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1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1b. Project ID

1631

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact being Reaffirmed or proceeding to Normative directly after being either Informative or STU?

No

1e. Today's Date

1f. Name of standard being reaffirmed

1g. Project Artifact Information

1h. ISO/IEC Standard to Adopt

1i. Does the standard include excerpted text from one or more ISO, IEC or ISO/IEC standards, but is not an identical or modified adoption?

1j. Unit of Measure

2a. Primary/Sponsor WG

Public Health

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Julie Ambrose and Floyd Roye), American Audiology Association (Allison Grimes): Provide domain knowledge

National Diagnostic Audiology Reporting Standards Work Group (see 6a) - Provide domain knowledge

Patient Administration WG - subject matter experts for scheduling workflows

2f. Modeling Facilitator

2g. Publishing Facilitator

Craig Newman

2h. Vocabulary Facilitator

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2j. Business Requirements Analyst

2k. Conformance Facilitator

Craig Newman

2l. Other Facilitators

2m. Implementers

1) Oregon EHDI with Oregon Health & Science University and Epic
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

Attachments

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 2021
Submit for 2nd STU Ballot - May 2021
Request STU Publication - September 2021
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PHWG/Diagnostic+Audiology+Reporting+Implementation+Guide

3j. Backwards Compatibility

Unknown

3k. Additional Backwards Compatibility Information (if applicable)

3l. Using Current V3 Data Types?

No

3l. Reason for not using current V3 data types?

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

3o. Earliest prior release and/or version to which the compatibility applies

4a. Products

V2 Messages - Clinical

4b. For FHIR IGs and FHIR Profiles, what product version(s) will the profiles apply to?

4c. FHIR Profiles Version

4d. Please define your New Product Definition

4d. Please define your New Product Family

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. White Paper Type

5a. Is the project adopting/endorsing an externally developed IG?

No

5a. Externally developed IG is to be (select one)

5a. Specify external organization

5a. Revising Current Standard Info

5b. Project Ballot Type

STU to Normative

5c. Additional Ballot Info

5d. Joint Copyright

No

5e. I understand I must submit a Joint Copyright Letter of Agreement to the TSC in order for the PSS to receive TSC approval.

no

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief Institute
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6c. Content externally developed?

No

6d. List Developers of Externally Developed Content

6e. Is this a hosted (externally funded) project?

Yes

6f. Stakeholders

6f. Other Stakeholders

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6g. Other Vendors

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

6i. Realm

U.S. Realm Specific

7d. US Realm Approval Date

7a. Management Group(s) to Review PSS

V2

7b. Sponsoring WG Approval Date

Jun 04, 2020

7c. Co-Sponsor Approval Date

7c. Co-Sponsor 2 Approval Date

7c. Co-Sponsor 3 Approval Date

7c. Co-Sponsor 4 Approval Date

7c. Co-Sponsor 5 Approval Date

7c. Co-Sponsor 6 Approval Date

7c. Co-Sponsor 7 Approval Date

7c. Co-Sponsor 8 Approval Date

7c. Co-Sponsor 9 Approval Date

7c. Co-Sponsor 10 Approval Date

7e. CDA MG Approval Date

7f. FMG Approval Date

7g. V2 MG Approval Date

Jun 05, 2020

7h. Architecture Review Board Approval Date

7i. Steering Division Approval Date

7j. TSC Approval Date



 Show Changes

Version

14

Modifier

Craig Newman

Modify Date

Jul 01, 2020 19:22

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1b. Project ID

1631

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Julie Ambrose and Floyd Roye), American Audiology Association (Allison Grimes): Provide domain knowledge

National Diagnostic Audiology Reporting Standards Work Group (see 6a) - Provide domain knowledge

Patient Administration WG - subject matter experts for scheduling workflows

2g. Publishing Facilitator

Craig Newman

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

Craig Newman

2m. Implementers

1) Oregon EHDI with Oregon Health & Science University and Epic
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 2021
Submit for 2nd STU Ballot - May 2021
Request STU Publication - September 2021
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PHWG/Diagnostic+Audiology+Reporting+Implementation+Guide

