@c... 		1
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 Jan 2020 call topics? — Hi all, Hard to believe that another decade of the new millennium is almost done! The next workgroup call date would be Jan 7, 2020 -- are there any topics that you'd like to see discussed or revisited? 		2
Kristy Lunquest, Maryland Department of Health
Kristy Lunquest •
Collection dates in NEDSS — Hello, I am currently dealing with an issue with our state lab where not all ELRs have specimen collection dates. The lab should be getting that information, but in the cases where it is not filled in (very few but I would still like them in our surveillance system), our lab is using "0000" whic... 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
📈 Other ELR by Nancy Barrett •
📈 ELR Roundtable at CSTE 2020 — Hi all -- any interest in submitting an abstract for and ELR roundtable for CSTE 2020? In addition to our usual (and always awesome) meet and greet? I'm thinking it might be an opportunity to be able to discuss some more issues in detail or get some specific folks on a panel.  what do you think?... 		8
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Meditech and Specimen Access # — Hi all, I'm sure this has come up on a past ELR call, but we are working with 2 hospitals using Meditech that use a different unique identifier for SPM 2.1 (specimen ID) than the lab uses to look up information on the specimen. The lab specimen ID is in SPM 3.1. We are looking to make changes in ... 		1
Andrew Horvath - CDPHE
Andrew Horvath - CDPHE •
Convert flat file with Rhapsody — Hi everyone! Colorado has a need to convert a flat, non hl7 message into hl7 in rhapsody for ELR processing.  One of our sources sends a flat file that is a new message on each line, and each value is pipe | delimited.  If any other states have done this type of flat file/non xml/non hl7 message... 		1
Kristy Lunquest, Maryland Department of Health
Kristy Lunquest •
Reporting results for Out of State (OOS) residents — Hi all, I understand each state may have their own reporting regulations, but I wanted to hear from others about this situation: One of our epidemiologists here at the MD Dept of Health found a couple results that were reported by the in-state facility, but not by Quest. The patient addresses f... 		9
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 ELR National Call — Hi all, Meredith and I are planning next week's ELR call. Here are the topics so far -- let us know if you have anything else you'd like to add. Meredith or Shaily will send a formal agenda out I'm sure :-) 1. CRE lab reporting -- if Tamara is available. 2. Mayo update -- just a general update i...
Tamara Hennessy Burt
✅ Antimicrobial Resistance and ELR by Tamara Hennessy Burt •
✅ ELR for CP-CRE — As mentioned during the 8/21/2019 ELDR subcommittee call, I am interested in the experiences of other jurisdictions who have made CP-CRE lab reportable via ELR.  If CP-CRE is lab reportable in your state/jurisdiction, please come prepared to discuss the following questions: •  Have other states... 		7
Zana Stephenson
Zana Stephenson •
Electronic Laboratory Reporting (ELR) Workforce and Workflow Assessment - Independent research for thesis — Electronic Laboratory Reporting (ELR) Workforce and Workflow Assessment This survey is being administered as an independent research project as part of the Masters’ of Science in Health Informatics course of study. The results will be analyzed and used to write a thesis as the capstone for this ... 		2
Eli Price
Eli Price •
Complication of SFTP connection on the Cloud — In Arizona we have moved all our ELR infrastructure to the Amazon Web Services (AWS) Cloud. This includes our SFTP server that we receive most of our ELR data through. Recently we lost connection to one of our major ELR partners because AWS, as a standard practice changes the IP address ranges th...
Randi Hathaway
Randi Hathaway •
ICD-10 codes in ELR — Hello,  Our HIV surveillance program asked us recently about the use of ICD-10 codes in ELR messages. After some digging, it appears about 10% of our messages include ICD-10 codes in OBR-31 (Reason for Study). The program wanted to know if we could require facilities to report this information i... 		1
Rachelle Boulton
Rachelle Boulton •
ELR Data Quality Dashboards — We are looking at strengthening our QA processes for our electronic feeds this year. In March of last year, there was an ELDR call that highlighted CA and TN's data visualization dashboards, that was extremely helpful. We were wondering if anyone has else has developed dashboards for ELR QA, and ...
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 Use of Redcap for surveys — Hi, slightly off topic, but has anyone used Redcap for surveys? I'm looking to connect with a state who has used it and how it was set up (servers etc.). Please contact me. Thanks so much! 		3
Meredith Lichtenstein, CSTE
📢 Workgroup Housekeeping by Meredith Lichtenstein •
📢 July WG Call Topics? — Hey Workgroup, Any topics of interest for next week's July ELR WG Call? If Nancy and I don't receive any topic ideas, we will cancel the call. Best, Meredith 		12
John Satre, Informatician at Iowa Department of Public Health
John Satre •
Action Requested: Iowa MiddleWare Demo/Request for Information — Good morning, This is follow-up to comments made during the ELR Meet & Greet at CSTE last week... I am requesting one of the following actions if there is any possible interest in joining Iowa in issue a Request for Information (RFI): 1. Send an e-mail to John.Satre@idph.iowa.gov indicating th... 		7
John Satre, Informatician at Iowa Department of Public Health
John Satre •
Action Requested: Iowa MiddleWare Demo/Request for Information — Good morning, This is follow-up to comments made during the ELR Meet & Greet at CSTE last week... I am requesting one of the following actions if there is any possible interest in joining Iowa in issue a Request for Information (RFI): 1. Send an e-mail to John.Satre@idph.iowa.gov indicating th...
