““ Let's all work together to give the gift of health to our children and our nation.“ Joseph H. Kanter

Public Health Data Standards Consortium “

PUBLIC HEALTH DATA STANDARDS CONSORTIUM ~ 2012 BUSINESS MEETING OF MEMBERS ~ November 8-9, 2012, Hyattsville, MD 2012 PHDSC Report Anna O. Orlova, PhD Executive Director Public Health Data Standards Consortium Baltimore, Maryland, USA

2012 PHDSC Report: Outline Goals Membership Revenues Activities

2012 PHDSC Report Goals

PHDSC’s Mission Improved Health Information Health Data Standards Enhanced Health and Health Care Improved Health Information Health Data Standards Enhanced Health and Health Care Improved Health Information Health Data Standards Enhanced Health and Health Care Improved Health Information Health Data Standards Enhanced Health and Health Care Improved Health Information Health Data Standards Enhanced Health and Health Care Improved Health Information Health Data Standards Enhanced Health and Health Care Improved Health Information Health Data Standards Enhanced Health and Health Care Improved Health Information Health IT Standards Enhanced Population Health PHDSC is committed to bring a common voice from the public health community to the national efforts of standardization of health and healthcare information

Represent public health interests (local, state and federal agencies and research communities) in the standards development, harmonization and maintenance activities by participation in the standard development (SDOs), data content committees (DCCs), standard harmonization entities and other healthcare standardization- related efforts Promote interoperability of health-related data systems to meet the health data needs of public and private organizations, agencies and individuals Educate clinical and public health professionals about standards and systems interoperability, and vendors and clinicians about public health Enhance membership services 2012 PHDSC Goals

Develop Implementation Strategy for the PHDSC Strategic Plan We will hear reports from PHDSC Committees on Day 2 Strategic Plan was approved in March PHDSC Objective

2012 PHDSC Report Membership

Our Members Federal Agencies  Agencies for Healthcare Research and Quality (AHRQ)  Centers for Disease Control and Prevention (CDC)  CDC/ National Center for Health Statistics (NCHS)  CDC/ National Institute for Occupational Safety & Health (NIOSH)  Health Resources and Services Administration (HRSA)  National Library of Medicine (NLM)

Our Members State and Local Agencies  California Office of Statewide Health Planning and Development  Denver Public Health  El Paso City Department of Public Health, Texas  Minnesota Department of Health  Ohio State Department of Health  Texas Department of State Health Services  Wisconsin Department of Health and Family Services

Our Members Professional Membership Organization  American Immunization Registry Association (AIRA)  Association of Public Health Laboratories (APHL)  Association of State and Territorial Health Officers (ASTHO)  Council of State and Territorial Epidemiologists (CSTE)  National Association for Health Data Organization (NAHDO)  National Association of City and County Health Officers (NACCHO)  North American Association of Central Cancer Registries (NAACCR)  Texas Association of Local Health Officials

Other Professional Organizations  Illinois Hospital Association  Kaiser Permanente  Public Health Informatics Institute Our Members

Academic Institutions  INSERM (France)  Johns Hopkins Bloomberg School of Public Health  University of Connecticut  Vanderbilt University

Our Members For-profit Organizations  Atlas Public Health  Coto Partners  Cognosante (former Fox Systems)  Greenway Technologies  HLN Consulting, LLC  OZ Systems  Registry Widgets, Inc  Scientific Technologies Corporation (STC)  Software Partners, LLC

Our Members Organizations – Individual Members  American Health Information Management Association (AHIMA)  Prosocial Applications  Research Triangle Institute (RTI)

2012 PHDSC Membership

Revenues

PHDSC Revenues Membership Dues Grants Contracts Annual Meetings Services

PHDSC REVENUES: YearDuesGrants Contracts Ann. MtgsServices Total K002K078K K19K10K12K0123K K6K42K3K0132K K63K44K3.7K0225K K101K40K3.4K0262K K162K115K5K3.7392K K277K06K0408K K456K06.2K0556K K1000K04.6K01102K 2013*95K1107K05K01207K 2013* - Projected Revenues

