Section 1d: Version 2 (V2)
Section 3: Implementation Guides

HL7 Version 2.6 Implementation Guide: Early Hearing Detection and Intervention (EHDI) Results Release 1

DESCRIPTION

Early Hearing Detection and Intervention (EHDI) programs exist world-wide to help identify children with hearing loss. Because newborn hearing loss is a neuro-developmental emergency, children with hearing loss need to be identified shortly after birth to help them achieve better communication outcomes. This implementation guide focuses on the transmission of the hearing screening data elements from the hearing screening device to a recipient of data, which may be an electronic health record (EHR) or a Public Health Information System.

ALTERNATIVE NAMES

HL7 Version 2.6 Implementation Guide: Early Hearing Detection and Intervention (EHDI) Results Release 1 may also go by the following names or acronyms:

"HL7 V2.6 IG: Early Hearing Detection and Intervention (EHDI) Messaging, R1", EHDI, hearing screening, newborn screening

TARGETS

  • EHR, PHR Vendors
  • Equipment Vendors
  • Health Care IT Vendors
  • Clinical Decision Support Systems Vendors
  • Local and State Departments of Health

BENEFITS

  • Enables newborn hearing screening information to be transmitted from a point of care device to an interested consumer such as public health or an EHR in a standard format

IMPLEMENTATIONS/CASE STUDIES

  • Michigan Department of Health
  • OZ Systems
  • Utah Department of Health
  • CDC
  • Minnesota Department of Health

DEVELOPMENT BACKGROUND

EHDI program level protocols involve multiple screening results in each ear. They generally also include other information such as physical exam findings (atresia of an ear), risk factors, consent values, parent/contact information, and numerous other important data elements. A foundational element is the result of a screen performed on an ear. This Implementation Guide does not endeavor to provide a framework by which all aspects of an EHDI program can be exchanged but focus on the exchange of data from a device to public health or an EHR. This Guide is targeted in the belief that this will accelerate a foundational level of informational exchange and that it can be leveraged in subsequent projects as a contributor to broader information exchange standards for EHDI programs in general.

RELATED DOCUMENTS

HL7 Version 2.6 Implementation Guide: Early Hearing Detection and Intervention (EHDI) Results Release 1

(Download) (618 KB)

ADDITIONAL DETAILS

EHDI has evolved globally as a screening program where the testing occurs at the point of care. To date, the format by which these data are transmitted, to the degree they are, has been by way of unstructured text or proprietary formats.  Those formats do not provide consistency and interoperability. There are numerous device manufacturers and numerous potential recipient systems.  The lack of a standard results in variations in data content, quality and reusability. The process of that constraint is most appropriately done under the auspices of HL7 so that uses of the message other than PCD-01 would be simultaneously served. It is worth noting that by aligning this effort with the prior work underlying PCD-01 that it does not limit this standard implementation to only being used in that functional profile.   Uses of an ORU^R01 that are common outside of the PCD-01 framework will still be available.  We expect that messages that are conformant to this standard will be conformant to IHE PCD-01 profile.

 

Primary Authors:

  • Lura Daussat (Public Health Informatics Institute)
  • Craig Newman (Altarum)

TOPICS

  • Decision Support
  • Healthcare Devices
  • Public Health

BALLOT TYPE

  • DSTU
  • Normative

STATUS DATE

2020-10-01

RESPONSIBLE WORK GROUP

Public Health

PRODUCT TYPE

  • Implementation Guide

STAKEHOLDERS

  • Clinical Decision Support Systems Vendors
  • EHR, PHR Vendors
  • Equipment Vendors
  • Health Care IT Vendors
  • Healthcare Institutions
  • Local and State Departments of Health

FAMILY

  • V2

CURRENT STATE

  • Active

REALM

  • Universal