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Getting Started on the Community Forums 0 E. Lamb Welcome to the Community Forums! First, we would like to thank you for playing a critical role in the growth and vitality of our online community. We hope that you enjoy what the Community Forums have to offer and that you are an active member of what continues to be a vibrant, informative, and supportive aspect of our community. Communication and interaction are fundamental to the success of any community and the aim of the Community Forums is to bring members closer together to share comments, questions, and ideas for improving public health surveillance across a wide range of domains. Getting Started:  You must be signed into an account on www.healthsurveillance.org to post to a forum. If you do not have an account, please click here to register (Note: ISDS membership is not required). 1.     How to create a new topic/thread in an existing forum – to post a new topic/thread to a forum, click on the forum name and click on "New Topic" in the middle of the grey menu bar. Click here for a short video demonstration. 2.     How to reply to a topic/thread on an existing forum– click on the topic name within a forum and click on “Reply” in the middle of the grey menu bar. 3.     How to subscribe to forum/thread updates to be notified when someone posts to a forum or thread – Click here for a short video demonstration a.     To subscribe to Forum updates, click on the forum name and then click “Forum Actions” in the grey menu bar. Select “Subscribe to Instant Updates” from the dropdown menu.  b.    To subscribe to Topic/Thread Updates, click on the title of thread/topic and click on “Thread Actions” in the grey menu bar. Select “Subscribe to Instant Updates” from the dropdown menu. For additional help, visit the Frequently Asked Questions page on Forums and Blogs.   Community Guidelines: • Be courteous. Please display a positive, friendly attitude and be respectful of other's opinions. The Community Forums are a professional community; comments that are disrespectful to others or otherwise violate what we believe are appropriate standards for professional and civil discussion may be deleted. • Give back. Each time you find help or answers on the forums, please try to help someone else out in return by responding to another’s post. Each and every member of our community has something to contribute. • Be patient. This is a peer support community where our members often have multiple responsibilities, so it may take a little time for people to notice and respond to your request.
by E. Lamb
Thursday, October 18, 2018
Blue Baby Syndrome/High Nitrates 1 T. Conn Hi Tami,We haven't looked into this in TN, but if it were me, I'd start by looking at discharge diagnosis codes (maybe D74 - Methemoglobinemia?) and use those to figure out what chief complaint terms, age cut offs, etc. get at what you'd really want to be looking at. Better yet, if there's a patient you know of that has been diagnosed with the condition and shows up in your data, I'd use them as a starting place to try to build a definition. You'll need to figure out how to balance sensitivity versus specificity in your query too. I'm assuming it's a very rare event, so you might also need to go digging in some older data sources (like hospital discharge data) to try and figure out what "normal" looks like, since Methemoglobinemia can be caused by things other than nitrate exposure. TL;DRTo throw an idea out there, maybe start with the ICD10 code D74 (Methemoglobinemia) and SNOMED codes for methemoglobinemia (38959009 is what looked to me like the general code, but there were also very specific ones, which may or may not be a realistic expectation of the data you are receiving) and work backwards from there? Hope that helps!Caleb
by C. Wiedeman
Tuesday, September 18, 2018
Carbon Monoxide (CO) surveillance 4 N. Close NH established a small carbon monoxide workgroup starting in 2008 after a major ice storm caused a major power outage and approximately 70 people sought medical attention at local hospitals. Out of this workgroup New Hampshire law now requires the installation of carbon monoxide detectors in rental units and in single- and multi-family units built or substantially renovated after January 1, 2010. We average about 100 CO exposures annually (carbon monoxide is not reportable but monitored daily) using the chief complaint text for emergency department encounters reported through Automated Health Emergency Department Data (AHEDD). AHEDD is searched for clinical language associated with CO exposures. We have had issues at ice rinks so now we have mandated annual inspections from our fire marshal’s office.
by K. Dufault
Thursday, May 3, 2018
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