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Data Interchange Standards

Privacy

HIPAA Privacy and Security Rules for Public Health Data Exchange

Document Transaction Standard(s) Used Status
Modifications to the HIPAA Privacy, Security, Enforcement, and Breach Notification Rules under the Health Information Technology for Economic and Clinical Health Act and the Genetic Information Nondiscrimination Act; Other Modifications to the HIPAA Rules N/A 45 CFR Parts 160 and 164 Published
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
The complete suite of HIPAA Administrative Simplification Regulations N/A 45 CFR Parts 160, 162, and 164.This is an unofficial version that presents all the regulatory standards in one document. The official version of all federal regulations is published in the Code of Federal Regulations (CFR). Published
The HIPAA Security Rule N/A 45 CFR Part 160 and Subparts A and C of Part 164. Published
The Office of the National Coordinator (ONC) Guide to Privacy and Security of Health Information, Version 1.2 060112 N/A Meanigful Use Published
ONC Health Information Privacy and Security: A 10 Step Plan N/A Meanigful Use Published

Surveillance

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
HL7 Version 2.5.1: Implementation Guide for Immunization Messaging, Release 1.3 (August, 2011) This Guide is intended to facilitate the exchange of immunization records between different systems HL7 2.5.1 Published
HL7 Version 2.5.1: Implementation Guide for Immunization Messaging, Release 1.4 (August, 2012) This Guide is intended to facilitate the exchange of immunization records between different systems HL7 2.5.1 Published
HL7 2.5.1 Local Implementation Guide Template for Immunization Messaging, Release 1.3 (Published Nov 22, 2011 and Posted Dec 2011) HL7 2.5.1 Local Implementation Guide Template for Immunization Messaging. This template is intended for Immunization Information Systems HL7 2.5.1 Published
HL7 2.5.1 Local Implementation Guide Condensed Template for Immunization Messaging, Release 1.3 (Published Nov 22, 2011 and Posted Dec 2011) HL7 2.5.1 Local Implementation Guide Condensed Template for Immunization Messaging. This condensed template is an alternative template for Immunization Information Systems (IIS) usage in defining their Local 2.5.1 Implementation Guide. HL7 2.5.1 Published
HL7 2.5.1 Local Business Rule Template for Immunization Messaging, Release 1.3 (Posted Dec 2011) HL7 2.5.1 Local Business Rule Template for Immunization Messaging, Release 1.3. This template is designed to track the application of local IIS business rules during an HL7 transmission. HL7 2.5.1 Published
Immunization Information Systems (IIS) Recommended Core Data Elements Record exchange between Immunization Information Systems (IIS). HL7 Version 2.3.1 or HL7 Version 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

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
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
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
Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries August 2012  Cancer Reporting (Stage 2 MU) HL7 CDA Published

Healthy Weight

Document Transaction Standard(s) Used Status
HL7 Version 2.5.1 Implementation Guide: Height and Weight Report, Release 1 - US Realm. August 13, 2013 The purpose of the message profile specified in the guide is to transmit standardized structured height and weight data and patient demographics from EHRs to public health surveillance systems to support obesity and overweight efforts in the clinic and community. HL7 Version 2.5.1 Published
IHE Quality, Research and Public Health Technical Framework Supplement. Healthy Weight (HW). September 13, 2013 The Healthy Weight (HW) Profile provides a means to capture and communicate among clinical
systems and public health surveillance systems, the information needed for managing and monitoring healthy weight.
IHE Quality, Research and Public Health Technical Framework Supplement 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 1.0 (October 2011) Biosurveillance (EHR/MU Stage 1) HL7 2.5.1 Published
PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Release 1.1 (August 2012)  Biosurveillance (EHR/MU Stage 2) HL7 2.5.1
(Version 2.3.1 Compatible)
Published
PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Addendum Release 1.1 (August 2012) Biosurveillance (EHR/MU Stage 2) HL7 2.5.1 Published
PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Release 1.1 (August 2012),Testing Clarification Release 1.2 (February 2013)  Biosurveillance
(ONC Certification Criteria for EHR Technology, 2014 Ed.)
HL7 2.5.1
(Version 2.3.1 Compatible)
Meaningful Use Stage 2 (October 2013 start)
Published
PHIN Messaging Guide For Syndromic Surveillance: Emergency Department, Urgent Care And Inpatient Settings, Release 1.9 (April 2013) Biosurveillance
(Currently not referenced for EHR certification)
HL7 2.5.1
(Version 2.3.1 Compatible)
This guide is suggested for future Meaningful Use Stages.
Published
PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent, Ambulatory Care and Inpatient Settings, Release 2.0 (September, 2014) Sending data from emergency department, urgent, ambulatory care and inpatient settings to public health authorities HL7 2.5.1 Published

Vital Records

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 Published and freely available during 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 Published and freely available during pilot period that began February 2012