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 No ELR call tomorrow — Hi all, just a reminder, no workgroup call tomorrow as folks are at CSTE. We'll do a review of CSTE items on July's call. Thanks! Nancy
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 CSTE ELR meet and great — hi all! Please let me know any topics for the CSTE meeting ELR meet and great! even if you can't travel to NC :-( let me know what you'd like discussed. I'll take notes and share after. Also any ideas for upcoming ELR workgroup calls. Is it time to dig in and create a working group to build that...
Misty Johnson, Informatician, WI DHS
Misty Johnson •
What's your favorite Transport method and why? — So we've used PHINMS all these years for ELR and CDC Messaging. It's an old technology, and many of the IT staff that set it up and knew how to maintain it well have retired or moved on. We DO plan to upgrade to PHINMS 3.1 before the June 30th deadline to keep the CDC Messages flowing, but we'd l... 		4
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 RCKMS-eCR question — Hi sorry, This is an not an ELR question, but I wasn't sure where/who else to ask. I just saw an email from Laura Conn that now APHL AIMS will be delivering eCRs to a state if found from another state once you have your state's RCKMS rules authored. The email said "For most jurisdictions (those t... 		5
Megan Tompkins
👋 Other by Megan Tompkins •
👋 HIEs using Audacious Inquiry? — Are any other jurisdictions working with an HIE that uses Audacious Inquiry as their platform? If so, has anyone used the PROMPT/ Smart Alerts for an attempt at eCR? AI is new to the Alaska state HIE and is still being implemented, but we'd love to hear others' experiences regarding configuration... 		1
Andrew Horvath - CDPHE
Andrew Horvath - CDPHE •
NMI Message Data Epi Review — Hello again! This forum is great! I know this isn't about ELR per se, but our epidemiologists are asking for an easy way to view data sent through NMI in order to compare it with what is in our surveillance system. Has anyone worked on this kind of issue and do you have any solutions or best pra...
Amy Drake, NM
Amy Drake •
HL7 and Transgender patients — Hello, I have a vague memory that there was discussion about how to handle transgender patients in HL7 coding.  Can someone point me in the right direction to find documentation of that discussion? Thanks- Amy 		5
Andrew Horvath - CDPHE
Andrew Horvath - CDPHE •
Issues with HCA Hospitals — Hi all, I'm wondering if anyone else is having difficultly working with HCA hospitals to get to get the data they need. We are having trouble with both completeness and lateness (particularly from micro) in their reporting, and have been unsuccessful in working with them to improve their data qu... 		5
Nancy Barrett, Epi 4/PH Informatics Specialist
Nancy Barrett •
Lab standard code requirements — Hi, I'm following the thread about the LifeHealth (?) labs started by Amy and I have a few questions for the community. Do folks think it is a problem if some states require SNOMEDs and some do not?  Do we think as a community that our requirements should be consistent?  Does it matter if the la...
Emily Roberts
Emily Roberts •
LifePoint/MedHost Hospitals — We are hitting a major roadblock for electronic reporting with LifePoint/MedHost, the EHR vendor for 2 of our hospitals. Do other jurisdictions (particularly jurisdictions with a mandate for electronic reporting) have any experience with LifePoint/MedHost as it pertains to ELR? Any feedback is ... 		7
Meredith Lichtenstein, CSTE
👋 Other by Meredith Lichtenstein •
👋 Passing of Anne Hakenewerth — Workgroup members, Last week, we lost a great member of our community: Anne Hakenewerth from NC. Anne was an active participant in many of CSTE's surveillance and informatics efforts. She was always willing to share her experiences and advice and to help mentor other CSTE members. We will miss he... 		1
Andrew Horvath - CDPHE
Andrew Horvath - CDPHE •
Using Rhapsody for web service call-out — Hi there, Has anyone used Rhapsody do  a call-out to a web service (e.g. Melissa) for geocoding? Any help/guidance you can provide would be greatly appreciated.  Thanks! Andrew 		4
Ann Kayser
😢 Issues with Labs by Ann Kayser •
😢 Dual ELR Reporting Question — Minnesota reporting rule indicates dual reporting for laboratories (ELR) so that both the reference lab and the original lab/clinic should report the findings. We have spoken with a handful of facilities that indicate their laboratory information system (LIS) does not have a good way of identifyi... 		3
Emily Roberts
Emily Roberts •
Person matching — Hi All! Utah is working to improve the way we match people within our systems. We wanted to see if we could gain any insight into how to improve this by reaching out to other states to see how they person match. We are curious about: • What data points are used to determine a match? (DoB, addres... 		2
Rachelle Boulton
Rachelle Boulton •
Laboratory Reporting Specifications — ARUP mentioned on the call today that detailed reporting specifications documented by states are useful to ensuring reporting compliance. I've created a folder "Laboratory Reporting Specifications" in the Workgroup Call Materials section and uploaded Utah's document. 
