National Center for Public Health Informatics

Reportable Condition Mapping Table (RCMT)

-Botulism and DiphtheriaMarch 24rd , 2011

CSTE & CDC ELR Task Force Standards Workgroup

Teleconference #: 1-888-469-0973 Pass code: 8818051

LiveMeeting link

Agenda

• Roll Call• Context of RCMT discussion• Goal of the Weekly RCMT Demo• RCMT Content Demo

– Botulism– Diphtheria

• RCMT Content Demo 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 RCMTs

• Questions and feedback can also be sent to PHINVS@CDC.GOV

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.

RCMT Use: Routing within a public health agency

Focus of the Weekly Meetings• RCMT Content Development

1. Lab Diagnostic Informationa) 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

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 / 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 30th, 2011 via CDC Vocabulary Server (PHIN VADS)

8) Maintain the RCMT – Ongoing process

RCMT Workbook - Index

RCMT Workbook – Websites (Epi)

RCMT Workbook – Websites (General)

RCMT Workbook - Websites (Lab / Micro)

Other General Comments- Orders, Mapping, HL7 Msg

RCMT Content Demo

Diphtheria

(link to phConnect discussion thread)

Diphtheria – CDC.GOV (link)

Cornyebacterium diphtheriae

Laboratory Testing (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

Lab Criteria

LOINC Lab Tests (1)- Culture

LOINC Lab Tests (2)-Antibody (serology)

LOINC Lab Tests (3)- Toxin

SNOMED Result- Organism

CSTE SRCA 2010- Diphtheria (link)

RCMT Content Demo

Botulism

(link to phConnect discussion thread)

Botulism- CDC.GOV (link)

Clostridium botulinum

Laboratory Testing (link)

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.gov

CSTE Position Statement

CDC NNDSS Case Definition

LOINC Lab Tests - Culture

LOINC Lab Tests- Toxin detection (1)

LOINC Lab Tests- Toxin detection (2)

LOINC Lab Tests- Toxin detection (3)

LOINC Lab Tests- PCR

LOINC Lab Tests- Antibody

SNOMED Lab Results- Agent / Organism

CSTE SRCA 2010- Botulism (link)

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

Questions

March 31st 2011

• Tentative Topic:• RICKETTSIAL (SPOTTED AND TYPHUS

FEVERS) AND RELATED INFECTIONS (ANAPLASMOSIS AND EHRLICHIOSIS)

• Q Fever

Appendix

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

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!

RCMT Demo Schedule1) RCMT Content Demo Schedule is available on RCMT

phConnect site – http://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 Condtionsa) 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.

CommunicationsHow do I provide feedback?

1) Feedback can be provided to phConnect site – http://www.phconnect.org/group/rcmt

2) Feedback can be privately provided to PHINVS@cdc.govCan I get reminders about upcoming meetings?

Yes, please provide you name and email to PHINVS@cdc.govIs 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 RCMTCommunications will typically come from PHINVS (PHIN

Vocabulary Services)

RCMT - Life Cycle (Maintenance)

RCMT Use: Filtering the output of Clinical Labs