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|
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<div class="content">
|
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|
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<div class="field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>The following are frequently asked questions about the RADx® MARS program and HL7v2.</p>
|
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|
||
<button class="faq-btn--open-all usa-button">Open All</button>
|
||
</li>
|
||
<li class="usa-button-group__item">
|
||
<button class="faq-btn--close-all usa-button">Close All</button>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
<div id="faq-content-bottom-wrap">
|
||
|
||
|
||
<div class="field field--name-field-content field--type-entity-reference-revisions field--label-hidden field__items">
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-section paragraph--view-mode--default">
|
||
|
||
<div class="faq-section--wrapper">
|
||
<h3 class="faq-section-main-title">
|
||
|
||
|
||
|
||
<div class="field field--name-field-title field--type-string-long field--label-hidden field__item">RADx® MARS</div>
|
||
|
||
|
||
</h3>
|
||
<div class="faq-section--content">
|
||
|
||
|
||
<div class="field field--name-field-content field--type-entity-reference-revisions field--label-hidden field__items">
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
Why was RADx MARS established?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>The National Institute of Biomedical Imaging and Bioengineering (NIBIB) established RADx MARS to promote a standards-based approach to reporting at-home test results and to establish best practices for future reporting of remote diagnostics.</p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
How much does it cost to participate in RADx MARS?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>Reporting entities have a choice of sending test results to one of two hubs: (1) AHPL AIMS or (2) CDC ReportStream. In either scenario, the cost to the reporting system for onboarding and test result transmission to state and federal systems is $0. To participate in the RADx MARS program, the reporting entity must send messages that conform to a standard HL7v2 specification.</p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
For how long will NIBIB fund APHL for the MARS program? What will happen when NIBIB stops funding APHL?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>NIBIB can fund APHL for up to 3 years, per a contract that was awarded in March 2022. This will allow adequate time for ReportStream to grow its connectivity to state health systems and for reporting systems to make educated decisions in choosing a hub as the home diagnostics and reporting landscape evolves. Use of the RADx MARS HL7v2 specification will facilitate interoperability of the reporting messages between different hubs. After NIBIB stops funding APHL, reporting entities who are sending data through APHL will have the option of remaining with APHL or switching to ReportStream. The former may carry a cost, whereas the latter is free. Transitioning from APHL to ReportStream involves minimal effort.</p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
Is the standard HL7v2 specification developed for this program consistent with FDA and other federal/state reporting requirements?<br />
|
||
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>Yes, the HL7v2 specification was built to allow communication of data required at both state and federal levels and is consistent with FDA, CDC, and HHS requirements. The specification was also designed to be accepted by all states and territories. Whether or not a message is sent to a particular state depends on that state's preferences for OTC reporting. The reporting systems need only to send a single HL7v2 message per test result to the hub. The hub sends messages to states that desire it. The hub also de-identifies the messages and sends them to the federal health system, HHS Protect.</p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
Does RADx MARS support FHIR?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>Yes, RADx MARS has a <a href="https://hl7.org/fhir/us/home-lab-report/index.html">FHIR specification</a> that was balloted through the HL7 community. However, public health systems generally do not support FHIR messaging at this time. Therefore, the MARS HL7v2 specification must be used for public health reporting to ensure interoperability with state health systems.</p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
Does RADx MARS have requirements around mobile application design?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>Yes, RADx MARS has adopted state and federal guidelines about what information apps should collect from users who agree to report their test results. Apps should enable users to report anonymously or opt to out of reporting altogether.</p>
|
||
<p>RADx MARS staff will work with reporting entities to review app front end design as part of the onboarding process. We emphasize the importance of a good UI/UX, in order to make reporting easy for users. Any changes made to an app may need to be reviewed by the FDA.</p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
Who is responsible for keeping track of what states accept OTC test results?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>CDC keeps track of state preferences and makes this information available to the hubs. The hubs will relay the test results to states based on their preferences.</p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
Is county FIPS used for routing to jurisdictions?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>No, the county FIPS code is not used to determine routing to a jurisdiction. This is typically done by zip code or by state code, depending on the hub. </p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-section paragraph--view-mode--default">
|
||
|
||
<div class="faq-section--wrapper">
|
||
<h3 class="faq-section-main-title">
|
||
|
||
|
||
|
||
<div class="field field--name-field-title field--type-string-long field--label-hidden field__item">HL7v2</div>
|
||
|
||
|
||
</h3>
|
||
<div class="faq-section--content">
|
||
|
||
|
||
<div class="field field--name-field-content field--type-entity-reference-revisions field--label-hidden field__items">
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
What should be used if patient phone number is unknown or is not a U.S. phone number?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>If PID 13.6 (Patient phone area code) and PID 13.7 (Patient phone) are unknown or a non-US phone number, use '1' in place of the numbers: 111^1111111 </p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
How many messages can be included in a single batch HL7 file?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>The upper limit for single batch HL7 files (for the AIMS Hub) is 9,999 messages.</p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
We have patient email address but not phone number. How do we complete PID-13.3 and the remaining fields in PID-13?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>If email address is known and phone number unknown, please use INTERNET for PID 13.3. If phone number known and email address unknown, use PH for PID 13.3. If both are known, use the repeating character. It should look like: ~ ^^PH^^^222^2222222~^^Internet^<a href="mailto:name@email.com">name@email.com</a></p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
Do any fields have a character limit?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>Yes, some state and local public health jurisdiction systems cannot ingest an OBX-17.1 (Device Identifier) that is greater than 20 characters. If Device Identifier information is greater than 20 characters, use the NTE segment to repeat the Device Information in full.</p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
Where does the NTE segment go in the message?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>The NTE segment should come immediately after the OBX segment. </p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
How are OBX sets created?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>OBX sets are created by entering a sequential digit in brackets immediate after OBX (e.g., OBX[2]). The use of the digit is not standardized to any given Ask-on-Order-Entry (AOE), so they should be used as needed. For example, if there are two AOEs that need to be reported, then use OBX[2] for one and OBX[3] for the next. OBX[1] is always reserved for the test result information.</p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
<div class="field__item"> <div class="paragraph paragraph--type--faq-question-and-answer paragraph--view-mode--default">
|
||
|
||
<div class="usa-accordion usa-accordion--bordered">
|
||
<h4 class="usa-accordion__heading">
|
||
|
||
<button type="button" class="usa-accordion__button">
|
||
Are time zones required if a timestamp is to be included in the message?
