Standards and Interoperability Public Health Tiger Team (PHTT)

1. Standards and InteroperabilityPublic Health Tiger Team (PHTT) Jim Daniel, MPH John Saindon, DrHSc, MT Public Health Lead Health Scientist ONC CDC

2. PHTTS&I Public health tiger team

3. S&I: Public Health Tiger Team (PHTT)

4. Why consolidate into PHTT? Best use of resources and time Assurance that these initiatives will have Public Health Representation Strengthened partnership between community and vendor based partners SDC/DAF/HeD work in parallel with each other

5. PH TT Contact Information ONC Public Health Lead: Jim (James) Daniel (james.daniel@hhs.gov) CDC Public Health Lead: John M. Saindon (uzn0@cdc.gov) PHTT Wiki Page: http://wiki.siframework.org/Public+Health+Tiger+Team SDC Wiki Page: http://wiki.siframework.org/Structured+Data+Capture+Initiative DAF Wiki Page: http://wiki.siframework.org/Data+Access+Framework+Homepage HeD Wiki Page: http://wiki.siframework.org/Health+eDecisions+Homepage Weekly PHTT Meeting Info (Tuesdays): Time: 2:00pm - 3:00pm Eastern URL:https://siframework1.webex.com/ Dial-In Number: 1-650-479-3208 Access Code: 665 131 907

6. Standards & Interoperability (S&I) Framework Overview

7. S&I Framework Overview Specific health interoperability initiatives guide the design and development of a fully integrated and connected health information system. An S&I Initiative focuses on a single challenge with a set of value-creating goals and outcomes, and the development of content, technical specifications and reusable tools and services. Call for Participation: The overall success of the S&I Framework is dependent upon volunteer experts from the healthcare industry and we welcome any interested party to get involved in S&I Framework Initiatives, participate in discussions and provide comments and feedback by joining the Wiki: http://wiki.siframework.org

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9. Community Partners- (crowd sourcing) • ONC • CMS • FDA • NLM • NIH • Vendors • Local Public Health Organizations • State Public Health Organization • CDC • Public Health Organizations

10. SDCStructured data capture

11. Structured Data Capture Data Architecture • Standards will facilitate the collection of data so that any researcher, clinical trial sponsor, reporting and/or oversight entity can access and interpret the data in electronic format • Will leverage existing standards such as XML and CDISC Retrieve Form for Data Capture (RFD) Infrastructure will consist of four new standards that will enable EHRs to capture and store structured data: • Standard for the CDEs that will be used to fill the specified forms or templates • Standard for the structure or design of the form or template (container) • Standard for how EHRs interact with the form or template • Standard to auto-populate form or template 12

12. EHR and SDC Model Example Types of Reporting Case Reporting (Pilot CDA) ELR 2.5.1 Immunization 2.5.1 EHR PH Cancer CDA Sample Types of Reporting Deliver data from form {FormatType, TBD} Form Request Form (CDISC RFDC) Quality Forms Repository Deliver Form Define Forms CDEs Meta Data Business Logic Research Public Health

13. Pilots • Potential Pilots • Case Reports (STD, TB, Pertussis?) • EHDI • EP Cancer Reporting • Next Steps • Common Data Element Formatting • Mapping to SDC IG • Identify Partners/Funding

14. DAFData Access Framework

16. • Transport Layer —establishing a protocol for getting patient data from one place to another. •Security Layer —ensuring that patient data will only be accessible to authorized parties. • Query Structure —making sure the “question” being asked is phrased appropriately for the data to answer it. “Questions” could include “what were the pathology results of this patient’s last test” and “how many immunizations has this clinic provided each month in the past year.” •Query Results —appropriately formatting the “answer” to the question posed. Pathology results may need to conform to clinical document architecture, while an answer about immunization counts could be presented as a simple bar graph. •Data Model to Support Queries —information models that define concepts used in clinical care.

17. Query Health Pilots

18. HeDHealth edecision

19. HeD - Use Case 1

21. Pilots • Planned • Pertussis reporting triggers • Potential • Trigger SDC Report • Trigger Community Resource Referral (in conjunction with SDC)

22. Where can you support? • PHTT: Participate in weekly collaborative meetings • SDC-PH: • mapping of CDEs into SDC format • Pilot site for proposed use case (FUNDING Recommendations) • DAF-PH: Pilots/PH Use Cases • HeD-PH: Pilots/PH Use Cases

23. PH TT Contact Information ONC Public Health Lead: Jim (James) Daniel (james.daniel@hhs.gov) CDC Public Health Lead: John M. Saindon (uzn0@cdc.gov) PHTT Wiki Page: http://wiki.siframework.org/Public+Health+Tiger+Team SDC Wiki Page: http://wiki.siframework.org/Structured+Data+Capture+Initiative DAF Wiki Page: http://wiki.siframework.org/Data+Access+Framework+Homepage HeD Wiki Page: http://wiki.siframework.org/Health+eDecisions+Homepage Weekly PHTT Meeting Info (Tuesdays): Time: 2:00pm - 3:00pm Eastern URL:https://siframework1.webex.com/ Dial-In Number: 1-650-479-3208 Access Code: 665 131 907

24. Moving Forward March 11th meeting will be canceled due to conflicting conferences March 18th meeting will be a deep dive into Data Access Framework and Health eDecision

25. Thank you for your support. Q/A?