National Center for Public Health Informatics Reportable Condition Mapping Table (RCMT) -Botulism...
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Transcript of National Center for Public Health Informatics Reportable Condition Mapping Table (RCMT) -Botulism...
National Center for Public Health Informatics
Reportable Condition Mapping Table (RCMT)
-Botulism and DiphtheriaMarch 24rd , 2011
CSTE & CDC ELR Task Force Standards Workgroup
Teleconference #: 1-888-469-0973 Pass code: 8818051
LiveMeeting link
Agenda
• Roll Call• Context of RCMT discussion• Goal of the Weekly RCMT Demo• RCMT Content Demo
– Botulism– Diphtheria
• RCMT Content Demo Feedback
Communication Ground Rules for Call
• Be sure to mute your phones using your phone mute button
• Please do not place call on hold• Please go to RCMT Workgroup phConnect
site for additional info and to post your feedback on the RCMTs
• Questions and feedback can also be sent to [email protected]
Meeting Discussion – Ground rules• This meeting is really a demonstration of the
RCMT content to facilitate online discussions.• In order to cover 100 Notifiable Conditions within
next 3 months, we are planning to do RCMT Demo for 10 minutes and 5 minutes for questions per condition.
• Since CDC Program Lab SME and Epidemiologist are available, we prefer the questions related to RCMT content development (e.g. Lab Tests, Organism, Lab Result – titer, threshold,..).
• Implementation and Informatics aspect of RCMT can be discussed via phConnect or e-mail.
RCMT Use: Routing within a public health agency
Focus of the Weekly Meetings• RCMT Content Development
1. Lab Diagnostic Informationa) Types of lab tests performed to detect a reportable condition
b) Organisms or Agents associated with a reportable condition
2. Lab Criteria - CSTE Position Statement & NNDSS Case Definition.
3. Resources or links related to a reportable condition.
4. Demonstration of Standardized Lab Vocabulary associated with a reportable condition
a) LOINC – Condition Specific Lab Tests
b) SNOMED CT – Lab Test Results (Organism)
5. Questions for CDC Lab SME or Epidemiologist
6. RCMT phConnect online discussions
Life Cycle of RCMT
RCMT Content Development & Review Process
1) RCMT Planning Team – Develops RCMT Workbook with standard lab vocabulary and useful web site links.
2) Review the lab tests and criteria with CDC program Lab SME & Epidemiologist.
3) Demonstrate the RCMT Workbook on Thursday Meetings
4) Continue Online Discussions – phConnect / E-mail
5) RCMT planning team and ELR Standards Workgroup will address the questions on phConnect / E-mail.
6) Follow-up with CDC program, if needed
7) Distribute the first version of RCMT – June 30th, 2011 via CDC Vocabulary Server (PHIN VADS)
8) Maintain the RCMT – Ongoing process
RCMT Workbook - Index
RCMT Workbook – Websites (Epi)
RCMT Workbook – Websites (General)
RCMT Workbook - Websites (Lab / Micro)
Other General Comments- Orders, Mapping, HL7 Msg
RCMT Content Demo
Diphtheria
(link to phConnect discussion thread)
Diphtheria – CDC.GOV (link)
Cornyebacterium diphtheriae
Laboratory Testing (link)• Isolation of C. diphtheriae by culture• Toxigenicity testing and biotyping• Polymerase chain reaction (PCR) testing • Serologic testing• Submission of C. diphtheriae isolates• Submission of isolates of other
Corynebacterium species
Lab Criteria
LOINC Lab Tests (1)- Culture
LOINC Lab Tests (2)-Antibody (serology)
LOINC Lab Tests (3)- Toxin
SNOMED Result- Organism
CSTE SRCA 2010- Diphtheria (link)
RCMT Content Demo
Botulism
(link to phConnect discussion thread)
Botulism- CDC.GOV (link)
Clostridium botulinum
