NMI Notes

NMI Notes

Overall Updates

NNDSS - National Notifiable Diseases Surveillance System

NNDSS 2019 Data Reconciliation Underway

  • Jurisdictions that were unable to complete the last transmission/update of their National Notifiable Diseases Surveillance System (NNDSS) 2019 final data by September 30, 2020, are asked to contact the CDC NNDSS team (Deborah Adams, Diana Onweh, or Alan Schley) as soon as possible to coordinate finalization of the data.
  • The last day for State/Territorial Epidemiologists to sign off is October 30, 2020.

COVID-19 Case Surveillance Resources Available on NNDSS Webpage

Core Requested Data Elements for COVID-19

  • Due to the current high volume of cases, CDC is asking its state and local surveillance partners to focus efforts on a core set of data elements for COVID-19 case notifications, all of which can be sent using the generic v2 message.
  • These data elements are based on information likely to be available from electronic laboratory reporting. CDC is asking states to focus on these core data elements but encourages states to send more as their resources allow. (For a list of data elements, please see slide 11 in the August 18 eSHARE presentation.ppt icon)
  • Jurisdictions are encouraged to send this information using the generic v2 message but may continue to use the legacy NNDSS messages or the CSV file upload to DCIPHER. For those interested in initiating generic v2 messages for COVID-19 and multisystem inflammatory syndrome (MIS) associated with COVID-19, please email the CDC Electronic Data Exchange mailbox at edx@cdc.gov.
  • This does not change or reduce the data that state, territorial, and local jurisdictions choose to collect on their own for surveillance, public health investigations, or contact tracing.
  • As resources allow, jurisdictions are encouraged to send additional case information through the CSV upload to DCIPHER or through the COVID-19 message mapping guide (MMG). For those interested in implementing the COVID-19 MMG, please email the CDC Electronic Data Exchange mailbox at edx@cdc.gov.

NMI eSHARE Updates

  • The next NMI eSHARE session is scheduled for Tuesday, 10/20/20, from 3:00 to 4:00 PM ET. Please note that CDC is limiting presentation time to the first 30 minutes with additional time for questions to be mindful of everyone’s time during the response. The October session topic will be announced at a later date.
  • Access past eSHARE presentations and details about future events at the NMI eSHARE website.

Join a Cohort to Jumpstart Your MMG Implementations!

  • The NMI Association of Public Health Laboratories (APHL) Technical Assistance team provides technical assistance to help groups, or cohorts, of public health agencies build and implement NNDSS HL7 case notification messages.
  • Cohorts of 4–6 public health agencies focusing on the generic v2 and the COVID MMGs will be established.
  • APHL and NEDSS Base System (NBS) subject matter experts guide participants through planning, gap analysis, data extraction, HL7 message creation, and validation. At completion, public health agencies will be ready to begin onboarding.
  • For those interested in joining a generic v2 or COVID cohort, please email the CDC Electronic Data Exchange mailbox at edx@cdc.gov.

Production HL7 Case Notification Messages

Production HL7 Case Notification Messages

Arboviral v1.3

Babesiosis

Congenital Syphilis and STD

  • MMGs and artifacts are available on the NNDSS HL7 Case Notification Resource Center.
    • CDC expects to post new versions of the guides, which include new data elements and updated value sets, to the NNDSS HL7 Case Notification Resource Center soon.
    • Jurisdictions implementing current versions of the guides will be allowed to onboard with them.
    • Jurisdiction users who have not yet implemented the current versions of the guides should wait until the new versions are released.
  • Watch for an email with additional information, including guidance from the STD program on implementation of these guides.
  • CDC opened the current versions of the guides for onboarding in January and is working with a set of states that have completed pre-onboarding work.
    • There are 6 pilot jurisdictions in production for STD and CS.
    • Alabama and Wisconsin are engaged in onboarding.

Coronavirus Disease 2019 (COVID-19)

Foodborne and Diarrheal Diseases  

Generic v2

Healthcare-Associated Infections, Multi-Drug Resistant Organisms

Hepatitis

Lyme and Tickborne Rickettsial Diseases (TBRD)

Malaria

Mumps and Pertussis

Respiratory Invasive Bacterial Disease

Trichinellosis

Tuberculosis and Latent Tuberculosis Infection

Varicella

Developing HL7 Case Notification Messages

Developing HL7 Case Notification Messages

Bacterial Special Pathogens (Stage I—Draft)

  • Prioritization of response activities has delayed the external review comment period to gather jurisdiction feedback.
  • The four MMGs (anthrax, brucellosis, Hansen’s disease and leptospirosis) will be posted for external review in early 2021.

Carbon Monoxide Poisoning (CO) (Stage II—Pilot Test-ready)

  • The CDC program received Office of Management and Budget approval for an additional data element as part of a non-substantive change request.
  • The pilot start date has been postponed until January 2021.

Lead Poisoning (Requirements Analysis)

  • No new updates at this time.

Listeriosis (Stage I—Draft)

  • No new updates at this time.

Measles (Stage III—Final MMG)

Rubella and Congenital Rubella Syndrome (Stage III—Final MMG)

Resources

Resources

Jurisdiction Implementation of NNDSS HL7 Case Notification Messages

This chart shows the status of state public health departments who are piloting, receiving technical assistance, onboarding, or in production for HL7 case notification messages developed as part of the NNDSS Modernization Initiative.

Upcoming Events

Events

NMI Notes provides monthly news updates about the National Notifiable Diseases Surveillance System (NNDSS) Modernization Initiative (NMI). It is a collaboration by the Centers for Disease Control and Prevention (CDC), Council of State and Territorial Epidemiologists (CSTE), and Association of Public Health Laboratories (APHL).

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Centers for Disease Control and Prevention | Council of State and Territorial Epidemiologists |
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Ready to request technical assistance or onboarding?
Please contact edx@cdc.gov for more information.

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Page last reviewed: October 8, 2020