Query+Health+All+Hazards+User+Story

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=Actors and Roles =
 * Business Actor || System || Role ||
 * Provider/Provider Organization || Electronic Health Record System || Data Source/Aggregator, Network Data Partner ||
 * Health Department || Syndromic Surveillance System || Query Source, Results Receive, Information Collector/Combiner ||
 * Query & Results Reviewer || Workflow System (BioSense 2.0) || Network Data Partner, Results Receiver ||

User Story Details
A pillar of current U.S. health reform efforts is promoting the effective use of health information technology to transform how health care is delivered and population health is improved. Of immediate importance for public health authorities (PHA) is getting ready for implementation of the Medicare and Medicaid Electronic Health Records (EHR) Incentive Programs (“Meaningful Use” programs), a major component of the Health Information Technology for Economic and Clinical Health (HITECH) Act as part of 2009 American Recovery and Reinvestment Act (Recovery Act) legislation, developed through a joint effort by the Office for Civil Rights (OCR), the Office of the National Coordinator for Health Information Technology (ONC), and the Centers for Medicare and Medicaid Services (CMS). Per rule, in order to demonstrate meaningful use of their certified EHR technology, eligible hospitals must choose at least one of three objectives related to the testing of electronic reporting to public health: immunization data to an immunization registry, electronic submission of reportable (as required by state or local law) lab results (or ELR), or syndromic surveillance. to support contemporary syndromic surveillance practice and provide a current-state picture for system redesign in order to provide a nationwide and regional situation awareness picture for all hazards health-related events.

Subscription Query
<span style="background-color: #ffffff; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">A subscription query is used to repeatedly perform queries on a dataset fon weekly basis. It contains result blocks that perform Functions on Entities with specified Attributes. The metadata of a subscription includes: the start date when the subscription should be active, end date when the subscription should terminate, and reporting frequency which is how often the query is run and data transmitted as described below.

<span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 18pt; text-decoration: none; vertical-align: baseline;">Entities
<span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Unit of analysis is patientID

<span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 18pt; text-decoration: none; vertical-align: baseline;">Attributes
<span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Patient demographic characteristics include: Patient’s Age, Patient’s Gender, Patient’s Zip Code, and Patient’s County.

<span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 18pt; text-decoration: none; vertical-align: baseline;">Functions
<span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Information provider should report counts of syndromes for: Upper Respiratory Infection, Gastrointestinal illness, Heat-related illness, or rash. Syndromes are defined as follow


 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Condition || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Diagnosis/Procedure Search Terms ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Heat || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">E900, 992 ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Rash || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">782.1, 7821 ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Upper Respiratory Infections (URI) || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">460, 461, 462, 463, 464, 465 ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Gastrointestinal (GI) || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">535.01, 535.41, 535.51, 535.61, 536.2, 555.1, 555.2, 558.2, 558.9, 567.1, 567.2, 567.8, 567.9, 568.9, 569.9, 787.01, 787.02, 787.03, 787.1, 787.2, 787.3, 787.91, 789.01, 789.02, 789.03, 789.04, 789.05, 789.06, 789.07, 789.09, 789.61, 789.62, 789.63, 789.64, 789.65, 789.66, 789.67, 789.69, 789.9, 005.89, 005.9, 008.49, 008.5, 008.69, 008.8, 009.0, 009.1, 009.2, 009.3, 022.2, 078.82, 535.00, 535.40, 535.50, 535.60, 555.0, 578.0, 789.00, 789.60, 53501, 53541, 53551, 53561, 5362, 5551, 5552, 5582, 5589, 5671, 5672, 5678, 5679, 5689, 5699, 78701, 78702, 78703, 7871, 7872, 7873, 78791, 78901, 78902, 78903, 78904, 78905, 78906, 78907, 78909, 78961, 78962, 78963, 78964, 78965, 78966, 78967, 78969, 7899, 00589, 0059, 00849, 0085, 00869, 0088, 0090, 0091, 0092, 0093, 0222, 07882, 53500, 53540, 53550, 53560, 5550, 5780, 78900, 78960 ||

<span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 14pt; text-decoration: none; vertical-align: baseline;">Data Elements

 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Data Element || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Data Type || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Format || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Max Length || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Description || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Required ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Date || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Text || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">YYY-MM-DD || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">10 || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Date of encounter || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Required ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Zip5 || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Text || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">AAA || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">5 || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Can be aggregate by level of city, or state or country. If the patient zip code is unknown, then default to the facility zip code. || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Varies ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Age Group || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Number || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;"># Valid values: 1,2,3,4,5,6,7 || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">1 || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Number indentifying the age group that the indicator count represents || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Required ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Total || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Number || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">### || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">8 || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Total number of patient ED visits for age group, region code || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Required ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Heat || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Number || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">### || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">8 || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Number representing number of visits for heat-related illness for age and region code || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Required ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Rash || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Number || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">### || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">8 || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Number representing number of visits for rash-related illness for age and region code || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Required ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">URI || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Number || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">### || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">8 || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Number representing number of visits for broad GI related illness for age and region code, disposition (if available) and temperature (if available) (see below) || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Required ||
 * <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">GI || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Number || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">### || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">8 || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Number representing number of visits for GI related illness for age and county || <span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Required ||

<span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 14pt; text-decoration: none; vertical-align: baseline;">Age group designations
<span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">Age groups will be coded using the numbers 1 through 7 for the age groups shown below: <span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;"> 1: <2 <span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;"> 2: 2 – 4 <span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;"> 3: 5 – 17 <span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;"> 4: 18 – 44 <span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;"> 5: 45 – 64 <span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;"> 6: 65+ <span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;"> 7: Unknown

<span style="background-color: transparent; color: #000000; font-family: Arial; font-size: 14pt; text-decoration: none; vertical-align: baseline;">Total
<span style="background-color: transparent; color: #000000; display: block; font-family: Arial; font-size: 10pt; text-decoration: none; vertical-align: baseline;">This is the count of ALL emergency department visits by date/age group/5 digit zip/patient county (if available).

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