Laboratory Testing (link)
Laboratory Testing• Isolation of Clostridium botulinum by
culture• Detection of Botulinum Toxin• Serology – Botulinum Toxin Antibody• Polymerase chain reaction (PCR) testing
* For more info, please contact Laboratory Response Network-B at [email protected]
CSTE Position Statement
CDC NNDSS Case Definition
LOINC Lab Tests - Culture
LOINC Lab Tests- Toxin detection (1)
LOINC Lab Tests- Toxin detection (2)
LOINC Lab Tests- Toxin detection (3)
LOINC Lab Tests- PCR
LOINC Lab Tests- Antibody
SNOMED Lab Results- Agent / Organism
CSTE SRCA 2010- Botulism (link)
RCMT Planning Team• CDC CSTE ELR Task Force – Standards Workgroup
– Co-Leads (Rita Altamore and Dariuz Shirazi)– CDC SME Staff (Sundak Ganesan)– Task Force Project Manager (Shu McGarvey)
• CDC Vocabulary Team (PHIN VADS)– Mark Winarsky and Michael Pray
• RCMT Content – Jerry Sable, Sheila Abner, Sundak Ganesan, Sanjeev Tandon
• Meeting Logistics / Communication
- Vanessa Fernandez, Kaley Smith
E-mail RCMT Planning Team: [email protected]
RCMT PhConnect Website-http://www.phconnect.org/group/rcmt
Questions
March 31st 2011
• Tentative Topic:• RICKETTSIAL (SPOTTED AND TYPHUS
FEVERS) AND RELATED INFECTIONS (ANAPLASMOSIS AND EHRLICHIOSIS)
• Q Fever
Appendix
RCMT Planning Team• CDC CSTE ELR Task Force – Standards Workgroup
– Co-Leads (Rita Altamore and Dariuz Shirazi)– CDC SME Staff (Sundak Ganesan)– Task Force Project Manager (Shu McGarvey)
• CDC Vocabulary Team (PHIN VADS)– Mark Winarsky and Michael Pray
• RCMT Content – Jerry Sable, Sheila Abner, Sundak Ganesan, Sanjeev Tandon
• Meeting Logistics / Communication
- Vanessa Fernandez, Kaley Smith
E-mail RCMT Planning Team: [email protected]
RCMT PhConnect Website-http://www.phconnect.org/group/rcmt
RCMTs & You
• Who?– Examples: lab and epi SMEs, jurisdictional staff with
operational responsibility for lab messaging or ELR systems.
– Familiar with (or want to dive deeply into) LOINC and SNOMED terminology issues related to reporting
• What? – Review RCMT content and delivery mechanisms and
provide feedback
• When? - Every Thursday between 12 p.m. and 1:30 p.m. Eastern. Meeting info at RCMT site (link)
We need you!
RCMT Demo Schedule1) RCMT Content Demo Schedule is available on RCMT
phConnect site – http://www.phconnect.org/group/rcmt 2) 10 minutes per condition “Show and Tell” of RCMT and 5
minutes discussion.3) RCMT content files will be posted in phConnect (RCMT
Workgroup) for offline discussion and feedback.4) Demo Schedule will be updated based upon public health
program SME (lab and Epi) availability.5) Demo Schedule:
1) Nationally Notifiable Condtionsa) Bacterial, Viral, Parasitic, Fungal, Non-Infectious,etc..
2) Non-Nationally Notifiable Conditions are not covered in the current demo schedule. If there is a good interest and participation, we may schedule these conditions demo also.
CommunicationsHow do I provide feedback?
1) Feedback can be provided to phConnect site – http://www.phconnect.org/group/rcmt
2) Feedback can be privately provided to [email protected] I get reminders about upcoming meetings?
Yes, please provide you name and email to [email protected] this open to others who may be interested in participating?Yes, this is an inclusive process but we have limited phone lines so
we ask that you convene in central office locations when possible
Is there a meeting room for CDC Participants in Atlanta?Yes, this will be posted on phConnects
Who will send me communications about the RCMTCommunications will typically come from PHINVS (PHIN
Vocabulary Services)
RCMT - Life Cycle (Maintenance)
RCMT Use: Filtering the output of Clinical Labs