APHL-PHDSC Collaboration Standards in the laboratory realm November 9 th, 2012 PHDSC Annual Meeting Riki Merrick, MPH Contractor to Association of Public Health Laboratories
Overview 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
White Paper Part 1 http://www.phdsc.org/standards/pdfs/phdsc-aphl_phl_standards_white-paper_part- 1FINAL_v1.pdf
White Paper Part 2 http://www.phdsc.org/standards/pdfs/phdsc-aphl_phl_standards_white- Paper_Part-2FINAL_v1.pdf
PHDSC HIT Standardization Framework CSTE 2012
PH functional model for EHRsystems 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 CSTE 2012
PH functional model for EHRsystems (cont.) 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
CDA templates for lab result reports PHLs should consider using CDA: EHRsystems natively 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
CDA templates for lab result reports 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: Influenza Bordetella pertussis Mycobacterium tuberculosis Blood lead Hepatitis (A, B, C) Chlamydia trachomatis Haemophilus influenzae Salmonella Neisseria meningitidis West Nile virus Staphlyococcus Streptococcus pneumoniae Neisseria gonorrhoeae Bacillus anthracis Francisella tularensis
Benefits of Collaboration 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
Questions/Contact Riki Merrick rmerrick@iconnectconsulting.com Michelle Meigs michelle.meigs@aphl.org
Glossary AE APHL BD CAN CDA CLIA DVT EDHI EHR EIN HIPAA HIT HL7 HS IHE LOINC MDHT NPI ODIF PH PHDSC PHIN MS PHL RIM SNOMED UCUM VR Adverse Events Association of Public Health Laboratories Birth Defects Chronic Disease Cancer Surveillance Clinical Doument Architecture Clinical Laboratory Improvement Amendments Deep Vein Thrombosis and Pulmonary Embolism Early Hearing Detection and Intervention Electronic Health Record Employer Identifaction Number Health Insurance Portability and Accountability Act Health Information Technology Health Level Seven Health Statistics Integrating the Healthcare Enterprise Logical Observation Identifiers Names and Codes Model Driven Heatlh Tools National Provider Identifier Occupational Disease, Injury, and Fatality Public Health Public Health Data Standards Consortium Public Health Information Network Messaging Service Public Health Laboratory Reference Information Model Systematized Nomenclature of Medicine Unified Code for Units of Measure Vital Records