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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 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: Others want MSH-4 = sending facility (applies to data aggregators), because it is important to know where to turn when there are issues with the message (vs issues with the content / results = OBX-15.1 = OBX-23.10)
#4: Note that for ALL senders MSH-3 will be an OID and since we have the smartsheet that is uniquely linkable to the sender, regardless if that facility has an OID or not.

Questions:
What if the sender is a data aggregator that does not have their own CLIA? 
Can they send an OID in MSH-4? 
Or should they use a CLIA number from the lab they are reporting for and create 1 batch per lab?

Please send answers here or directly to riki.merrick@aphl.org as soon as possible - but before the call on Thursday; I would like to have a solution at the end of the call.

Thank you all for your help with this!

Riki

Comments & Events

Walter Kemper, ELR Coordinator, NC DHHS Div of Public Health Walter Kemper, ELR Coordinator, NC DHHS Div of Public Health
For data aggregator, NC needs a CLIA # in MSH-4. Use a CLIA number from the lab they are reporting for and create 1 batch per lab.

Also I note that for data aggregator, MSH-3 identifies the data aggregator’s application and the filename also identifies the data aggregator as the sender.

Walter Kemper
ELR Coordinator, NC EDSS Project
On behalf of State of NC DHHS Division of Public Health
Email: Walter.Kemper@dhhs.nc.gov<mailto:Walter.Kemper@dhhs.nc.gov>
(919) 426-3468 (mobile)
Notified 157 people
Emily Roberts Emily Roberts
For Utah, we need the name of the data aggregator in MSH.4.1, so we know who the sending facility is. We don't require a CLIA number. 

-Emily Roberts
Utah Dept. of Health
Notified 157 people
Bill Storm, ELR Coordinator Bill Storm, ELR Coordinator
Ohio same as Walter.
Notified 157 people
Sita Smith Sita Smith
MA can accept a CLIA or an OID in MSH 4.2 .
We do need CLIA in OBX-15.1 though!
Notified 157 people
Randi Hathaway Randi Hathaway
For Tennessee: 
1. TN prefers sending/reporting facility info in MSH-4 and TN can accept OID or CLIA. However, some of our interstate partners that we exchange ELR with have issues with receiving anything other than CLIA in this field. 
 
2. Prefer if CLIA for performing lab is sent in OBX-23.10 rather than MSH-4.2. Would expect MSH-4 to be populated with sending/reporting facility info. TN is flexible and can accommodate either mechanism if that’s what works best for other states.

Thanks, 
Randi Hathaway
Notified 157 people
David DiCesare David DiCesare
In NYS we need to have a CLIA in MSH-4 as we do not use OIDs.



Thanks and Stay Safe,


David DiCesare
NYS ELR Coordinator
ECLRS Help Desk
Bureau of Surveillance and Data Systems
Local – 518-402-5943
Long Distance - 866-325-7743
David.dicesare@health.ny.gov
Notified 157 people
Riki Merrick, Terminologist at APHL Riki Merrick, Terminologist at APHL
David,
for NYS should it be the ID for the aggregator (because they are the sending facility), or the testing facility?

Riki
Notified 157 people
Riki Merrick, Terminologist at APHL Riki Merrick, Terminologist at APHL
And to make it more complicated - the VA has NO CLIA numbers (nor CLIP numbers) ANYWHERE!  What do we do there?
Notified 157 people
Mark Dittman Mark Dittman
NPI? Tax ID? Those are the two other options PA will accept. Then it would be a long-name text string which is ugly but there should be some unique identifier within the VA system, no?
Notified 157 people
John Satre, Informatician at Iowa Department of Public Health John Satre, Informatician
Iowa identifies senders and performing labs as follows:
1. MSH 4.1 is sending facility name and MSH 4.2 is Sending facility ID
2. We don't care what the ID is, but Iowa is accustomed to either CLIA or OID in MSH 4.2
3. We request all senders provide CLIA in OBX 23.10 identifying the performing lab
Notified 157 people
David DiCesare David DiCesare
Either will work



Thanks and Stay Safe,


David DiCesare
NYS ELR Coordinator
ECLRS Help Desk
Bureau of Surveillance and Data Systems
Local – 518-402-5943
Long Distance - 866-325-7743
David.dicesare@health.ny.gov
Notified 157 people