Data Interchange Standards

Law and Regulations –
Legislative and Regulatory Reference Sources (Standardization)
Document/Resource Summary Reference Source Link
Public Law 104-113, National Technology Transfer and Advancement Act of 1995 (NTTAA) The National Technology Transfer and Advancement Act (NTTAA) directs federal agencies with respect to their use of and participation in the development of voluntary consensus standards. The Act’s objective is for federal agencies to adopt voluntary consensus standards, wherever possible, in lieu of creating proprietary, non-consensus standards. http://www.nist.gov/
standardsgov/nttaa-act.cfmExternal
Office of Management and Budget (OMB). Circular A-119, Federal Participation in the Development and Use of Voluntary Consensus Standards and in Conformity Assessment Activities (1998) Revised OMB CircularA-119 establishes policies on Federal use and development of voluntary consensus standards and on conformity assessment activities. Pub. L. 104-113, the “National Technology Transfer and Advancement Act of 1995,” codified existing policies in A-119, established reporting requirements, and authorized the National Institute of Standards and Technology to coordinate conformity assessment activities of the agencies. OMB is issuing this revision of the Circular in order to make the terminology of the Circular consistent with the National Technology Transfer and Advancement Act of 1995, to issue guidance to the agencies on making their reports to OMB, to direct the Secretary of Commerce to issue policy guidance for conformity assessment, and to make changes for clarity. https://www.nist.gov/publications/
annual-report-office-management-and-budget-omb-implementation-omb-circular-119External
Principles for Federal Engagement in Standards Activities to Address National Priorities. Memorandum for the Heads of Executive Departments and Agencies (2012) While recognizing the private sector leadership in standards development remains a primary strategy for government engagement in this development, this document also emphasizes that in limited policy areas, where a national priority has been identified in statute, regulation, or Administration policy, active engagement or a convening role by the Federal Government may be needed to accelerate standards development and implementation to help spur technological advances and broaden technology adoption. OMB Report to the Congress on the Joint Committee Reductions for Fiscal Year 2018Cdc-pdfExternal (May 23, 2017) (29 pages, 1.74 MB)
Department of Commerce. The National Institute of Standards and Technology. Guidance on Federal Conformity Assessment Activities. Federal Register Volume 65, Number 155. 15 CFR Part 287 (2000) This document contains final policy guidance on Federal agency use of conformity assessment activities. The provisions are solely intended to be used as guidance for agencies in their conformity assessment activities and do not preempt the agencies’ authority and responsibility to make regulatory procurement decisions authorized by statute or required to meet  programmatic objectives and requirements. http://www.gpo.gov
/fdsys/pkg/FR-2000-08-10/
html/00-20262.htmExternal
National Science and Technology Council. Subcommittee on Standards. Federal Engagement in Standards Activities to Address National Priorities. Background and Proposed Policy Recommendations (2011) This report provides a high-level overview of the current legal and policy framework for government engagement in private-sector standards activities and describes how the government engages in these activities. It summarizes stakeholder observations in response to the December 2010 Request For Information (RFI) issued by the National Institute of Standards and Technology on behalf of the Subcommittee on Standards of the National Science and Technology Council about government engagement in standardization generally and in specific technology areas. Finally, the report outlines policy recommendations for consideration as a component of proposed supplementary guidance to agencies engaging in private-sector standards activities to address national priorities specified by Congressional mandate or Administration policy. http://www.nist.gov/
standardsgov/upload/Federal_
Engagement_in_Standards_
Activities_October12_final.pdfCdc-pdfExternal
American National Standards Institute (ANSI). United States Standards Strategy The United States Standards Strategy serves as a statement of purpose, principles and strategy that guide how the United States develops standards and participates in the international standards-setting process. It provides a framework that can be used by all interested parties to further advance trade issues, and a vision for the future of the U.S. standards system in today’s globally competitive economy. http://www.ansi.org/
standards_activities/
nss/usss.aspx?menuid=3External
The National Institute of Standards and Technology (NIST). Regulations The official web page of NIST that describes how Voluntary Standards are used in regulations, how to find a specific standard in regulations and how to find proposed regulations, provides information on Federal Register Incorporation by Reference (IBR) and Standards Incorporated by Reference (SIBR) Database. https://www.nist.gov/standardsgovExternal
HHS, Office of the National Coordinator for Health Information Technology (ONC). Standards and Certification Regulations This is a HealthIT.gov web page that provides reference sources to standards and certification regulations that are associated  with meaningful use. http://www.healthit.gov/
policy-researchers-implementers/
standards-and-certification-regulationsExternal
Centers for Medicare and Medicaid Services (CMS). Meaningful Use This cms.gov web page describes the Medicare and Medicaid EHR Incentive Programs that provide financial incentives for the “meaningful use” of certified EHR technology to improve patient care. https://www.cms.gov/Regulations-and-Guidance/Legislation/
EHRIncentivePrograms/index.htmlExternal
HHS, Office of the National Coordinator for Health Information Technology (ONC). Health IT Legislation and Regulations This is a HealthIT.gov web page that provides reference sources to HITECH Act, Section 618 of the Food and Drug Administration Safety and Innovation Act (FDASIA) of 2012, HIPAA and The Affordable Care Act of 2010. http://www.healthit.gov/
policy-researchers-implementers/
health-it-legislationExternal
CDC. CDC Electronic Health Records Meaningful Use and Public Health CDC Electronic Health Records (EHRs) Meaningful Use (MU) internet website provides content focused on the Public Health Objectives in EHR MU, which serves as a reference and guidance resource for our State, Local & Tribal Public Health partners and others. https://www.cdc.gov/
ehrmeaningfuluse/
CDC. The Office for State, Tribal, Local and Territorial Support, OSTLTS. Legislation, Regulations, and Policies The CDC/OSTLS web page provides reference sources to legislation, regulations, and policies that pertain to public health. https://www.cdc.gov/
stltpublichealth/Policy/
legislation-regulation-policies.html
CDC, Clinical Laboratory Improvement Amendments (CLIA) The section of the federal regulations titled “Standards and Certification: Laboratory Requirements” is issued by the Centers for Medicare & Medicaid Services (CMS) to enact the CLIA law passed by Congress. In general terms, the CLIA regulations establish quality standards for laboratory testing performed on specimens from humans, such as blood, body fluid and tissue, for the purpose of diagnosis, prevention, or treatment of disease, or assessment of health. The final CLIA’88 regulations were first published in 1992, phased in through 1994, and amended in 1993, 1995, and 2003. This cdc.gov web page provides reference sources to CLIA regulations, including those that affect health IT standardization. http://wwwn.cdc.gov/clia/
Regulatory/default.aspx

