1. What is PHINMS? Secure and reliable transport for any data type. (HL7, xml, bmp, jpg, zip, etc.) 30+ Applications using PHINMS. Examples: BioSense, Cancer, NEDSS, LRN, FoodNet, PHLIP, etc. Labs using PHINMS: Labcorp, Mayo, Bostwick, etc. States using PHINMS internally: NYS, NYC, MN, OK, CA, SC, WI, FL, IN, AL, etc. 7-year old product deemed “mission critical” by CDC. Over 500 PHINMS nodes used in U.S.

2. PHINMS Roadmap Version 2.1 (2003)  Core Transport System developed Version 2.5 (2005)  Added User Interface Version 2.6 (2006)  Improved UI and Performance, Load Balancing Version 2.7 (2007)  Folder Polling, Alerts, Configuration Wizards Version 2.8 (2008)  New UI for improved usability.  Support for multiple database queues. Version 2.8.01 SP1 (Fall 2010)  Support for Windows 7 and 2008  Minor enhancements and defect fixes  Updated Tomcat engine

3. Central Auth Route-not-Read Direct-Send RNR and Direct Send

4. VeriSign Direct Send LabDOH Proxy Server PHINMS Receiver Internet DB Q PHINMS Sender Firewall HL7 DMZ Pub Key Firewall Private Key

5. Direct Send To CDC

6. LabDOH PHINMS Poller Internet DB Q PHINMS Sender Firewall Prvt Key CDC DMZ Auth / Firewall Route Not Read

7. FeatureDirect-SendRoute-not-Read ScalabilityUnlimitedLimited Standards ComplianceComplies with ebXML2.0PHINMS specific extensions to ebXML 2.0 ReliabilityHigh – provides end-to-end transport status Medium – provides link-level (not end-to-end) transport status Single point of failureNoneYes Liability for Intermediary Organization (R-N-R Hub) LowHigh Privacy for Messaging Nodes HigherLower Deployment CostHigh (almost 5 times that of route-not-read) Low Infrastructure NeedsHighLow Dynamic CollaborationHarder, since peer-to-peer collaborations needed Easier, since all parties talk via a single central hub

8. NHIN CONNECT is data exchange… … and a whole lot more.  Patients can query their own health records from NHIN  Hospitals can query patient data from other orgs to increase quality of care.  Docs can query EHR data for an unconscious individual in the ER to determine best method of care.  Agencies and Labs can “ publish/subscribe to ” data that can be queried for real-time data sharing. What is NHIN CONNECT?

9.  The CDC NHIN Implementation is currently restricted to specific functionalities designed to meet push based data exchange models.  The CDC NHIN Team is working to extend the NHIN C&A to include full NHIN functionality. CDC & NHIN CONNECT

10. NHIN CONNECT

11. Gautam Kesarinath – CDC Business Steward Andreea Bealle – Project Manager Travis Mayo – Tech Lead Dawn Fama – Deployment Lead Tavan Jones – Operations Lead PHINMS Team Information Support: PHINTech@cdc.gov Project: PhinmsProductSupport@cdc.gov