Public Health Case Reporting - CSTE TIG Lab Vocabulary Review

May 3rd Week – Viral Diseases

CRSWg, LMCoP, VMCoP

May 13th, 2010

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Archive of - 1st and 2nd Meeting Lab Vocabulary Review

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Hyperlink: http://www.phconnect.org/profiles/blogs/call-for-volunteers-review

Scope for 3rd Week of CSTE TIG - Lab Vocabulary Review

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Focus mainly on HIV and Influenza

Spreadsheet Overview

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Note: Includes only the 2nd Week Bacterial Diseases Lab Vocabulary

CSTE Position Statement

CSTE Position Statement not published in the CSTE website for the following conditions:

– Acute Hepatitis B

– Chronic Hepatitis B

Post the above mentioned CSTE position statements in www.phconnect.org

Need to find about the status of the above mentioned position statements (Did not review last year, Planning to review this year, etc..)

Reconcile the CSTE Position Statement and CSTE TIG criteria for the following conditions:

– Hantavirus

– HIV infection

– Dengue Fever

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Dengue Fever - CSTE Lab Criteria Conditionality

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Hantavirus Pulmonary Syndrome

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Pathology Impression Reconcile the Lab Criteria to CSTE TIG LOINC mappings

Hantavirus Pulmonary Syndrome

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* increased circulating atypical lymphocytes or immature myeloid cells

Hepatitis C- Lab Test + Date of Onset (Timing)

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Hepatitis C- Negative Test Criteria

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Assumption: Hepatitis C TIG File without any “Acute” or “Chronic” must have been related to Chronic.

Hepatitis C- Acute and Chronic Lab Criteria (same)

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Acute Hepatitis C Chronic Hepatitis C

CSTE – Owner of Lab Criteria and could assign the ID’s for Lab Criteria

Human Rabies

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No LOINC / SNOMED Code

Hepatitis B Chronic

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SNOMED Test Result – Pre-coordinated with Agent and Component

HIV Infection

Review the CSTE Position Statement and CSTE TIG– Adult and Pediatric

– Qualitative and Quantitative

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HIV CSTE Position StatementReview the CSTE TIG for HIVDiscuss with PHLIP regarding HIV mapping

HIV Infection

PHLIP Feedback (Riki):

HIV TIG (Qualitative) tests DNA/RNA detection - LOINCs are all qual, no result codes included in one iteration, but coded to positive in the other - LOINCs are the same

HIV TIG Culture result - critrion reads any, no SNOMED cocdes assigned here, but lab cirterion cited in the spreadsheet is pos resut

HIV TIG Culture result - second criterion reads pos result - LOINC is Nom and result code is coded as HIV

HIV TIG Culture result criterion exisits twice with same set of LOINC codes

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Novel Influenza

Novel Influenza - Chest X-Ray Lab Tests mapped to "Non-subtypeable influenza A virus determined by WHO collaborating laboratory.”

Novel Influenza - Rapid Diagnostic Tests Criteria - No mapping to LOINC / SNOMED

Novel Influenza - Influenza A H1, Influenza A H3 do not have any mapping to LOINC / SNOMED

PHLIP Feedback:– Novel Influenza - Influenza A H1, Influenza A H3 and H1 2009 pandemic

do not have any mapping to LOINC / SNOMED (Have QL LOINCs now and PLR codes for nom Flu subtype test results

– Novel Influenza - shouldn't it be Flu A unsubtypable as result to report - exists as PLR code only

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Novel Influenza

SNOMED CT – Influenza A Virus

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Polio

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NND Codes – Paralytic and Non-Paralytic Polio. What is the scope of CSTE position Statement?

SARS

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SARS Coronavirus – SNOMED Results

Measles Virus

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SNOMED Result - Measles Virus - Genotype

Recommendation Letter to CSTE about CSTE TIG Lab Vocabulary

Include Changes that needs to be made in CSTE position Statements Mention the issues that are related to lab domain which would be

addressed by the lab community of practice and SDO (LOINC, SNOMED).

CSTE lab Criteria Interpretation issues Maintenance of the CSTE lab Criteria

– ?? Unique identifier for the lab criteria

– Centralized repository of data elements – Maintained by CSTE

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