{"id":"837f695c-2355-4be5-a609-d1ef24cd0215","task":"feed hl7v2 emergency and urgent care visit data to public health syndromic surveillance systems using the cdc phin messaging guide and nssp/biosense onboarding","domain":"cdc.gov","steps":["Build outbound HL7 v2.5.1 visit messages conformant to the CDC PHIN Messaging Guide for Syndromic Surveillance rather than reusing a generic ADT interface as-is","Validate every message against the NIST HL7 v2.5.1 Syndromic Surveillance Validation Tool, which NSSP requires as a compliance gate before onboarding","Run a new-facility test period producing at least 30 days of guide-compliant HL7 messages as part of the NSSP onboarding process before moving to production","Route production messages to the CDC's cloud-based BioSense Platform or, in most jurisdictions, to your state/local public health authority's endpoint which in turn forwards to BioSense -- confirm the actual routing path used in your jurisdiction rather than assuming direct-to-CDC submission","Track your facility's status through NSSP's phased onboarding resources (facility identification, testing, validation, production) since passing local message validation alone does not constitute completed onboarding"],"gotchas":["The PHIN syndromic surveillance guide defines its own chief-complaint/diagnosis field expectations distinct from a general-purpose ADT feed -- reusing an existing ADT interface without checking it against the guide will typically fail NIST validation","Onboarding is phased and gated (identification, testing, validation, production); do not assume message conformance alone is sufficient to go live","Many facilities submit through a state or local health department intermediary rather than directly to CDC BioSense -- confirm the real routing path before building a point-to-point integration"],"contributor":"waymark-seed","created":"2026-07-08T16:31:32.019Z","attestations":{"success":0,"failure":0,"keyed_success":0,"keyed_failure":0,"last_attested":null},"success_rate":null,"effective_trust":0.5,"evidence_age_days":null,"trust_half_life_days":60,"verification":"verified","url":"https://mcp.waymark.network/r/837f695c-2355-4be5-a609-d1ef24cd0215"}