1. Public Health Reporting Initiative October 3, 2012

2. Agenda TopicTime Allotted Welcome / Agenda Overview – Brian Castor4:00 - 4:05 Data Harmonization Update – Nikolay Lipskiy4:05 – 4:25 Stage 3 Sprint Update – Riki Merrick FDA Perspective – Lise Stevens 4:25 – 4:45 Potential “Phase 2” Topics – Nikolay Lipskiy4:45 – 4:55 Discussion / Action Items4:45 – 5:00 Adjourn5:00

3. Timelines & Artifacts Data Harmonization Profile – Common core data elements (note that references to submitted user story / report type data elements will be included, but report type data elements are out of scope for this document) – FHIM model Implementation Specification – Common core data elements using CDA Appendix to illustrate mapping to 2.5.1 segments – Report type example #1: generic case report – Report type example #2: FDA adverse events

4. Timelines & Artifacts ArtifactKey Dates Data Harmonization Profile: Common core data elements with references to user story / report type data elements FHIM model Review by Data Mapping group: 10/11/12 Publish for Public Comment: 10/25/12 Consensus (estimated): 11/7/12 – 11/14/12 Implementation Specification: Common core data elements using CDA Appendix to illustrate mapping to 2.5.1 segments Report type example #1: generic case report Report type example #2: FDA adverse events Common Core guidance finalized: 10/10/12 Case Reporting guidance: 10/17/12 Adverse Event Reporting guidance: 10/24/12 Publish for Public Comment: 10/25/12 Consensus (estimated): 11/7/12 – 11/14/12

5. Data Harmonization Update Next meeting: Thursday, 12-2 PM ET Goal: Finalize Common Core Data Elements – Currently 95% complete Working with FHIM team to complete modeling component

6. Core Common “Objects” Health Problems Exposure Report Metadata Patient Information Encounter / Patient Visit Facility Allergy / Adverse Event Immunization Medication Vital Sign Indicator Patient Contact Information Payer Information Provider Information Procedure Social History Family History Order / Diagnostic Test Result Specimen Employment Information Medical Devices Physical Exam Each of these “objects” holds a set of data elements with descriptive information including a detailed description, proposed value set, and proposed format. Note that "Risk factors" are condition-dependent and can be found in the social history, family history, health problem, exposure, and other objects. Specific risk factors may be enumerated in report-type specific requirements/elements.

7. Data Harmonization Profile: Core Common Description S&I PHRI Object PH Data ElementData Element Description Data Element Format Vocab / Value Set Links (PHIN VADS) Guidelines Patient Information Medical Record Number Patient medical record numberInteger Patient Information LanguageSubject’s primary or spoken language (e.g., three- letter identifiers for all known human languages). Coded ValueISO 639-2ISO Patient Information Marital StatusStatus of marriage (e.g., single, married, separated, unknown, unreported, etc.) Coded ValueHL7 Marital StatusHL7 2.x marital status Patient Information Patient AddressAddress of the subject of the report, including Address Type Address Patient Information Patient AgeAge of the subject of the report at the time of diagnosis (includes units) Quantity Can be a calculated value. Includes 'age units' (e.g., for children under 2 years of age, can include months). Patient Information Patient Date of Birth Date of birth (DOB) of the subject of the reportDate/Time Patient Information Patient EmailEmail address of the subject of the reportNetwork/Em ail address Patient Information Patient EthnicityDetailed ethnicity of the subject of the report (e.g., Canadian, Mexican, Cuban, etc.) Coded ValueCDC Race and Ethnicity CDC EthnicityCan be rolled up into ethnicity group. Patient Information Patient Ethnicity Group Ethnicity group of the subject of the report (i.e., "Hispanic or Latino", "Not Hispanic or Latino"). Coded ValueCDC Race and Ethnicity CDC Ethnicity Group Can be created by rolling up detailed ethnicity into ethnicity group. Patient Information Patient SexCurrent sex of the subject of the report (i.e., female, male, undifferentiated) Coded ValueHL7 Administrative Gender (HL7 v2 table 001) HL7 v3 Administrative Gender Patient Information Patient IDIdentifier for the subject of the report (e.g., Patient ID) Composite ID Patient Information Patient NameName of the subject of the report (including first, middle, and last) Person Name Patient Information Patient PhonePhone number of the subject of the reportTelephone Number Patient Information Patient RaceDetailed race information about the subject of the report (e.g., Alaska Indian, Central American Indian, Croatan, French, Lebanese). Coded ValueCDC Race and Ethnicity (Race Categories) CDC RaceCan roll up to race category from detailed race information from CDC Race and Ethnicity Hierarchy. Patient Information Patient Race Category Race category of the subject of the report (e.g., Asian, White, Other, etc.) Coded ValueCDC Race and Ethnicity (Race Categories) CDC Race Category Can roll up to race category from detailed race information from CDC Race and Ethnicity Hierarchy.

8. Data Harmonization Profile: FHIM component

9. Stage 3 Sprint – Implementation Guide Next meeting: Wednesday, 10am – 12pm ET Review and finalize CDA guidance for common core data elements – Begin discussing the generic case report and adverse event ‘report type’ guidance – Time permitting, review and finalize 2.5.1 guidance / mapping for common core data elements

10. PHRI “Phase 2” Are there topics of interest for a future phase of the PHRI? Are you interested in leading the Initiative to champion a new or existing activity? Email Lindsay Brown (lrbrown@cdc.gov)lrbrown@cdc.gov