Release Date: May 4, 2012 CONTENTS 1. Application administration 1.1 Identified tests for Malaria surveillance in Haiti 2. Reporting 2.1 Malaria Test Surveillance report 2.2 Malaria Case Surveillance report 3 Interoperability and Standards 3.1 Toward HL7 compliance with CDA 4. Bug fixes 1. Application administration1.1 Identified tests for Malaria surveillance in HaitiIn Haiti, we have begun developing support for surveillance testing for Malaria. This required working with local stakeholders to determine the specific tests to include in reports and verifying their appropriate representation in the Haiti Clinical test catalog. These tests include:
2. ReportingWe have developed two reports for Malaria surveillance, including Malaria Test Surveillance report and Malaria Case Surveillance report. The user can turn on surveiilane reporting through the “Configuration des Rapports de Résultats” link in the Administration section of OpenELIS (see Figure). Under the “Malaria Surveillance” section, the user can set the URL for the receiving service and the export time for the Malaria test surveillance report. Similarly Under the “Malaria Case Surveillance” section, the user can set the URL for the receiving service. Case reports are sent whenever a new positive Malaria result is entered into OpenELIS. 2.1 Malaria Test Surveillance reportThis report tracks the number of positive Malaria test results entered into OpenELIS over a specified period of time. The report is formatted in xml that can be automatically sent to surveillance authority. The reporting period, included tests, and IP of receiving system can be specified by the user in the administration section of OpenELIS.In this release, we have developed a Malaria Test Surveillance report for Haiti Clinical. The report is generated daily and includes both the total number of negative results and the number of positive results for Recherché de plasmodium test (i.e., P. Falciparum, P, Vivax, P. Malariae, and P. Ovale) and Malaria rapide test. The Malaria test Surveillance report includes the following data elements:
2.2 Malaria Case Surveillance reportThis report tracks positive patient cases of Malaria. The report is created in compiance with the clinical document architecture (CDA) prescribed by Health-level 7 (HL7) standards (http://www.hl7.org/). CDA is a document markup standard that specifies the structure and semantics of clinical documents, such as lab results, to support information exchange between information systems. The CDA uses the XD-LAB laboratatory techncial framework, an IHE implementation for sharing lab results (http://ihe.net/Technical_Framework/index.cfm#laboratory). The XD-LAB report contains the following data elements:
3 Interoperability and Standards3.1 Toward HL7 compliance with CDAIn our development of the new surveillance functionality included in this release, we have made a substantial effort to support standards-based reporting. This effort includes the implementation of surveillance test reports in the universal format of xml, and surveillance case reports in the HL7 standard CDA. This standards-based approach to reporting will help ensure effective and sustainable health information exchange in the long-term.4. Bug fixesWe have fixed a number of reported bugs including but not limited to the following:
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