ELDRS

12/18/24

Gillian Haney presented on minimum lab data necessary "MDN"

• CSTE was approached by APHL to get started last year and formed a workgroup in Spring 2024; before DSWG took on lab core elements

• GH reviewed list with colleagues

• Focus is on test orders only; no authoritative force, but having written guidelines can encourage HCOs to include the MDN in their test orders.

• Demographics; Ordering information; "Lab"; "Epi" elements - big categories

• Riki was involved in compiling this list

• Next step: CSTE and APHL will put together guidance for HCOs

CMS reviewed requirements and exemptions and answered questions about the CMS Promoting Interoperability Program

• Recurring question: who's responsible for confirming system meets specs, is it the vendor or the PHA?

• CMS requires vendors meet validation requirements, but what is "validation"? And how involved is the PHA in validation of public health reporting? Strictly speaking, PHA doesn't need to be involved in this validation or approve the validation. And vendor doesn't ever have to graduate from test system to production. These are all known problems that are being addressed.