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Use Case 3
Care Theme: Leveraging Healthcare Registries in Care Delivery
Use Case: Improving Population Health via Biosurveillance Monitoring and Detection
Primary Goal: To support case detection and investigation for the reportable infectious diseases (conditions) using electronic
information exchanges between clinicians, laboratories, and public health registries. This scenario demonstrates interoperability
between a physician's electronic health record (EHR) system, a laboratory information management system (LIMS), and the
local/state/national Public Health Infectious Disease Registry (surveillance system). The scenario is focused on pertussis.
Key Points:
• Provide laboratory information from LIMS and clinical information from physician EHR to a local/state Public Health State
Infectious Disease Registry on all patients diagnosed with a reportable condition
• Public Health Reporting decision support triggered from the Health Information Exchange (HIE)
• Public Health Disease Monitoring
• The use of Clinical Data Architecture (CDA) to define content for Public Health Reporting data exchange is demonstrated
IHE Profiles & Actors
Meaningful Use Relevance: MU of Health IT Objective 4: Improving Quality and Population Health.
Domain
Profile
Vendors
Actors
Laboratory (LAB)
XD*Lab
Axway,
GE, CDC-Atlas
Content Creator,
Consumer
Patient Care Coordination
(PCC)
XDS-MS
GE
Content Creator, Consumer
IT Infrastructure (ITI)
XDS
GDIT
Consumer, Source, Registry, Repository
PIX, PIXv3, PDQ
GDIT
PIX Manager, PDS Server
XDR
Axway, CDC-OZ, CDCAtlas
Document Source, Recipient
RFD
CDC-OZ, CDC-Atlas
Form Manager, Filler, Receiver
SVS
3M, CDC-OZ
Value Set Repository, Value Set Consumer
Care Theme: Leveraging Healthcare Registries in Care Delivery
Use Case 3 : Improving Population Health via Biosurveillance Monitoring and Detection
Clinical Workflow:
1- PCP
Place order
2- Lab
Send results
3- PCP
Send case report
4- HIE
Provide Valueadded services
5- Public Health
Infrastructure
Provide services
Send laboratory report
6- Public
Health
Infectious
Disease
Registry
1. Patient presents to PCP with symptoms of Pertussis Suspect sample taken in office and sent to the laboratory
2. Specimen is analyzed and laboratory results indicate the reportable condition. The results are sent to the ordering
provider, and to the Public Health Infectious Disease Registry via the HIE Interface. Alternatively, locally available analytic
tools support determination of reportable results
3. Results from the LIMS are available to provider EHR. Provider confirms that the patient has a pertussis which is a
reportable condition. EHR sends the Initial Case Notification Report to the Public Health Infectious Disease Registry
4. The HIE offers value-added services such as: Transforms message to a Laboratory Report that is human readable &
machine readable; Translates the local codes to LOINC codes (if necessary); Registers the laboratory result in the HIE
for provider for continuity of care; Analyzes the result content to determine whether the result is a reportable event;
Sends the laboratory result to Public Health Infectious Disease Registry as a reportable condition
5. Public Health Infrastructure Services are Provided for Form Management and Vocabulary Value Sets supporting the
case reporting analytics
6. Public Health Infectious Disease Registry receives reports from Provider EHR and LIMS via the HIE: Public health
defines and publishes infectious disease reporting requirements using standard human-readable and machine-readable
formats (HQMF); State Epidemiologist monitors the number of cases through visualization tools
Visit the IHE Product Registry at: ihe.net/registry