Privacy and Security of Health Information
Document/Resource Transaction Standard(s) Used Status
HHS, Office for Civil Rights (OCR). Reference sources on patient privacy and securityExternal All data exchanges The Office for Civil Rights enforces the HIPAA Privacy Rule, which protects the privacy of individually identifiable health information; the HIPAA Security Rule, which sets national standards for the security of electronic protected health information; the HIPAA Breach Notification Rule, which requires covered entities and business associates to provide notification following a breach of unsecured protected health information; and the confidentiality provisions of the Patient Safety Rule, which protect identifiable information being used to analyze patient safety events and improve patient safety. Published
HHS, The Office of the National Coordinator (ONC). Health IT Privacy and Security ResourcesExternal All data exchange HHS HIPAA regulations Published
HHS. OCR. The complete suite of HIPAA Administrative Simplification RegulationsExternal All data exchanges 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
HHS, OCR. The HIPAA Privacy RuleExternal All data exchanges The Privacy Rule is located at 45 CFR Part 160 and Subparts A and E of Part 164.
HHS, OCR. The HIPAA Security RuleExternal All data exchanges The Security Rule is located at 45 CFR Part 160 and Subparts A and C of Part 164.
HHS and CDC. 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
HHS and CMS. CLIA Program and HIPAA Privacy Rule; Patients’ Access to Test Reports; Final Rule. Centers for Medicare & Medicaid Services, 42 CFR Part 493; Office of the Secretary, 45 CFR Part 164Cdc-pdfExternal This final rule amends the Clinical Laboratory Improvement Amendments of 1988 (CLIA) regulations to specify that, upon the request of a patient (or the patient’s personal representative), laboratories subject to CLIA may provide the patient, the patient’s personal representative, or a person designated by the patient, as applicable, with copies of completed test reports that, using the laboratory’s authentication process, can be identified as belonging to that patient. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule Published
HHS. 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 HIPAACdc-pdfExternal All data exchanges 45 CFR Parts 160 and 164 Published
HHS, OCR. Guidance on Risk Analysis Requirements under the HIPAA Security RuleCdc-pdfExternal All data exchanges. Risk Analysis requirements under HIPAA Security Rule (45 C.F.R. §§ 164.302 – 318) HHS HIPAA regulations Published
ONC Health Information Privacy and Security: A 10 Step PlanExternal All data exchanges Meaningful Use Regulations Published
HHS, OCR. Guidance on HIPAA Privacy Rule and Sharing Information Related to Mental Health (02/20/14)Cdc-pdfExternal Health care provider shares the protected health information of a patient who is being treated for a mental health condition The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule Published
HHS, OCR. Protecting Personal Health Information in Research: Understanding the HIPAA Privacy RuleCdc-pdfExternal This booklet, Protecting
Personal Health Information in Research: Understanding the HIPAA Privacy Rule, and its companion pieces for clinical, health records, and health services research, and for institutional review boards (IRBs) and Privacy Boards, are part of HHS’s ongoing efforts to educate the research community about the Privacy Rule.
HHS, NIH Publication Number 03-5388 Published
The North American Association for Central Cancer Registries (NAACCR), Standards for Completeness, Quality, Analysis, Management, Security, and Confidentiality of DataExternal Standards for Cancer Registries Vol. III, Chapter 6, “Security and Confidentiality” describes structural requirements. registry policies and procedures, data use and release, information technology policies and procedures and disaster recovery for cancer registries NAACCR standard Published
National Institute of Standards and Technology (NIST). Computer Security Resource Center. Special Publications (800 series)External Special Publications in the 800 series (established in 1990) are of general interest to the computer security community. This series reports on Information on NIST Information Technology Laboratory’s,ITL’s ,research, guidelines, and outreach efforts in computer security, and its collaborative activities with industry, government, and academic organizations. NIST Special Publications Published
NIST, Computer Security Division (CSD). List of Current CSD PublicationsExternal List of national computer security standards that is mantained by CSD NIST publication Published
NIST, CSD, Federal Information Processing Standards Publications (FIPS PUBS)External FIPS PUBS are issued by NIST after approval by the Secretary of Commerce pursuant to the Federal Information Security Management Act (FISMA) of 2002 NIST publication Published
HHS, ONC. Guide to Privacy and Security of Health InformationCdc-pdfExternal All data exchanges Meanigful Use Regualtions Published
NIST. The HIPAA Security Rule ToolkitExternal All data exchanges. The NIST HIPAA Security Toolkit Application is intended to help organizations better understand the requirements of the HIPAA Security Rule NIST tool Published

