CDCgov
[Syphilis] Add device(s) for Syphilis to production
Why should we do this?
- (current experience) Facilities with access to syphilis test result entry in SimpleReport do not have the corresponding syphilis devices added to their facilities. This leads to a mismatch between available test options and the devices actually present in the facilities.
- (why we want to make this change) By requesting the addition of the required syphilis devices to production, we can ensure that facilities with access to syphilis test result entry have the necessary devices available for selection.
User story
As a SimpleReport user, I want the required syphilis devices to be added to production so that my facility, which has access to syphilis test result entry, can select the appropriate devices for testing.
Action Requested
Please add the required syphilis devices to the production environment of SimpleReport. This will enable facilities with access to syphilis test result entry to select and use the appropriate devices for testing.
Device Name: Chembio DPP HIV-Syphilis Rapid Test Control [url] Manufacturer: Chembio Diagnostic Systems, Inc. LOINC code: [unknown] (reached out via email on 2 JUL 2024) Results in 10 minutes
Device Name: Syphilis Health Check™ Rapid Treponema Antibody Test [url] Manufacturer: Diagnostics Direct, LLC LOINC code: Details from manufacturer: 47236-5 is the code most use. Some have also used 24110-9 Results in 10 minutes
Note: make sure before we add devices that we are ready to accept this disease in the CSV bulk upload and have it be visible in the device code lookup
Acceptance Criteria
Review
- [ ] Reviewed with content strategist for final approval
- [ ] Reviewed with product and engineering
Additional Context
- Figma (N/A)
BLOCKED: LOINC codes for both rapid Syphilis test devices is currently unknown. (as of 2 JUL 2024)
From Nicole Gallaway, CDC SME for Syphilis:
Regarding the new proposed LOINCs for the Syphilis Health Check and Chembio DPP HIV/Syphilis rapid tests – we expect the new LOINCs to be published as soon as this month; you can look up the submissions in LOINC queue via 68980 and 68981.
As per discussion with Mo Reeves, Tim Best, and Rebecca Fisher on 16 AUG 2024, a "generic" loinc code for the disease may be used in place of the device-specific loinc code if the device-specific loinc code is unknown.
For Syphilis, the LOINC code is LL2467-0. [loinc.org]
Planning on doing this as the last item before support goes live, re-adding blocked tag
@jayna-SkylightDigital For the provided LOINC codes for the devices, do you know if 47236-5 for the "Syphilis Health Check™ Rapid Treponema Antibody Test" device is the Test Performed LOINC or Test Ordered LOINC or both?
We ask for that when adding the device:
@emyl3 I'll look into getting an answer on the LOINC code(s) for the Syphilis Health Check™ Rapid Treponema Antibody Test and get back to you!
@jayna-SkylightDigital I discussed this ticket with @DanielSass.
I don't need the answers to the LOINC code questions for the purposes of getting #7432 completed just so you know, so no rush on my end! 😸
⚠️ I did also have a couple follow-up questions that we will need to know for adding devices to prod in the future.
For the devices you provided above, do you know what their exact specimen/swab type SNOMED code will be (in metabase, the SNOMED code is listed under type code)?
Based on my read of the website links you shared above, maybe the following for both... Please let me know if this is wrong or we are missing some. 🤔
- 122554006 - Capillary blood specimen
- 122555007 - Venous blood specimen
- 119361006 - Plasma specimen
Thank you so much for your help!!! 🙏
This device had been added to test and stg
Device Name: Syphilis Health Check™ Rapid Treponema Antibody Test [url] Manufacturer: Diagnostics Direct, LLC LOINC code: Details from manufacturer: 47236-5 is the code most use. Some have also used 24110-9 Results in 10 minutes
Added this as the loinc long names:
Treponema pallidum IgG+IgM Ab [Presence] in Serum by Immunoassay
Added this as the loinc long names:
Treponema pallidum IgG+IgM Ab [Presence] in Serum by Immunoassay
If this is incorrect, whoever takes this ticket please update test and stg because I added the Syphilis Health Check™ Rapid Treponema Antibody Test to those envs for the purposes of testing the FHIR msgs with ReportStream
@emyl3 @DanielSass What's the current status of this ticket? Does it still need to be tested before the device can be added in production?
@jayna-SkylightDigital to double-check LOINC long names.
@DanielSass to check that feature flag is blocking before pushing to production.
@emyl3 @mindyatwork @DanielSass Treponema pallidum IgG+IgM Ab [Presence] in Serum by Immunoassay should be fine to use as the LOINC long name.
Verify that with the feature flag off
- devices do not display in the device lookup tool
- devices do not display on the facility page
- devices are not valid for bulk upload
Also inform report stream when add these, follow our process for including new devices (send a test message in a lower and ask RS to review). Because the feature flag should be blocking, that review does not need to block merging.