1. PHIN PH Repository Stakeholder Dashboard View PHIN Public Health Reporting Resource Repository PH Practitioner Public Health Practice Stories From the Field Fact Sheet Public Health Practice Stories From the Field Fact Sheet PH Informatician Public Health Case Reporting Fact Sheet Public Health Case Reporting Fact Sheet Standards Developer Public Health Standards Development, Harmonization, & Testing Fact Sheet Public Health Standards Development, Harmonization, & Testing Fact Sheet Vendor HIT Testing, Certification, & Deployment Fact Sheet HIT Testing, Certification, & Deployment Fact Sheet

2. PH Practitioner Public Health Practice Stories From the Field Fact Sheet Public Health Practice Stories From the Field Fact Sheet Shared Policies Shared Practices Public Health Case Reporting Fact Sheet Public Health Standards Development Harmonization Testing Fact Sheet HIT Testing, Certification Deployment Fact Sheet HIT Testing, Certification Deployment Fact Sheet PH InformaticianStandards DeveloperVendor Shared Policies Shared Practices Shared Services Shared Standards Shared Services Shared Standards Shared Practices Shared Standards Fact SheetsFact Sheets PHIN PH Repository Stakeholder Dashboard View

3. HIT Standardization Phases & Products 1 Standards Needs/Priorities 2 Develop Standards 3 Select Standards 4 Test Standards 5 Certify Standards-based Products 6 Adopt Standards-based Products Public Health Reporting Resource Repository Use Cases Standards Interop Spec, Tech Fwk Int. Prof Interop Spec, Tech Fwk Int. Prof Implementation Reports Certification Criteria Adoption Stories

4. Public Health Practitioner Use of HIT Standardization 1 Standards Needs/Priorities 2 Develop Standards 3 Select Standards 4 Test Standards 5 Certify Standards-based Products 6 Adopt Standards-based Products Public Health Reporting Resource Repository Use Cases Standards Interop Spec, Tech Fwk Int. Prof Interop Spec, Tech Fwk Int. Prof Implementation Reports Certification Criteria Adoption Stories Legend: Not relevant Relevant to stakeholder

5. Public Health Informatician use of HIT Standardization 1 Standards Needs/Priorities 2 Develop Standards 3 Select Standards 4 Test Standards 5 Certify Standards-based Products 6 Adopt Standards-based Products Public Health Reporting Resource Repository Use Cases Standards Interop Spec, Tech Fwk Int. Prof Interop Spec, Tech Fwk Int. Prof Implementation Reports Certification Criteria Adoption Stories

6. HIT Standards Developer Use of HIT Standardization 1 Standards Needs/Priorities 2 Develop Standards 3 Select Standards 4 Test Standards 5 Certify Standards-based Products 6 Adopt Standards-based Products Public Health Reporting Resource Repository Use Cases Standards Interop Spec, Tech Fwk Int. Prof Interop Spec, Tech Fwk Int. Prof Implementation Reports Certification Criteria Adoption Stories Legend: Not relevant Relevant to stakeholder

7. HIT Vendor Use of HIT Standardization 1 Standards Needs/Priorities 2 Develop Standards 3 Select Standards 4 Test Standards 5 Certify Standards-based Products 6 Adopt Standards-based Products Public Health Reporting Resource Repository Use Cases Standards Interop Spec, Tech Fwk Int. Prof Interop Spec, Tech Fwk Int. Prof Implementation Reports Certification Criteria Adoption Stories

8. Health Information Technology Standardization Phases, Product, & Entities PHIN PH Repository Dashboard Views and Resources PH Practitioner Public Health Practice Stories From the Field Fact Sheet Public Health Practice Stories From the Field Fact Sheet Public Health Case Reporting Fact Sheet Public Health Standards Development Harmonization Testing Fact Sheet HIT Testing, Certification Deployment Fact Sheet HIT Testing, Certification Deployment Fact Sheet PH InformaticianStandards DeveloperVendor Public Health Resources Public Health Reporting Resource Repository