Public Health Conformity Assessment –
Conformity Assessment Resources
Document/Resource Transaction Standard(s) Used
HHS, 45 CFR Part 170, Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology. Final Rule With this final rule, the Secretary of Health and Human Services adopts certification criteria that establish the technical capabilities and specify the related standards and implementation specifications that Certified Electronic Health Record (EHR) Technology will need to include to, at a minimum, support the achievement of meaningful use by eligible professionals, eligible hospitals, and critical access hospitals under the Medicare and Medicaid EHR Incentive Programs beginning with the EHR reporting periods in fiscal year and calendar year 2014. This final rule also makes changes to the permanent certification program for health information technology, including
changing the program’s name to the ONC HIT Certification Program.
http://www.gpo.gov/
fdsys/pkg/FR-2012-09-04/pdf/
2012-20982.pdf
Cdc-pdfExternal
HHS, Office of the National Coordinator for Health Information Technology. Certification Programs & Policy. Testing and Test Methods The ONC, in collaboration with the National Institute of Standards and Technology (NIST), developed the functional and conformance testing requirements, test cases, and test tools for the testing and certification of Electronic Health Records (EHRs) to the certification criteria adopted by the HHS Secretary. This is ONC web page that describes the meaningful use test method (as of 2014) https://www.healthit.gov/topic/
certification-ehrs/testing-process-test-methodsExternal
HHS, Office of the National Coordinator for Health Information Technology, ONC, 2014 Edition Test Method for testing and certification The 2014 Edition Test Method was formally approved on December 14, 2012 by the National Coordinator and is now effective for use in ONC HIT Certification Program (formerly known as the Permanent Certification Program). Notice of the approval appears in the Jan. 2, 2013 Federal Register. http://www.healthit.gov/
policy-researchers-implementers/
2014-edition-final-test-methodExternal
HHS, Office of the National Coordinator for Health Information Technology, ONC, 2014 Edition Test Procedure Overview, December 14, 2012. This document describes the structure of the test procedure for evaluating conformance of electronic health record (EHR) technology to the certification criteria defined in 45 CFR Part 170 Subpart C of the Health Information Technology: Standards, Implementation Specifications, and Certification Criteria for Electronic Health Record Technology, 2014 Edition; Revisions to the Permanent Certification Program for Health Information Technology, Final Rule as published in the Federal Register on September 4, 2012. Each document is organized by test procedure and derived test requirementext http://www.healthit.gov/sites/default/files/
2014_edition_test_procedure_overview.pdf
Cdc-pdfExternal
NIST, Federal Laboratory Accreditation/Acceptance and Recognition Programs The NIST web site lists some Laboratory Recognition Programs that were developed by CDC and HHS https://www.nist.gov/standardsgov/federal-laboratory-accreditationacceptance-and-recognition-programsExternal
NIST 2014 Edition Meaningful Use Test Tools The NIST web site contains downloadable tools that are used for Immunization Information Systems (IIS) reporting, Syndromic Surveillance etc. reporting http://healthcare.nist.gov/
use_testing/tools.htmlExternal
CDC, National Institute for Occupational Safety and Health, National Personal Protective Technology Laboratory (NPPTL) The National Personal Protective Technology Laboratory (NPPTL) was created to be the division of NIOSH charged with the mission of preventing disease, injury, and death for the millions of working men and women relying this equipment. To accomplish this mission, NPPTL conducts scientific research, develops guidance and authoritative recommendations, including certification programs for personal protective equipment. https://www.cdc.gov/niosh/npptl/

