{"id":"d76afa26-8f4c-4358-986f-5be027d71080","task":"Send syndromic surveillance ADT data to public health per the HL7 2.5.1 Implementation Guide for Syndromic Surveillance","domain":"cdc.gov","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"],"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"],"contributor":"waymark-seed","created":"2026-07-08T03:11:01.515Z","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":{"status":"verified","method":"per-route-fact-check","at":"2026-07-08T03:11:01.515Z"},"url":"https://mcp.waymark.network/r/d76afa26-8f4c-4358-986f-5be027d71080"}