3j. Backwards Compatibility

Unknown

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V2 Messages - Clinical

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief Institute
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

V2

7b. Sponsoring WG Approval Date

Jun 04, 2020

7g. V2 MG Approval Date

Jun 05, 2020

Version

13

Modifier

Dave Hamill

Modify Date

Jun 24, 2020 16:00

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1b. Project ID

1631

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Julie Ambrose and Floyd Roye), American Audiology Association (Allison Grimes): Provide domain knowledge

National Diagnostic Audiology Reporting Standards Work Group (see 6a) - Provide domain knowledge

2g. Publishing Facilitator

Craig Newman

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

Craig Newman

2m. Implementers

1) Oregon EHDI with Oregon Health & Science University and Epic
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 2021
Submit for 2nd STU Ballot - May 2021
Request STU Publication - September 2021
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3i. HL7-Managed Project Document Repository URL:

https://confluence.hl7.org/display/PHWG/Diagnostic+Audiology+Reporting+Implementation+Guide

3j. Backwards Compatibility

Unknown

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V2 Messages - Clinical

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

5d. Joint Copyright

No

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief Institute
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

V2

7b. Sponsoring WG Approval Date

Jun 04, 2020

7g. V2 MG Approval Date

Jun 05, 2020

Version

12

Modifier

Meuy Swafford

Modify Date

Jun 05, 2020 21:32

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Julie Ambrose and Floyd Roye), American Audiology Association (Allison Grimes): Provide domain knowledge

National Diagnostic Audiology Reporting Standards Work Group (see 6a) - Provide domain knowledge

2g. Publishing Facilitator

Craig Newman

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

Craig Newman

2m. Implementers

1) Oregon EHDI with Oregon Health & Science University and Epic
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 2021
Submit for 2nd STU Ballot - May 2021
Request STU Publication - September 2021
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3j. Backwards Compatibility

Unknown

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V2 Messages - Clinical

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief Institute
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

V2

7g. V2 MG Approval Date

Jun 05, 2020

Version

11

Modifier

Meuy Swafford

Modify Date

Jun 05, 2020 21:29

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Julie Ambrose and Floyd Roye), American Audiology Association (Allison Grimes): Provide domain knowledge

National Diagnostic Audiology Reporting Standards Work Group (see 6a) - Provide domain knowledge

2g. Publishing Facilitator

Craig Newman

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

Craig Newman

2m. Implementers

1) Oregon EHDI with Oregon Health & Science University Epic
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 2021
Submit for 2nd STU Ballot - May 2021
Request STU Publication - September 2021
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3j. Backwards Compatibility

Unknown

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V2 Messages - Clinical

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief Institute
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

V2

7g. V2 MG Approval Date

Jun 05, 2020

Version

10

Modifier

Meuy Swafford

Modify Date

Jun 05, 2020 21:17

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Julie Ambrose and Floyd Roye), American Audiology Association (Allison Grimes): Provide domain knowledge

National Diagnostic Audiology Reporting Standards Work Group (see 6a) - Provide domain knowledge

2g. Publishing Facilitator

Craig Newman

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

Craig Newman

2m. Implementers

1) Oregon EHDI with hospitals and audiology clinics
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 2021
Submit for 2nd STU Ballot - May 2021
Request STU Publication - September 2021
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3j. Backwards Compatibility

Unknown

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V2 Messages - Clinical

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief Institute
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

V2

7g. V2 MG Approval Date

Jun 05, 2020

Version

9

Modifier

Meuy Swafford

Modify Date

Jun 05, 2020 21:15

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Julie Ambrose, Floyd Roye, and Regina Escano Zappi), American Audiology Association (Allison Grimes): Provide domain knowledge

National Diagnostic Audiology Reporting Standards Work Group (see 6a) - Provide domain knowledge

2g. Publishing Facilitator

Craig Newman

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

Craig Newman

2m. Implementers

1) Oregon EHDI with hospitals and audiology clinics
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 2021
Submit for 2nd STU Ballot - May 2021
Request STU Publication - September 2021
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3j. Backwards Compatibility

