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An Introduction to the Reportable Condition Mapping Tables

An Introduction to the Reportable Condition Mapping Tables. Jeremiah Sable Consultant, The St. John Group Contractor to APHL. What problem do the RCMTs solve?. Test results. Clinical Lab. Consumer of lab data. Which test results are of public health interest in which jurisdiction?.

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An Introduction to the Reportable Condition Mapping Tables

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  1. An Introduction to theReportable Condition Mapping Tables Jeremiah Sable Consultant, The St. John Group Contractor to APHL

  2. What problem do the RCMTs solve? Test results Clinical Lab Consumer of lab data Which test results are of public health interest in which jurisdiction?

  3. Filtering the output of clinical labs Reportable RCMT filter Test results Clinical Lab Non reportable Consumer of lab data RCMT tables can identify tests and results of public health interest.

  4. Within a public health agency Public health agency Test results RCMT TB STD Foodborne Routing test results within an agency Hepatitis etc.

  5. The problem of non-comparable lab data ARUP labs LabCorp Each lab has its own codes and names for lab tests. There is no consistency across labs. Mayo labs Quest labs etc.... It isn’t possible to map the test catalog of each lab to reportable conditions.

  6. LOINC enables data aggregation across labs ARUP labs LOINC LOINC LOINC LOINC LOINC LabCorp This problem disappears when labs send LOINC codes along with their own codes. Mayo labs Quest labs etc.... It is possible to map LOINC tests to reportable conditions.

  7. RCMTs map LOINC tests to reportable conditions Simplified example of RCMT content

  8. Does this LOINC map to a reportable condition? Many LOINCs are non-specific and cannot be mapped to conditions.

  9. Does this LOINC map to a reportable condition? Many LOINCs are non-specific and cannot be mapped to conditions. For these non-specific LOINCs the RCMTs contain lists of organisms that cause reportable conditions. These lists contain SNOMED organism codes and names.

  10. Current work • Document existing RCMT processes • LOINC and SNOMED processes, including downloading, browsing, searching, etc. • Getting LOINC and SNOMED data into locally maintained spreadsheets and databases • Finding information online: taxonomy web sites, clinical information, commercial lab sites, microbiology text books, etc. • Administrative activities • Documentation • SDO updates • Collaboration

  11. Current work • New SNOMED releases occur every six months • Update RCMTs with July 31 release of SNOMED • Develop and document processes for reviewing changes in SNOMED and updating RCMT content • Iterative improvement of SNOMED processes • LOINC is released three to four times per year • Update RCMTs with LOINC version 2.35 • Develop and document processes for reviewing changes in LOINC and updating RCMT content • Iterative improvement of LOINC processes • Documentation • SDO updates • Collaboration

  12. Current work • The RCMT project overlaps the work of some current and planned projects. • Mechanisms for communication and collaboration between RCMT and these other projects will be necessary to avoid duplicated efforts and inconsistent recommendations. • Documentation • SDO updates • Collaboration

  13. RCMT contact information RCMT Planning Team E-mail: PHINVS@CDC.GOV RCMT Website (phConnect) : http://www.phconnect.org/group/rcmt

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