The Division of Public Health (DPH) declares it is ready to receive data through the Delaware Health Information Network (DHIN) in these areas of Stage 2/Stage 3Promoting Interoperability Program (PIP) attestation:

• Immunization Data:
  File Specifications: HL7 2.5.1
  Bi-directional exchange available
• Electronic Lab Reporting:
  File Specifications: HL7 2.5.1
• Syndromic Surveillance:
  File Specifications: HL7 2.5.1
  Delaware has several state-specific requirements for syndromic surveillance that makes the inclusion of these fields mandatory. See list and specifics below.
  DPH is not able to receive syndromic data from EPs (eligible professionals) at this time.
• Electronic Case Reporting (eCR)
  File Specifications: HL7 electronic initial case report (elCR) standards (R1.1 and R3) for electronic case reporting (eCR).​
• Cancer Registry Reporting:
  File Specifications: HL7 CDA R2
  Eligible professionals will utilize the CDC’s secure web-based system, Web Plus, to submit their messages. Once a mechanism to handle these messages has been built, then the Delaware Health Information Network (DHIN) will be utilized in the transport process instead of Web Plus.

 

 

Immunization Information Systems

These links pertain to the submission of electronic data to Immunization Information Systems or Immunization Registries. DelVAX is the Delaware Immunization Information System and Registry.

• DelVAX Immunization Registry HL7 2.5.1 Implementation Guide
• Practice Registration/DelVAX Facility Code Request Form
• DelVAX Add/Delete Individual Provider Form
• DPH Testing Signoff Procedures
• DelVAX Accessing the HL7 Services
• Contact the Delaware Immunization Program office for more information.

 

 

Reportable Laboratory Results

These links pertain to the submission of reportable electronic laboratory results to DPH. These lab results are sent to Delaware Electronic Reporting and Syndromic Surveillance System (DERSS).

• DPH Testing Signoff Procedures
• HL7 Version 2.5.1 Implementation Guide: Electronic Laboratory Reporting to Public Health, Release 1 (US Realm), February, 2010
• Delaware Requirements for Communicable Disease Reporting

 

 

Syndromic Surveillance

These links pertain to the submission of electronic syndromic surveillance data to DPH. These syndromic surveillance results are sent to Electronic Surveillance System for the Early Notification of Community-based Epidemics (ESSENCE).

• DPH Testing Signoff Procedures
• PHIN Messaging Guide for Syndromic Surveillance: Emergency Department, Urgent Care, Inpatient and Ambulatory Care Settings, Release 2.0, April 21, 2015 *NEW*
  SPECIAL NOTE: Delaware has several mandatory state-specific requirements for syndromic surveillance. The list is shown below:
  1. Patient Address -– PID 11.1, 11.2, 11.3, 11.4, 11.5, 11.6 and 11.9
     See page 61 of the specifications document listed above.
  2. Mode of Arrival Code -– PV2-38
     See page 73 of the specification document listed above.
  3. Travel History -– OBX-5
     See page 120 of the specifications documents listed above.
  4. Insurance Coverage -– IN1-15
     See page 120 of the specifications documents listed above.

 

Electronic Case Reporting (eCR)

File Specifications: HL7 electronic initial case report (eICR) standards (R1.1 and R3) for electronic case reporting (eCR).  DPH received Provider EHR eICR and RR notices vaia the AIMS/APHL platform connection and not through the DHIN (Delaware Health Information Network).   

The State of Delaware, Division of Public Health, uses the HL7 electronic initial case report (eICR) standards (R1.1 and R3) for electronic case reporting (eCR) and to support the new CMS Promoting Interoperability regulations for eCR. It is these standards that we will use to eventually eliminate manual reporting requirements. We also require the use of APHL AIMS and the Reportable Condition Knowledge Management System (RCKMS) to ensure appropriate reporting. 

  Helpful Links: 

Electronic Case Reporting (eCR) | CDC 

eCR – Electronic Case Reporting (aimsplatform.org) 

Electronic Case Reporting Digital Resources | CDC 
 

Cancer Registry Reporting

These links pertain to the submission of reportable electronic cancer data to DPH. This data is sent to the Delaware Cancer Registry.

• Delaware Cancer Registry Electronic Health Record (EHR) Cancer Reporting (Promoting Interoperability Program (PIP)  Stage 2) 
• Delaware Cancer Registry website
• Contact the Delaware Cancer Registry office for more information

 

 

Newborn Screening Metabolic Message Reporting

This link pertains to the submission of reportable newborn screening metabolic messages electronically to DPH. This data is sent to the Newborn Screening Program.

• Delaware HL7 Technical Specifications for Reporting Newborn Screening Metabolic Messages

 

 

Delaware Health Information Network (DHIN)

“By statute, DHIN is the state-sanctioned provider of health information exchange services. The intent is for DHIN to be the vehicle for all health data that must be transmitted or reported to the state. This will create important efficiencies and cost savings. DHIN and the Division of Public Health have agreed upon the tools and methods that will be used to feed required surveillance data, reportable labs, and immunization data from the hospitals, labs, and practices to the state.

We want to assure you that both the Division of Public Health and DHIN are working hard to meet your needs. We recognize there is some anxiety about timeliness of the availability of the tools you will need to attest to Promoting Interoperability Program (PIP). We want you to know that we are fully committed to ensuring all eligible providers and eligible hospitals have the ability to attest in the areas that DPH declares it is ready to receive.

 

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