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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
Posted by Darren Frank ·

Human Rabies Logic Set Question

Hi all,
I was going over the Rabies (Human) RCKMS Logic. Have any PHAs implemented this condition and was there a concern that the Med logic column would trigger an eICR for people that would be coming in for rabies PEP after an animal bite encounter? Are other PHAs keeping this logic set enabled?
For reference the MED default logic set are Rabies immune globulin administered and Rabies vaccine administered as the two necessary criteria
Thanks in advance for any input
-Darren

Comments & Events

Becca Sandahl, Epidemiologist at Colorado Department of Public Health and Environment Becca Sandahl, Epidemiologist
Hi Darren- In Colorado our Zoonotic SME had me delete these two criteria for this very reason.  We were both thinking along the same lines as you are that it could get messy with animal bites triggering.  I hope this helps.
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Marisa Hopper, Epidemiologist at Tennessee Department of Health Marisa Hopper, Epidemiologist
Our zoonotic team has not reviewed this specification yet. But yes, since the beginning of the year we have received almost 100 eICR for people both receiving rabies prophylaxis, as well as a history of having received prophylaxis. 
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Shelby Fawaz Shelby Fawaz
In Florida, our SMEs had the same concern so we removed the MED logic criteria. Occasionally, with this logic removed, we will see eICRs for patients receiving prophylaxis, or history of prophylaxis. In these instances the provider is using a rabies diagnosis code in the problems list or history of present illness, causing it to be sent. This isn't great for us, so we have actually reached out to some of these health care organizations to ask that they use a more appropriate ICD-10 code when treating patients with rabies PEP.
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Darren Frank, Epidemiologist at Indiana State Department of Health Darren Frank, Epidemiologist
Thanks you three, this helps a lot, I really appreciate it!
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