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Public Health Information Network (PHIN)

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Data Interchange Standards

Privacy
Surveillance
Vital Records
Communications and Directory
Message Transport

HIPAA Privacy Rule and Public Health Data Exchange

Document	Transaction	Standard(s) Used	Status
Health Information Privacy	N/A	ONC reference webpage for health information privacy topics	Published
HIPAA Privacy Rule and Public Health. Guidance from CDC and the U.S. Department of Health and Human Services	Data exchange between public health systems; between clinical and public health systems	HIPAA Privacy Rule	Published
Notice of Proposed Rulemaking to Amend CLIA and the HIPAA Privacy Rule	Amendment of Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations in scope of HIPAA and MU tasks	45 CFR Part 164 [CMS–2319–P], CLIA Program and HIPAA Privacy Rule; Patients’ Access to Test Reports	Published
Notice of Proposed Rulemaking for HIPAA Privacy Rule Accounting of Disclosures under HITECH	N/A	45 CFR Part 164, HIPAA Privacy Rule Accounting of Disclosures Under the Health Information Technology for Economic	Published
HIPAA Privacy & Security Audit Program for covered entities	N/A	Section SEC. 13411. AUDITS, the HITECH Act	Published

Public Health Reporting

Document	Transaction	Standard(s) Used	Status
HL7 Implementation Guide for CDA Release 2: Public Health Case Reporting, Release 1, US Realm (2009)	Clinician Reporting to Public Health using a CDA format	HL7 CDA Release 2.0	Published
IHE, Public Health Reporting (PH-rpt), Draft (2011)	A common workflow for public health reporting and information exchanges between clinical and program-specific public health information systems	IHE, Quality Public Health and Research (QPHR), Technical Framework Supplement	Published

Immunization

Document	Transaction	Standard(s) Used	Status
HL7 Version 2.5.1 Implementation Guide for Immunization Messaging Release 1.2 (February 2011)	Clinician Reporting to Immunization Registry	HL7 2.5.1	Published
Implementation Guide for Immunization Data Transactions using Version 2.3.1 of the Health Level Seven (HL7) Protocol, Version 2.2 (June 2006)	Clinician Reporting to Immunization Registry	HL7 2.3.1	Published
HL7 Standard Code Set CVX -- Vaccines Administered, HL7 Table 0292	Clinician Reporting to Immunization Registry	HL7 Version 2.3.1 or HL7 Version 2.5.1	Published
HL7 Standard Code Set MVX - Manufacturers of Vaccines, HL7 Table 0227	Clinician Reporting to Immunization Registry	HL7 Version 2.3.1 or HL7 Version 2.5.1	Published
CPT Codes Mapped to CVX Codes	Clinician Reporting to Immunization Registry	HL7 Version 2.3.1 or HL7 Version 2.5.1	Published
HL7 Standard Code Set Mapping NDC to CVX and MVX	Clinician Reporting to Immunization Registry	HL7 Version 2.3.1 or HL7 Version 2.5.1	Published
HL7 Standard Code Set Mapping product names to CVX and MVX	Clinician Reporting to Immunization Registry	HL7 Version 2.3.1 or HL7 Version 2.5.1	Published
HL7 Standard Code Set Mapping CVX to Vaccine Groups	Clinician Reporting to Immunization Registry	HL7 Version 2.3.1 or HL7 Version 2.5.1	Published
2009 version National Vaccine Advisory Committee (NVAC) core data elements	Clinician Reporting to Immunization Registry	HL7 Version 2.3.1 or HL7 Version 2.5.1	Published

Healthcare Associated Infection (HAI). See more details at: http://www.cdc.gov/nhsn/CDA_eSurveillance.html

Document	Transaction	Standard(s) Used	Status
HL7 Implementation Guide for CDA Release 2: NHSN Healthcare Associated Infection (HAI) Reports, Release 2	Electronic submission of Healthcare Associated Infection (HAI) Reports to the National Healthcare Safety Network (NHSN)	HL7 CDA Release 2	Published
NHSN Healthcare Service Location Codes – addendum to Release 2	Electronic submission of Healthcare Associated Infection (HAI) Reports to the National Healthcare Safety Network (NHSN)	HL7 CDA Release 2	Published
Object Identifier (OID) assignment procedure	Electronic submission of Healthcare Associated Infection (HAI) Reports to the National Healthcare Safety Network (NHSN)	HL7 CDA Release 2	Published

Early Hearing Detection and Intervention

Document	Transaction	Standard(s) Used	Status
Newborn screening coding and terminology guide	Lab transmitting test results to public health	HL7 2.5.1, LOINC, SNOMED-CT	Published
IHE Quality, Research and Public Health (QRPH) Technical Framework Supplement Early Hearing Care Plan	Birthing facility reporting to state EHDI program	HL7 CDA	Published
EHDI PHIN-VADs Value-sets	Lab transmitting test results to public health	LOINC, SNOMED-CT	Published

Cancer Surveillance

Document	Transaction	Standard(s) Used	Status
Implementation Guide for Healthcare Provider Reporting to Central Cancer Registries. HL7 CDA. Draft release 1.0, February 2012	From a healthcare provider EHR to the Central Cancer Registry (CCR)	HL7 CDA	Draft for public comments
IHE Anatomic Pathology Technical Framework Supplement Anatomic Pathology Reporting to Public 10 Health (ARPH) Draft for Trial Implementation 15 (July 23, 2010)	Public Health Cancer Reporting		Draft
North American Association of Central Cancer Registries, Inc. Standards for Cancer Registries Volume V Pathology Laboratory Electronic Reporting Version 2.2 (Effective January 1, 2008)	Pathology Laboratory Electronic Reporting	HL7 2.3.1	Published
North American Association of Central Cancer Registries, Inc. Standards for Cancer Registries Volume V Pathology Laboratory Electronic Reporting Version 3.0 (Effective July 2009)	Pathology Laboratory Electronic Reporting	HL7 2.5.1	Published
Quality, Research and Public Health (QRPH) Technical Framework Supplement Physician Reporting to a Public Health Repository – Cancer Registry (PRPH-Ca) Trial Implementation (November 4, 2010)	Physician Reporting to Public Health-Cancer Registries	HL7 CDA	Draft
Standards for Cancer Registries, Volume II: Data Standards and Data Dictionary, Fifteenth Edition Record Layout Version 12.1 (Effective January 1, 2011)	Hospital Cancer Registry Reporting to Public Health Cancer Registries	NAACCR Volume II	Published

