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eCR/RCKMS Community of Practice

The purpose of the eCR/RCKMS Community of Practice Basecamp is to provide staff from state, local, territorial, and tribal public health agencies with a venue to participate in peer-to-peer discussions pertaining to using RCKMS. This Basecamp is not intended for formal communications about RCKMS or eCR and will not be moderated by CSTE staff. For technical issues or assistance with RCKMS, please visit www.rckms.org to submit a ticket. Disclaimer: The statements and responses posted on the eCR/RCKMS Community of Practice are solely the views of the authors and do not necessarily represent the official views of CDC or CSTE.
Becky Lampkins, Manager, Surveillance/Informatics Program at CSTEMeredith Lichtenstein, CSTELaura ErhartNancy Barrett, Epi 4/PH Informatics SpecialistRita Altamore, EpidemiologistDavid DiCesareWalter Kemper, ELR Coordinator, NC DHHS Div of Public HealthAmanda Payne, Senior Consultant at J Michael ConsultingJohn Satre, Informatician at Iowa Department of Public HealthShaily Krishan, Program Manager at CSTEJudie HyunKathy Turner, Deputy State Epidemiologist at IDSara Robinson, ID Epi Program Director at Maine CDCMisty Johnson, Informatician, WI DHSCrystal Snare +376 others
Authoring by Darren Frank ·

✅ Has anyone used the optional pertussis lab logic?

Hi all,
We were wondering if anyone has implemented the optional provider/facility reporting (lab) logic for the pertussis condition. This would make test orders for Bordetella pertussis or detection of B. pertussis antigen or antibody in a clinical specimen sufficient criteria to send an eICR. We are interested in using this optional logic set but are worried that it might be trigger too many reports. Any advice or insights would be appreciated. 
Thank you
-Darren Frank, Indiana

Comments & Events

Deb Loniewski Deb Loniewski
Hi Darren,
This would not be an option for Michigan since our Hospitals order a respiratory PCR panel which includes B. pertussis for isolation purposes. That's a lot of potential negatives for us.
Good luck!
Deb
Notified 321 people
Ann Kayser Ann Kayser
Hi Darren,

Minnesota has authored a rule for Pertussis in RCKMS, but do not have any healthcare organization (HCO) that has implemented trigger codes for all reportable conditions, so we aren't getting all reports for pertussis, mainly those that have enough keywords for COVID. 
From modification of our mpox RCKMS rule to see if we could get eICRs for ordered tests, this proved unfruitful. Mainly this was due to order level tests not containing LOINC code and/or the ordered test was generic because mpox was so specialized that many HCOs had a generic send out test that it would get ordered under at the lab. With a more common test, like pertussis, this might be a VERY large volume. Is there a HCO that you might be able to request a total number of pertussis tests ordered for last year to compare against your reported pertussis cases from their site(s) to get a general idea?

It might be worth working with your ELR experts to review current pertussis ELRs for order test (OBR.4) being filled in with LOINC codes and ensure that those loinc codes match value set logic in RCKMS and for detection of antigen seeing if those are coded with SNOMED (OBX.5.1) and/or the abnormal flag (OBX.8.1) is set with an appropriate value. This might give a general idea of volume through eICR.

Love to hear any updates you have on your endeavors!
Ann Kayser
MN Dept of Health
Notified 320 people
Darren Frank, Epidemiologist at Indiana State Department of Health Darren Frank, Epidemiologist
Thanks Deb and Ann,
Ann that is a great idea, ELRs would be a great place to start and will do that. 
-Darren
Notified 320 people