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Electronic Laboratory Reporting to Public Health in Texas

Electronic Laboratory Reporting to Public Health in Texas. Doug Hamaker NEDSS Coordinator Texas Department of State Health Services doug.hamaker@dshs.state.tx.us 512.776.3274. In the beginning, there was…. ELR at DSHS.

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Electronic Laboratory Reporting to Public Health in Texas

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  1. Electronic Laboratory Reportingto Public Health in Texas Doug Hamaker NEDSS Coordinator Texas Department of State Health Services doug.hamaker@dshs.state.tx.us 512.776.3274

  2. In the beginning, there was…

  3. ELR at DSHS The NEDSS ELR system at DSHS is currently the single point of contact for laboratory result reporting indicative of notifiable conditions from laboratory facilities • National • Regional • DSHS Central Lab • Hospital EHR

  4. “Texas ELR Guide” HL7 2.3.1 Targeted for Labs

  5. Guidance for v2.5.1 Targeted for Hospitals and Meaningful Use

  6. Translate/Crosswalk Use of standardized codes allows for automated interoperability

  7. Texas ELR Route

  8. Current ELR Flow

  9. Tools and Guidance for ELR DSHS website for Guidance Documents • http://www.dshs.state.tx.us/mu/elr.aspx • Texas ELR Format 2.5.1 • ELR Implementation Guide Federal website for National Code Sets and Values: • http://phinvads.cdc.gov/vads/ViewView.action?name=Electronic Laboratory Reporting (ELR) to Public Health - HL7 Version 2.5.1 Message Validation Utilities • NIST2011 Meaningful Use Tool HL7 V2 Message Validation Tool: http://hit-testing.nist.gov:8080/HL7V2MuValidation2011/#message%2Ffiles.htm%3Fts%3D1319204578594 • PHIN Message Quality Framework: https://phinmqf.cdc.gov/ValidateMessages.aspx?Act=1&ProjectName=Meaningful Use-Electronic Laboratory Reporting Sender Profile&ProjCode=114

  10. ELR Framework Engage • Define what will be reported and when • Define howdata will be reported • Assess availability and readiness of data Connect • Define how data will be securely transmitted • Define security tool set • Define frequency Validate • Test structure, content and data completeness • Test reportable disease completeness from facility • Test usablity and analytics Operate • “Go” decision to transition to Production • Assign day to day roles and responsiblities • Determine communication protocol

  11. ELR Volume in the NBS

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