National Center for Public Health Informatics Reportable Condition Mapping Table (RCMT) - Non-Condition specific lab tests & results and Drug Susceptibility lab tests March 31 st, 2011 CSTE & CDC ELR Task Force Standards Workgroup Teleconference #: , Pass code: LiveMeeting linklink

Agenda Roll Call RCMT Introduction RCMT Planning Team Update (Schedule) RCMT Content Demo –Non-Condition specific lab tests, results and Drug Susceptibility tests Questions / 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 RCMTsphConnect Questions and feedback can also be sent to

RCMT 101 – Quick Introduction (link)link

RCMT Use: Routing within a public health agency

RCMT – Uses / Audience * RCMT Project – Call for Participation (link)link * RCMT Content Creation & Review (instructions for reviewers - link)link

Focus of the RCMT Weekly Meetings RCMT Content Development 1.Lab Diagnostic Information a)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 Lab SME or Epidemiologist 6.RCMT phConnect online discussions

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 RCMT Planning Team: RCMT PhConnect Website-

RCMT Planning Team Update (1) Demo Calendar updated with the confirmed schedules (link)link Lab SME’s (CDC/APHL/Jurisdictions) or Epidemiologists (CDC/CSTE/Jurisdictions) can join the preparation meeting for RCMT content demo (30 minutes) with CDC program. – and let us know the conditions you are

RCMT Planning Team Update (2) 1)Topic for April 7 th, 2011: Pertussis and two other conditions (TBD) – 30 minutes each. 2)Other conditions that are in development stage: –Q Fever (link)link –Spotted Fever Rickettsiosis (link)link –Ehrlichiosis and Anaplasmosis (link)link –Tuberculosis –Anthrax –Brucellosis –Hemophilus influenza type b (Hib)

RCMT phConnect Update (link)link Meeting Teleconference & Livemeeting Updated Demo Schedule Condition specific discussion threads Archive of the meetings –Recordings –Meeting notes –Feedback / questions from the discussions

RCMT phConnect Discussion Threads

RCMT Meeting Archive (link – 3/24/2011)

Questions

RCMT Content Demo #2 phConnect Discussion Thread (link)link a)Non-condition specific lab tests (e.g. Blood Culture, Gram stain). b)Drug Susceptibility Lab Tests & Results. c)Non-Organism specific lab results (e.g. Lab test finding, abnormal flags) * Dr.Daniel Vreeman's LOINC 101 lab tests tutorial (slides #47 to #51) from Regenstrief focusing on Public Health/Microbiology would be very useful for this discussion (link).link

Discussion Plan – 3/31/2011 Overview of specific LOINCs, non-specific LOINCs, and organism lists Review the spreadsheet of non-specific microbiology LOINCs –General ("microorganism", "microscopic observation") –Bacteria –Fungus –Parasites –Viruses Review of LOINC susceptibility tests, and relating them to diseases or conditions. Overview of SNOMED evaluation findings: Useful or problematic for RCMT? Note: Questions and comments are encouraged throughout. This is an interactive review, not a presentation.

Appendix

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!

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 / 5)RCMT planning team and ELR Standards Workgroup will address the questions on phConnect / . 6)Follow-up with CDC program, if needed 7)Distribute the first version of RCMT – June 30 th, 2011 via CDC Vocabulary Server (PHIN VADS) 8)Maintain the RCMT – Ongoing process

RCMT Use: Filtering the output of Clinical Labs

RCMT Demo Schedule 1)RCMT Content Demo Schedule is available on RCMT phConnect site – 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 Condtions a)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.

Communications How do I provide feedback? 1)Feedback can be provided to phConnect site – 2)Feedback can be privately provided to Can I get reminders about upcoming meetings? Yes, please provide you name and to Is 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 RCMT Communications will typically come from PHINVS (PHIN Vocabulary Services)