STD NBS Users Group Meeting November 14, 2017 3:00 4:00 PM ET - - PowerPoint PPT Presentation
STD NBS Users Group Meeting November 14, 2017 3:00 4:00 PM ET Meeting Agenda Welcome and Introductions Charlie and Marvin Remarks from NCSD Charlie Remarks from CDC Surveillance and Data Management Branch Marvin
Branch – Marvin
Foster STD Programs Learning From Each Other
Maven software for STD surveillance and information management
Prevention (DSTDP) Surveillance and Data Management Branch, National Coalition of STD Directors (NCSD) and Developers - CSRA
NCSD is a national public health membership organization representing health department STD directors, their support staff, and community-based partners across 50 states, seven large cities, and eight US territories. Mission: To advance effective STD prevention programs and services in every community across the country. NCSD does this as the voice of our membership. We provide leadership, build capacity, convene partners, and advocate.
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Slack
persons/sites
How often do you look at the NBS Slack site? (only one response)
https://www.confpal.com/surveyliveview.do?confid=1185&indicatorid=1354&objectsurveyid=675&type=bar
https://join.slack.com/t/mavenusersgroup/shared_invite/enQtMjcwMDQzMzc4MDY4LT hiYmNjMmY2MDRhNjViNDkxN2I3NDgzYjcyZDFiYzRlNjdhNjcwMmE2NmZhNmQ4MDQwN WRkYTI2NTBlMjAyYjU
phone, tablet)
November 14, 2017
The NBS is currently used by 22 of the 57 (39%) public health reporting jurisdictions.
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NBS (22)
USVI GUAM
Indiana is also joining the NBS community.
* SC currently only using NBS for TB
customize, as needed, by the implementing jurisdiction.
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forms for:
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already able to create and send HL7 messages per the CDC STD Message Mapping Guide.
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STD NETSS STD HL7 PSF SAMS PHIN MS Evaluation Web
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Linkages are created between patient files/investigations.
reports in an automated way, assisting staff in prioritizing and managing workflow to maximize available resources.
time available for investigation activities, (e.g., high volume conditions like Gonorrhea and Chlamydia)
status, disposition, etc.) and notifies CDC.
from worker queues.
fields (e.g., set investigation status to ‘Open’ and case status to ‘Suspect’).
notification (report of morbidity) to CDC.
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documentation for NBS 5.1
calculations for all of the data elements on each of the reports
27 https://nbscentral.sramanaged.com//redmine/documents/188
module.
data mart, including:
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Migration
legacy system
system (questions and answers)
xml documents to import the legacy data into the NBS
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5.1
A.
Legacy data is mapped into a pre-defined, simplified (flat file) data structure from the legacy system/data structure.
B.
NBS-provided Rhapsody Route is used to pull data from a flat file structure into CDA-compliant XML messages.
C.
XML messages are imported into the NBS as public health documents, which undergo basic NBS inspection and processing to de-duplicate, standardize, and route, which includes:
PHDC Import Process
Mapper Tool Rhapsody Routes PHDC Importer
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treatments, and contacts associated with a case during a migration using the migration process.
report, a lab report, and morbidity report imported into the NBS.
during the import process (i.e., a WDS algorithm was triggered), which also generated an NND notification to the CDC.
that came in with the case report have been automatically associated with the auto- generated investigation.
10/14/2014 Gonorrhea Confirmed 2210941108 John Jaggerlish COMPLETED Open Fulton County CAS10011003GA01Documents (3) Morbidity Reports (1) Vaccinations (0) Treatments (1)
+ + + +
Patient Events History
Investigations (1) Lab Reports (1)
Condition Case Status Co-Infection ID Investigator Notification Status Jurisdiction Date Received
10/14/2014 11:58 AMProvider/Reporting Facility Test Results
Reporting Facility: MEDICAL LAB-JOHNSTOWN Ordering Provider: ROBINSON, BOB GC CULTURE POSITIVEDate Collected
10/14/2014Event ID
2210950136Associated With
CAS10011003GA01 Gonorrhea DOC10011003GA01 GonorrheaInvestigation ID Date Received
10/14/2014 11:58 AMProvider Treatment
STD CLINIC METRONIDAZOLE 2GTreatment Date
10/14/2014Event ID
2210578799Associated With
CAS10011003GA01 Gonorrhea DOC10011003GA01 GonorrheaDocument Type
Case ReportSending Facility Condition
Sending Facility: STATE DEPT OF HEALTH GonorrheaEvent Date
10/14/2014Event ID
DOC10011002GA01Associated With
CAS10011003GA01 GonorrheaDate Received
10/14/2014 11:58 AM 10/14/2014 11:58 AM Sending Facility: STATE DEPT OF HEALTH Gonorrhea 10/14/2014 DOC10011003GA01 CAS10011003GA01 Gonorrhea Lab ReportDate Received
10/14/2014 11:58 AMProvider Condition
STD CLINIC GonorrheaReport Date
10/14/2014Event ID
2210578711Associated With
CAS10011003GA01 Gonorrhea DOC10011003GA01 Gonorrhea 10/14/2014 11:58 AM Sending Facility: STATE DEPT OF HEALTH Gonorrhea 10/14/2014 DOC10011004GA01 CAS10011003GA01 Gonorrhea Morbidity Report31
https://nbscentral.sramanaged.com/redmine/documents/188
https://nbscentral.sramanaged.com/redmine/documents/215
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https://nbscentral.sramanaged.com/redmine/documents/215
a lab report (electronic or manual)
follow-up
a Morbidity Report (aka communicable disease report (CDR), T2 Referral)
follow-up
records.