PHDSC Revenues Comparison: $$$

PHDSC Revenues Comparison –

2012 PHDSC Report Activities

Represent public health interests (local, state and federal agencies and research communities) in the standards development, harmonization and maintenance activities by participation in the standard development (SDOs), data content committees (DCCs), standard harmonization entities and other healthcare standardization- related efforts Promote interoperability of health-related data systems to meet the health data needs of public and private organizations, agencies and individuals Educate clinical and public health professionals about standards and systems interoperability, and vendors and clinicians about public health Enhance membership services 2012 PHDSC Goals

Data Standards Co-Chairs: Robert Davis & Starla Ledbetter  Health Care Services Data Reporting Guide Chair: Robert Davis  Payer Typology Co-Chair: Roxanne Andrews Privacy, Security & Data Sharing Co-Chairs: Vicki Hohner & David Lawton EHR-PH Task Force & Nationwide Health Information Network Co-Chairs: Anna Orlova & David Ross Communication and Outreach Co-Chairs: Noam Arzt & Sally Klein Professional Education Co-Chairs: Anna Bossard & David Lawton 2012 PHDSC Committees

Represent public health interests (local, state and federal agencies and research communities) in the standards development, harmonization and maintenance activities by participation in the standard development (SDOs), data content committees (DCCs), standard harmonization entities and other healthcare standardization- related efforts Promote interoperability of health-related data systems to meet the health data needs of public and private organizations, agencies and individuals Educate clinical and public health professionals about standards and systems interoperability, and vendors and clinicians about public health Enhance membership services 2011 PHDSC Goals

PHDSC Projects on Assuring Health IT Standards for Public Health

Supported through the CDC Cooperative Agreement. Business Case: Public Health in HIT Standardization

PHDSC Business Case: HIT Standardization Phases, Products and Entities HIT Standardization Phases Needs & Priorities Development & Maintenance Selection & Harmonization Testing/Trial Implementation CertificationDeployment Goals What should be accomplished ? What are the standards? What standards to use? Show what can be accomplished Certify standards- based products Deploy standards- based products HIT Standards and Interoperability Framework Development Entities HIT Policy Committee HIT Standards Committee (Formerly AHIC) SDOs (e.g., HL7, SNOMED (IHTSDO), LOINC, ASC X12, NUBC, ISO TC215) IHE HITSP ONC Standards & Interoperability Framework NwHIN IHE Certification Entities (CCHIT, Drummond Group, Inc) Proposed IHE & PHDSC Deployment Workshops Standards Documents Use Cases (Description of the health information exchanges) Standards Interoperability Specifications Technical Frameworks Integration Profiles Test Reports Functional Profiles Certification Criteria Deployment Reports On-going Activities ( 2008-now) Developed methodology for public health participation in HIT standards development & harmonization. New Activities ( ) Develop methodology for public health participation in HIT product testing and certification Future Activities Develop methodology for evaluation of standard-based HIT products (HIT adoption)

Source: Fridsma D. Standards and Interoperability Framework: Principles and Processes. HIT Standards Committee. September 21, URL:

2009 PHDSC HIT Standardization Process is fully aligned with the 2010 ONC S&I Framework

HIT Standardization and PHDSC Projects HIT Standardiza- tion Phases Needs & Priorities Development & Maintenance Selection & Harmonization Testing /Trial Implemen- tation Certification Deploy- ment Goals What should be accomplished? What are the standards? What standards to use? Show what can be accomplished Certify standards- based products Deploy standards -based products Public Health Domains Undergoing HIT Standardiza- tion AHIC / MU: Biosurveillance Immunization ELR Public Health Reporting Newborn Screening Vital Records Biosurveillance Immunization PH-Lab Public Health Reporting Newborn Screening Vital Records Biosurveillance Immunization PH-Lab Public Health Reporting Newborn Screening Vital Records Admin Data Occupation Data PH-Lab Public Health Reporting Hearing Vital Records PH-Lab Public Health Reporting Hearing Vital Records PH-Lab Hearing ONC Standards and Interopera- bility Framework PHDSC Projects HITSP Projects Public Health Domains Undergoing HIT Standardi- zation Case Report Hearing

: Implementing the Business Case through  Developing a methodology for Public Health Participation in HIT Standardization Efforts  Educating Public Health Community about Health Informatics and HIT Standards Assuring Health IT Standards for Public Health Supported through the CDC Cooperative Agreement, 2008-now

