PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0 (April 2015)


This document represents the collaborative effort of the International Society for Disease Surveillance (ISDS), the Centers for Disease Control and Prevention (CDC), and National Institute of Standards and Technology (NIST) to specify a national electronic messaging standard that enables disparate healthcare applications to submit or transmit administrative and clinical data for public health surveillance and response.

This Guide provides:

  1. An HL7 messaging and content reference standard for national, syndromic surveillance electronic health record technology certification
  2. A basis for local and state syndromic surveillance messaging implementation guides
  3. A resource for planning for the increasing use of electronic health record technology and for providing details on health data elements that may become a part of future public health syndromic surveillance messaging requirements
  4. Optional elements of interest for adding laboratory results to syndromic surveillance messages using ORU^R01 message structure (see details in the PHIN messaging Standard, National Condition Reporting case Notification, ORU^R01 message Structure Specification profile, Version 2.1, 2014)

This implementation guide replaces or supersedes all previous guide releases and related documentation. Specifically, this guide supersedes:

  • PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care and Inpatient Settings. ADT MESSAGES A01, A03, A04, and A08 HL7 Version 2.5.1 (Version 2.3.1 Compatible), Release 1.9 (April 2013)
  • PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Addendum Release 1.1 (August 2012)
  • PHIN Conformance Clarification for EHR Certification of Electronic Syndromic Surveillance ADT MESSAGES A01, A03, A04, and A08 HL7 Version 2.5.1, Testing Clarification Document, Release 1.0 (September 28, 2012)¬†
Primary Topic Areas: 
Original Publication Year: 
Event/Publication Date: 
April, 2015

March 21, 2017

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The National Syndromic Surveillance Program (NSSP) is a collaboration among states and public health jurisdictions that contribute data to the BioSense Platform, public health practitioners who use local syndromic surveillance systems, Center for Disease Control and Prevention programs, other federal agencies, partner organizations, hospitals, healthcare professionals, and academic institutions.

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