#129 ELR Open Forum 25JAN24

Presenter/Facilitator

Topic

Discussion:

Action Items

Other Discussion/Updates

Vanessa

Tefca (mentioned 2 weeks prior)

There is an educational guidance document that was sent out. These comments are due by Friday February 2, 2024. The Public Health SOP was released on Friday January 19, 2024 and the comments are due by Monday February 5, 2024. APHL will be submitting comments for both of these documents. We request that all of our members (including agencies and Laboratories) send individual comments to the recognized coordinating entity, the Sequoa Project (who is coordinating the submission of these comments).

The Public Health Educational Guidance doc is due Friday February 2, 2024.

The USCDI plus in version 5 comments are due in March 2024. (APHL will likely pull together comments)

Links for the USCDI drafts are located within the chat

Carla Norsworthy (NC)

Cross Jurisdictional ELR Questions

NC has been working on Cross Jurisdiction ELR. 

We insist that our facilities follow the HL7 spec validation tables for race and ethnicity.  In the early days we did some translation from local codes, but the variety of local codes was large and keeping up with changes from multiple sending facilities was difficult (and error prone).

In working with other states we’ve learned that at least some NBS states accept the following values in ELR>

• W – White

• B – Black

• A – Asian or Pacific Islander

• I – Amer. Indian or Alaskan Native

• M – Multiracial

• O – Other

• U – Unknown

My questions are:

• Is this common enough that we should try to extend the value set to include these codes?

• Does everyone support these the same way

  • (trying to verify that we don’t have states that interpret I as indeterminant rather than American Indian or Alaskan Native.)

  • I note that the NBS set has “Asian or Pacific Islander”.  How are folks mapping that (The value set we’ve used has “Asian” and “Native Hawaiian or other Pacific Islander”)?   Do your surveillance systems combine those categories?

• What do folks do with multiracial ?  (We insist that folks send a combination of the race codes above to represent multiracial – we don’t have a multiracial category in our surveillance system.)  We were thinking we could not import race when we get “M”.

PHINVADS VALUE

DESCRIPTION

NBS Values

1002-5

American Indian or Alaska Native

I

2028-9

Asian

?A

2054-5

Black or African American

B

2076-8

Native Hawaiian or Other Pacific Islander

 ?A

2106-3

White

W

2131-1

Other Race

O

M    Multiracial

UNK

Unknown

U

Riki advised that this topic is a great one for the CSTE or Open ELR call.

Riki

Sogi Update(s)

The 2.9.1 standard is normative and approved standard. The negatives will need to be removed in order for it to be published. This hasn’t happened yet, but there has been four (4) requests sent to all who voted negatively before to withdraw their negatives.

There is one commentor that has requested a recirculation ballot. This will mean that they will have to go back and recirculate for any negatives that are left. This is done to review what others are saying about those negatives. This usually takes an avg of two weeks for the ballot to be opened. This will also need time to reconcile any comments received during this period.

Ancy also has a 45-day lead time anything is done and also a review period prior to publishing.

2.9.1 is likely to not be published until April 2024.

The GSC and GSP segments won’t be available until April.

Hilda DOH

Mayo OVR issue

Have any states seen messages from MAYO that are missing the first triplets of OVR4? Have you contacted them?

They have been experiencing messages that missing the first triplets of OVR 4. They contacted Mayo but haven’t heard anything back.

Mayo does have a weekly meeting with all jurisdictions regarding ELR issues and Karen can provide you with that meeting invite.

Karen provides Hilda with the weekly Mayo meeting invite.

Datapult Question

Did Datapult send any Sonic test files (they should be coming soon)?

Doug (Datapult)- No and if you are expecting test files and don’t have them by next week, please send Datapult an email.

Vanessa

Annual ELC Meeting

Vanessa H. and Brooke B. will be attending the annual ELC annual meeting this year at CDC. Both look forward to meeting everyone!