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January 16, 2018			      Division of Health Informatics and Surveillance January 16, 2018			      Division of Health Informatics and Surveillance

January 16, 2018 Division of Health Informatics and Surveillance - PowerPoint Presentation

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January 16, 2018 Division of Health Informatics and Surveillance - PPT Presentation

NNDSS Modernization Initiative NMI Preparing for Sending NNDSS HL7 Case Notifications in 2018 Access the NMI Technical Assistance and Training Resource Center at https wwwcdcgovnmitatrcindexhtml ID: 692781

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Slide1

January 16, 2018 Division of Health Informatics and Surveillance

NNDSS Modernization Initiative (NMI):Preparing for Sending NNDSS HL7 Case Notifications in 2018

Access the NMI Technical Assistance and Training Resource Center at

https://

www.cdc.gov/nmi/ta-trc/index.html

!

Subscribe

to monthly NMI Notes news updates at

https

://www.cdc.gov/nmi/news.html

! Slide2

Welcome and Announcements

NMI 2017 Accomplishments and 2018 Plans2018 Event Code List Updates

Recent Updates to Hepatitis Message Mapping Guide (MMG)

Hot Topic: Recent Updates

to

MMG Value SetsQuestions and Answers

AgendaSlide3

Lesliann Helmus,

MSPH, CHTS-CPAssociate Director for Surveillance

Division of Health

Informatics and Surveillance

Center for Surveillance,

Epidemiology,

and Laboratory Services

Centers for Disease Control and Prevention

NMI 2017 Accomplishments and

2018 PlansSlide4

NMI Implementation

Status as of January 1, 2017

PR

Production Total

of 5

(states)

Onboarding Total of

1

(states)

RI

AK

WA

OR

CA

MT

ID

WY

NE

NV

NM

TX

AR

TN

ME

VT

NY

FL

GA

AL

NC

VA

MI

PA

NJ

DE

NH

CT

MA

HI

AZ

LA

OK

KS

CO

UT

SD

MN

WI

IA

MO

IL

WV

MS

KY

OH

IN

MD

SC

ND

DC

NYC

Piloting Total

of

6

(

states)Slide5

NMI Implementation

Status as of January 1, 2018

PR

Production Total

of

20

(states)

Onboarding Total of

6

(states)

RI

AK

WA

OR

CA

MT

ID

WY

NE

NV

NM

TX

AR

TN

ME

VT

NY

FL

GA

AL

NC

VA

MI

PA

NJ

DE

NH

CT

MA

HI

AZ

LA

OK

KS

CO

UT

SD

MN

WI

IA

MO

IL

WV

MS

KY

OH

IN

MD

SC

ND

DC

NYC

Piloting Total

of

4

(

states)Slide6

2017

89 days

89 days

159 days

158 days

175 days

208 days

269 days

286 days

293 days

409 days

439 days

474 days

335 days

339 days

402 days

Anticipated NMI MMG Implementation Timeline

Pilot Test-Ready Guide

Ready to Accept Case Notifications

*

MMG development process acceleration

Feb

Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec

2018

2019

STD

CS

RIBD

MALARIA

BABESIOSIS

MEASLES

RUBELLA

CRS

FDD

MUMPS

PERTUSSIS

VARICELLA

TRICHINELLOSIS

CP-CRE

TB with LTBI

**

**

Jan Feb Mar Apr May Jun Jul Aug Sep Oct

MMG development by disease program

*

*

**

1/09/18Slide7

Tony Winters, MSPH

Health Scientist

Division

of Health

Informatics and Surveillance

Center for Surveillance,

Epidemiology,

and Laboratory Services

Centers for Disease Control and Prevention

2018 Event Code List UpdatesSlide8

2018 Event Code List Updates

Additions

Nationally notifiable:

(

CP-CRE),

enterobacter

spp (

50247)

*

(

CP-CRE),

escherichia coli

(50246)

*

(

CP-CRE),

klebsiella

spp

(50245)

*

Perinatal

hepatitis C virus infection (50248)

Paratyphoid fever (50236)Salmonellosis (excluding paratyphoid fever and typhoid fever) (50242)Syphilis, unknown duration or late (10320)

