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NNDSS Evaluation Workgroup

Welcome to the NMI Evaluation Workgroup Basecamp! We will use this site as a repository for meeting and workgroup documents, and also to share ideas about evaluating and identifying improvements in processes related to MMG implementation, MMG onboarding, MMG maintenance, and Technical Assistance (TA).
Becky Lampkins, Manager, Surveillance/Informatics Program at CSTEMeredith Lichtenstein, CSTENancy Barrett, Epi 4/PH Informatics SpecialistShaily Krishan, Program Manager at CSTEKathy Turner, Deputy State Epidemiologist at IDElandis Miller, CSTEMisty Johnson, Informatician, WI DHSMegan PatelMolly CrockettNatalie RaketichSita SmithCaitlin LawRachelle BoultonRebecca EarlyMarijoyce Naguit +22 others
Letter Topic Thread by Shaily Krishan ·

💡 Letter Thread 6

  • Examples of conflicts or discrepancies between similar data elements across MMGs
  • Impact on states due to collecting unstandardized data across MMGs

Comments & Events

Nancy Barrett, Epi 4/PH Informatics Specialist Nancy Barrett, Epi 4/PH Informatics Specialist
I don't know if it fits in this letter thread, but we have noticed that there are 16 value sets in PHINVADs for specimen source. We are collecting this for each CDC's program variations on how they view specimen source, instead of this being harmonized. That adds a lot of work on our end.
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Rachelle Boulton Rachelle Boulton
The FDD MMG has a variable LABAST8, the question is "Was organism resistant to specified antibiotic?" and the value set Yes/No/Not Tested. The STD and RIBD MMG have the exact same variable, LABAST8, but the question is "Antimicrobial Susceptibility Test Interpretation" and the value set is Susceptible/Resistant/Intermediate/Not tested. Not only do these fields both capture the exact same information, just worded very differently, they are assigned the same PHIN variable code.

Salmonella and Shigella have standalone single repeating variables (82754-3, 82764-2) to collect domestic and international travel destinations. For the other conditions that collect travel history, these same fields are not repeatable, but are in a larger travel history repeating block. Cholera/vibriosis and typhi/paratyphi both collect reason for travel (66415-1), however in cholera/vibriosis the question is within the travel history repeating block, but for typhi/paratyphi it is a standalone single repeating variable outside of the travel history. This is variability all within the same guide. 

Pertussis/mumps/varicella MMGs have a variable (DE Identifier VAC147) for information source. RIBD MMG has the same variable, different DE Identifier (48766-0), and both have very different value sets. In pertussis/mumps/varicella this information is captured within the vaccine history repeating block, for RIBD it is its own repeating group outside of the vaccine history repeating block. 
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Misty Johnson, Informatician, WI DHS Misty Johnson, Informatician, WI DHS
Good point; thanks for the post, Rachelle
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Nancy Barrett, Epi 4/PH Informatics Specialist Nancy Barrett, Epi 4/PH Informatics Specialist
Rachelle -- we say similar items for FDD -- I put some of my comments in that letter thread. And I totally agree --  there shouldn't be different ways to collect the same information. Value sets exist for medications/vaccine (the IIS programs use these in their registries) so surveillance should use the same ones. Susceptibility tests are LOINC coded, etc.
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