Public Health Case Reporting - CSTE TIG Lab Vocabulary Review May 3rd Week – Viral Diseases CRSWg, LMCoP, VMCoP May 13 th, /12/20151

Archive of - 1 st and 2 nd Meeting Lab Vocabulary Review 10/12/20152 Hyperlink:

Scope for 3r d Week of CSTE TIG - Lab Vocabulary Review 10/12/20153 Focus mainly on HIV and Influenza

Spreadsheet Overview 10/12/20154 Note: Includes only the 2 nd Week Bacterial Diseases Lab Vocabulary

CSTE Position Statement  CSTE Position Statement not published in the CSTE website for the following conditions: –Acute Hepatitis B –Chronic Hepatitis B  Post the above mentioned CSTE position statements in  Need to find about the status of the above mentioned position statements (Did not review last year, Planning to review this year, etc..)  Reconcile the CSTE Position Statement and CSTE TIG criteria for the following conditions: –Hantavirus –HIV infection –Dengue Fever 10/12/20155

Dengue Fever - CSTE Lab Criteria Conditionality 10/12/20156

Hantavirus Pulmonary Syndrome 10/12/20157  Pathology Impression  Reconcile the Lab Criteria to CSTE TIG LOINC mappings

Hantavirus Pulmonary Syndrome 10/12/20158 * increased circulating atypical lymphocytes or immature myeloid cells

Hepatitis C - Lab Test + Date of Onset (Timing) 10/12/20159

Hepatitis C - Negative Test Criteria 10/12/ Assumption: Hepatitis C TIG File without any “Acute” or “Chronic” must have been related to Chronic.

Hepatitis C - Acute and Chronic Lab Criteria (same) 10/12/ Acute Hepatitis C Chronic Hepatitis C CSTE – Owner of Lab Criteria and could assign the ID’s for Lab Criteria

Human Rabies 10/12/ No LOINC / SNOMED Code

Hepatitis B Chronic 10/12/ SNOMED Test Result – Pre-coordinated with Agent and Component

HIV Infection  Review the CSTE Position Statement and CSTE TIG –Adult and Pediatric –Qualitative and Quantitative 10/12/ HIV CSTE Position Statement Review the CSTE TIG for HIV Discuss with PHLIP regarding HIV mapping

HIV Infection  PHLIP Feedback (Riki):  HIV TIG (Qualitative) tests DNA/RNA detection - LOINCs are all qual, no result codes included in one iteration, but coded to positive in the other - LOINCs are the same  HIV TIG Culture result - critrion reads any, no SNOMED cocdes assigned here, but lab cirterion cited in the spreadsheet is pos resut  HIV TIG Culture result - second criterion reads pos result - LOINC is Nom and result code is coded as HIV  HIV TIG Culture result criterion exisits twice with same set of LOINC codes 10/12/201515

Novel Influenza  Novel Influenza - Chest X-Ray Lab Tests mapped to "Non-subtypeable influenza A virus determined by WHO collaborating laboratory.”  Novel Influenza - Rapid Diagnostic Tests Criteria - No mapping to LOINC / SNOMED  Novel Influenza - Influenza A H1, Influenza A H3 do not have any mapping to LOINC / SNOMED  PHLIP Feedback: –Novel Influenza - Influenza A H1, Influenza A H3 and H pandemic do not have any mapping to LOINC / SNOMED (Have QL LOINCs now and PLR codes for nom Flu subtype test results –Novel Influenza - shouldn't it be Flu A unsubtypable as result to report - exists as PLR code only 10/12/201516

Novel Influenza  SNOMED CT – Influenza A VirusInfluenza A Virus 10/12/201517

Polio 10/12/ NND Codes – Paralytic and Non-Paralytic Polio. What is the scope of CSTE position Statement?

SARS 10/12/ SARS Coronavirus – SNOMED Results

Measles Virus 10/12/ SNOMED Result - Measles Virus - Genotype

Recommendation Letter to CSTE about CSTE TIG Lab Vocabulary  Include Changes that needs to be made in CSTE position Statements  Mention the issues that are related to lab domain which would be addressed by the lab community of practice and SDO (LOINC, SNOMED).  CSTE lab Criteria Interpretation issues  Maintenance of the CSTE lab Criteria –?? Unique identifier for the lab criteria –Centralized repository of data elements – Maintained by CSTE 10/12/201521