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National Center for Public Health Informatics Reportable Condition Mapping Table (RCMT) -Botulism and Diphtheria March 24 rd, 2011 CSTE & CDC ELR Task Force Standards Workgroup Teleconference #: 1-888-469-0973 Pass code: 8818051 LiveMeeting linklink
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Agenda Roll Call Context of RCMT discussion Goal of the Weekly RCMT Demo RCMT Content Demo –BotulismBotulism –DiphtheriaDiphtheria RCMT Content Demo Feedback
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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 PHINVS@CDC.GOV PHINVS@CDC.GOV
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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.
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RCMT Use: Routing within a public health agency
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Focus of the 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 CDC Lab SME or Epidemiologist 6.RCMT phConnect online discussions
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Life Cycle of RCMT
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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 30 th, 2011 via CDC Vocabulary Server (PHIN VADS) 8)Maintain the RCMT – Ongoing process
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RCMT Workbook - Index
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RCMT Workbook – Websites (Epi)
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RCMT Workbook – Websites (General)
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RCMT Workbook - Websites (Lab / Micro)
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Other General Comments - Orders, Mapping, HL7 Msg
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RCMT Content Demo Diphtheria (link to phConnect discussion thread)link to phConnect
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Diphtheria – CDC.GOV (link)link
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Cornyebacterium diphtheriae
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Laboratory Testing (link)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
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Lab Criteria
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LOINC Lab Tests (1) - Culture
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LOINC Lab Tests (2) -Antibody (serology)
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LOINC Lab Tests (3) - Toxin
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SNOMED Result - Organism
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CSTE SRCA 2010- Diphtheria (link)link
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RCMT Content Demo Botulism (link to phConnect discussion thread)link to phConnect
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Botulism- CDC.GOV (link)link
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Clostridium botulinum
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Laboratory Testing (link)link
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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 lrn@cdc.govlrn@cdc.gov
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CSTE Position Statement
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CDC NNDSS Case Definition
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LOINC Lab Tests - Culture
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LOINC Lab Tests - Toxin detection (1)
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LOINC Lab Tests - Toxin detection (2)
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LOINC Lab Tests - Toxin detection (3)
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LOINC Lab Tests - PCR
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LOINC Lab Tests - Antibody
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SNOMED Lab Results - Agent / Organism
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CSTE SRCA 2010 - Botulism (link)link
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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: PHINVS@CDC.GOVPHINVS@CDC.GOV RCMT PhConnect Website-http://www.phconnect.org/group/rcmthttp://www.phconnect.org/group/rcmt
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Questions
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March 31 st 2011 Tentative Topic: RICKETTSIAL (SPOTTED AND TYPHUS FEVERS) AND RELATED INFECTIONS (ANAPLASMOSIS AND EHRLICHIOSIS) Q Fever
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Appendix
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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: PHINVS@CDC.GOVPHINVS@CDC.GOV RCMT PhConnect Website-http://www.phconnect.org/group/rcmthttp://www.phconnect.org/group/rcmt
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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!
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RCMT Demo Schedule 1)RCMT Content Demo Schedule is available on RCMT phConnect site – http://www.phconnect.org/group/rcmthttp://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 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.
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Communications How do I provide feedback? 1)Feedback can be provided to phConnect site – http://www.phconnect.org/group/rcmt http://www.phconnect.org/group/rcmt 2)Feedback can be privately provided to PHINVS@cdc.govPHINVS@cdc.gov Can I get reminders about upcoming meetings? Yes, please provide you name and email to PHINVS@cdc.govPHINVS@cdc.gov 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)
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RCMT - Life Cycle (Maintenance)
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RCMT Use: Filtering the output of Clinical Labs
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