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201801 Electronic Case Reporting

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Return to Jan 2018 Proposals

Electronic Case Reporting

Submitting WG/Project/Implementer Group

Public Health (PH)

Justification

Electronic case reporting has been maturing in the CDA product family with two documents, the electronic Initial Case Report (eICR) and the Reportability Response. Some preliminary FHIR case reporting specifications have now been developed and are being balloted for comment. This track will explore various aspects of FHIR case reporting as they mature, beginning with:

  • Trigger code representation and dissemination from Public Health to clinical care sites and EHRs;
  • FHIR versions of the electronic Initial Case Report (eICR) and Reportability Response instance exchange;
  • Eventual expansion to decision support logic and other transactions to support case reporting and management as those aspects mature in future Connectathons.

This track will include discussions on additional resource needs for these use cases as well. The electronic Case Reporting implementation guide currently in ballot can be found here:

http://hl7.org/fhir/uv/ecr/2018Jan/index.html

Proposed Track Lead

  • John Loonsk
  • Rick Geimer


See Connectathon_Track_Lead_Responsibilities

Expected participants

  • APHL
  • CDC
  • CGI Federal
  • Epic
  • Lantana Consulting Group


Roles

Please include information here regarding how much advance preparation will be required if creating a client and/or server.

Public Health

Responsible for managing and disseminating trigger codes and decision logic.

Public Health Agency

Jurisdiction or agency that will receive and manage case reports, and at times send and/or receive reportability responses.

Intermediaries

Organizations in the information flow between a health care organization and a public health agency. Examples include HIEs, the shared platform supported by APHL and CSTE, etc.

Health Care Organization

Organization that submits case reports based on trigger codes, and receives trigger code updates and reportability responses. The health care organization can be supported by an EHR vendor in this role.

eICR Document Creator

Organization responsible for creating an electronic Initial Case Report (eICR) and sending it to an eICR Document Participant. Examples: EHR vendors and specialty reporting companies.

eICR Document Participant

Organization responsible for receiving and processing an electronic Initial Case Report (eICR). Examples: APHL or a public health agency (PHA). The eICR Document Participant may also play the role of a Reportability Response Document Creator.

Reportability Response Document Creator

Organization responsible for creating a Reportability Response and sending it to a Reportability Response Document Consumer. Examples: APHL or a public health agency (PHA). The Reportability Response Document Creator may also play the role of an eICR Document Participant.

Reportability Response Document Consumer

Organization responsible for receiving and processing a Reportability Response (RR). Examples: EHR vendors and specialty reporting companies.). The Reportability Response Document Consumer may also play the role of an eICR Document Creator.

Scenarios

Update Trigger Codes on Public Health FHIR Server

Action: Public Health determines that the current trigger code value sets require an update. The appropriate value sets are updated using PUT. Also update trigger codes as a Bundle of ValueSet resources so they can be updated as a whole set.
Precondition: Original trigger code value sets exist on test server
Success Criteria: Value sets are successfully updated and can be retrieved on demand with GET
Bonus point:

Subscribe to Trigger Code Updates

Action: Provider organization uses Subscription to subscribe to changes to trigger code value sets (or value set Bundle) using any legal notification method.
Precondition: Original trigger code value sets exist on test server
Success Criteria: Provider organization is notified and receives a copy of any trigger code value sets that are updated
Bonus point:

Ingest Trigger Codes into EHR

Action: Provider organization receives a trigger code update, and ingests the trigger codes into their EHR to support case report initiation.
Precondition: Trigger codes updates have been received by provider organization
Success Criteria: Trigger code updates successfully ingested into EHR
Bonus point:

Create eICR Document

Action: eICR Document Creator prepares an initial case report and POSTs it to a FHIR server.
Precondition: Patient and Encounter resources exist, and sufficient clinical information to populate an eICR.
Success Criteria: eICR is successfully posted to a FHIR server and validates against the eICR profiles found here: http://hl7.org/fhir/uv/ecr/2018Jan/profiles.html

TestScript(s)

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