Notifiable Disease Case Notification

Document	Transaction	Standard(s) Used	Status
PHIN Notification Message Specification Profile v 2.0 Arboviral Case Notification MMG v1.2	Arboviral Case Notification	HL7 2.5	Published
PHIN Notification Message Specification Profile v 2.0 Generic Case Notification MMG v1.0	Generic Case Notification	HL7 2.5	Published
PHIN Notification Message Specification Profile v 2.0 Generic Summary Case Notification MMG v1.0	Generic Case Notification Summary	HL7 2.5	Published
PHIN Notification Message Specification Profile v 2.0 Tuberculosis Case Notification MMG v2.03	Tuberculosis Case Notification	HL7 2.5	Published
PHIN Notification Message Specification Profile v 2.0 Varicella Case Notification MMG v2.0	Varicella Case Notification	HL7 2.5	Published
PHIN Batch Specification Version 1.1 (June 22, 2010)	Batch Case Notification	HL7 2.5	Published

Syndromic Surveillance

Document	Transaction	Standard(s) Used	Status
PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Release 1 (October 2011)	Biosurveillance (EHR/MU Stage 1)	HL7 2.5.1	Published

Data Models

Document	Transaction	Standard(s) Used	Status
HL7 Version 3 Domain Analysis Model: Vital Records, Release 1	Domain Analysis Model	HL7 Version 3	Published and freely available during one year pilot period that began Feb. 2012

Functional Profiles

Document	Transaction	Standard(s) Used	Status
HL7 EHR-S FM Vital Records Functional Profile, Release 1	EHR-S Functional Profile	HL7 EHR-System Functional Model	Freely available during one year pilot period that began February 2012.
HL7 EHR-S FM Public Health Functional Profile Release 1	EHR-S Functional Profile	HL7 EHR-System Functional Model	To be published by April 2012. Will be freely available during one year pilot period that began February 2012.

Reporting Death

Document	Transaction	Standard(s) Used	Status
HL7 Version 2.5.1 Implementation Guide: Reporting Death Information from the EHR to Vital Records, R1 (Draft Standard for Trial Use)	Death related information from a clinical setting to the vital records electronic registration system	HL7 Version 2.5.1	To be published by March 2012
HL7 Version 3 CDA R2 Implementation Guide: Reporting Death Information from the EHR to Vital Records, Release 1 (US Realm - Draft Standard for Trial Use)	Death related information from a clinical setting to the vital records electronic registration system	HL7 Version 3 CDA R2	To be balloted in HL7 May 2012 ballot cycle.

Reporting Birth and Fetal Death

Document	Transaction	Standard(s) Used	Status
HL7 Version 2.5.1 Implementation Guide: Reporting Birth & Fetal Death Information from the EHR to Vital Records, R1 (Draft Standard for Trial Use)	Live birth and fetal death related information from a clinical setting to the vital records electronic registration system	HL7 Version 2.5.1	Under development. Balloted Jan. 2012
HL7 Version 3 CDA R2 Implementation Guide: Reporting Birth & Fetal Death Information from the EHR to Vital Records Release 1 (US Realm - Draft Standard for Trial Use)	Live birth and fetal death related information from a clinical setting to the vital records electronic registration system	HL7 Version 3 CDA R2	Under development. Tentatively planned for HL7 September 2012 ballot cycle

Automation of Data Capturing

Document	Transaction	Standard(s) Used	Status
IHE Maternal Child Health - Birth and Fetal Death Reporting (MCH-BFDrpt)	Defines the EHR content that may be used to pre-populate and transmit birth and fetal death information to vital records systems for vital registration purposes.	Uses actors and transactions from the IHE ITI Technical Framework Supplement: Retrieve Form for Data Capture (RFD)	Published

PHIN Communication and Alerting

Document	Transaction	Standard(s) Used	Status
PHIN Communication and Alerting (PCA) Guide Version 1.3 (April 27, 2010)	Public Health Alerting	EDXL V 1.0	Published
	Public Health Alerting	CAP V1.1	Published

PHIN Directory Exchange

Document	Transaction	Standard(s) Used	Status
PHIN Directory Exchange Implementation Guide Version 1.0 (May 16, 2007)	Public Health Directory Exchange	DSML 1.0	Published

PHIN Exchange Web Services

Document	Transaction	Standard(s) Used	Status
PHIN Exchange Developer Guide Version 1.0 (April 30, 2010)	PHIN Exchange	XML	Published
		SOAP
		SSL

PHIN Secure Message Transport (PHIN MS)

Document	Transaction	Standard(s) Used	Status
PHIN Secure Message Transport Guide Version 2.0 (July 31, 2008)	PHIN Secure Message Transport (PHIN MS)	SOAP 1.1	Published
		XML Digital Signature: RSA-1.5 and SHA-1
		XML Digital Signature: RSA-1.5 and Triple-DES-CBC
		Two-way SSL 3.0

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Page last reviewed: March 27, 2012
Page last updated: March 27, 2012
Content source: Centers for Disease Control and Prevention

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