December 18, 2008

Version 1.0

HITSP Public Health Case Reporting Interoperability Specification

Submitted to:

Healthcare Information Technology Standards Panel

Submitted by:

Population Perspective Technical Committee
(Formerly Population Health Technical Committee)

Document Change History

Version Number	Description of Change	Name of Author	Date Published
	Template V2.4	Project Team	July 31, 2008
0.0.1	Review Copy	Population Perspective Technical Committee	September 26, 2008
0.0.2	Review Copy	Population Perspective Technical Committee	December 10, 2008
1.0	Released for Implementation	Population Perspective Technical Committee	December 18, 2008

Table of Contents

1.0 Introduction. 6

1.1 Interoperability Specification Overview. 6

1.2 Interoperability Specification Document Map. 6

1.2.1 List of Constructs. 7

1.3 Copyright Permissions. 11

1.4 Reference Documents. 11

2.0 Requirements. 12

2.1 Use Case Synopsis. 12

2.2 Use Case Requirements. 13

2.2.1 Mapping of Use Case Actions to Information Exchange Requirements. 14

2.2.2 Data and Information Exchange Requirements. 14

2.2.3 Identification of Business Actors, Mapped to Requirements. 21

2.2.4 High-Level Diagrams. 24

3.0 Design. 26

3.1 Scope of Design. 26

3.1.1 Assumptions. 31

3.1.2 Constraints. 34

3.1.3 Pre-conditions. 34

3.1.4 Post-conditions. 35

3.1.5 Process Triggers. 35

3.2 Detailed Design. 36

3.2.1 Technical Actor Role Descriptions. 38

3.2.2 Construct Requirements. 41

3.2.3 Mapping of Business Actors to Technical Actors and Constructs with Optionality. 43

3.2.4 Construct Dependencies. 52

3.2.5 Additional Constraints on Required Constructs. 52

4.0 Standards Selection. 55

4.1 Standards. 55

4.1.1 Regulatory Guidance. 55

4.1.2 Selected Standards. 55

4.1.3 Informative Reference Standards. 55

4.2 Gaps Where There Are No Standards. 55

4.3 Standard Overlaps. 55

5.0 Conformance. 55

5.1 Conformance Criteria. 55

5.2 Conformance Scoping, Subsetting and Options. 55

5.3 Test Methods. 55

6.0 Appendix. 55

6.1 Description of Standards. 55

6.2 Public Health Case Reporting Data Elements. 55

6.3 Use Case to Information Exchange and Data Requirements. 55

6.4 Use Case Sequence Diagrams. 55

6.5 Mapping of Constructs to Information Exchange and Data Requirements. 55

7.0 Change History. 55

7.1 December 10, 2008. 55

7.2 December 18, 2008. 55

Figures and Tables

Figure 1-1 Interoperability Specification Document Map. 7

Figure 2-1 Public Health Case Reporting Component Data Flow Diagram.. 24

Figure 3-1 Detailed Sequence Diagram for Scenario 1 Reporting from Electronic Health Records. 42

Figure 3-2 Detailed Sequence Diagram for Scenario 2 Alert Functionality. 43

Figure 6-1 Public Health Case Reporting (PHCR) High Level Sequence Diagram Part 1 Provider Perspective (Including Laboratory) Scenario 1: Reporting from Electronic Health Records. 55

Figure 6-2 Public Health Case Reporting (PHCR) High Level Sequence Diagram Part 2 Provider Perspective (Including Laboratory) Scenario 2: Alert Functionality. 55

Figure 6-3 Public Health Case Reporting (PHCR) High Level Sequence Diagram Part 3 Public Health Perspective (Including Laboratory) Scenario 1: Reporting from EHRs and Scenario 2: Public Health Case Investigation & Information Sharing. 55

Table 1-1 List of Constructs. 8

Table 1-2 Reference Documents. 11

Table 2-1 Data Element and Information Requirements (DR) 14

Table 2-2 Information Exchange Requirements (IER) 20

Table 2-3 Business Actors. 22

Table 3-1 Scope for Releases 1 and 2. 28

Table 3-2 Assumptions. 31

Table 3-3 Constraints. 34

Table 3-4 Pre-conditions. 35

Table 3-5 Post-conditions. 35

Table 3-6 Process Triggers. 36

Table 3-7 Technical Actor Role Descriptions. 38

Table 3-8 Business-Technical Actor Mapping to Transaction and/or Content 44

Table 3-9 Implementation Conditions/Constraints. 51

Table 3-10 Construct Dependencies. 52

Table 3-11 Additional Constraints on Required Constructs. 53

Table 3-12 XDSDocumentEntry Element Constraints. 55

Table 4-1 Regulatory Guidance. 55

Table 4-2 Selected Standards Linked to HITSP Constructs. 55

Table 4-3 Informative Reference Standards. 55

Table 4-4 Use Case Requirements and Associated Standards Gaps. 55

Table 4-5 Use Case Requirements and Associated Standard Overlaps. 55

Table 6-1 Description of Standards. 55

Table 6-2 Data Elements Cross Reference for High-level Cross-Cutting Tables. 55

Table 6-3 Facility Data Elements. 55

Table 6-4 Facility Data Elements: Address. 55

Table 6-5 Facility Data Elements: Contact 55

Table 6-6 Report Data Elements. 55

Table 6-7 Report Data Elements: Reporter Information. 55

Table 6-8 Patient Data Elements. 55

Table 6-9 Clinical Data Elements. 55

Table 6-10 Mapping of Use Case Actions to Information Exchange Requirements. 55

Table 6-11 Mapping of HITSP Constructs to Data and Information Exchange Requirements. 55