|
||
|
||
</button>
|
||
</h4>
|
||
<div class="usa-accordion__content">
|
||
|
||
|
||
<div class="field field--name-field-answer field--type-text-long field--label-hidden field__item"><p>Yes, time zones are required. If time zone is unknown, please use <+0000>. </p>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
</article>
|
||
|
||
|
||
</div>
|
||
|
||
</div>
|
||
</div>
|
||
</div>
|
||
</main>
|
||
|
||
<footer class="usa-footer usa-footer--big">
|
||
<div class="usa-footer__primary-section">
|
||
<div class="grid-container pre-footer">
|
||
<div class="prefooter-row">
|
||
<div class="pre-footer-col">
|
||
<div>
|
||
<nav role="navigation" aria-labelledby="block-nibib-prefootermenu1-menu" id="block-nibib-prefootermenu1">
|
||
|
||
<h2 id="block-nibib-prefootermenu1-menu">Research</h2>
|
||
|
||
|
||
|
||
<ul class="menu menu--pre-footer-menu-1 nav">
|
||
<li class="first">
|
||
<a href="/programs/division-interdisciplinary-training-didt/debut" class="first" data-drupal-link-system-path="node/121961">DEBUT</a>
|
||
</li>
|
||
<li>
|
||
<a href="/funding/opportunities/all" data-drupal-link-system-path="funding/opportunities/all">Funding Opportunities</a>
|
||
</li>
|
||
<li>
|
||
<a href="/labs-at-nibib" data-drupal-link-system-path="node/156726">Labs@NIBIB</a>
|
||
</li>
|
||
<li class="last">
|
||
<a href="/programs/division-interdisciplinary-training-didt" class="last" data-drupal-link-system-path="node/47546">Training</a>
|
||
</li>
|
||
</ul>
|
||
|
||
|
||
</nav>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
<div class="pre-footer-col">
|
||
<div>
|
||
<nav role="navigation" aria-labelledby="block-nibib-prefootermenu2-menu" id="block-nibib-prefootermenu2">
|
||
|
||
<h2 id="block-nibib-prefootermenu2-menu">EXPLORE</h2>
|
||
|
||
|
||
|
||
<ul class="menu menu--pre-footer-menu-2 nav">
|
||
<li class="first">
|
||
<a href="/news-events/newsroom" class="first" data-drupal-link-system-path="news-events/newsroom">Newsroom</a>
|
||
</li>
|
||
<li>
|
||
<a href="/news-events/meetings-events/upcoming-events" data-drupal-link-system-path="news-events/meetings-events/upcoming-events">Events</a>
|
||
</li>
|
||
<li>
|
||
<a href="/science-education" data-drupal-link-system-path="node/156666">Science Education</a>
|
||
</li>
|
||
<li class="last">
|
||
<a href="/about-nibib/strategic-plan" class="last" data-drupal-link-system-path="node/11846">Strategic Plan</a>
|
||
</li>
|
||
</ul>
|
||
|
||
|
||
</nav>
|
||
|
||
</div>
|
||
|
||
</div>
|
||
<div class="pre-footer-col">
|
||
<div>
|
||
<nav role="navigation" aria-labelledby="block-nibib-prefootermenu3-menu" id="block-nibib-prefootermenu3">
|
||
|
||
<h2 id="block-nibib-prefootermenu3-menu">SITE INFO</h2>
|
||
|
||
|
||
|
||
<ul class="menu menu--pre-footer-menu-3 nav">
|
||
<li class="first">
|
||
<a href="/disclaimer" class="first" data-drupal-link-system-path="node/18756">Disclaimer</a>
|
||
</li>
|
||
<li>
|
||
<a href="/policies" data-drupal-link-system-path="node/18761">Policies</a>
|
||
</li>
|
||
<li>
|
||
<a href="/sitemap" data-drupal-link-system-path="sitemap">Sitemap</a>
|
||
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