9. PH Reporting Repository – Informatician View PHDSC Interactive Modules STANDARDS NEEDS STANDARDS PARTICIPATI ON in HIT STANDARD- IZATION HIT ADOPTION STORIES Requirements Identify Support Standards Education Information Participation Monitor Coordinate Adoption Evidence Metrics PHDSC Interactive Modules: Public Health in Health IT Standardization PH Practitioner Public Health Practice Stories From the Field Fact Sheet Public Health Practice Stories From the Field Fact Sheet PH Informatician Public Health Case Reporting Fact Sheet Public Health Case Reporting Fact Sheet Standards Developer Public Health Standards Developmen t, Harmonizati on, & Testing Fact Sheet Public Health Standards Developmen t, Harmonizati on, & Testing Fact Sheet Vendor HIT Testing, Certification, & Deployment Fact Sheet HIT Testing, Certification, & Deployment Fact Sheet

10. Health Information Technology Standardization Phases, Products, Entities DATA SOURCES: PHIN PH REPORTING REPOSITORY 1.0 A. PH Practitioner C. Standards Developer (out of scope) D. Vendor (out of scope) PHIN Stakeholder Dashboard View B. PH Informatician Shared Policies, Shared Practices, Shared Services, and Shared Standards PH Reporting Repository Resources PHDSC Interactive Modules NEED FOR STANDARDS STANDARDS RESOURCES PARTICIPATI ON in HIT STANDARD- IZATION HIT ADOPTION STORIES Practitioner Dashboard Data Out of scope Legend: In scope

11. Health Information Technology Standardization Phases, Products, Entities HIT Standardization Products 1 Needs & Priorities for Standards 1 Needs & Priorities for Standards 2 Develop Standards 2 Develop Standards 3 Select Standards 3 Select Standards 4 Test Standards 4 Test Standards 5 Certify Standards- based products 5 Certify Standards- based products 6 Adopt Standards- based products 6 Adopt Standards- based products PHDSC Interactive Modules User Stories DB Newsletter User Stories DB Newsletter CDA templates Implementation Guides Training documents CDA templates Implementation Guides Training documents Participation reports Cost-benefit analysis Participation reports Cost-benefit analysis Questionnaires Surveys Use cases/Stories DB Questionnaires Surveys Use cases/Stories DB NEED FOR STANDARDS - identify - support NEED FOR STANDARDS - identify - support STANDARDS RESOURCES - education - information STANDARDS RESOURCES - education - information PARTICIPATION in HIT STANDARD- IZATION - monitor - coordinate PARTICIPATION in HIT STANDARD- IZATION - monitor - coordinate HIT ADOPTION STORIES - evidence - metrics HIT ADOPTION STORIES - evidence - metrics Implementation Reports Certification Criteria PHIN PH Repository Informatician view: PHDSC Interactive Modules: Public Health in Health IT (HIT) Standardization

12. HIT Standardization Data Entities

13. Public Health Domain Additional Data Entities

14. CDC PHIN Web Site

15. PHDSC Public Health in HIT Standardization Resource Center

16. Standards WorldPublic Health World Common Definitions Participan tActor Action Workflow PHProduct/ Report Guideline Rule Standard Standardizati onActivity Implementatio nGuidance HITProduct Participant Narrative Domain/ Program PH Reporting Resource Repository Conceptual Data Model

17. Standards and Public Health World Standard Definitions Standardization Activity/Program Implementation Guidance/Rule HITProduct/Wor kflow Participant Actor Narrative PHProduct/Repo rt PH Reporting Resource Repository Conceptual Data Model

18. System Architecture for Environmental Health Risk Detection, Assessment & Management System Architecture for Environmental Health Risk Detection, Assessment & Management GIS/Spatial EpidemiologyRisk AnalysisData Mining & Knowledge DiscoveryStatistical Models Exposure Detection9 & Risk Analysis Track health, disease, and exposure risk/trends Detect & evaluate risk of exposure to env. hazards Develop & evaluate public health & environmental stewardship policies & programs Develop rapid-response mechanisms to investigate outbreaks and clusters Develop prevention guidelines/standards Generate hypotheses and initiate applied research Environmental Stewardship & Public Health Actions Source: Nabil Issa, CDC/NCEH, Brussels, Belgium June 2002. (*) Based on risk assessment and national priorities Environmental Hazards, Ecology and Disease Data Collection Systems Disease Tracking * Hospital Discharge Birth Defects BRFSS Cancer Registries Health Surveys Vital Statistics Population Demographi cs * Census Data Exposure Tracking * Human Exposure to Environmental Chemicals Toxic Exposure Surveillance Hazards Tracking * Hazardous Substances- Emergency Event Surveillance Toxic Release Inventory Ecological Tracking * Marine Life Animals Plants Population Disease Indicators Population Demography Health Outcomes Exposure Profile Environmental Hazard Hazardous Material Profile Exposure Integrated Environmental Health Indicators Data Warehouse Biomonitoring Natural Accidental Intentional Ecological Indicators Data Linking/IntegrationMetadataData StandardizationData Quality Assurance Data Integration, Transformation & Geocoding Geocoding Informatician View