: Implementing the Business Case through  Implementing PHDSC methodology: Public Health Participation in HIT Standardization Efforts  Educating Public Health Community about Health Informatics and HIT Standards Assuring Health IT Standards for Public Health Supported through the CDC Cooperative Agreement, 2008-now

PHDSC Projects on HIT Standardization Assuring Health IT Standards for Public Health HIT Policy Committee & HIT Standards Committee

Project 1: Assure HIT Standards for Public Health (Business Case: Role of Public Health in National HIT Standardization) Project 2: PHDSC Participation in Health Data Standards Development for Administrative Data Exchanges Project 3: Public Health Functional Requirements Project Project 4: Standards for Early Hearing Detection and Intervention (EHDI) Program Project 5: Standards for Public Health Laboratory (PH-Lab) Data Exchange Project 6: Clinical Document Architecture (CDA) for Public Health Project 7: Knowledgebase for ONC S&I Public Health Reporting Initiative Project 8: Business Process Analysis for Local Health Departments Project 9: University-based Public Health Informatics Training PHDSC Projects: Assuring Health IT Standards for Public Health

Project 1: Assure HIT Standards for Public Health (Business Case: Role of Public Health in National HIT Standardization) Project 2: PHDSC Participation in Health Data Standards Development for Administrative Data Exchanges Project 3: Public Health Functional Requirements Project Project 4: Standards for Early Hearing Detection and Intervention (EHDI) Program Project 5: Standards for Public Health Laboratory (PH-Lab) Data Exchange and Case Reporting Project 6: University-based Public Health Informatics Training PHDSC Projects: Assuring Health IT Standards for Public Health

Supported through the CDC Cooperative Agreement. Business Case: Public Health in HIT Standardization

Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 1: Defining Needs and Priorities for HIT Standards for Public Health Assuring Health IT Standards for Public Health

United States ONC S&I Public Health Reporting Initiative – Community-based Initiative Started in July 2011 International WHO Initiative of Health Data Standardization PHDSC and National & International Initiatives: Assuring Health IT Standards for Public Health

Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 2: Developing HIT Standards for Public Health Assuring Health IT Standards for Public Health

On-going Projects - Data Standards Committee  Participate in standards development activities: Maintain the Health Care Service: Data Reporting Guide. Collaborate with AHRQ and ANSI X12 to populate USHIK with All Payer Claims Database metadata Develop data standards harmonization GAP ASSIST on-line tool Assure the inclusion of more clinical content in the standards to accommodate changes in billing practices to pay for quality rather than just for procedures performed – IHE White Paper on Populating Admin Datasets from EHR Assuring Health IT Standards for Public Health

On-going Projects - EHR-PH Task Force & NHIN Committee  Public Health Functional Profile of the HL7 EHR-S Functional Model Release 2 that includes  Vital Record  Early Hearing Detection & Intervention (EHDI)  Cancer  Public Health Laboratory  Birth Defects  Occupational Health  Adverse Event Reporting  HL7 Public Health Reporting Requirements Standard Assuring Health IT Standards for Public Health

Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 3: Harmonizing HIT Standards for Public Health Assuring Health IT Standards for Public Health

On-going Projects - NHIN Committee  Public Health Reporting Integration Profile  Content Profiles: Early Hearing Detection and Intervention (EHDI)  Early Hearing Care Plan (EHCP)  Quality Measure Execution (QME) – EHDI  Cross Document Workflow - EHDI Public Health Laboratories  Cross Document Sharing – Lab Reports (XD-Lab) Occupational Data for Health (ODH)  Harmonization for data standards for ODH Assuring Health IT Standards for Public Health

Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 4: Testing HIT Standards for Public Health Assuring Health IT Standards for Public Health

On-going Projects - NHIN Committee  Develop HIT Testing Methods and Tools for Public Health Vital Records Early Hearing Detection & Intervention (EHDI) Public Health Laboratory Assuring Health IT Standards for Public Health

 EHR-Public Health Interoperability Showcase Vital Record Early Hearing Detection & Intervention (EHDI) Public Health Case Reporting/Alerting  Lab Reports  Case Reports Assuring Health IT Standards for Public Health Interoperability Showcase™

Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 5: Certifying Standards-based HIT Solutions for Public Health Assuring Health IT Standards for Public Health

