1. Public Health Laboratory Data (PH-Lab) Exchange Project: Overview
Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April,
Public Health Laboratory Data (PH-Lab) Exchange Project: Overview
Anna O. Orlova, PhD
Executive Director
Public Health Data Standards Consortium
Baltimore, Maryland, USA

2. PHDSC Business Case: Role of Public health in HIT Standardization
Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April,
Introduction to PHDSC
PHDSC Business Case: Role of Public health in HIT Standardization
PH-Lab Project in the Context of the Business Case Framework
PH-Lab Project and other PHDSC Projects

3. PHDSC Business Case: Role of Public health in HIT Standardization
Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April,
Introduction to PHDSC
PHDSC Business Case: Role of Public health in HIT Standardization
PH-Lab Project in the Context of the Business Case Framework
PH-Lab Project and other PHDSC Projects

4. PHDSC History
The Consortium was established in response to the 1996 Health Insurance Portability and Accountability Act (HIPAA) at a 1998 Workshop that explored the implications of HIPAA for the practice of public health and health services research.
In 2003, the Consortium became a not-for profit organization

6. PHDSC’s Mission PHDSC is committed to bring a common voice from the
public health community
to the national efforts of standardization of
health and
healthcare information
Enhanced Population Health
Enhanced
Enhanced
Enhanced
Enhanced
Enhanced
Enhanced
Enhanced
Health and
Health and
Health and
Health and
Health
Health
Health
and Health Care
and Health Care
and Health Care
Health Care
Health Care
Health Care
Health Care
Improved Health Information
Improved
Improved
Improved
Improved
Improved
Improved
Improved
Health Information
Health Information
Health Information
Health Information
Health Information
Health Information
Health Information
Health IT Standards
Health Data Standards
Health Data Standards
Health Data Standards
Health Data Standards
Health Data Standards
Health Data Standards
Health Data Standards

7. PHDSC Strategic Priorities
Represent public health interests (local, state and federal agencies and research communities) in the standards development, harmonization and maintenance activities by participation in the standard development (SDOs), data content committees (DCCs), standard harmonization entities and other healthcare standardization-related efforts
Promote interoperability of health-related data systems to meet the health data needs of public and private organizations, agencies and individuals
Educate clinical and public health professionals about standards and systems interoperability, and vendors and clinicians about public health

8. PHDSC Business Case: Role of Public health in HIT Standardization
Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April,
Introduction to PHDSC
PHDSC Business Case: Role of Public health in HIT Standardization
PH-Lab Project in the Context of the Business Case Framework
PH-Lab Project and other PHDSC Projects

9. Business Case: Public Health in HIT Standardization
Supported through the CDC Cooperative Agreement.

10. Business Case: Public Health in HIT Standardization
National HIT standardization process requires collective input from public health on what public health issues need to be addressed in national interoperable HIT standards.
This input needs to be collaboratively developed, put through the national HIT standardization process and uniformly implemented.
Public Health’s “Organized Voice on HIT Standards” will have to take on a character reflective of this reality.
URL:

11. Business Case: Public Health in HIT Standardization
We define Public Health’s Organized Voice on HIT Standards as an open, transparent, participatory process of harmonizing program-specific and jurisdictional needs with national HIT interoperability standards by working with public health stakeholders and HIT standardization entities on various phases of HIT standardization
URL:

12. Business Case: Public Health in HIT Standardization
Health IT Standards Types
Data Standards
Information Content Standards
Information Exchange Standards
Identifiers Standards
Privacy and Security Standards
Functional Standards
Other
This classification of HIT standards types has been developed by the
Health Information Technology Standards Panel (HITSP, in 2006

14. HIT Standardization Phases
Needs & Priority Setting
Standard Development
and Maintenance
Standards Harmonization and Testing
Standards Certification
Standards Adoption

15. HIT Standardization Phases & Entities
Past: AHIC
Now: HIT Policy Committee & HIT Standards Committee
Need & Priority Setting
Standard Development
and Maintenance
Standards Harmonization and Testing
Standards Certification
Standards Adoption
Standards Development
Organizations, eg, HL7,
LOINC, X12, NUBC, NUCC, etc.
Past: Health Information Technology Standards Panel (HITSP)
Now: Integrating healthcare Enterprise (IHE)
Certification Commission
for Health Information
Technology (CCHIT) US

