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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 Michael Schneider ·

Triggering and eCR Templates

Good morning,

Question for the group and hopefully any RCKMS/APHL staff listening. 
We have a sender that is putting ordered laboratory tests in the Planned Procedures template (templateId: 2.16.840.1.113883.10.20.22.4.41) of the eCR rather than the Planned Observations template (templateId: 2.16.840.1.113883.10.20.22.4.44). 
My questions are:
1. Will putting ordered laboratory tests in the procedure template cause issues with triggering the eCR from the sender?
2. Will having ordered laboratory tests in the "wrong" template causes issues once the eCR reaches RCKMS and is compared to the authoring?

I am unsure what impact this could potentially have on receiving eCRs and whether we need to address this issue with the sender. 
Thanks for your time and hope you all have a great week.

Mike

Comments & Events

Allison Seidel, Lead RCKMS Authoring Support Agent (ASA) Allison Seidel, Lead RCKMS Authoring Support Agent (ASA)
Hi Mike,

I reached out to Kristi Eckerson, a Senior Business Analyst at HLN to help answer your questions. Please see her response below and let me know if you have an additional or follow-up questions.

"I am uncertain as to the answer to his first question, not knowing which eHR or how they chose to manage triggering.  There may well be an impact to triggering putting lab codes in a procedures template.  If the eHR only assesses "procedure" codes in a plan of care section when they are entered in a "procedures" data element, then triggering could be missed.  If triggering logic is such that it assesses all RCTC value sets against all new data, then it could trigger (but would have trouble placing the trigger template ID properly).  If the triggering logic is such that it only assesses "appropriate" codes in specific locations, this could cause a trigger to be missed.
As to the second question, I would expect the misplacement of a lab code in a procedure data element, the logic in RCKMS will not have a rule that finds that lab in the wrong object, and so reportability will be impacted."

Thank you!

Allison
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Michael Schneider, Epidemiologist at Connecticut Department of Public Health Michael Schneider, Epidemiologist
Thanks Allison Seidel, Lead RCKMS Authoring Support Agent (ASA) Allison ! This is helpful information, and the next step might be to check with the sender about their triggering.

Best,
Mike
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