PHIN Guides

Cancer Reporting

Document	Transaction	Standard(s) Used	Status
HL7 CDA ® Release 2 Implementation Guide: Reporting to Public Health Cancer Registries from Ambulatory Healthcare Providers, Release 1, DSTU Release 1.1 – US Realm	Cancer Reporting (Stage 3 MU)	HL7 CDA	Published
Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries (March 2014)	Cancer Reporting (Stage 2 MU)	HL7 CDA	Published
Implementation Guide for Ambulatory Healthcare Provider Reporting to Central Cancer Registries (August 2012)	Cancer Reporting (Stage 2 MU)	HL7 CDA	Published

Communications and Directory

Document	Transaction	Standard(s) Used	Status
PHIN Communication and Alerting (PCA) Guide Version 1.3 (April 27, 2010)	Public Health Alerting	EDXL V 1.0 CAP V1.1	Published
PHIN Directory Exchange Implementation Guide Version 1.0 (May 16, 2007)	Public Health Directory Exchange	DSML 1.0	Published

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ELR

Document	Transaction	Standard(s) Used	Status
HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health (US Realm), Release 1, HL7 Informative Document (February 2010) (HL7 account required)	Electronic Laboratory Reporting to Public Health	HL7 2.5.1	Published

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Message Transport

Document	Transaction	Standard(s) Used	Status
PHIN Exchange Developer Guide Version 1.0 (April 30, 2010)	PHIN Exchange	XML	Published
		SOAP
		SSL
PHIN Secure Message Transport Guide Version 2.0 (July 31, 2008)	PHIN Secure Message Transport (PHIN MS)	SOAP 1.1	Published
		XML Digital Signature: RSA-1.5 and SHA-1
		XML Encryption: RSA-1.5 and Triple-DES-CBC
		Two-way SSL 3.0

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Notifiable Disease Case Notification

Please visit the National Notifiable Diseases Surveillance System (NNDSS) HL7 Case Notification Resource Center at https://wwwn.cdc.gov/nndss/case-notification/. There, you can access finalized NNDSS HL7 Message Mapping Guides (MMGs), HL7 MMGs in development, MMG-related artifacts, and an archive of historical documentation.

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Syndromic Surveillance

CDC, in collaboration with the International Society for Disease Surveillance, has developed and published syndromic surveillance messaging guides. These guides support Meaningful Use programs that employ health information technology to improve the quality and value of American healthcare. To access and use the HL7 implementation guides for the Syndromic Surveillance Meaningful Use objectives, please see the table below.

Syndromic Surveillance

Document	Transaction	Standard(s) Used	Status
Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient, and Ambulatory Care Settings, Release 2.2. (formerly PHIN) new	Sending data from emergency department, urgent, ambulatory care, and inpatient settings to public health authorities	HL7 2.5.1	Open Comment period via the Syndromic Surveillance Community of Practice and International Society of Disease Surveillance (ISDS)
PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0 (April, 2015) Erratum to the PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings ADT Messages A01, A03, A04 and A08 Optional ORU^R01 Message Notation for Laboratory Data HL7 Version 2.5.1 (Version 2.3.1 Compatible) Release 2.0 April 21, 2015 PHIN 2.0 Implementation Guide Meaningful Use Clarifying Document (PDF available on NIST Website) new	Sending data from emergency department, urgent, ambulatory care and inpatient settings to public health authorities       Certifying 2014 Edition Meaningful Use electronic health record technology	HL7 2.5.1             HL7v2	Published
PHIN Messaging Guide For Syndromic Surveillance: Emergency Department, Urgent Care And Inpatient Settings, Release 1.9 (April 2013)	Biosurveillance (Currently not referenced for EHR certification)	HL7 2.5.1 (Version 2.3.1 Compatible) This guide is suggested for future Meaningful Use Stages.	Published
PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Release 1.1 (August 2012),Testing Clarification Release 1.2 (February 2013)	Biosurveillance (ONC Certification Criteria for EHR Technology, 2014 Ed.)	HL7 2.5.1 (Version 2.3.1 Compatible) Meaningful Use Stage 2 (October 2013 start)	Published
PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Release 1.1 (August 2012)	Biosurveillance (ONC Certification Criteria for EHR Technology, 2014 Ed.)	HL7 2.5.1 (Version 2.3.1 Compatible) Meaningful Use Stage 2 (October 2013 start)	Published
PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Addendum Release 1.1 (August 2012)	Biosurveillance (ONC Certification Criteria for EHR Technology, 2014 Ed.)	HL7 2.5.1 (Version 2.3.1 Compatible) Meaningful Use Stage 2 (October 2013 start)	Published
PHIN Messaging Guide for Syndromic Surveillance: Emergency Department and Urgent Care Data, Release 1 (October 2011)	Biosurveillance (Suggested for use with EHR Certification 2011 ed.)	HL7 2.5.1 (Version 2.3.1 Compatible)	Published

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