Electronic Laboratory Reporting
Document/Resource Transaction Standard(s) Used Status
HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1 (US Realm)External The Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm), Release 1 describes the transmission of laboratory-reportable findings to appropriate local, state, territorial and federal health agencies using the message. In particular, this guide addresses messaging content and dynamics related to the transmission of Laboratory Reportable Result Messages (i.e., Electronic Laboratory Reporting, or ELR). This guide is designed to align as closely as possible with the Version 2.5.1 Implementation Guide: Interoperable Laboratory Result Reporting to EHR. HL7 v.2.5.1 Published
HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 2 (US Realm)External This product page contains the Release 2 Draft Standard for Trial Use of HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health.This implementation guide contains the necessary specifications for laboratory results reporting to local, state, territorial and federal health agencies including messaging content and dynamics related to the transmission of Reportable Laboratory Result Messages. HL7 v.2.5.1 Published
HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Test Compendium Framework, Release 2 US RealmExternal The Version 2.5.1 Implementation Guide: Laboratory Test Compendium Framework, Release 2, DSTU R1.1, is a master file framework Implementation Guide (IG) for the electronic delivery of a laboratory’s Directory of Service (eDOS) to all providers that order lab work including EHRs, HLIS, and others. This provides the mechanisms to provide initial Directory of Services and periodic updates leveraging the HL7 standard and electronic transmissions. This provides the Orderable Tests for a laboratory, the components, specimen information and description of what is provided including information needed from the patient that has an impact on the results of the test including specimen volume, fasting information, Date of birth and Last menstrual period to name a few. HL7 v.2.5.1 Published
HL7 Version 2.5.1 Implementation Guide: S&I Framework Laboratory Orders from EHR, Release 1 – US RealmExternal This is a companion guide to the “Version 2.5.1 Implementation Guide; Orders and Observations; Interoperable Laboratory Result Reporting to EHR (US Realm), Release 1”  and the “HL7 Version 2 Implementation Guide: Laboratory Test Compendium Framework, Release 1” . It provides guidance on how to apply Version 2.5.1 of the standard, and select pre-adopted capabilities through Version 2.8.1, to the exchange of laboratory orders from the EHR to the receiving laboratory in an ambulatory setting. This implementation guide focuses on key points of broad interoperability, including use of strong identifiers for key information objects and use of vocabulary standards. HL7 v.2.5.1 and 2.8.1 Published
HL7 Version 2.5.1 Implementation Guide: S&I Framework Lab Results Interface, Release 1- US RealmExternal The Laboratory Results Interface (LRI) Implementation Guide provides guidance for ambulatory laboratory to ambulatory provider interfaces for laboratory results in the US realm. HL7 v.2.5.1 Published