Unknown

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V2 Messages - Clinical

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief Institute
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

V2

7g. V2 MG Approval Date

Jun 05, 2020

Version

8

Modifier

Meuy Swafford

Modify Date

Jun 05, 2020 18:18

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Regina Escano Zappi), American Audiology Association (Allison Grimes): Provide domain knowledge

National Diagnostic Audiology Reporting Standards Work Group (see 6a) - Provide domain knowledge

2g. Publishing Facilitator

Craig Newman

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

Craig Newman

2m. Implementers

1) Oregon EHDI with hospitals and audiology clinics
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 2021
Submit for 2nd STU Ballot - May 2021
Request STU Publication - September 2021
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3j. Backwards Compatibility

Unknown

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V2 Messages - Clinical

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief Institute
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

V2

7g. V2 MG Approval Date

Jun 05, 2020

Version

7

Modifier

Craig Newman

Modify Date

Jun 05, 2020 14:20

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Regina Escano Zappi), American Audiology Association (Allison Grimes): Provide domain knowledge

National Diagnostic Audiology Reporting Standards Work Group (see 6a) - Provide domain knowledge

2g. Publishing Facilitator

Craig Newman

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

Craig Newman

2m. Implementers

1) Oregon EHDI with hospitals and audiology clinics
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 2021
Submit for 2nd STU Ballot - May 2021
Request STU Publication - September 2021
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3j. Backwards Compatibility

Unknown

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V2 Messages - Clinical

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief (or is it LOINC?)
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

V2

7g. V2 MG Approval Date

Jun 05, 2020

Version

6

Modifier

Meuy Swafford

Modify Date

Jun 04, 2020 15:05

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Regina Escano Zappi), American Audiology Association (Allison Grimes): Provide domain knowledge

National Diagnostic Audiology Reporting Standards Work Group (see 6a) - Provide domain knowledge

2g. Publishing Facilitator

Craig Newman

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

Craig Newman

2m. Implementers

1) Oregon EHDI with hospitals and audiology clinics
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 2021
Submit for 2nd STU Ballot - May 2021
Request STU Publication - September 2021
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3j. Backwards Compatibility

Unknown

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V2 Messages - Clinical

5a. Project Intent

Implementation Guide (IG) will be created/modified

5a. Is the project adopting/endorsing an externally developed IG?

No

5b. Project Ballot Type

STU to Normative

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief (or is it LOINC?)
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6c. Content externally developed?

No

6e. Is this a hosted (externally funded) project?

Yes

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

6i. Realm

U.S. Realm Specific

7a. Management Group(s) to Review PSS

V2

Version

5

Modifier

Meuy Swafford

Modify Date

Jun 04, 2020 02:57

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Regina Escano Zappi), American Audiology Association (Allison Grimes): Provide domain knowledge

National Diagnostic Audiology Reporting Standards Work Group (see 6a) - Provide domain knowledge

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

TBD

2m. Implementers

1) Oregon EHDI with hospitals and audiology clinics
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 2021
Submit for 2nd STU Ballot - May 2021
Request STU Publication - September 2021
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3j. Backwards Compatibility

Unknown

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V2 Messages - Clinical

5a. Project Intent

Implementation Guide (IG) will be created/modified

5b. Project Ballot Type

STU to Normative

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief (or is it LOINC?)
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6e. Is this a hosted (externally funded) project?

No

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

7a. Management Group(s) to Review PSS

V2

Version

4

Modifier

Meuy Swafford

Modify Date

Jun 04, 2020 02:28

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Regina Escano Zappi), American Audiology Association (Allison Grimes): Provide domain knowledge

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

TDB

2m. Implementers

1) Oregon EHDI with hospitals and audiology clinics
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:
1.Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment. This includes sending and receiving the following groups of data elements:
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (Name, ID, address)
•Appointment (date, time)
•Diagnostic audiology tests performed
•Results of the diagnostic evaluation: left ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of the diagnostic evaluation: right ear, including type, severity, and configuration of hearing loss, if a diagnosis is made.
•Results of diagnostic evaluation in the form of audiogram
•Risk factors for congenital or late-onset hearing loss
•Recommended referrals and follow-up tests or services