Reporting Death

Document Transaction Standard(s) Used Status
HL7 Version 2.5.1 Implementation Guide: Vital Records Death Reporting, Release 1 – US Realm Death related information from a clinical setting to the vital records electronic registration system HL7 Version 2.5.1 Available for download and comments on the HL7 DSTU Commenting Site
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 Balloted in HL7 May 2012 ballot cycle. Goal to publish as DSTU in early 2013

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 Balloted in HL7 January 2012 ballot cycle. Goal to publish as DSTU in early 2013
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 Balloted in HL7 September 2012 ballot cycle. Goal to publish as DSTU in early 2013

Automation of Data Capturing

Document Transaction Standard(s) Used Status
Integrating the Healthcare Enterprise (IHE) Birth and Fetal Death Reporting (BFDR) 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) IHE published for trial implementation August 2012
IHE Vital Records Death Reporting (VRDR) 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) Under development. Goal to publish by fall 2013

Comm and Directory

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
CAP V1.1

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

CDS

Clinical Decision Support

Document Transaction Standard(s) Used Status
“Infobutton” Standard for reference information retrieval Context-Aware Knowledge Retrieval (Infobutton) Service-Oriented Architecture Implementation Guide: Release 1 This implementation guide allows knowledge requests to be represented in a URL-based format. These knowledge retrieval tools are being called "Infobuttons." http://wiki.hl7.org/index.php?title=Product_Infobutton
#Description
Published
HL7 Version 3 Standard: Context-Aware Retrieval Application (Infobutton); Release 1 Context-aware knowledge retrieval into clinical information systems delivers knowledge to the point of care and educational material to support patient care. http://www.hl7.org/implement/
standards/product_brief.cfm?
product_id=208
Published
HL7 Version 3 Implementation Guide: URL-Based Implementations of the Context-Aware Information Retrieval (Infobutton) Domain, Release 3 Recommendation for a URL-based, context-aware information retrieval (Infobutton) standard. http://www.hl7.org/implement/
standards/product_brief.cfm?
product_id=22
Published
HL7 Version 3 Domain Analysis Model: Virtual Medical Record for Clinical Decision Support (vMR-CDS), Release 1 Technology-neutral Domain Analysis Model (DAM) for the Virtual Medical Record. HL7 vMR data models are intended to support scalable, interoperable CDS. http://www.hl7.org/implement/
standards/product_brief.cfm?
product_id=270
Published
HL7 Decision Support Service (DSS), Release 1 A Decision Support Service (DSS) receives patient data input and returns patient-specific output. The HL7 DSS specification provides a standard interface for the provision and consumption of such services. http://www.hl7.org/implement/
standards/product_brief.cfm?
product_id=12
Published
HL7 Version 3 Implementation Guide: Virtual Medical Record for Clinical Decision Support (vMR-CDS) for GELLO, Release 1 A Virtual Medical Record (vMR) is model of the data analyzed or produced by clinical decision support (CDS) engines. This specification provides guidance on the use of the vMR in conjunction with the HL7 GELLO standard that is derived from the vMR Domain Analysis Model (DAM). http://www.hl7.org/implement/
standards/product_brief.cfm?
product_id=271
Published
HL7 Version 3 Standard: Gello: A Common Expression Language, Release 2 GELLO is a query and expression language for the manipulation of clinical data for decision support in healthcare, used to build queries to extract and manipulate data from medical records and construct decision criteria from data properties and values. http://www.hl7.org/implement/
standards/product_brief.cfm?
product_id=5
Published
IHE Request for Clinical Guidance (RCG), IHE PCC Technical Framework Supplement Provides standardized interface to access clinical decision support as a service http://www.ihe.net/
Technical_Framework/upload/
IHE_PCC_Request_for_
Clinical_Guidance
_RCG_TI_-2009-08-10.pdf
Published
IHE Care Management (CM), IHE Patient Care Coordination (PCC) Technical Framework Supplement, 2008-2009 Supports communication to specialized care delivery systems for disease management http://www.ihe.net/
Technical_Framework/upload/
IHE_PCC_Care_Management_
CM_Supplement
_TI_2008-08-22.pdf
Published
IHE Query for Existing Data (QED): IHE Patient Care Coordination (PCC) Technical Framework Supplement, 2008-2009 Provides access to clinical data for use in quality measurement, reporting, clinical decision support, and research http://www.ihe.net/
Technical_Framework/
upload/IHE_PCC_Query_for_Existing_
Data_QED_Supplement_TI_2008-08-22.pdf
Published
The Arden Syntax for Medical Logic Systems, Version 2.9 The Arden syntax covers the sharing of computerized health knowledge among personnel, information systems, and institutions. Each Medical Logic Module (MLM), contains sufficient knowledge to make a single decision. http://wiki.hl7.org/images/7/76/
Arden_Syntax_2.9_FINAL_after_
Reconcilliation.pdf
Published

Message Transport

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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