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Public Health Case Report Update

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Basics

Public Health Case Report Update

1216
Ballot - STU to Normative



Revise Current Standard, Implementation Guide

Details

This project will determine and document a core, initial public health case report standard for use in reporting from Electronic Health Records to health departments as defined by public health authorities. The core, initial message will be built from previous HL7 public health case reporting and C-CDA work as well as work done in the ONC S and I Framework PHRI project. It will produce a C-CDA DSTU and will lead to a follow-on project to develop a FHIR standard as well. The initial, core public health case report will be limited to data that are established to exist in EHRs and closely parallel existing C-CDA standards so as to constitute data that can be readily produced and delivered by EHRs. The work will also lay out next steps for additional data that could eventually be added to the core, initial case report and data that should be considered for secondary manual or electronic supplemental data reporting for specific conditions.

Co-Chair Sponsor: Erin Holt

1) Electronic Initial Case Report to Public Health- collecting comments (2/1/18)

2) Reportability Response- collecting comments (2/1/18)

Last Reviewed: 2/1/18


In October, 2009 SDWG published an Informative Document, 'HL7 Implementation Guide for CDA Release 2: Public Health Case Reporting, Release 1 (US Realm).' This document has not enjoyed wide adoption but it is widely believed to be a possible starting point for an implementation guide that would enjoy wide adoption. The publication of the common templates of Consolidated CDA (C-CDA) has won great acceptance and the PHCR standard must be revised to include this important standard.

Case reporting is part of the CMS and ONC NPRMs for Meaningful Use Stage III. Electronic case reporting is considered to be a critical public health need and a core initial case report is a needed component of a viable nationwide approach. The failure to have a workable case reporting standard will impede outbreak management and negatively impact the monitoring of disease trends.



Update the existing Implementation Guide, an Informative document, primarily to use C-CDA R2 Templates and ballot it as a DSTU - Target: 2016 Jan Ballot Reconcile ballot comments and revise the Implementation Guide, and request publication as a DSTU. - Target: 2016 Jan DSTU Period - 12 months (but considering 24 months) - Target: 2016 Jan - 2017 Jan Sequence (2): (while the IG is in its DSTU comment period) Prepare a 'DAM-lite' analysis document to document use case(s) and actors for supplemental data use in conjunction with a core initial case report standard; submit as an Informative ballot. - Target: 2016 May Ballot Reconcile ballot comments, revise the ballot document, and ballot as an second Informative ballot. - Target: 2016 May Sequence 3: (bringing the two threads together) Use the DSTU comments and the published Informative Document to inform the changes to the DSTU Implementation Guide, or other documents, as appropriate. Revise the Implementation Guide and/or revise the Informative document for use as a basis for a major update to the Implementation Guide. - Target: 2016 Sep - 2017 May Submit the Informative document for a third ballot and the Implementation Guide for first Normative Ballot - Target: 2017 May Ballot Complete Normative Ballot Reconciliation - Target: 2017 Sep WGM Submit Publication Request - Target: 2018 Oct Receive ANSI Approval - Target: 2018 Nov Project End Date (all objectives have been met) - Target: 2018 Dec


https://confluence.hl7.org/display/PHWG/Public+Health+Case+Reporting http://wiki.hl7.org/index.php?title=PHER_Public_Health_Case_Report_R2

Several U.S. Government agencies and several NGOs have created some materials that will be used as reference material in this project. The organizations include the Office of the National Coordinator, Standards and Interoperability Framework (S and IF), the Association of State and Territorial Health Officers (ASTHO), the Council of State and Territorial Epidemiologists (CSTE), and others. For projects that have some of their content already developed: How much content for this project is already developed? approx. 50%

http://www.hl7.org/Special/committees/pher/docs.cfm

Clinical and Public Health Laboratories, Standards Development Organizations (SDOs), Other (specify in Misc. Notes below),Clinical and Public Health Laboratories; Local and State Departments of Health; Healthcare Institutions (hospitals, long term care, home care, mental health),EHR, PHR; Health Care IT; Lab; HIS

1) One or more vendors – providers of software to senders. OZ Systems (participation confirmed 3/19/2015) 2) One or more Public Health Authorities (State Departments of Health) – receivers. None identified at this time. TN is a probable participant if a sender can be located in Tennessee. Other states who were participants in the PHDSC pilot project are possible participants. 3) Hospitals and/or large provider organizations – senders of data to their respective public health authorities. None identified at this time. 4) Possible support for pilots is under consideration at the Association of State and Territorial Health Officers (ASTHO) as a part of their Public Health Community Platform activities.

