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Public Health Reporting Initiative

Public Health Reporting Initiative. June 13, 2012. Agenda. Functional Requirements.

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Public Health Reporting Initiative

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  1. Public Health Reporting Initiative June 13, 2012

  2. Agenda

  3. Functional Requirements • Draft of the functional requirements document, including graphics depicting the public health reporting workflow, has been posted to the wiki (http://wiki.siframework.org/PHRI+Functional+Requirements) for public comment • Immunization comments • Comments due by Friday, June 15,2012 using the discussion board or by emailing lrbrown@cdc.gov • Next Steps • Update current document • Post updated document for public comment (note: to be released in a package including the data elements)

  4. Data Mapping Update • Working with user story submitters to refine and finalize • User Story / Domain specific data elements • Core / consolidated initiative-level data elements • Next steps • Public Comment for domain-level data elements (note: to be released in a package with the functional requirements) • Continue work on data modeling • Complete data harmonization document with both domain-level and initiative-level data elements

  5. Public Health Reporting InitiativeStage 3 Readiness andStage 3 Implementation Specification Sprint These slides represent an interpretation of Readiness Self-Assessments and do not necessarily represent the position of any agency or organization. Proposals are for discussion purposes only.

  6. Observations • ELR and Syndromic user stories did not reply • IIS felt questions were unresponsive to HL7 2.5.1 IIS systems primarily interested in bidirectional exchange • Many unclear on 2015 implementation funds

  7. Interpretation Guide • Focus on unidirectional reporting from EHR to PH? • Consensus about data element standards (elements, terminology, value sets?) • Preferred exchange standard (2.x vs. CDA vs. other) • Primary (potential) federal agency identified • Primary stakeholder association identified • Capability for pilot in Summer/Fall 2012? • Likely receiving capability in Oct. 2015 • Number of receiving systems • Source of report: ambulatory versus hospital • National scope of reporting

  8. * Considering outbound components only †preference for CDA? ** Considering ambulatory case report only ‡single Federal user

  9. *Considering outbound components only ** Considering amb. Case report only ¶ Proprietary approach pilot †also FDA ‡also reported via PSOs to AHRQ ‽One user only

  10. *Considering outbound components only **ambulatory case report only †may use IIS’s ‡ Could also include outpatient records

  11. * Considering outbound components only **ambulatory case report only †may use IIS’s

  12. Proposal • Tier 1: 7 stories appear with relatively high level of readiness; focus on unidirectional; broad national scope • Tier 2: 5 stories with either less readiness and/or focus on bidirectional and/or lesser scope • Venders: want to recruit industry reps • Goal: a process that permits all to benefit while maximizing chance for pilot-tested Stage 3 Impl. Spec. by November

  13. Proposal Tier 1 Agencies and Associations EHR & PH System and Intermediary Vendors Tier 2 Agencies and Associations All attempt to achieve consensus. If Tier 2 issues threaten timely consensus on an issue they agree to withdraw on that issue.

  14. Possible Process • Ground rules • Consensus on common “core” elements • Consensus on HL7 2.x or CDA or both formats • Address how “core” elements and different “extension” elements are managed • Address how “trigger” and “filter” knowledge base should function.

  15. NwHIN RFI

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