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📈 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 STRAC well. Curative is only providing District information.  USDS does not have a field for Ordering Facility, so we need to find another way to get District information from them.

Basically, who is working with USDS for school reporting and regardless of who they are using, what School information you get from any submitters? Which HL7 fields are you getting them in?

WA had decided a while ago to request:
  • Ordering Provider First Name - School name
  • Ordering Provider Last Name - "school" or Staff/Student designation
  • Ordering Facility - School District Name
STRAC accommodates all.  Curative only sends District in the Ordering Facility field. USDS doesn't have an Ordering Facility field to select from.

Comments & Events

Riki Merrick, Terminologist at APHL
From an HL7 perspective there are a few options:
From the flat file - since these fields don't exist in the csv format we have this come in as NTE:

#5 NY Employer reporting:

NY requires reporting of employer information as well as information about what school(s) the patient is attending – until we can update the csv file format:

Put the following information with these respective labels (all required) into the Comments field:

Employer Name/Name of School District:

Employer Street Address/School Name:

Employer or School City:

Employer or School State:

Employer or School ZIP Code:

School code: See BEDS Code for list of codes

Employer or School Phone Number:

Job Title: (use Student/Teacher/Staff/Volunteer, for school)

THat is not ideal of course, so if you have an option to get the data, so they can be placed in proper HL7 fields, then:

NY employer reporting requirements

NY requires reporting of employer information (not just schools) – so they will need to:

Create NK1 segment for these required elements:

NK1-5 (Relationship) = EMR^Employer^HL70063

Employer Name/School District: NK1-13 (Organization name)

Employer Street Address/School Name: NK1-4.1 (NK Street address) use this for School name and NK1-4.2 (NK Street address2) put school’s street address here

Employer or School City: NK1-4.3 (NK City)

Employer or School State: NK1-4.4 (NK State)

Employer or School ZIP Code: NK1-4.5 (NK zip code)

Employer or School Phone Number: NK1-5.6 (NK Phone number.area code) and NK1-5.7 (NK Phone number.phone number)

Job Title: (use Student/Teacher/Staff/Volunteer, for school) NK1-10 (NK Job title)



Alternatively you can send these as AOEs:

School name: 66280-9^School Name^LN; OBX-2 = ST

School district: 76469-6^Organization name^LN; OBX-2 = ST

BEDS Code: coding system for schools = http://www.p12.nysed.gov/irs/beds/:

OPTION 1 (preferred by HL7) = Using CX datatype:

96678-8^School code [ID]^LN, OBX-2 = CX – example OBX-5: 73335819^^^<NYSED>&<OID for New York State Education Department>&ISO^<”FI” – or we need a new ID type here to indicate this is a school ID>

OPTION 2: Use of 2 OBX segments with same OBX-4 content for linking to convey the ID and the assigning authority:

OBX|n|CWE|96678-8^School code [ID]^LN|1|131802990006^Astor Center (Residential Program in Rhinebeck)^99NYBEDS |….

OBX|n+1|ST|96679-6^School Identifier assigning authority^LN|1|New York State Education Department|….

School address: 96677-0^School Address^LN – OBX-2 = AD or XAD

Employer or School Phone Number: 96676-2^ Employer phone number ^LN – OBX-2 = TN or XTN

Attended school today: 94072-6^Attended school today^LN; OBX-2 = CWE, allowed answers: Y^Yes^HL70136, N^No^HL70136

Job classification: 63511-0^Are you working now, looking for work, retired, keeping house, a student, or what [PhenX]^LN; OBX-2 = ST, OBX-5 ‘Student’, ‘Faculty’ or ‘Staff’ (even though the scale is coded that’s what they expect for now)

I realize this is more info than just the school, but it may be helpful.

And maybe that is a good reason to add employer / school information to the csv file format for a newer version of the National Flatfile HL7 Generator?

Riki
Jordyn Dinwiddie, ELR Coordinator at NMDOH
Hello, New Mexico is live with USDS/Simple Report. We do receive ORC-21 (ordering facility). We are getting the school name, full address, and phone number. We are also receiving reporting facility as the school. 
Thank you, Jordyn