On-going Projects - NHIN Committee  Establish HIT Certification process for EHR data exchanges with Public Health using HL7 Public Health Functional Profile for Early Hearing Detection & Intervention (EHDI) Public Health Laboratory Assuring Health IT Standards for Public Health

Implementing PHDSC Methodology on HIT Standardization for Public Health Phase 6: Deploying Standards-based HIT Solutions in Public Health Assuring Health IT Standards for Public Health

On-going Projects - NHIN Committee  Conduct pilot projects on using Clinical Document Architecture (CDA) standards for public health reporting Public Health Case Reporting Early Hearing Detection & Intervention (EHDI) Assuring Health IT Standards for Public Health

 Stage I – Use HL7 CDA documents  Clinical EHRs  Stage I – Use HL7 v2.3.1 or v2.5.1 messages to electronically record, modify, retrieve, submit public health data  Syndromic Surveillance – use v2.3.1 or v2.5.1  Laboratory Results Reporting to Public Health – use v2.5.1  Reporting to Immunization Registries - use v2.3.1 or v2.5.1  Stage II – Use HL7 CDA documents  Reporting to State Cancer Registries  Reporting of Early Hearing Detection and Intervention (EHDI) Quality Measures to Public Health HL7 Standards in Meaningful Use of HIT

CDA R CDA for PH Project: History of HL7 Source: Renly S, Krueger J. What’s Next? Why HL7 Messages and HL7 CDA Documents are in our Future. Presentation at the CDC PHIN Vocabulary and Messaging Community of Practice, February 21, 2012

URL:  They are the Continuity Care Record (CCD) standard and Clinical Document Architecture (CDA) standards  They represent information in documents (i.e., forms)  Used “post occurrence”, i.e. once the actual process is done to provide "snapshots" at a particular time  Contain data “as it was” when the document was originally created  Capture information and allow it to be shared  Can be superseded and corrected, but are "static documents" rather than dynamic objects  The more passive and loosely coupled your communication process is, the more the use of documents is applicable. HL7 Document-based Standards: CCD/CDA Source: Renly S, Krueger J. What’s Next? Why HL7 Messages and HL7 CDA Documents are in our Future. Presentation at the CDC PHIN Vocabulary and Messaging Community of Practice, February 21, 2012

CDA Test Result Report XML Schema … … HL7 CDA Standard CDA Test Result Report Human Readable

CDA for Public Health Reporting Pilot Projects  Communicable Diseases (November May 2012)  Early Hearing Detection and Intervention (August 2012 – January 2013) CDA for Public Health Reporting

Goal Demonstrate ability to receive a CDA-based Public Health Case Report by a Public Health Information Systems in two jurisdictions CDA for PH Pilot Project: Case Reporting

Header Social History Section Clinical Information Section Treatment Information Section Encounters Section Relevant Diagnostics and Laboratory Section Immunizations Section HL7 CDA Standards for Public Health Case Report

Public Health Reporting Schema: DELAWARE Provider EHR (Core CX360) CDA TB Case Report Delaware PH Communication Server/Router (Orion Rhapsody) CDA TB Case Report Delaware Electronic Reporting Surveillance System (DERSS) CDA-based Actor Diagram CDA for PH Pilot Project: Case Reporting

CDA for Public Health Reporting Pilot ProjectCommunicable DiseasesEarly Hearing Detection & Intervention States Participants DE, NYS, San-Diego CoMD, MI, ND, OR, RI State ObserversCT, MA, MI, OK, SC, WA, OHFL, MA, MO,OH, PA, SC, TX ReportsTB, PertussisNewborn Hearing Screening VendorsAllScript (test harness) Atlas Public Health CoreSolutions Oz Systems DE PH Communication Router NYS UPHN To be determined TimelineNov 2011 – May 2012Aug 2012 – January 2013

CDA Pilot Project Documentation: 1.PHDSC. Clinical Document Architecture (CDA) for Public Health. CDA Pilot Project: Communicable Diseases. Report. October URL: FINAL pdfURL: FINAL pdf 2.CDA for Public Health Pilot Project: Communicable Diseases PHDSC-IBM CDC Press Release. URL: 03.ibm.com/press/us/en/pressrelease/38602.wsshttp://www- 03.ibm.com/press/us/en/pressrelease/38602.wss 3.CDA for Public Health Pilot Project: Communicable Diseases Forbes on NYS Pilot. URL: help-stem-the-spread-of-whooping-cough/ help-stem-the-spread-of-whooping-cough/ 4.CDA for Public Health Pilot Project: Communicable Diseases wiki pages – URL: 5.CDA EHDI Pilot Project wiki pages. URL: PHDSC CDA for Public Health Pilot Project