A core, initial case report standard is needed for Stage III of Meaningful Use. Whether used stand-alone or in conjunction with the other specifications, e.g. the IHE Structured Data Capture (SDC) standard mentioned in the NPRM for Stage III, a DSTU is needed for regulatory guidance and certification.

Public Health reporting, Public Health Case reporting, Reportable conditions, Notice of Reportability

C-CDA - coexisting 2009 PHCR guide - replacing

Yes

Don't Know

No

2024 October: TSC approved Updated STU Extension Request forHL7 CDA R2 Implementation Guide: Public Health Case Report - the Electronic Initial Case Report (eICR) Release 2, STU Release 3.1 for 2 years 2024 October: TSC approved Updated STU Extension Request for HL7 CDA R2 Implementation Guide: Reportability Response, Release 1 STU Release 1.1- US Realm for 2 years 2022 August: TSC approved STU Extension Request for Public Health Case Report, Release 2: the Electronic Initial Case Report (eICR), Release 1, STU Release 1.1. 2022 June: TSC approved Unballoted STU Update Publication Request for - HL7 CDA R2 Implementation Guide: Public Health Case Report - the Electronic Initial Case Report (eICR) Release 2, STU Release 3.1 - US Realm - HL7 CDA R2 Implementation Guide: Reportability Response, Release 1 STU Release 1.1 - US Realm 2021 January: TSC approved STU Publication Request for HL7 CDA R2 Implementation Guide: Reportability Response, Release 1 STU Release 1.0- US Realm 2021 December: TSC approved STU Publication Request for HL7 CDA R2 Implementation Guide: Public Health Case Report - the Electronic Initial Case Report (eICR) Release 1, STU Release 3.0 - US Realm for two years. 2020 August: TSC approved: STU Extension Request for HL7 CDA R2 Implementation Guide: Public Health Case Report, Release 2: the Electronic Initial Case Report (eICR), Release 1, STU Release 1.1 - US Realm 2020 March: TSC approved STU Extension Request for HL7 CDA R2 Implementation Guide: Reportability Response, Release 1 STU Release 1.0- US Realm through March 11, 2022. 2018 Jan: TSC approved STU Publication Request for HL7 CDA R2 Implementation Guide: Public Health Case Report - the Electronic Initial Case Report (eICR) Release 1, STU Release 2.0 - US Realm 2018 May: TSC approved STU Extension Request for HL7 CDA R2 Implementation Guide: Public Health Case Report, Release 2: the Electronic Initial Case Report (eICR), Release 1, STU Release 1.1 - US Realm at TSC Tracker 15952 through June 15, 2019. March 2018: TSC approved ST
Organization & Realm

Realm Specific - Enter "U.S." or name of HL7 Affiliate below

U.S.
People

Maribeth Gagnon (CDC)



Public Health Work Group

Structured Documents Work Group

Status & Dates

Active

STU - Test Period/Accepting Comments

10/22/2015

01/01/2028

2028 Jan WGM/Ballot

01/15/2027

2027 Jan WGM/Ballot

2026Jan Ballot cycle info: STU Ballot results: met basic vote requirements; 1 negative to reconcile. Ballot name: HL7 CDA® R2 Implementation Guide: Public Health Case Report - the Electronic Initial Case Report (eICR) Edition 4 - US Realm 2026 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements; 0 negatives to reconcile. Ballot name: HL7 CDA® R2 Implementation Guide: Reportability Response File, Release 1 – US Realm 2021 Jan Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 3 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Public Health Case Report - the Electronic Initial Case Report (eICR) Release 1, STU Release 3.0 - US Realm 2019 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 7 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Public Health Case Report - the Electronic Initial Case Report (eICR) Release 1, STU Release 2.0 - US Realm 2017 May Ballot Cycle Info: STU Ballot results: Met basic vote requirements. 22 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Reportability Response File, Release 1 - US Realm 2016 Jan Ballot Cycle Info: DSTU Ballot results: Met basic vote requirements. 14 Negatives to reconcile Document Name: HL7 CDA R2 Implementation Guide: Public Health Case Report, Release 2
Approvals

12/22/2015


Not Needed


Not Needed




System Info



View Ballot Items (with NIBs)



04/09/2026

Anne Wizauer
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