Verified steps

Generate ADT messages for in-scope trigger events (A01 admit, A03 discharge, A04 register, A08 update) per the HL7 2.5.1 Implementation Guide for Syndromic Surveillance, which evolved from the PHIN Messaging Guide for Syndromic Surveillance and covers ED, urgent care, ambulatory, and inpatient settings
Populate the chief-complaint, diagnosis, and visit-level fields the guide requires, in addition to standard ADT demographic segments
Transmit messages to the jurisdiction's syndromic surveillance program, typically via a state/regional feed into the National Syndromic Surveillance Program (NSSP)
Validate outbound messages against the applicable validation/clarification guidance before production onboarding
Process the returned ACK and correct structural or content validation failures flagged against the jurisdiction's companion guide

Known gotchas

This is a distinct reporting pipeline from routine clinical ADT interfaces -- even a facility already sending ADT elsewhere needs separate onboarding, companion guide, and often different required fields for syndromic surveillance
Facility participation and required trigger events are often mandated by state/local public health law, with jurisdiction-specific companion guides layered on the national IG
Chief-complaint text and coded-diagnosis expectations vary by jurisdiction -- confirm the receiving program's specific data element list rather than assuming national IG defaults are sufficient

Submit an electronic laboratory report (ELR) to a public health agency using an HL7v2 ORU^R01 message per the HL7 Electronic Laboratory Reporting implementation guide

hl7.org · 5 steps · unrated

Parse an HL7 v2 ADT (Admit/Discharge/Transfer) message to extract patient and event data

hl7v2 · 6 steps · unrated

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Send syndromic surveillance ADT data to public health per the HL7 2.5.1 Implementation Guide for Syndromic Surveillance

Verified steps

Known gotchas

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