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Electronic Reporting of Communicable Diseases – Developing a Constrained Public Health Case Report in HL7 Clinical Document Architecture (CDA)
An HL7 standard for public health case reporting (PHCR) was first developed in 2009 and included specification for four communicable diseases. In 2012 it was further developed by the Office of National Coordinator (ONC) Standards and Interoperability’s Public Health Report Initiative (PHRI) to support different case reports needed for reportable disease surveillance. This presentation provides an overview of the process by which Centers for Disease Control and Prevention (CDC) collaboratively developed a reporting specification in Clinical Data Architecture (CDA) for electronic PHCR.
Methods
The Council of State and Territorial Epidemiologists and CDC submitted a communicable disease reporting user case to PHRI. An interdisciplinary team of experts from standard development organizations to public health professionals met weekly using webinar to review and prioritize use cases including data elements across multiple public health domains.
Results
The outcome resulted in a harmonized set of data elements and development of CDA templates for PHCR of communicable diseases.
Discussion/Conclusions
These efforts lead to a set of CDA templates reusable across clinical care and public health for reporting communicable diseases. The templates are conformant with design patterns established for Electronic Health Records (EHR) Systems and interoperable data exchange. However, the impact and burden of implementing CDA specific for PHCR by EHR vendors and health jurisdictions needs to be further articulated to inform the ONC.
Learning Areas:
Communication and informaticsLearning Objectives:
Explain the importance and role of communicable disease reporting
Discuss the opportunity to promulgate a national standard for PHCR from an Electronic Health Record (EHR) system to public health
Describe the importance and role of public health stakeholders
Keyword(s): Surveillance, Information Technology
Qualified on the content I am responsible for because: I currently serve as the Co-Lead of the Case Report Standardization Workgroup as part of the Council of State and Territorial Epidemiologists, and I am the CDC technical monitor for two pilot jurisdictions facilitating public health case reporting between electronic health record and public health information systems.
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.