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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 Marya Barker ·

what types of ECRs do you get?

I am curious about what conditions are being reported via eCRs to other states.  It is my understanding that only the COVID-19 condition is available through RCKMS for use by reporting providers.  I would assume that any facility that is reporting other conditions is doing so based on the reportable condition lists of each state.
I'm trying to gather information to help decide whether we want to attempt to use the eCRs before we are able to consume them into our electronic surveillance system. When I look at our most recent eCRs, they are all routine, negative COVID-19 screening tests related to hospitalizations. 
Thanks for you assistance.

Comments & Events

Chris Baumgartner, Senior Data Exchange Manager Chris Baumgartner, Senior Data Exchange Manager
My understanding is that Epic is only triggering on COVID but Cerner has opened it up to other conditions. WA State is receiving other conditions in our data from APHL AIMS.

Sincerely,

Chris Baumgartner
Senior Data Exchange Manager
Office of Public Health Outbreak Coordination, Informatics, and Surveillance (PHOCIS)
Division of Disease Control and Health Statistics
Washington State Department of Health
chris.baumgartner@doh.wa.gov<mailto:chris.baumgartner@doh.wa.gov>
206-418-5530 | www.doh.wa.gov<http://www.doh.wa.gov/>
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P.S. I sometimes work flexible hours, so while it suits me to email now, I don't expect a response or action outside of your own working hours.

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Marisa Hopper, Epidemiologist at Tennessee Department of Health Marisa Hopper, Epidemiologist
Right now our reporting facilities are only triggering for COVID-19. 

But we have chosen to go ahead and author most of our states reportable conditions. There are some that we needed special criteria created (i.e. in TN the reporting age for positive TST is 18), and some conditions, like STDs, we know the volume is going to be so high we want to hold off until we have all the routes working and there are no technical issues. 

However, the COVID-19 condition can trigger reports from other conditions if you have them authored and published to production RCKMS. 

For example, a patient is seen for cough, fever, and shortness of breath. They diagnose the patient with pneumonia, they do a COVID-19 test on the patient (that triggers the RR and you get a COVID-19 eICR), but then they find that the patient has legionella. If Legionella is published to production in RCKMS then you will receive a legionella eICR even though that facility is only in production with COVID-19. 

There are reasons to manually look through the eICR and enter data. For example you have facility that is not a consistent reporter and/or getting demographic information from them is challenging. You can even do parallel validation early on the messages before your system is fully able to consume them. 

Hope this helps. 
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