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Enhancing Collaborative Standards in Public Health Laboratories

This white paper discusses the collaboration between APHL and PHDSC in establishing standards for the Public Health Laboratory realm, focusing on HIT standardization and CDA templates for lab result reports.

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Enhancing Collaborative Standards in Public Health Laboratories

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  1. APHL-PHDSC CollaborationStandards in the laboratory realmNovember 9th , 2012PHDSC Annual Meeting Riki Merrick, MPH Contractor to Association of Public Health Laboratories

  2. Overview PHDSC 2012 Collaboration between APHL and PHDSC 2011-2012 White Paper with 2 parts • Standards in use in the Public Health Laboratory (PHL) domain • Roadmap to HIT standardization for PHL 2011-2013 PH functional model for EHRsystems for PHL 2012-2013 PHL result reports using CDA templates

  3. White Paper – Part 1 PHDSC 2012 http://www.phdsc.org/standards/pdfs/PHDSC-APHL_PHL_Standards_White-Paper_Part-1FINAL_v1.pdf

  4. White Paper – Part 2 http://www.phdsc.org/standards/pdfs/PHDSC-APHL_PHL_Standards_White-Paper_Part-2FINAL_v1.pdf PHDSC 2012

  5. PHDSC HIT Standardization Framework CSTE 2012

  6. PH functional model for EHRsystems CSTE 2012 Defines EHRsystem requirements to support data exchange with PHL • HL7 working group expansion of existing functional standard to include several new PH domains, including PHL • PHDSC facilitated calls with full domain representation

  7. PH functional model for EHRsystems(cont.) PHDSC 2012 VR = Vital Records EDHI = Early Hearing Detection and Intervention CAN = Chronic Disease Cancer Surveillance ODIF = Occupational Disease, Injury, and Fatality HS = Health Statistics DVT = Deep Vein Thrombosis and Pulmonary Embolism BD = Birth Defects AE = Adverse Events

  8. CDA templates for lab result reports PHDSC 2012 PHLs should consider using CDA: • EHRsystemsnatively produce CDA • PHLs need human readable results to support CLIA compliance but • PHL result reports usually covered by HL7 v2 messages, where data is highly structured so • existing CDA templates may need extensions

  9. CDA templates for lab result reports PHDSC 2012 • Builds on PH case reporting project using CDA • Creation of CDA lab result model in the Model Driven Health Tool (MDHT) to create the base template • Application of the base template to 15 disease test cases – proposed are:

  10. Benefits of Collaboration PHDSC 2012 • Expertise on both sides is combined • PHDSC: • Advocacy • Policy development activities (HITSP) • Standards development • CDA • Implementation testing • APHL: • Advocacy and informatics policy • Standards development • Lab domain expertise • HL7 message implementation guide development and deployment • Hands on Technical Assistance program for data exchange implementations

  11. Questions/Contact PHDSC 2012 Riki Merrick rmerrick@iconnectconsulting.com Michelle Meigs michelle.meigs@aphl.org

  12. Glossary PHDSC 2012

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