records
jurisdictions within a state
(case notification (morbidity) to CDC) and related queues
(CDRs), etc. to an existing investigation
different events (lab, morbidity reports, contact records, interview, vaccination, and treatment)
new STD for existing HIV positive patients
STD Training Videos Available on NBS Central
(available in upcoming 5.2.0.1 patch release)
Release (available mid-January 2018)
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Jurisdiction Current STD System Notes IN PRODUCTION WITH NBS FOR STD (6)
Alabama NBS Live with STD (with DM) Idaho NBS Live with STD (with DM) Maine NBS Live with STD (without DM), data migration in process Montana NBS Live with STD (without DM) Nevada NBS Live with STD (without DM) Rhode Island NBS Live with STD (with DM) Virgin Islands NBS Live with STD (without DM) PLAN TO USE NBS FOR STD BUT NOT YET ADOPTED (7) Kentucky STD*MIS 4.1c Planned in production Jan 1 2018 Nebraska STD*MIS 5.2 Adoption date TBD; currently in discussion with NBS team New Mexico PRISM Adoption date TBD; currently in discussion with NBS team Vermont STD*MIS 4.1c Adoption date TBD West Virginia STD*MIS 4.1c Adoption date TBD Indiana PRISM Not yet in production with NBS. COULD USE NBS FOR STD (TBD) (3) Tennessee PRISM STD implementation potential for future (long-term) Wyoming PRISM STD adoption in Evaluation Guam (aggregate reporting) STD adoption in Evaluation
Jurisdiction Current STD System
NO PLAN TO USE NBS FOR STD (6) Arkansas PRISM DC MAVEN Louisiana PRISM Maryland PRISM Texas STD*MIS 4.2 Virginia MAVEN
If an NBS (or non-NBS) jurisdiction is interested in adopting the NBS STD module, please reach out to the CDC.
CDC Project Manager (NBS)
CDC Technical Lead (NBS)
SRA Project Manager
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NBS Product Manager
NBS Production Support Manager
NBS Product/Public Health SME
For more information please contact Centers for Disease Control and Prevention 1600 Clifton Road NE, Atlanta, GA 30333 Telephone: 1-800-CDC-INFO (232-4636)/TTY: 1-888-232-6348 Visit: www.cdc.gov | Contact CDC at: 1-800-CDC-INFO or www.cdc.gov/info
The findings and conclusions in this report are those of the authors and do not necessarily represent the official position of the Centers for Disease Control and Prevention.
Center for Surveillance, Epidemiology, and Laboratory Services Division of Health Informatics and Surveillance
Data Migration
legacy system
system (questions and answers)
PHDC documents to import the legacy data into the NBS
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5.1
A.
Legacy data is mapped into a pre-defined, simplified (flat file) data structure from the legacy system/data structure.
B.
NBS-provided Rhapsody Route is used to pull data from a flat file structure into CDA-compliant XML PHDC messages.
C.
XML messages are imported into the NBS as public health documents, which undergo basic NBS inspection and processing to de-duplicate, standardize, and route, which includes:
PHDC Import Process
Mapper Tool Rhapsody Routes PHDC Importer
43
treatments, and contacts associated with a case during a migration using NBS PHDC (public health document container)
report, a lab report, and morbidity report imported into the NBS via PHDC
during the import process (i.e., a WDS algorithm was triggered), which also generated an NND notification to the CDC
that came in with the case report have been automatically associated with the auto- generated investigation.