16. PHDSC Business Case: HIT Standardization Phases, Products and Entities
Needs
&
Priorities
Development &
Maintenance
Selection
Harmonization
Testing/Trial Implementation
Certification
Deployment
Goals
What should be accomplished?
What are the standards?
What standards to use?
Show
what can be accomplished
Certify standards-based products
Deploy standards-based products
HIT Standards and Interoperability Framework Development Entities
HIT Policy Committee
HIT Standards Committee
S&I Harmonization Framework Initiatives
SDOs
(e.g.,
HL7, SNOMED (IHTSDO), LOINC,
ASC X12,
NUBC, ISO TC215)
IHE
(Formerly
HITSP)
Certification Entities
(CCHIT, Drummond Group, Inc)
IHE & PHDSC Deployment Workshops
Standards Documents
Use Cases (Description of the health information exchanges)
Standards
Interoperability Specifications
Technical Frameworks
Integration Profiles
Test
Reports
Functional Profiles
Certification Criteria
Deployment Reports
On-going Activities ( 2008-now)
Developed methodology for public health participation in HIT standards development & harmonization.
New Activities ( )
Develop methodology for public health participation in HIT product testing and certification
Future Activities
Develop methodology for evaluation of standard-based HIT products (standards-based HIT products deployment)

17. Source: Fridsma D. Standards and Interoperability Framework: Principles and Processes. HIT Standards Committee. September 21, URL:

18. PHDSC Business Case: Role of Public health in HIT Standardization
Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April,
Introduction to PHDSC
PHDSC Business Case: Role of Public health in HIT Standardization
PHDSC Projects on PH in HIT Standardization
PH-Lab Project in the Context of the Business Case Framework

19. Assuring Health IT Standards for Public Health
Implementing the Business Case through
Developing a methodology for Public Health Participation in HIT Standardization Efforts
Educating Public Health Community about Health Informatics and HIT Standards

20. Ongoing PHDSC Projects
Assuring Health IT Standards for Public Health
Implementing the Business Case through
Ongoing PHDSC Projects
Early Hearing Detection and Intervention
Vital Records
Administrative Data Exchanges

21. Assuring Health IT Standards for Public Health
On-going Projects
Participate in standards development activities:

22. PHDSC Business Case: HIT Standardization Phases, Products and Entities
Needs
&
Priorities
Development &
Maintenance
Selection
Harmonization
Testing/Trial Implementation
Certification
Deployment
Goals
What should be accomplished?
What are the standards?
What standards to use?
Show
what can be accomplished
Certify standards-based products
Deploy standards-based products
HIT Standards and Interoperability Framework Development Entities
HIT Policy Committee
HIT Standards Committee
S&I Harmonization Framework Initiatives
SDOs
(e.g.,
HL7, SNOMED (IHTSDO), LOINC,
ASC X12,
NUBC, ISO TC215)
IHE
(Formerly
HITSP, to be superseded pending ONC decisions)
Certification Entities
(CCHIT, Drummond Group, Inc)
IHE & PHDSC Deployment Workshops
Standards Documents
Use Cases (Description of the health information exchanges)
Standards
Interoperability Specifications
Technical Frameworks
Integration Profiles
Test
Reports
Functional Profiles
Certification Criteria
Deployment Reports
On-going Activities ( 2008-now)
Developed methodology for public health participation in HIT standards development & harmonization.
New Activities ( )
Develop methodology for public health participation in HIT product testing and certification
Future Activities
Develop methodology for evaluation of standard-based HIT products (standards-based HIT products deployment)

23. Source: Fridsma D. Standards and Interoperability Framework: Principles and Processes. HIT Standards Committee. September 21, URL:

