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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 #: 1-800-857-0325, Pass code: 31889 LiveMeeting link.

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National Center for Public Health Informatics

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  1. Reportable Condition Mapping Table (RCMT) - Non-Condition specific lab tests & results and Drug Susceptibility lab tests March 31st , 2011 CSTE & CDC ELR Task Force Standards Workgroup Teleconference #: 1-800-857-0325, Pass code: 31889 LiveMeeting link National Center for Public Health Informatics

  2. 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

  3. 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 PHINVS@CDC.GOV

  4. RCMT 101 – Quick Introduction (link)

  5. RCMT Use: Routing within a public health agency

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

  7. Focus of the RCMT Weekly Meetings RCMT Content Development • Lab Diagnostic Information • Types of lab tests performed to detect a reportable condition • Organisms or Agents associated with a reportable condition • Lab Criteria - CSTE Position Statement & NNDSS Case Definition. • Resources or links related to a reportable condition. • Demonstration of Standardized Lab Vocabulary associated with a reportable condition • LOINC – Condition Specific Lab Tests • SNOMED CT – Lab Test Results (Organism) • Questions for Lab SME or Epidemiologist • RCMT phConnect online discussions

  8. 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.GOV RCMT PhConnect Website-http://www.phconnect.org/group/rcmt

  9. RCMT Planning Team Update (1) • Demo Calendar updated with the confirmed schedules (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. • E-mail phinvs@cdc.gov and let us know the conditions you are interested.

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

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

  12. RCMT phConnect Discussion Threads

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

  14. Questions

  15. RCMT Content Demo #2 • phConnect Discussion Thread (link) • Non-condition specific lab tests (e.g. Blood Culture, Gram stain). • Drug Susceptibility Lab Tests & Results. • 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).

  16. 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.

  17. Appendix

  18. RCMTs & You We need 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)

  19. Life Cycle of RCMT

  20. RCMT Content Development & Review Process • RCMT Planning Team – Develops RCMT Workbook with standard lab vocabulary and useful web site links. • Review the lab tests and criteria with CDC program Lab SME & Epidemiologist. • Demonstrate the RCMT Workbook on Thursday Meetings • Continue Online Discussions – phConnect / E-mail • RCMT planning team and ELR Standards Workgroup will address the questions on phConnect / E-mail. • Follow-up with CDC program, if needed • Distribute the first version of RCMT – June 30th, 2011 via CDC Vocabulary Server (PHIN VADS) • Maintain the RCMT – Ongoing process

  21. RCMT Use: Filtering the output of Clinical Labs

  22. RCMT Demo Schedule • RCMT Content Demo Schedule is available on RCMT phConnect site – http://www.phconnect.org/group/rcmt • 10 minutes per condition “Show and Tell” of RCMT and 5 minutes discussion. • RCMT content files will be posted in phConnect (RCMT Workgroup) for offline discussion and feedback. • Demo Schedule will be updated based upon public health program SME (lab and Epi) availability. • Demo Schedule: • Nationally Notifiable Condtions • Bacterial, Viral, Parasitic, Fungal, Non-Infectious,etc.. • 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.

  23. Communications • How do I provide feedback? • Feedback can be provided to phConnect site – http://www.phconnect.org/group/rcmt • Feedback can be privately provided to PHINVS@cdc.gov • Can I get reminders about upcoming meetings? • Yes, please provide you name and email to PHINVS@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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