Under standardized surveillance:Acute flaccid myelitis (11120)*

Candida auris (50243)*

Revisions“Syphilis, early latent” (10313) has been renamed to “Syphilis, early non-primary, non-secondary”Removal

Salmonellosis (11000) –replaced with Paratyphoid fever (50236) and Salmonellosis (excluding paratyphoid fever and typhoid fever) (50242)Syphilis, late latent (10314)

Syphilis, late with clinical manifestations (including late benign syphilis and cardiovascular syphilis) (10319)

*

Please do not transmit data for condition until CDC has received Office of Management and Budget approval.Slide9

2018 Event Code List Updates

Additional Updates for

2017

– Arboviral

California encephalitis virus disease (11718

)

 

Flavivirus

disease, not otherwise specified (

50237)

 

Keystone

virus disease (11712

)

 

Other

Arboviral diseases, not otherwise specified (10072

)

 

Snowshoe

hare virus disease (11734

) Trivittatus

virus disease (11724) Venezuelan equine encephalitis virus neuroinvasive disease (10055)  Venezuelan

equine encephalitis virus non-neuroinvasive disease (10067)National surveillance case definitions were revised for:Anthrax, Shiga Toxin-Producing E. coli (STEC), and SyphilisThe 2018 State Epi Letter (revised version) was distributed on 12/18/17. The full letter can be found on the NNDSS Downloads and Resources webpage.

Annual NNDSS Event Code Lists available at https://wwwn.cdc.gov/nndss/case-notification/related-documentation.html.Slide10

Tony Winters, MSPH

Division

of Health

Informatics and Surveillance

Center for Surveillance,

Epidemiology,

and Laboratory Services

Centers for Disease Control and Prevention

Recent Updates to

Hepatitis

MMGSlide11

Release 4, posted on 11/9/17

Lab Template updated to the most recent version Updates for Perinatal Hepatitis C InfectionFollowing guidance is documented on the introduction tab:To send a case notification for Perinatal Hepatitis C infection, use the following artifacts: 1) generic individual case notification message mapping guide v2

2) hepatitis core tab in the hepatitis case notification message mapping guide v1Lab test types HVC antigen,

HCV genotype

, and

HCV RNA should be sent using the lab template along with corresponding dateThe “Test Performed Name

” data element in lab template should be used to transmit the name of the test

Recent Updates to Hepatitis MMG

Hepatitis v1 MMGs available at https://

wwwn.cdc.gov/nndss/case-notification/message-mapping-guides.html

.Slide12

Nihit

Desai, MT, MBAVocabulary

SME, PHIN Vocabulary and Distribution System (PHINVADS)

Contractor

,

CSRA

Division

of Health

Informatics and Surveillance

Center for Surveillance,

Epidemiology,

and Laboratory Services

Centers for Disease Control and Prevention

Hot Topic: Recent Updates to

MMG

Value SetsSlide13

Updates to values sets

Impacts value sets in all NNDSS MMGs; Birth Country (PHVS_BirthCountry_CDC)Country (PHVS_Country_ISO_3166-1)

County (PHVS_County_FIPS_6-4)

Ordered Test (PHVS_LabTestOrderables_CDC)

Lab Test Result Name (PHVS_LabTestName_CDC)

Units of Measure (PHVS_UnitsOfMeasure_CDC)

Specimen (PHVS_Specimen_CDC)

Body

Site (PHVS_BodySite_CDC)

Microorganism (

PHVS_Microorganism_CDC

)

Birth

Country and Country value sets (ISO 3166-1

)—not available

to download at this time but can still

view on PHINVADS.cdc.gov.To sign up for PHIN VADS email alerts when a value set is updated, click on the link on a value set’s page.

Recent Updates to MMG Value SetsMMGs available at https://wwwn.cdc.gov/nndss/case-notification/message-mapping-guides.html.Slide14

Questions and AnswersSlide15

!

Access the NMI Technical Assistance and Training Resource Center at https://www.cdc.gov/nmi/ta-trc/index.html

!

Request

NMI technical assistance or onboarding

atedx@cdc.gov

!

Next NMI eSHARE is February 20, 2018 – details at https://www.cdc.gov/nmi/eshare.html

!

Subscribe to monthly

NMI Notes

news updates at

https://www.cdc.gov/nmi/news.html

!