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ILHIE Public Health Work Group - Technical Infrastructure Subcommittee September 8 2010 Meeting Minutes 

September 8, 2010
2 p.m. - 3 p.m.

Attendees (By Phone):

  • Bala Hota, Stroger Hospital
  • Mary Driscoll, Illinois Department of Public Health (IDPH)
  • Doreen Haaksma, Independent Consultant
  • Josh Jones, Chicago Department of Public Health (CDPH)
  • Jessica Ledesma, IDPH
  • Karen McMahon, IDPH
  • Henry Sullivan, Center for Neighborhood Technology

Office of Health Information Technology(OHIT):

  • Krysta Heaney
  • Mark Chudzinski
  • Gabriela Traxler-Romin

Bala Hota opened the call at 2:05 p.m.

Bala Hota provided an update from ILHIE Technology and Interoperability Work Group, and communicated the request that the Public Health Work Group provide recommendations on specific public health technical infrastructure elements, and identify specifications for inclusion in the OHIT/ILHIE Authority RFP.

Prior to the meeting, a copy of the HITSP EHR Laboratory Results Reporting Interoperability Specifications were distributed to the group. Bala Hota provided an overview of HITSP, the Healthcare Information Technology Standards Panel, suggesting the HITSP specifications serve as a baseline for assessing current standards and identifying components where Illinois' existing systems (e.g., Illinois-National Electronic Disease Surveillance System, I-NEDSS) differ.

The HITSP standards were based on the ONC/AHIC EHR Laboratory Results Reporting Use Case. Two messaging formats are identified: 1) HL7 and 2) Clinical Data Architecture. This use case identified two scenarios for exchange: 1) sending resulting from an LIS to a public health agency, and 2) data stores held by each EHR, with a query (RLS) function; the first being the method currently used.

Bala Hota offered to draft an initial document summarizing the laboratory technical specifications.

The following individuals were identified to provide feedback:

  • Judy Kauerauf, IDPH
  • Robin Holding, IDPH
  • Brain Nicholson, IDPH
  • Todd Davis, IDPH
  • Josh Jones, CDPH

The group also identified a need to identify individuals with experience building public health interfaces and/or working with EHRs and from the vendor community. Doreen Haaksma offered to contact an individual at the University of Illinois to provide a clinical perspective. The group will also recruit individuals who can provide a technical expertise on immunizations, chronic disease reporting, and cancer registries.

Josh Jones identified a need to identify the following for OHIT: 1) who will receive results from the ILHIE within public health (e.g., I-NEDSS and Cornerstone), 2) what data they will receive, and 3) the standards for the data being sent. The group recommends that all results be reported with both a LOINC and SNOMED code. Significant work has already been completed; classifying reportable diseases to a corresponding LOINC and SNOMED code. The group also identified a need to incorporate enough flexibility in the system design to accommodate evolving metrics and new data requirements and usage.

The next meeting was set for Wednesday, September 22, 2010.

Meeting adjourned at 2:40 p.m.