1. TM Aggregate Reporting of Pandemic Influenza Vaccine Doses Administered Discussion of Option 1: Data Exchange Using CDC’s CRA System and State Immunization Information (IIS) or Other Existing Systems Joint Presentation by: Immunization Services Division National Center for Immunization and Respiratory Diseases and Division of Emergency Preparedness and Response National Center for Public Health Informatics Webinar Presentation and Demonstration To Public Health Project Areas June 6, 2007

2. TM Agenda Learning Objectives Background Aggregate Reporting Options & Demonstration Details on Option 1 of CRA System CDC Resources and Contacts Questions and Answers

3. TM Learning Objectives Understand Option 1 and the various formats that may be used to report to CRA system Understand the operational steps and decisions to be made for Option 1 Understand the CDC technical support available for Option 1 of CRA system for aggregate reporting

4. TM Background The National Strategy for Pandemic Influenza: Implementation Plan calls for monitoring of the appropriate use of a scarce pandemic influenza vaccine To accomplish this, states/ project areas will track vaccine doses administered and collect and aggregate minimum data elements and transmit weekly to CDC

5. TM Options for Aggregate Reporting to CDC Option 1: For states and project areas collecting data via an existing immunization information system (IIS) or other application, technical specifications were developed for three different data exchange formats: flat file (pipe- delimited), XML file, HL 7 Option 2: For states and project areas collecting data manually, an aggregate reporting screen was added to CDC’s CRA application to allow direct data entry via a web browser Option 3: For states and project areas using CDC’s CRA application to collect patient level information, selected data elements will be automatically aggregated

6. TM Basic Operational Issues For Pandemic Influenza Reporting Ensure the timely and complete reporting of vaccine data Need to know clinic sites and/or distribution sub sites Collaborate with key staff, including Immunization and BT Preparedness Ensure staff are trained and equipped Develop data entry capacity as needed Develop quality assurance measures and follow up plans For example, ‘did the clinic report its doses’

7. TM Example of Doses Administered Provider Record ( Required Data Noted )

8. TM Option 1: Data Exchange Summary of Option Healthcare provider collects and maintains patient-level information locally and submits selected data to the IIS or other application The state submits aggregate data to CDC’s CRA system on a weekly basis via Immunization Information System or other application using one of three data exchange formats: Flat file (pipe-delimited) OR Extensible Markup Language (XML) file OR Health Level 7 (HL7) Version 2.5 Process Considerations What level of vaccination data and by whom it will be collected must be determined; at minimum, core data elements must be collected Aggregate data exchange must be consolidated at the project area prior to submission to CDC

9. TM Option 1: Data Exchange (continued) Technical Considerations Local application should have capability to collect core data elements Core data elements should be extracted and put into one of three formats following the Aggregate Reporting Guide Transport mechanism should be determined and consistent with CDC PHIN standards CDC SDN Digital certificates must be in place for access and transfer to CRA

10. TM Option 1: Data Exchange (continued) Assumptions Each project area will be reporting one set of counts for each weekly reporting period (Sunday through Saturday) covering the whole project area Reporting requirements only include information pertinent to CDC; project areas should continue to capture individual patient- level information Multiple reports (weeks) may be sent in a data exchange

11. TM CDC Technical Support Download the Data Exchange Requirements for Pandemic Influenza Aggregate Reporting document from the CRA PHIN website (http://www.cdc.gov/phin/preparedness/cra.html)http://www.cdc.gov/phin/preparedness/cra.html Get access to the CRA Demo system (http://crademo.cdc.gov) contact the PHIN Help Desk (PHINTech@cdc.gov)http://crademo.cdc.govPHINTech@cdc.gov Apply for an SDN Certificate at https://ca.cdc.gov; for password contact the PHIN Help Desk (PHINTech@cdc.gov)https://ca.cdc.govPHINTech@cdc.gov Contact the CDC Team Help Desk at cdcteamsupport@cdc.gov to request access to the CRA Exchange area of CDC Team website (https://team.cdc.gov) cdcteamsupport@cdc.govhttps://team.cdc.gov

12. TM Data Exchange Document Highlights Section 3.1 - Data picture Section 3.2 - Minimum data set Section 4.0 – Vocabulary values Section 6.0 – Business rules Appendix A1 through A3 – Format examples and details

13. TM Option 1: Action Items 1.Select the system that will be used to capture vaccinations 2.Select the format that your system will use: pipe- delimited, XML, or HL7 ORU R01 v2.5 3.Select the transport mechanism your system will use to transfer the information. Options are: ebXML including PHINMS upload using CRA web-based application CRA-provided transport built on JMS queue 4.Identify a technical point of contact 5.Notify Sanjeeb Sapkota (ssapkota@cdc.gov) of the format and transport mechanism decisions madessapkota@cdc.gov

14. TM Option 1: Action Items (continued) If using HL7 Message for aggregate reporting: 1.An Object Identifier (OID) for Sending Facility is required 2.An OID for the sending system or application is highly recommended 3.CRA will facilitate obtaining an OID If using ebXML as a transport mechanism: 1.A Party ID will need to be obtained and registered with CDC- CRA 2.CRA will facilitate obtaining the Party ID PHINMS is available for project area installation; CRA will facilitate connecting the project area with PHINMS technical assistance

15. TM Points of Contact and Resources Toscha Stanley, Immunization Services Division (ISD), tstanley@cdc.gov Submit POC information by June 30 Sanjeeb Sapkota, CRA Team, Division of Emergency Preparedness and Response, ssapkota@cdc.gov or CRAHelp@cdc.gov@cdc.govCRAHelp@cdc.gov Submit option choice by June 30 CRA Help E-mail CRAHelp@cdc.govCRAHelp@cdc.gov General aggregate reporting questions and inquiries PHIN E-mail PHINTech@cdc.gov PHINTech@cdc.gov Issuing digital certificates Getting access to CRA Exchange, an interactive knowledge sharing and exchange web site (http://team.cdc.gov/)http://team.cdc.gov/ Getting access to CRA demonstration site Problem solving To get a copy of this presentation: http://www.cdc.gov/phin/preparedness/cra.html

16. TM Webinar and Meeting Schedule June 13 : Discuss and demonstrate options 2 and 3 June 27 : Discuss the seasonal influenza pilot test using CRA system July TBD: Open Q&A on options and pilot test August TBD: Open Q&A on options and pilot test

17. TM Questions?