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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 Sujata Mallik ·

✅ Reporting Spec question

Hi, This is Sujata from the State of Kansas. 
We have just started receiving eCR messages related to Covid cases through RCKMS for the first time. 
Can some one please guide on how to filter out messages that got no lab results? We thought by setting up the specifications for Coronavirus condition in the RCKMS will take care of it, but, still receiving the messages. 
If this is not the right place for this question, please let me know where or whom to approach.

Kind Regards!
Sujata

Sujata Mallik | Public Health Information Specialist - Surveillance Systems
Kansas Department of Health and Environment

Comments & Events

Melanie Epstein-Corbin, CA eCR Lead Melanie Epstein-Corbin, CA eCR Lead
There's no way to filter out eICRs without labs from RCKMS 100% of the time. Multiple eICRs per person/per incident are generally triggered. So, if you have RCKMS logic set so that an eICR could be triggered based on a Diagnosis, then you will likely receive an eICR without lab info just based on the Dx and then you'll receive another eICR when the lab test result comes back. Even with restricting logic to not include Dx, some eICRs will still come through first without lab info just based on the way it was triggered from the EHR.

Some jurisdictions consider a time delay once the eICRs are received, they wait in a holding areas for up to max 4 hrs (otherwise it's not truly meeting the "real-time" definition) to wait and gather any additional eICRs related to that incident before ingesting them into the surveillance system. 
Notified 137 people
Sujata Mallik, Informatician at Kansas Department of Health and Environment Sujata Mallik, Informatician
Thank you Melanie!
Will surely look at the time delay feature!
Thank you!
Sujata
Notified 137 people
Karla Norsworthy Karla Norsworthy

I'm confused by this part of the answer - and had not (yet) noticed this behavior.
 Even with restricting logic to not include Dx, some eICRs will still come through first without lab info just based on the way it was triggered from the EHR.

This sounds like a bug.  If I set up my COVID-19 RCKMS rules to only trigger on positive labs - why would ever get an eICR/RR  pair where the RR shows COVID-19 as reportable to my state if there are no COVID-19 lab results in the corresponding eICR?

Karla
Notified 137 people
Charisse LaVell, CSTE Charisse LaVell
Hi Sujata,

This is Charisse the Project Manager of the RCKMS project.  I submitted a ticket on your behalf.  An admin will reach out to you shortly to review with you the KS specific rules for COVID-19.  Thanks
Notified 141 people
Sujata Mallik, Informatician at Kansas Department of Health and Environment Sujata Mallik, Informatician
Thank you Charisse!

Kind Regards!
Sujata


Sujata Mallik | Public Health Information Specialist - Surveillance Systems
Bureau of Epidemiology and Public Health Informatics | Kansas Department of Health and Environment
1000 SW Jackson; Suite 200 | Topeka, Kansas 66612-1354

Office Phone: 785-296-0833 | Cell Phone: 785-506-9290 | Email: Sujata.Mallik@ks.gov<mailto:Sujata.Mallik@ks.gov>| Fax: 877-427-7318
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