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Public Health Reporting
Document/Resource Transaction Standard(s) Used Status
HL7 Implementation Guide for CDA Release 2: Public Health Case Reporting, Release 1, US Realm (2009)External Clinician Reporting to Public Health using a CDA format HL7 CDA Release 2.0 Published
HHS/ONC. Standards and Interoperability Framework. Functional Requirements (for public health reporting)Cdc-pdfExternal The functional requirements described in this document pertain to public health reporting data exchange HL7 and IHE Published
HHS/ONC. Standards and Interoperability Framework. Data Harmonization Profile.
Version 2.0Cdc-wordExternal
The Public Health Reporting Data Harmonization Profile serves as a tool for implementers to use in defining public health data to be used in support of reporting requirements. This Data Harmonization Profile is focused on providing content for the Public Health Reporting domains, their alignment, and on identifying gaps in public health data representation as compared to common clinical record data formats (such as HITSP C83 and the EHR-FM (Functional Model)). HITSP C83, Standardized vocanulary (i.e., SNOMED-CT and LOINC) Published
HHS/ONC. Standards and Interoperability Framework. Public Health Reporting Specification – Clinical Document Architecture (CDA), for public commentsCdc-wordExternal This document provides a proposed standard  for exchanging public health reports using HL7 CDA format HL7 CDA Published (draft)

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Immunization
Document/Resource Transaction Standard(s) Used Status
HL7 Version 2.5.1 Implementation Guide for Immunization Messaging Release 1.2 (February 2011)Cdc-pdf 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)Cdc-pdf 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)Cdc-pdf 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 1.4 (Published on  January 17, 2013 and Posted on January 2013)Cdc-pdf 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 Business Rule Template for Immunization Messaging, Release 1.4 (Posted Jan 2013)Cdc-pdf 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)Cdc-pdf 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
Immunization Information System (IIS) Functional Standards The purpose of this document is to define and provide supporting references to the Immunization Information System (IIS) Functional Standards for 2013-2017 Supports ONC Meaningful Use regulations and Healthy People 2020 Published
Immunization Information Systems (IIS) CDC reference page on IIS standards N/A Published

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Healthcare Associated Infection
See more details at: https://www.cdc.gov/hicpac/index.html
Document/Resource Transaction Standard(s) Used Status
 HL7 Implementation Guide for CDA Release 2 – Level 3: Healthcare Associated Infection Reports, Release 1 – US Realm, August 2013External Electronic submission of Healthcare Associated Infection (HAI) Reports to the National Healthcare Safety Network (NHSN) HL7 CDA Release 2 Published
Object Identifier (OID) assignment procedureCdc-pdf Electronic submission of Healthcare Associated Infection (HAI) Reports to the National Healthcare Safety Network (NHSN) HL7 CDA Release 2 Published
CDC, National Healthcare Safety Network (NHSN). Clinical Document Architecture (CDA) This is NHSN-managed web page that discribes topics of CDA technical implementaiton for reporting HAI CDA Published

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Early Hearing Detection and Intervention
Document/Resource Transaction Standard(s) Used Status
Newborn screening coding and terminology guideExternal 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 PlanCdc-pdfExternal 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
IHE Quality, Research and Public Health Technical Framework Supplement: Newborn  Admission Notification Information (NANI) –Trial Implementation* Cdc-pdfExternal newborn admission notification electronically from a birthing facility to public health to be used by newborn screening programs. HL7 v2 Published
HL7 Version 2.6 Implementation Guide: Early Hearing Detection and Intervention (EHDI) Results Release 1External newborn hearing screening information transmitted from a point of care device to an interested consumer such as public health. HL7 v2 Published
IHE Quality, Research and Public Health Technical Framework Supplement: Quality Measure Execution-Early Hearing (QME-EH)Cdc-pdfExternal Communicate patient-level data to electronically monitor the performance of EHDI initiatives for newborns and young children. HL7 QRDA Published
Hearing Screening Prior to Hospital Discharge (NQF 1354 /CMS31v3)External Electronic clinical quality measure definition for newborn hearing screening quality reporting , adopted by the CMS EHR Incentive Program for Hospitals and Critical Access Hospitals HL7 HQMF Published