24. HITSP Projects PHDSC Projects
HIT Standardization and PHDSC Projects
HIT Standardiza- tion Phases
Needs
&
Priorities
Development &
Maintenance
Selection
Harmonization
Testing /Trial Implemen- tation
Certification
Deploy- ment
Goals
What should be accomplished?
What are the standards?
What standards to use?
Show
what can be accomplished
Certify standards-based products
Deploy standards-based products
Public Health Domains Undergoing HIT Standardiza- tion
AHIC / MU:
Biosurveillance
Immunization
ELR
Public Health Reporting
Newborn Screening
Vital Records
Hearing
HITSP Projects
PHDSC Projects
Admin Data
ONC
Standards and Interopera-bility Framework

25. PHDSC Business Case: Role of Public health in HIT Standardization
Public Health Laboratory Data (PH-Lab) Exchange Project Project Team Call April,
Introduction to PHDSC
PHDSC Business Case: Role of Public health in HIT Standardization
PHDSC Projects on PH in HIT Standardization
PH-Lab Project in the Context of the Business Case Framework

26. Ongoing PHDSC Projects
Assuring Health IT Standards for Public Health
Implementing the Business Case through
Ongoing PHDSC Projects
Early Hearing Detection and Intervention
Vital Records
Administrative Data Exchanges
PH-Lab Data Exchanges

27. HITSP Projects PHDSC Projects
HIT Standardization and PHDSC Projects
HIT Standardiza- tion Phases
Needs
&
Priorities
Development &
Maintenance
Selection
Harmonization
Testing /Trial Implemen- tation
Certification
Deploy- ment
Goals
What should be accomplished?
What are the standards?
What standards to use?
Show
what can be accomplished
Certify standards-based products
Deploy standards-based products
Public Health Domains Undergoing HIT Standardiza- tion
AHIC / MU:
Biosurveillance
Immunization
ELR
Public Health Reporting
Newborn Screening
Vital Records
PH-Lab
Hearing
HITSP Projects
PHDSC Projects
Admin Data
ONC
Standards and Interopera-bility Framework

28. Assuring Health IT Standards for Public Health
PH-Lab Project: Activities and Deliverables
White Paper:
Roadmap HIT Interoperability Standards for Public Health Laboratory Data Exchanges

29. Assuring Health IT Standards for Public Health
PH-Lab Project: Activities and Deliverables
IHE PH Reporting Integration Profile
PH Systems Certification
HL7 PH Functional Profile
HL7 PH Reporting Requirements Standard

30. PH-Lab Standards Roadmap
PHDSC PH-Lab Project by HIT Standardization Phases, Products and Entities
HIT Standardization Phases
Needs
&
Priorities
Development &
Maintenance
Selection
Harmonization
Testing/Trial Implementation
Certification
Deployment
Goals
What should be accomplished?
What are the standards?
What standards to use?
Show
what can be accomplished
Certify standards-based products
Deploy standards-based products
HIT Standards and Interoperability Framework Development Entities
HIT Policy Committee
HIT Standards Committee
S&I Harmonization Framework Initiatives
SDOs
(e.g.,
HL7,
SNOMED (IHTSDO), LOINC,
ASC X12,
NUBC,
ISO TC215)
IHE
(Formerly
HITSP, to be superseded pending ONC decisions)
Certification Entities
(CCHIT, Drummond Group, Inc)
PHIN
IHE & PHDSC Deployment Workshops
Standards Documents
Use Cases, CDC ELR Projects
PHII-APHL
PHLIP
PHLISSA,
RCMT, PHIN Preparedness Report, etc.
Standards
HL7 2.x Implementa- tion Guides
Interoperability Specifications
Technical Frameworks
Integration Profiles
Test
Reports
Functional Profiles
Certification Criteria
Deployment Reports
On-going Activities ( 2008-now)
Developed methodology for public health participation in HIT standards development & harmonization.
New Activities ( )
Develop methodology for public health participation in HIT product testing and certification
Future Activities
Develop methodology for evaluation of standard-based HIT products (standards-based HIT products deployment)
White Paper
PH-Lab Standards Roadmap
Year 1
Year 2
Year 3
PHDSC-APHL-CDC PH-Lab Project

31. Call Tasks: Assuring Health IT Standards for Public Health
PH-Lab Project: Team Call – April 19, 2011
Call Tasks:
Review Statement of Work
Define Project Scope
Define Use Cases
Project Wiki Pages URL: