PHRI+Overview+and+Links

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The Public Health Reporting Initiative established a Project Charter to outline the scope of work in September, 2011. The Initiative was charged to develop and implement a standardized approach to electronic public health reporting from EHR systems to state, local, and federal public health programs; this approach is to address the needs of several different reporting use cases, with a long term goal of reducing the difficulty (to both providers and public health agencies) of implementing electronic versions of reports across the broad spectrum of public health requirements. The full version of the Project Charter can be found.

The next step to meeting the goal of achieving interoperability across public health reporting was to solicit user stories that describe the various reporting scenarios within public health. The initiative asked for members of the public health community to submit information about their public health reporting process, including business processes, data elements, and a narrative description of the reporting scenario. The Initiative received over 30 submissions, found here, which were organized into 5 domains for review and analysis. The 5 domains include Adverse Event, Child Health, Communicable Disease , Chronic Disease , and Infrastructure, Quality, and Research. The domains served as a starting point for smaller-group discussions about similar reporting requirements and data elements. Through several months of discussion, these domain working groups created outputs describing the reporting scenario and suggested sets of data elements for review and harmonization. These outputs were compiled into the.

In parallel to the domain discussions, a subworkgroup was created to focus on harmonizing public health reporting definitions for use by the PHRI. The work of the "Definitions" subworkgroup can be found here and resulted in a complete document of PHRI terms and associated definitions.

The Consolidated Use Case presents a harmonized view of submitted public health reporting user stories. The document describes the use case for a provider-submitted report from an EHR system sent to a public health agency system (directly or through an intermediary system such as an HIE). The PHRI Use Case has been vetted with the public health community and consensus approved by members and is included in the S&I Framework Document Repository. The PHRI Use Case can be found.

From the Use Case, a set of harmonized were developed. This document shares a high-level view of the public health reporting business flow, highlighting those components that are in scope and out of scope for PHRI artifacts. The document presents recommendations on harmonized business processes to support interoperable public health reporting. The Functional Requirements have been vetted with the public health community and consensus approved by members. The Functional Requirements document can be found.

The Data Harmonization subworkgroup was created to discuss, analyze, and evaluate data elements for public health reporting across submitted user stories. The work of this group can be found here. The primary artifact created by this group is the Data Harmonization Profile, which describes a set of core common data elements, organized into 22 objects, for public health reporting that share harmonized names, definitions, formats, and value sets (where applicable). The core common data elements may be implemented across both sending and receiving systems to streamline and harmonize public health reporting.

In September of 2012, a new subworkgroup was created to tackle the development of implementation guidance for harmonized public health reporting, built from the core common data elements described in the Data Harmonization Profile. This group, the Stage 3 Sprint Team, decided to focus on CDA to support electronic public health reporting and is developing implementation guidance. Information about this group, including the Public Health Reporting CDA Specification can be found here. The next step for the implementation guidance is pilot testing. The Initiative welcomes any public health reporting program that would like to take the PHRI implementation guidance and harmonized data elements to create or contribute to a pilot.

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