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CSTE National ELR Workgroup

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Becky Lampkins, Manager, Surveillance/Informatics Program at CSTEMegan Toe, CSTEScott Troppy, Surveillance Epidemiologist at MA DPHMeredith Lichtenstein, CSTEAmy Drake, NMJohn RobertsNancy Barrett, Epi 4/PH Informatics SpecialistErin Holt, TDHRita Altamore, EpidemiologistDavid DiCesareJason HallWalter Kemper, ELR Coordinator, NC DHHS Div of Public HealthJulie LuepkeCarmen Pugh, Labcorp Manager State Reporting at LabCorpTom Safranek +399 others
Posted by 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 question, "Employed in healthcare?" - if the response is "Yes" and the facility/lab wants to add the optional question "what is your occupation?, is it acceptable to default to Healthcare Professional using SNOMED CT 22336609, and not go any more detailed than that?

Comments & Events

Riki Merrick, Terminologist at APHL Riki Merrick, Terminologist at APHL
I talked with Jason - here is our answer:
1) Yes treat it as conditional (I don't know of any ICU that's not in a hospital (I guess maybe a hospital ship, but ...)
2) If the high level healthcare worker is the only code you will support, no need to add that - if in the future you might add n=mire detail and want to build it now, maybe.

Riki
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Jenizah Melendez Jenkins Jenizah Melendez Jenkins
I also have a question from a facility:

Within the same visit, is it alright to pull some question answers forward (such as congregate living, pregnancy status, hospitalized, etc.) into a new test order?  The thought is these answers are unlikely to change within the same visit.
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Riki Merrick, Terminologist at APHL Riki Merrick, Terminologist at APHL
I don't see why not - the one question that might change is First Test?

Riki
Jenizah Melendez Jenkins 👍
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Riki Merrick, Terminologist at APHL Riki Merrick, Terminologist at APHL
I hope they are going to fix a few errors (and updating the LOINCs around the follow up questions for first test, which is an optional element) - at least that's the last I heard,

Riki
John Satre, Informatician at Iowa Department of Public Health 👍
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Michael Waters Michael Waters
Yes. There are some typos and a couple of other unintentional inconsistencies to be fixed. I know HHS is trying not to create a moving target. The specifications are to be updated accordingly – the intent will be for this to be in the least invasive way possible. Many of the necessary clarifications will come via FAQs and additional clarification resources that are not accompanied by additional asks.

Thanks,

Mike Waters
John Satre, Informatician at Iowa Department of Public Health 👍
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