Streamling Syndromic Surveillance Submission on a Dime: Oregon’s Experience

In 2012, the Oregon Public Health Division (OPHD) took advantage of the opportunity created by Meaningful Use, a Centers for Medicare & Medicaid Services (CMS) Incentive Program, to implement statewide syndromic surveillance. The Oregon syndromic surveillance project, or Oregon ESSENCE, began accepting MUcompliant HL7 2.5.1 data in late 2013. Early onboarding efforts were labor-intensive and led to the creation of a testing queue.

Adoption of Public Health Readiness Guidelines for Meaningful Use

The Syndromic Surveillance Consortium of Southeast Texas (SSCSeT) consists of 13 stakeholders who represent 19 counties or jurisdictions in the Texas Gulf Coast region and receives health data from over 100 providers. The Houston Health Department (HHD) maintains and operates the syndromic surveillance system for the Gulf Coast region since 2007. In preparation for Meaningful Use (MU) the HHD has adapted and implemented guidance and recommendations from Centers for Disease Control and Prevention, Office of National Coordinator for Health Information Technology and others.

HL7 Version 2.5.1 PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care and Inpatient Settings, Release 2.0, NIST Clarifications and Validation Guidelines, Version 1.5 (July 2016)

This document lists conformance testing issues and associated policies derived by NIST, in collaboration with the CDC, based on a review of the HL7 Version 2.5.1 PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0, April 21, 2015, and Erratum to the CDC PHIN 2.0 Implementation Guide, August 20, 2015. The policies listed in this document are implemented in the NIST syndromic surveillance conformance test suite. 

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

This addendum consolidates the Centers for Disease Control and Prevention’s (CDC’s) PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings (Release 2.0) (PHIN MG) information and clarifies existing conformance requirements. Conformance statements and conditional predicates that clarify message requirements are presented below. Value set requirements, general clarifications, and PHIN MG errata are also provided in this addendum. 

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:

PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Addendum Release 1.1 (August 2012)

This addendum consolidates the Centers for Disease Control and Prevention’s (CDC’s) PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Release 1.1 (PHIN MG) information and clarifies existing conformance requirements. Conformance statements and conditional predicates that clarify message requirements are presented below.

PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Release 1.1 (August 2012)

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. Recommendations made by expert committees convened by ISDS and CDC serve as the basis for this guide.

Eligible Hospital (EH) Onboarding Approach for the Meaningful Use (MU) Incentive Program

From the BioSense 2.0 Onboarding Workgroup meeting, February 4, 2015

Presenter

Promise Nkwocha, MSc. RHCE, New York City Department of Health and Mental Hygiene

Syndromic Surveillance Using Electronic Health Record Clinical Data from Hospital and Ambulatory Settings: An Annotated Bibliography

This annotated bibliography summarizes close to 50 articles on syndromic surveillance using EHR data from hospital and ambulatory settings. The bibliography is a valuable resource for both practitioners and researchers as they continue to assess the feasibility and utility of using new types of clinical data for syndromic surveillance analyses. As Meaningful Use progresses it is increasingly important to understand both the potential and the limitations of using ambulatory and hospital data for these purposes.

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This Knowledge Repository is made possible through the activities of the Centers for Disease Control and Prevention Cooperative Agreement/Grant #1 NU500E000098-01, National Surveillance Program Community of Practice (NSSP-CoP): Strengthening Health Surveillance Capabilities Nationwide, which is in the interest of public health.