19. Health Information Technology Standardization Phases, Products, Entities PH REPORTING RESOURCE REPOSITORY TOOLS & SERVICES 1 Needs & Priorities for Standards 1 Needs & Priorities for Standards 2 Develop Standards 2 Develop Standards 3 Select Standards 3 Select Standards 4 Test Standards 4 Test Standards 5 Certify Standards- based products 5 Certify Standards- based products 6 Adopt Standards- based products 6 Adopt Standards- based products PHDSC Interactive Model: Public Health in Health IT Standardization Use Cases Standards Interop Spec, Tech Fwk Int. Prof Interop Spec, Tech Fwk Int. Prof Implementation Reports Certification Criteria Adoption User Stories DB Newsletter User Stories DB Newsletter CDA templates Implementation Guides Training documents CDA templates Implementation Guides Training documents Participation reports Cost-benefit analysis Participation reports Cost-benefit analysis Questionnaires Surveys Use cases/Stories DB Questionnaires Surveys Use cases/Stories DB A. PH Practitioner B. PH Informatician C. SDO Participant D. Vendor Requirements module STANDARDS NEEDS - identify - support Requirements module STANDARDS NEEDS - identify - support Resources Module STANDARDS - education - information Resources Module STANDARDS - education - information Involvement module PARTICIPATION in HIT STANDARD- IZATION - monitor - coordinate Involvement module PARTICIPATION in HIT STANDARD- IZATION - monitor - coordinate Deployment module HIT ADOPTION STORIES - evidence - metrics Deployment module HIT ADOPTION STORIES - evidence - metrics Stan- dardi- zation RIM PUBLIC HEALTH REPORTING RESOURCE REPOSITORY 1.0

20. A. PH Practitioner B. PH Informatician C. SDO Participant D. Vendor Public Health Practice Stories From the Field Fact Sheet Public Health Practice Stories From the Field Fact Sheet HIT Testing, Certification Deployment Fact Sheet HIT Testing, Certification Deployment Fact Sheet Public Health Case Reporting Fact Sheet Public Health Standards Development Harmonization Testing Fact Sheet Fact SheetsFact Sheets Shared Practices Shared Policies Shared Standards Shared Services Shared Standards Shared Practices Shared Standards Shared Services PHDSC Questions 2 Develop Standards 3 Select Standards 3 Select Standards 4 Test Standards 5 Certify Standards- based products 6 Adopt Standards- based products PHIN Public Health Repository Stakeholder Dashboard View 1 Needs & Priorities for Standards 6 Adopt Standards- based products 1 Needs & Priorities for Standards 2 Develop Standards 3 Select Standards 3 Select Standards 4 Test Standards 5 Certify Standards- based products 4 Test Standards 5 Certify Standards- based products 6 Adopt Standards- based products 1 Needs & Priorities for Standards 2 Develop Standards 3 Select Standards 3 Select Standards 4 Test Standards 5 Certify Standards- based Products 6 Adopt Standards- based Products 1 Needs & Priorities for Standards 6 Adopt Standards- based products 1 Needs & Priorities for Standards 2 Develop Standards 3 Select Standards 3 Select Standards 4 Test Standards 5 Certify Standard- based Products 6 Adopt Standards- based Products 1 Needs & Priorities for Standards Stan- dardi- zation RIM 2 Develop Standards 3 Select Standards 3 Select Standards 4 Test Standards 5 Certify Standard- based Products STAKEHOLDERS