Standards and InteroperabilityPublic Health Tiger Team (PHTT)
Jim Daniel, MPH John Saindon, DrHSc, MTPublic Health Lead Health Scientist ONC CDC
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PHTTS&I PUBLIC HEALTH TIGER TEAM
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S&I: Public Health Tiger Team (PHTT)
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Standards and Interoperability:
Public Health Tiger Team
Data Access Framework
Structured Data
Capture
Health eDecisions
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
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PH TT Contact Information
ONC Public Health Lead: Jim (James) Daniel ([email protected]) CDC Public Health Lead: John M. Saindon ([email protected])
PHTT Wiki Page: http://wiki.siframework.org/Public+Health+Tiger+Team SDC Wiki Page: http://wiki.siframework.org/Structured+Data+Capture+InitiativeDAF Wiki Page: http://wiki.siframework.org/Data+Access+Framework+HomepageHeD 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
Standards & Interoperability (S&I) Framework Overview
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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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Community Partners- (crowd sourcing)
• ONC• CMS• FDA• NLM• NIH• Vendors
• Local Public Health Organizations
• State Public Health Organization
• CDC• Public Health
Organizations
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SDCSTRUCTURED DATA CAPTURE
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Structured Data Capture Data Architecture
Infrastructure will consist of four new standards that will enable EHRs to capture and store structured data:1. Standard for the CDEs that will be used to fill the specified forms or
templates2. Standard for the structure or design of the form or template
(container)3. Standard for how EHRs interact with the form or template4. Standard to auto-populate form or template
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• 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)
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EHR PHForm
Sample Types of
Reporting
Quality
Research
Public Health
Case Reporting (Pilot CDA)
EHR and SDC Model
ELR 2.5.1Immunization 2.5.1
Cancer CDA
Forms Repository
Request Form
(CDISC RFDC)Deliver Form
Deliver data from form{Format Type, TBD}
Example Types of Reporting
CDEsMeta DataBusiness
Logic
Define Forms
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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
DAFDATA ACCESS FRAMEWORK
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• 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.
Query Health PilotsPilot Focus RI
QueriesRI Policy Layer
Data Sources Kickoff
NYC & NYS Depts. of Public Health
Diabetes (NYC)Hypertension (NYS)
i2b2 PMN RHIOsEHR Vendor
May 2012
FDA Mini-Sentinel
Use of clinical data sources for FDA questions
PMN PMN i2b2/Beth Israel
June 2012
CDC National / regional:- Disease syndromes- Situation awareness
i2b2 PMN Bio-Sense 2 July 2012
Mass. Dept. of Public Health
Diabetes PMN PMN MDPHNet July 2012
CQM Quality Measures hQuery PMN EHR Vendor August 2012
HeDHEALTH eDECISION
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HeD - Use Case 1
Pilots
• Planned– Pertussis reporting triggers
• Potential– Trigger SDC Report– Trigger Community Resource Referral (in
conjunction with SDC)
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
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PH TT Contact Information
ONC Public Health Lead: Jim (James) Daniel ([email protected]) CDC Public Health Lead: John M. Saindon ([email protected])
PHTT Wiki Page: http://wiki.siframework.org/Public+Health+Tiger+Team SDC Wiki Page: http://wiki.siframework.org/Structured+Data+Capture+InitiativeDAF Wiki Page: http://wiki.siframework.org/Data+Access+Framework+HomepageHeD 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
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
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Thank you for your support.
Q/A?
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Standards and Interoperability:
Public Health Tiger Team
Data Access Framework
Structured Data
Capture
Health eDecisions
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