1. 1 Methodology to move from siloed to shared data InventoryConsolidateHarmonizeStandardizeClassifyDeployMonitor Create knowledge base of all forms, data elements and value sets Organize data elements around shared themes Align definitions and value sets for a theme Identify standard representation and permissions Assign metadata tags and user permissions to share data Capture, act on and report the data Track access and evaluate quality Data Level

2. 2 Methodology to move from siloed to shared workflow InventoryConsolidateModularizeStandardizePilotDeployMonitor Collect and deconstruct user stories according to workflow requirements Create master user story that includes all workflow requirements Align, simplify and reconstruct workflow requirements Adopt one methodology to address workflow requirements Test and fine tune modular solution and training tools in limited settings Roll out solution to all users Track access and evaluate quality Functionality Level

3. 3 Harmonization of core common data elements* * Public Health Reporting Initiative Data Harmonization Profile

4. 4 Oregon EHDI Manual NHS Report Form*

5. 5 Oregon EHDI* CDA Phase 1 Pilot - Lessons Learned Step-1 Setting: Birthing Facility IT Product: Epic 2012 EHR (Test Harness) Report Content: Patient demographic information, NHS results Standards: HL7 CCD, IHE RFD Actor: Content Creator Form Filler Step-2 Setting: HIE IT Product: OZ Form Manager Report Content: NHS Outcome Report Standards: HL7 CDA, IHE EHCP, IHE RFD, IHE XDR Actor: Form Manager Form Receiver Content Creator Document Source Step-3 Setting: Oregon EHDI IT Product: Orion Rhapsody, Filemaker DB Report Content: NHS Outcome Report Standards: HL7 CDA, IHE EHCP, IHE XDR Actor: Content Consumer Document Recipient Interoperability Standards** * Early Hearing Detection and Intervention (EHDI) program. Newborn hearing screening (NHS) is a Stage 2 Meaningful Use objective. ** Public Health Data Standards Consortium EHDI CDA Final Report

6. 6 EHDI CDA SDC RFD Template* * Public Health Data Standards Consortium EHDI CDA Final Report

7. 7 EHDI CDA Phase 1 Pilot – Lessons Learned Data Exchange Architecture* * Public Health Data Standards Consortium EHDI CDA Final Report

8. 8 EHDI CDA Phase 2 Proposal: Real Data & Systems EHDI User Story – Report Form for Data Capture (RFD)

9. 9 EHDI CDA Phase 2: SDC Template