1

Methodology to move from siloed to shared data

Inventory Consolidate Harmonize Standardize Classify Deploy Monitor

Create knowledge base of all forms, data elements and value sets

Organize data elements around shared themes

Align definitions and value sets for a theme

Identify standard representation and permissions

Assign metadata tags and user permissions to share data

Capture, act on and report the data

Track access and evaluate quality

Data Level

2

Methodology to move from siloed to shared workflow

Inventory Consolidate Modularize Standardize Pilot Deploy Monitor

Collect and deconstruct user stories according to workflow requirements

Create master user story that includes all workflow requirements

Align, simplify and reconstruct workflow requirements

Adopt one methodology to address workflow requirements

Test and fine tune modular solution and training tools in limited settings

Roll out solution to all users

Track access and evaluate quality

Functionality Level

3

Harmonization of core common data elements*

* Public Health Reporting Initiative Data Harmonization Profile

4

Oregon EHDI Manual NHS Report Form*

5

Oregon EHDI* CDA Phase 1 Pilot - Lessons Learned

Step-1 Setting: Birthing Facility IT Product: Epic 2012 EHR (Test Harness) Report Content: Patient demographic information, NHS resultsStandards: HL7 CCD, IHE RFDActor: Content Creator Form Filler

Step-2 Setting: HIE IT Product: OZ Form Manager

Report Content: NHS Outcome Report Standards: HL7 CDA, IHE EHCP, IHE RFD, IHE XDR Actor: Form ManagerForm ReceiverContent CreatorDocument Source

Step-3 Setting: Oregon EHDIIT Product: Orion Rhapsody, Filemaker DBReport Content: NHS Outcome ReportStandards: HL7 CDA, IHE EHCP, IHE XDR Actor: Content ConsumerDocument Recipient

Interoperability Standards**

* Early Hearing Detection and Intervention (EHDI) program. Newborn hearing screening (NHS) is a Stage 2 Meaningful Use objective.

** Public Health Data Standards Consortium EHDI CDA Final Report

6

EHDI CDA SDC RFD Template*

* Public Health Data Standards Consortium EHDI CDA Final Report

7

EHDI CDA Phase 1 Pilot – Lessons Learned

Data Exchange Architecture*

* Public Health Data Standards Consortium EHDI CDA Final Report

8

EHDI CDA Phase 2 Proposal: Real Data & Systems

EHDI User Story – Report Form for Data Capture (RFD)

9

EHDI CDA Phase 2: SDC Template