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Cancer Surveillance
Document/Resource 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)Cdc-pdfExternal Public Health Cancer Reporting Published draft
North American Association of Central Cancer Registries, Inc., Standards for Cancer RegistriesExternal
North American Association of Central Cancer Registries, Inc., Pathology Laboratory Electronic ReportingExternal
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) Cdc-pdfExternal Physician Reporting to Public Health-Cancer Registries HL7 CDA Published
Standards for Cancer Registries, Volume II: Data Standards and Data Dictionary, Fifteenth Edition Record Layout Version 12.1 (Effective January 1, 2011)External 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 Cdc-pdf Cancer Reporting (Stage 2 MU) HL7 CDA Published
Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries, HL7 Clinical Document Architecture (CDA), Release 1.1, March 2014Cdc-pdf Cancer Reporting (Stage 2 MU, voluntary) HL7 CDA Published

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Healthy Weight
Document/Resource Transaction Standard(s) Used Status
HL7 Version 2.5.1 Implementation Guide: Height and Weight Report, Release 1 – US Realm. August 13, 2013Cdc-pdfExternal 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, 2013External 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

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Notifiable Disease Case Notification
Location Transaction Standard(s) Used Status
 HL7 Case Notification Resource Center Notifiable disease transmissions from public health jurisdictions to CDC HL7 2.5 Published

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Syndromic Surveillance
Location Transaction Standard(s) Used Status
Syndromic Surveillance Message Mapping Guides Syndromic surveillance transmissions from healthcare providers to public health HL7 2.5.1 Published

Data Models
Document/Resource Transaction Standard(s) Used Status
HL7 Version 3 Domain Analysis Model: Vital Records,
Release 1External
  | Please note that users must have an HL7 account in order to access the standard.
Domain Analysis Model HL7 Version 3 Published
Functional Profiles
Document/Resource Transaction Standard(s) Used Status
HL7 EHR-S FM Public Health Functional Profile Release 1External EHR-S Functional Profile HL7 EHR-System Functional Model Published
HL7 EHR-S FM Public Health Functional Profile Release 2External EHR-S Functional Profile HL7 EHR-System Functional Model Published
Reporting Death
Document/Resource Transaction Standard(s) Used Status
HL7 Version 2.5.1 Implementation Guide: Vital Records Death Reporting, Release 1 – US Realm Draft Standard for Trial Use)External 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
Reporting Birth and Fetal Death
Document/Resource Transaction Standard(s) Used Status
HL7 Version 2.5.1 Implementation Guide: Birth and Fetal Death Reporting, R1 (Draft Standard for Trial Use)External Live birth and fetal 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
Automation of Data Capturing
Document/Resource Transaction Standard(s) Used Status
Integrating the Healthcare Enterprise (IHE) Birth and Fetal Death Reporting (BFDR)Cdc-pdfExternal 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 September 2013. Available from the IHE website.
IHE Vital Records Death Reporting (VRDR)Cdc-pdfExternal 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 September 2013. Available from the IHE website.

PHIN Communication and Alerting
Document/Resource Transaction Standard(s) Used Status
PHIN Communication and Alerting (PCA) Guide Version 1.3
(April 27, 2010)Cdc-pdf
Public Health Alerting EDXL V 1.0 Published
CAP V1.1
PHIN Directory Exchange
Document/Resource Transaction Standard(s) Used Status
PHIN Directory Exchange Implementation Guide Version 1.0 (May 16, 2007)Cdc-pdf Public Health Directory Exchange DSML 1.0 Published
PHIN Exchange Web Services
Document/Resource Transaction Standard(s) Used Status
PHIN Exchange Developer Guide Version 1.0 (April 30, 2010)Cdc-pdf PHIN Exchange XML Published
SOAP
SSL
Organization for the Advancement of Structured Information Standards (OASIS), Common Alerting Protocol Version 1.2 (July, 2010) This document provides a general format for exchanging all-hazard emergency alerts and public warnings over all kinds of networks OASIS Published

PHIN Secure Message Transport (PHIN MS)
Document/Resource Transaction Standard(s) Used Status
PHIN Secure Message Transport Guide Version 2.0 (July 31, 2008)Cdc-pdf 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

Page last reviewed: December 19, 2018