RALS and CDC Reporting
We use RALS and the ID Now for COVID testing/reporting in a POC setting. Our LIS, Sunquest, sits between RALS and our EHR, Epic.
We just heard that the CDC is going to require daily reporting of COVID statistics that include the following questions-
1. First test (Y/N/U)
2. Employed in healthcare? Y/N/U
3. Symptomatic as defined by CDC? Y/N/U; if yes, then Date of Symptom Onset mm/dd/yy
4. Hospitalized? Y/N/U
5. ICU? Y/N/U
6. Resident in a congregate care setting (including nursing homes, residential care for people with intellectual and developmental disabilities, psychiatric treatment facilities, group homes, board and care homes, homeless shelter, foster care or other setting): (Y/N/U)
7. Pregnant? Y/N/U
We're wondering how RALS users are handling the reporting and more specifically, how you are tying the result back to the questions? Any ideas would be appreciated.
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I am wondering about this as well. We have Telcor, but the issue will be the same I don't see how, in a POC setting, we can obtain this information. Is anyone else looking for a solution to this?
It is MUCH more than just the few elements mentioned. I have attached the CARES Act guidance my organization is using, along with some FAQs, to prepare to report to Health Departments, CMS, CDC, etc.
I am querying our LIS database directly for the required information, including the Ask On Order Entry queries, for inclusion in our daily reporting. Your instrumentation manufacturer can provide you with the FDA Device ID and perhaps the LOINC code. If your vendor is unable to provide the LOINC code, it is available from www.loinc.org.
Our take on it is that under the EUA, we are all obligated to report the information if we choose to utilize the EUA authorized testing.
Sorry. Should have been more clear with the question. We can pull most patient information without issue. Where we’re having an issue is pulling the “ask on order entry” questions from the chart and into the LIS when the test order/result is actually coming through RALS. The main lab does not have this issue because those questions/answers can drop right into Sunquest along with the order.
Every solution we’ve come up with will be labor intensive. We’re looking at running 150-200 COVID samples per day in POC.
When you say you’re pulling the info from the LIS, are the answers to those 7 questions part of the demographics, or is the provider answering the questions when they order the test? Maybe we’re coming at this wrong?
We have that information on the provider order form and we get a copy of the order in the bag with the swab.
We just started using the ID NOW for COVID testing. It was going well first two weeks.
We now are experiencing many invalid results. Is anyone else experiencing this?
Work with you IT group and have them work with your local public health lab in creating an electronic data transfer of ALL COVID test results and patient demographics. ALL results, negative and positive, must be sent to your local public health daily.
In our case, we do not use a middleware and we do not perform unsolicited testing. Sdvsntsge: us. The downside is that endusers, that otherwise would be using a middleware in some other setting (Rals, Telcor) are operating directly in an LIS, in this case, LabDAQ 4.13. WE run SQL queries on the database that pull in the results, demographics, and the AOE information.
Kathleen, can I ask which state you are in? We are trying to work with our state to allow for sending a file rather than automatic data transmission since even our workarounds (having someone manually pull the data and enter it after the result is completed -- for ~300 tests a day) will cause the result to technically go through their interface twice (we'd be "editing" the result to add the answers).
I'm in New Mexico. We are having a lot of problems getting the questions answered for our solicited orders, and I'm not sure even how we could address it for POCT. At some point, if it is impossible to do this, then I don't know what will be the response.
Thanks Kathleen. It woulds like we are experiencing the same problems. If we come up with any good solutions, I'll let you know.