Implementing PHDSC Methodology on HIT Standardization for Public Health Tools for Standards-based HIT Solutions in Public Health Assuring Health IT Standards for Public Health

Source: Fridsma D. Standards and Interoperability Framework: Principles and Processes. HIT Standards Committee. September 21, URL:

URL: Open Source Model Driven Health Tool - MDHT Building CDA Public Health Reports (Templates)

Model Driven Health Tool - MDHT The MDHT automatically generates the CDA templates, validation is built-in. Building CDA Public Health Reports in MDHT

MDHT Library of Public Health Reports

CDA PH Case Report Templates for Selected Conditions 1.Anthrax 2.Chlamydia trachomatis genital infection (& Gonorrhea, Syphilis) 3.Coccidioidomycosis 4.Haemophilus Influenzae, invasive disease, all ages, serotypes 5.Hepatitis B, Acute (& Hepatitis C) 6.Influenza 7.Meningococcal disease, all serogroups 8.Pertussis 9.Silicosis 10.Salmonellosis (& Shigella) 11.Streptococcus pneumoniae, invasive disease 12.Toxic-shock syndrome 13.Tuberculosis 14.Tularemia 15.West Nile virus (& Lyme) Building CDA Public Health Reports in MDHT

CDA Public Health Case Reports Header Social History Section Clinical Information Section Treatment Information Section Encounters Section Relevant Diagnostics and Laboratory Section Immunizations Section Example: Case Report Documentation: Pertussis Case Reports Pertussis - Data Definitions xlsData Definitions xls Pertussis - Implementation Guide pdfImplementation Guide pdf Pertussis - Case Report 1 (XML File) (JPG Image) 12-05/10(XML File)(JPG Image) Pertussis - Case Report 2 w/Labs (XML File) (JPG Image) 12-05/10(XML File)(JPG Image) CDA for PH Pilot Project: Case Reporting

PHDSC Business Case: HIT Standardization Phases, Products and Entities HIT Standardization Phases Needs & Priorities Development & Maintenance Selection & Harmonization Testing/Trial Implementation CertificationDeployment Goals What should be accomplished ? What are the standards? What standards to use? Show what can be accomplished Certify standards- based products Deploy standards- based products HIT Standards and Interoperability Framework Development Entities HIT Policy Committee HIT Standards Committee (Formerly AHIC) SDOs (e.g., HL7, SNOMED (IHTSDO), LOINC, ASC X12, NUBC, ISO TC215) IHE HITSP ONC Standards & Interoperability Framework NwHIN IHE Certification Entities (CCHIT, Drummond Group, Inc) Proposed IHE & PHDSC Deployment Workshops Standards Documents Use Cases (Description of the health information exchanges) Standards Interoperability Specifications Technical Frameworks Integration Profiles Test Reports Functional Profiles Certification Criteria Deployment Reports On-going Activities ( 2008-now) Developed methodology for public health participation in HIT standards development & harmonization. New Activities ( ) Develop methodology for public health participation in HIT product testing and certification Future Activities Develop methodology for evaluation of standard-based HIT products (HIT adoption)

HIT Standardization and PHDSC Projects HIT Standardiza- tion Phases Needs & Priorities Development & Maintenance Selection & Harmonization Testing /Trial Implemen- tation Certification Deploy- ment Goals What should be accomplished? What are the standards? What standards to use? Show what can be accomplished Certify standards- based products Deploy standards -based products Public Health Domains Undergoing HIT Standardiza- tion AHIC / MU: Biosurveillance Immunization ELR Public Health Reporting Newborn Screening Vital Records Biosurveillance Immunization PH-Lab Public Health Reporting Newborn Screening Vital Records Biosurveillance Immunization PH-Lab Public Health Reporting Newborn Screening Vital Records Admin Data Occupation Data PH-Lab Public Health Reporting Hearing Vital Records PH-Lab Public Health Reporting Hearing Vital Records PH-Lab Hearing ONC Standards and Interopera- bility Framework PHDSC Projects HITSP Projects Public Health Domains Undergoing HIT Standardi- zation Case Report Hearing