2.Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient. This includes sending and receiving information on
•Patient demographics (Name, ID, mother or caregiver’s name, address, contact)
•Audiology provider (name, ID, address)
•Scheduled appointment (date, time)
•No show, cancellation, or change of the appointment

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 20
Submit for 2nd STU Ballot - May 20
Request STU Publication - September 20
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3j. Backwards Compatibility

Unknown

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V2 Messages - Clinical

5a. Project Intent

Implementation Guide (IG) will be created/modified

5b. Project Ballot Type

STU to Normative

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief (or is it LOINC?)
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6e. Is this a hosted (externally funded) project?

No

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

7a. Management Group(s) to Review PSS

V2

Version

3

Modifier

Meuy Swafford

Modify Date

Jun 04, 2020 00:34

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Regina Escano Zappi), American Audiology Association (Allison Grimes): Provide domain knowledge

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2k. Conformance Facilitator

TDB

2m. Implementers

1) Oregon EHDI with hospitals and audiology clinics
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:

·Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment

·Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient.

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 20
Submit for 2nd STU Ballot - May 20
Request STU Publication - September 20
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for HL7 V2, EHDI HL7 V2 IG

3g. Lineage

N/A

3h. Project Dependencies

N/A

3j. Backwards Compatibility

No

3l. Using Current V3 Data Types?

No

3m. External Vocabularies

Yes

3n. List of Vocabularies

LOINC, SNOMED-CT, ICD10, CPT, UCUM

4a. Products

V3 Documents – Clinical (e.g. CDA)

5a. Project Intent

Implementation Guide (IG) will be created/modified

5b. Project Ballot Type

STU to Normative

6a. External Project Collaboration

State EHDI Programs: IL, NH, NC, GA, MN, ND, WA, IA, NE, FL, OR, RI
American Speech Language Hearing Association (ASHA)
Hospitals/University Audiology: Boston Children’s Hospital, UCLA Medical Center, University of Miami, YKHC, Oregon Health & Science University, and Oregon Legacy Health System
HIT Standards: Public Health Informatics Institute, and Regenstrief (or is it LOINC?)
EHDI-IS/Hospital IT: OZ Systems
Public Health Informatics Consulting: HLN Consulting, LLC
Work group has identified and mapped data elements in the following areas:
· Patient Demographics
· Diagnostic results: type, laterality, and degree of loss
· Audiograms (Hz and dB)
· Testing performed/ Equipment types
· Risk factors
· Referrals (referral standards are available)

And, mapped a HL7 v2 messaging standard to exchange data between provider EHR and state EHDI IS.

6b. Content Already Developed

The workgroup has identified a list of core data elements and a proposed HL7 V2 message

6e. Is this a hosted (externally funded) project?

No

6g. Vendors

EHR, PHR, Equipment, Health Care IT, Other

6h. Providers

Local and State Departments of Health, Healthcare Institutions (hospitals, long term care, home care, mental health), Other

6h. Other Providers

Audiologist

7a. Management Group(s) to Review PSS

V2

Version

2

Modify Date

Jun 04, 2020 00:05

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Regina Escano Zappi), American Audiology Association (Allison Grimes): Provide domain knowledge

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2m. Implementers

1) Oregon EHDI with hospitals and audiology clinics
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:

·Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment

·Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient.

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 20
Submit for 2nd STU Ballot - May 20
Request STU Publication - September 20
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for Hl7 V2EHDI HL7 V2 IG

3j. Backwards Compatibility

No

Version

1

Modify Date

Jun 04, 2020 00:05

1a. Project Name

Diagnostic Audiology Reporting HL7 V2 Implementation Guide

1c. Is Your Project an Investigative Project (aka PSS-Lite)?

No

1d. Is your Project Artifact now proceeding to Normative directly or after being either Informative or STU?