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 November ELR Call -- topics? — Hi all, thanks for joining today's call for October. Please post here any call topics for November you'd like to see discussed. thanks! Nancy 		3
John Satre, Informatician at Iowa Department of Public Health
John Satre •
Viracor Eurofins Clinical Diagnostics — The Iowa HIV program requested that we reach out and establish ELR with Viracor Eurofins.  It is my understanding that they perform specialized HIV testing and Genome Sequencing.  After reaching out to Viracor, I learned the following: 1. the reporting format is a CSV ("flat") file (no near-term ...
David DiCesare
David DiCesare •
Quest/AIMS conversion for non-QLS sites — Has anyone converted a Quest lab to HL7 2.5.1 that was not already a QLS site?  NYS is about to work with the Teterboro, NJ site which is not currently on QLS and I was wondering if anyone has had a similar experience. 		4
Sarina Leete
👋 Other by Sarina Leete •
👋 October ELR Call - Questions for ARUP? — Hello all, Sarina from ARUP Laboratories here. As we are preparing to present in a couple weeks, we'd like to know if there are any topics/questions of specific interest out there. We plan on discussing current reporting processes, our ongoing electronic reporting project, and touch on a specific... 		4
Nancy Barrett, Epi 4/PH Informatics Specialist
😢 Issues with Labs by Nancy Barrett •
😢 Quest - specimen source/type question for all — Hi all, We are seeing a lot of Quest ELR specimen sources/types coming in as Unspecified with no other information in other HL7 segments to capture this. I'm hearing from our STD folks that this may be a wide spread issue. Of course, not having specimen source correctly identified is a problem fo... 		10
Nancy Barrett, Epi 4/PH Informatics Specialist
👋 Other by Nancy Barrett •
👋 October ELR Call -- Quest questions — Hi all, for our October call we have arranged with Emily Roberts to have ARUP present on the call. That will be the majority of our time. However, given the recent email re: the Quest ELR project and the "non-standard" reporting -- can we have a few of the states piloting with Quest Chantilly an... 		5
Rita Altamore, Epidemiologist
🙌 Mandating ELR by Rita Altamore •
🙌 Relationship between overall lab volume and volume of reportables — This question arose in the context of our discussion about mandating ELR in WA State. Does anyone have, or know of, data addressing the relationship between the overall volume of results a lab produces and that lab’s volume of reportable results? My guess is that the correlation will be poor, u... 		1
Rachel Amiya
🙌 Mandating ELR by Rachel Amiya •
🙌 Reporting of negative (non-positive) lab results — Good afternoon, Washington state is interested in connecting with states that have implemented negative/non-positive laboratory result reporting, or that are taking steps in earnest to do so. I would appreciate if you could let me know if you happen to know of any states (besides Utah, with whom... 		3
Nancy Barrett, Epi 4/PH Informatics Specialist
💡 ELR/NEDSS Assessment by Nancy Barrett •
💡 ELR/NEDSS Assessment — Please add your name if you are interested in participating in this process. 		4
Meredith Lichtenstein, CSTE
📢 Workgroup Housekeeping by Meredith Lichtenstein •
📢 Agenda, September 4th Workgroup Call — Our next workgroup call is scheduled for Tuesday, September 4 at 1:00-2:00pm ET. Please find the call agenda below. 1. CSTE Announcements (Meredith Lichtenstein)• Basecamp Introduction (ML and Nancy Barrett) • Potential Project: ELR Toolkit Requirements Gathering • ELR/NEDSS Assessment Timeline U...
Meredith Lichtenstein, CSTE
📢 Workgroup Housekeeping by Meredith Lichtenstein •
📢 Introducing: Workgroup Housekeeping — We will use this Workgroup Housekeeping for administrative messages related to workgroup activities, including call agendas, call cancellations, updates and announcements, etc.
Meredith Lichtenstein, CSTE
Meredith Lichtenstein •
How to use Forums — Welcome to Forums! This is where we hope you will post items for active discussion with fellow workgroup members. We have developed a set of forum categories to which you may post, including:  • Antimicrobial Resistance and ELR • ELR Staffing • ELR Workflow • Issues with Labs • Mandating ELR • Ur...
Archived messages
Neetha Mony
Neetha Mony •
NHSN OBX17 discrepancy — WA is currently validating our NHSN submitter files and came across a discrepancy in the ‘TEST__METHOD__OBX17__LITERAL’ field that other states may have faced.  “BinaxNOW COVID-19 Ag Card_Abbott Diagnostics Scarborough, Inc._EUA^^99ELR^^^^Vunknown” is one of the test devices/methods listed in th... 		7