10/14/2014 Gonorrhea Confirmed 2210941108 John Jaggerlish COMPLETED Open Fulton County CAS10011003GA01Documents (3) Morbidity Reports (1) Vaccinations (0) Treatments (1)
+ + + +
Patient Events History
Investigations (1) Lab Reports (1)
Condition Case Status Co-Infection ID Investigator Notification Status Jurisdiction Date Received
10/14/2014 11:58 AMProvider/Reporting Facility Test Results
Reporting Facility: MEDICAL LAB-JOHNSTOWN Ordering Provider: ROBINSON, BOB GC CULTURE POSITIVEDate Collected
10/14/2014Event ID
2210950136Associated With
CAS10011003GA01 Gonorrhea DOC10011003GA01 GonorrheaInvestigation ID Date Received
10/14/2014 11:58 AMProvider Treatment
STD CLINIC METRONIDAZOLE 2GTreatment Date
10/14/2014Event ID
2210578799Associated With
CAS10011003GA01 Gonorrhea DOC10011003GA01 GonorrheaDocument Type
Case ReportSending Facility Condition
Sending Facility: STATE DEPT OF HEALTH GonorrheaEvent Date
10/14/2014Event ID
DOC10011002GA01Associated With
CAS10011003GA01 GonorrheaDate Received
10/14/2014 11:58 AM 10/14/2014 11:58 AM Sending Facility: STATE DEPT OF HEALTH Gonorrhea 10/14/2014 DOC10011003GA01 CAS10011003GA01 Gonorrhea Lab ReportDate Received
10/14/2014 11:58 AMProvider Condition
STD CLINIC GonorrheaReport Date
10/14/2014Event ID
2210578711Associated With
CAS10011003GA01 Gonorrhea DOC10011003GA01 Gonorrhea 10/14/2014 11:58 AM Sending Facility: STATE DEPT OF HEALTH Gonorrhea 10/14/2014 DOC10011004GA01 CAS10011003GA01 Gonorrhea Morbidity Report44
legacy data (i.e., reviewing and cleaning the legacy data. Each migration has been unique from a data/data quality perspective.
going into production.
code do not contain any spaces.
up to 2000 characters.
used the production dataset to make sure the migration brought in the data as expected.
SITES ARE HIGHLY ADVISED TO PERFORM ALL TEST RUNS USING PRODUCTION DATA SNAPSHOTS OR PRODUCTION-LIKE DATA.
environment
Do they both have to pass the NBS audits or is the data imported without the NBS checks?
would be for a native NBS event.
the event is linked to the patient. The data is directly read from the XML and is displayed in a ‘view’.
What is the most important thing we should keep in mind while doing the migration?
if you think a field doesn’t contain the right format/type of data then it should definitely be checked.
also for analysis and reporting
a Disposition has been entered for a case.
are not collected, counts may appear suspect in reports.
Helping People. It’s who we are and what we do.
Chose one local health authority to test NBS STD Modules
Formed a super user group to expand testing
Created training materials that were released to
authorities one month prior to launch of NBS Production
Users were trained over a
period on data entry in NBS
Soft start was
allowed for auditing of cases to minimize
After going live in production, continual guidance and training
sent out and managed by the STD Program
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Helping People. It’s who we are and what we do.
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page builder modules
notification
support
Helping People. It’s who we are and what we do.
NBS does not have module available for Congenital Syphilis User queues required additional training for supervisors to be fully comfortable Transferring cases and labs out of jurisdictions required development of additional business processes NBS Reports for STD are still in need of development Full historical data migration
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Helping People. It’s who we are and what we do.
Nevada is working toward migrating from several STD*MIS 4.2 instances, into one instance of STD*MIS 5.2 Full historical data migration is planned for the future Nevada continually looks forward to the release of new features and opportunities within NBS
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Helping People. It’s who we are and what we do.
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From Back to
GC-RNA GC-DNA CT-RNA CT-DNA N.
. gonorrh
y TMA: Positive - (Final) Ref Refer eren ence Ran Range: e: (Negative) - (Final)
C.
tis by TM y TMA: Positive - (Final) Ref Refer eren ence Ran Range: e: (Negative) - (Final)
Make sure you have recommended system specifications on
database server
Database configuration
NBS Release 5.0 Ensure you have MS Access 10 for mapping tool: recommended to
be on same server as database
STD/HIV configured (Including published pages for STD/HIV) Upgrade STD*MIS data to 5.2 if needed
STD Last Release Current Release Notifiable Disease Investigation Core Demographics Messaging Technical Support Reporting VPD PAM Meningitis (BMIRD) PAM Hepatitis PAM Animal Rabies PAM Foodborne PAM STD TB Lead Security
State Health Department ICP & Lab Tech (Hospital)
Integrated State / Local Data Repository
Private Labs & Hospital Labs (ELR HL7) County Health Department
Run in staging environment first, note times for scheduling
Plan! Plan ! Plan !
Reviewing and cleaning legacy data prior to migration Set up STD users and providers in NBS Data Transform Run Rhapsody routes and import cases/contacts/labs/morbs Run batch processes Verification
THE OLD THE NEW