No

2a. Primary/Sponsor WG

Publishing

2b. Co-Sponsor WG

Electronic Health Record

2d. Project Facilitator

Oregon EHDI (Meuy Swafford, Heather Morrow-Almeida), Lura Daussat (Public Health Informatics Institute)

2e. Other Interested Parties (and roles)

CDC EHDI team – co-sponsor the project and provide domain knowledge Xidong Deng, Marcus Gaffney, Eric Cahill, Winnie Chung

American Speech Language Hearing Association (Regina Escano Zappi), American Audiology Association (Allison Grimes): Provide domain knowledge

2i. Domain Expert Representative

Heather Morrow-Almeida, Shelby Atwill, Meuy Swafford

2m. Implementers

1) Oregon EHDI with hospitals and audiology clinics
2) Rhode Island EHDI with hospitals and audiology clinics

3a. Project Scope

Complete, timely and accurate reporting of diagnostic audiology results to State Early Hearing Detection and Intervention (EHDI) programs is critical to achieve the aim of preventing delays in the development of speech, language and social skills for children who are deaf or hard of hearing. Health Information Exchange (HIE) is a proven success for timely, complete and accurate reporting of newborn hearing screening results. An informatics-focused solution is needed to mirror the success of HIE for diagnostic audiology results.

The proposed project aims to develop a HL7 v2 implementation guide to facilitate universal exchange of pediatric diagnostic audiology results between provider EHR and state EHDI information systems. The project will cover the following use cases:

·Sharing diagnostic audiology visit information: this use case focus on exchange of information regarding a fulfilled audiology diagnostic evaluation appointment

·Sharing no show or change of appointment information: this use case focus on the provider notifying state EHDI program about a missed/change of scheduled diagnostic audiology appointment, so that the EHDI program can take appropriate actions to follow up with the patient.

3b. Project Need

The goal of Early Hearing Detection and Intervention (EHDI) is to assure that all newborns receive a hearing screening by one month of age, infants who refer on newborn screening receive diagnostic evaluation by three months of age and infants diagnosed with hearing loss are enrolled into early intervention services by six months of age, also known as the EHDI 1-3-6 goals. The purpose of this timeline for hearing screening, diagnosis and intervention services is to maximize early access to language and communication for brain development for children who are deaf or hard of hearing. EHDI programs monitor and track infants’ progress in meeting these goals, using reports of hearing screening, diagnosis and intervention status. Timely, accurate and complete reporting for each of these steps is critical. Many state EHDI programs have legislative requirements related to tracking, monitoring and communicating the results of hearing screenings, diagnoses and intervention services.

Diagnostic audiology results are reported to EHDI programs in various formats and methods, but typically via paper documentation or direct data entry into an EHDI Information System. These methods rely on audiologists to actively provide results and involves duplication of data entry as the results already exist in the electronic health record. Late and missing documentation of results have been ongoing challenges to EHDI programs across the country for years, leading to unnecessary effort by EHDI program staff, confusing communications with families and providers, and sometimes, late access to critical services for children identified as deaf or hard of hearing. The developmental trajectory for children who are deaf or hard of hearing is at risk.

Newborn hearing screening HL7 standards are successfully in use and have proven success in improving the timeliness and completeness of reporting. State EHDI programs and pediatric audiologists have expressed the need and value for a standard HL7 reporting methodology for diagnostic audiology data as well. This ballot is intended to fulfill the promise of HL7 standards for diagnostic audiology data.

3c. Security Risk

No

3d. External Drivers

LOINC and/or SNOMED-CT codes need to be established for missing core data elements and value sets.

3e. Objectives/Deliverables and Target Dates

Submit for STU Ballot (First Ballot Cycle) - 2021 Jan
Complete STU Reconciliation - April 20
Submit for 2nd STU Ballot - May 20
Request STU Publication - September 20
STU Period – 12 months - September 2022
Submit for Normative Ballot - September 2022
Complete Normative Reconciliation - January 2023
Receive ANSI Approval - ?

3f. Common Names / Keywords / Aliases:

Diagnostic Audiology Reporting Implementation Guide for Hl7 V2EHDI HL7 V2 IG

3j. Backwards Compatibility

No