1. Public Health Reporting Initiative Stage 3 Sprint: Implementation Guide Development Phone: 800-857-9362 x93830 1

2. Agenda New Member Introductions Schedule Touchpoint Report Type Clarification Homework Review Implementation Guide Review –CDA –2.5.1 Next Steps Additional Questions?

3. Suggested Ground Rules Everyone may speak ID your name & user story (report type) Listen carefully Read assigned work and minutes before each meeting Limit “back-pedalling” to critical issues Yield when it is “good enough”- do not let perfection threaten good Seek consensus quickly; let moderator test consensus If consensus fails, Tier 2 steps back to see if consensus can procede for this first version of the specification Concerns about process? Immediately bring to Foldy’s attention –678-733-4289 –skf6@cdc.govskf6@cdc.gov

4. Implementation Guide Schedule TaskElements finalized by Data Mapping Group (12 PM ET) Implementation Guidance reviewed by Stage 3 Sprint Group (2 PM ET) Develop preliminary ToC(s)N/A8/30/12 “Week 1” Data Elements8/30/129/6/12 Patient Information Patient Contact Information Payer Information Provider Information Social History Family History Procedure “Week 2” Data Elements9/6/129/13/12 Encounter Order / Diagnostic Test Facility Result Specimen “Week 3” Data Elements9/13/129/20/12 Vital Sign Indicators Adverse Event Diagnosis Health Concern/Problem Exposure Medication Employment Information Immunization Outstanding Topics & Draft Review9/20/129/27/12 Other section review (e.g., Intro)9/27/12 Implementation Guide(s) Final Draft10/4/12

5. Report Types The table below highlights the report types targeted for Implementation Guide development (following the elaboration of the common core in both CDA and 2.5.1). Each report type will specify the constraints (optionality, cardinality, etc.) for the common core. Report TypeCDA2.5.1 Reportable ConditionsCommon Core (potentially no ‘report type’ specific elements) Participate in harmonization HAIParticipate in harmonization Cancer RegistryParticipate in harmonization EHDIParticipate in harmonizationCommon Core + Report Type Adverse Event (Drug, Medical, Vaccine, Biologic) Drug, Device, Biologic – Common Core + Report Type Vaccine – Participate in harmonization Participate in harmonization Vital Statistics – Birth & Fetal DeathParticipate in harmonization National Hospital Care SurveyParticipate in harmonization Immunization RegistryParticipate in harmonization Tobacco Quit LinesParticipate in harmonization Cancer GeneticsParticipate in harmonization

6. Homework Review What report types would use patient contact information? What patient contact information data elements would be required in all report types? –Overall optionality to be proposed? Expectation is all report types will include provider information, any concerns? Implementation will focus on documenting provider information at the top level (as PCP) and also at the encounter level. Any concerns? What report types will use the social history section? Any additional social history types to be covered in the Social History Type value set? Are there any concerns in using Social History to capture the following core common objects: –Employment Information –Toxic Exposure What report types will use the Family History section? Any needed extensions for Family History needed? What report types would use procedures? What procedure types are anticipated for public health reports?

7. Expert Review Area to Research FurtherCurrent AnalysisExperts Scheduled for Discussion

8. Implementation Guide Review CDA 2.5.1

9. Reference Documents (CDA) – Implementation Guide for CDA Release 2.0 - Consolidated CDA Templates - (US Realm) IHE Quality, Research and Public Health (QRPH) - Technical Framework Supplement - Maternal Child Health - Birth and Fetal Death Reporting (MCH- BFDrpt) Trial Implementation IHE Patient Care Coordination (PCC) - Technical Framework Supplement - Labor and Delivery Profiles - (Includes LDHP, LDS and MDS) IHE Patient Care Coordination (PCC) - Technical Framework Supplement - CDA Content Modules - Trial Implementation NAACCR Cancer Reporting Specification HL7 Implementation Guide for CDA Release 2: Healthcare Associated Infection (HAI) Reports, DSTU Release 8 (US Realm) IHE Quality, Research and Public Health Technical Framework Supplement – Early Hearing Care Plan (EHCP) – Trial Implementation IHE Quality, Research and Public Health Technical Framework Supplement – Quality Measure Execution – Early Hearing (QME-EH) – Trial Implementation EHDI 2.6 pilot (Texas)

10. Questions / Discussion? Wiki Page http://wiki.siframework.org/PHRI+Implementation+Guide Or click “Implementation Guide” button from any PHRI wiki page Will post presentations, meeting minutes, “homework”, and documents for review Homework Review the CDA & 2.5.1 documents (rough drafts) and provide your comments by 9AM ET Wednesday, September 19 to Lindsay Brown (lrbrown@cdc.gov)lrbrown@cdc.gov Additional Questions? Contact Lindsay Brown (lrbrown@cdc.gov)lrbrown@cdc.gov 10