: Implementing the Business Case through  Implementing PHDSC methodology: Public Health Participation in HIT Standardization Efforts  Educating Public Health Community about Health Informatics and HIT Standards Assuring Health IT Standards for Public Health Supported through the CDC Cooperative Agreement, 2008-now

Health Information Technology Standards Web-Resource Center ( PHDSC Webinars:  HIT Standards for Early Hearing Detection and Intervention  Re-evaluation of HL7 EHR-S Functional Model from Public Health Perspectives University-based Health Informatics Training in partnership with Johns Hopkins University Educate Public Health and Clinical Professionals about HIT Standards

PHDSC Health Information Technology Standards Web-Resource Center ( /resource-center.asp) /resource-center.asp

Assuring Health IT Standards for Public Health

Building Public Health Informatics at Hopkins PHDSC works with Johns Hopkins to develop and deliver the following training: Clinical Informatics Certificate Public Health Informatics Certificate Applied Health Informatics Certificate Applied Master Degree in Health Informatics Master of Health Sciences Informatics – Research URL:

Assuring Health IT Standards for Public Health

Represent public health interests (local, state and federal agencies and research communities) in the standards development, harmonization and maintenance activities by participation in the standard development (SDOs), data content committees (DCCs), standard harmonization entities and other healthcare standardization- related efforts Promote interoperability of health-related data systems to meet the health data needs of public and private organizations, agencies and individuals Educate clinical and public health professionals about standards and systems interoperability, and vendors and clinicians about public health Enhance membership services 2012 PHDSC Goals

Strengthening partnerships with member organizations Participate in Joint Public Health Informatics Task Force (JPHIT) Collaborate with PHDSC members in HIT Standardization Projects:  Agency for Healthcare Research and Quality  Association of Public Health Laboratories (APHL)  Atlas Public Health  Centers for Disease Control & Prevention (NCHS, NCBDDD, OSELS, NIOSH)  Council for State and Territorial Epidemiologists (CSTE)  HLN Consulting  National Association of City and County Health Officials (NACCHO) OZ Systems  Registry Widgets Enhancing Membership Services

PHDSC Web-based Resources PHDSC Quarterly Standard e-Newsletter ( outreach_products.asp) outreach_products.asp Projects Wiki Pages Updates on Key Initiatives on HIT Standards via broadcast Develop new marketing strategies via social media outlets (blogs, twitter, facebook and others) Enhancing Membership Services

PHDSC in the News

Anna Orlova, PhD, Executive Director, Alla Fridman, Project Manager, 111 South Calvert Street Suite 2700 Baltimore MD Phone: Fax: URL: PHDSC Annual Busines s Meeting Users Guide for Source of Payment Typolog y PHDSC- IHE Public Health Task Force June 18, 2008 March 17, 2008 PHDSC Committees Communications and OutreachCommunications and Outreach Data Standard sData Standard s Exte rnal Caus e of Injur y Cod esExte rnal Caus e of Injur y Cod es Hea lth Care Servi ces Data Rep ortin g Guid eHea lth Care Servi ces Data Rep ortin g Guid e Pay er Typo logyPay er Typo logy Nationwi de Health Informati on NetworkNationwi de Health Informati on Network Privacy, Security and Data SharingPrivacy, Security and Data Sharing Professi onal Educatio nProfessi onal Educatio n Welcome to the Public Health Data Standards Consortium The Public Health Data Standards Consortium is committed to bringing a common voice from the public health community to the national efforts of standardization of health information technology and population health. To fulfill this commitment the Consortium: Identifies priorities for the new national standards for population health; Promotes the integration of health-related data systems to meet the health data needs of public and private organizations, agencies and individuals; Participates in national and international efforts on the standardization of health-related information; Represents public health interests in standards development organizations, data content committees & standards harmonization entities; and Educates the public health community about health information technology standards and the health information technology community about public health. Home Listserv Site Map Contact Us Copyright 2008 © Public Health Data Standards Consortium - All Rights Reserved Click here to review the PHDSC's Legal and Privacy StatementLegal and Privacy Statement HOM E About the Consortium Standards Development & Harmonization Health Information Exchanges Privacy & Security Workforce Developmen t Resource s PHDSC Product s Get Involved!