[{"command":"settings","settings":{"pluralDelimiter":"\u0003","suppressDeprecationErrors":true,"ajaxPageState":{"libraries":"eJxVyDEOgDAIAMAPmXbyPQaFWJQKoUV9vomLcbnhlp2Qu_o4dVXpbLkXqjQYOKwOVlpGDwNJ36Q4LGbhVgiHk-lq-TXBBvcvqmIIPckHJ18","theme":"newsteps","theme_token":null},"ajaxTrustedUrl":[],"views":{"ajax_path":"\/views\/ajax","ajaxViews":{"views_dom_id:a68c01876a19b77662e0c53d689d0077d60af0cf33d83642d14aaefe79a01805":{"view_name":"toolkit_sections","view_display_id":"block_section_related_resources","view_args":"2027","view_path":"\/aphl-api\/get-toolkit-section\/2027","view_base_path":null,"view_dom_id":"a68c01876a19b77662e0c53d689d0077d60af0cf33d83642d14aaefe79a01805","pager_element":0},"views_dom_id:41cf00df1c81bdd6cba2995f28ef52d8e19d3f513a86fb17ef0359cbf1c96024":{"view_name":"toolkit_sections","view_display_id":"attachment_toolkit_related_resource","view_args":"2027","view_path":"\/aphl-api\/get-toolkit-section\/2027","view_base_path":null,"view_dom_id":"41cf00df1c81bdd6cba2995f28ef52d8e19d3f513a86fb17ef0359cbf1c96024","pager_element":0},"views_dom_id:1863cdcba07b73b5aea331dd8856b903fa11e4ef7708b371738cee18d9776ba3":{"view_name":"toolkit_sections","view_display_id":"block_toolkit_section_additional","view_args":"2027","view_path":"\/aphl-api\/get-toolkit-section\/2027","view_base_path":null,"view_dom_id":"1863cdcba07b73b5aea331dd8856b903fa11e4ef7708b371738cee18d9776ba3","pager_element":0},"views_dom_id:d8923f71204d7a1192c8c58360c5daffc930ca9f89df4db976851e59f6af2261":{"view_name":"toolkit_sections","view_display_id":"block_toolkit_section_full","view_args":"2027","view_path":"\/aphl-api\/get-toolkit-section\/2027","view_base_path":null,"view_dom_id":"d8923f71204d7a1192c8c58360c5daffc930ca9f89df4db976851e59f6af2261","pager_element":0}}},"user":{"uid":0,"permissionsHash":"833ba30cccab372c95c0c64c97c22a4bb4b2156554bb2bbea484cc7dd17d556d"}},"merge":true},{"command":"add_css","data":[{"rel":"stylesheet","media":"all","href":"\/core\/misc\/components\/progress.module.css?tdhib2"},{"rel":"stylesheet","media":"all","href":"\/core\/misc\/components\/ajax-progress.module.css?tdhib2"},{"rel":"stylesheet","media":"all","href":"\/core\/modules\/views\/css\/views.module.css?tdhib2"},{"rel":"stylesheet","media":"all","href":"\/modules\/custom\/ckeditor5_tooltip\/css\/tooltip.css?tdhib2"},{"rel":"stylesheet","media":"all","href":"\/modules\/contrib\/paragraphs\/css\/paragraphs.unpublished.css?tdhib2"}]},{"command":"add_js","selector":"body","data":[{"src":"\/core\/assets\/vendor\/jquery\/jquery.min.js?v=4.0.0"},{"src":"\/core\/assets\/vendor\/once\/once.min.js?v=1.0.1"},{"src":"\/sites\/default\/files\/languages\/en_iVk-mXY48-3nev2K4weW3PZ8gBbK-GQHaXeFOIcaepg.js?tdhib2"},{"src":"\/core\/misc\/drupalSettingsLoader.js?v=11.3.5"},{"src":"\/core\/misc\/drupal.js?v=11.3.5"},{"src":"\/core\/misc\/drupal.init.js?v=11.3.5"},{"src":"\/core\/assets\/vendor\/tabbable\/index.umd.min.js?v=6.3.0"},{"src":"\/modules\/custom\/ckeditor5_tooltip\/js\/ckeditor5_plugins\/tooltipPlugin\/src\/tooltipposition.js?tdhib2"},{"src":"\/core\/misc\/jquery.form.js?v=4.3.0"},{"src":"\/core\/misc\/progress.js?v=11.3.5"},{"src":"\/core\/assets\/vendor\/loadjs\/loadjs.min.js?v=4.3.0"},{"src":"\/core\/misc\/debounce.js?v=11.3.5"},{"src":"\/core\/misc\/announce.js?v=11.3.5"},{"src":"\/core\/misc\/message.js?v=11.3.5"},{"src":"\/core\/misc\/ajax.js?v=11.3.5"},{"src":"\/core\/modules\/views\/js\/base.js?v=11.3.5"},{"src":"\/core\/modules\/views\/js\/ajax_view.js?v=11.3.5"}]},{"command":"insert","method":"replaceWith","selector":"#toolkit-full-block-wrapper","data":"\u003Cdiv id=\u0022toolkit-full-block-wrapper\u0022  class=\u0022js-container--content-tabs\u0022\u003E\u003Cdiv class=\u0022js-view-dom-id-d8923f71204d7a1192c8c58360c5daffc930ca9f89df4db976851e59f6af2261\u0022\u003E\n  \n  \n  \n\n  \n  \n  \n\n  \u003Cdiv class=\u0022views-view-grid horizontal cols-4000 clearfix\u0022\u003E\n              \u003Cdiv\u003E\n                  \u003Cdiv\u003E\n\n\u003Carticle data-history-node-id=\u00222027\u0022 class=\u0022node node--type-section node--view-mode-full\u0022\u003E\n  \n  \n  \u003Ch4 class=\u0022uppercase\u0022\u003ESection \u003Cspan\u003E5\u003C\/span\u003E\u003C\/h4\u003E\n  \u003Ch1 class=\u0022node-title\u0022\u003ETools Reference Guide\u003C\/h1\u003E\n  \n\u003Cdiv class=\u0022field--name-field-sections\u0022\u003E\n  \u003Cdiv class=\u0022toolkit-section\u0022\u003E  \u003Cdiv class=\u0022paragraph paragraph--type--text paragraph--view-mode--default\u0022\u003E\n          \n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E\u003Ch2\u003ESummary\u003C\/h2\u003E\n\n\u003Cp\u003EThis section\u0026nbsp;collects all the tools mentioned throughout the Building Blocks Guide and Toolkit. For each, we provide a description of the tool and an explanation of when to introduce and apply the tool. Where applicable, we offer publicly available templates and examples that the laboratory can use as a basis for its own project artifacts. The Building Blocks team has also developed certain resources, including an implementation workbook, a mapping document, and an example message, to help laboratories implement NBS data exchange; the list below identifies these resources and how to access them. In addition, several laboratories have graciously permitted us to reference examples of tools that they have developed internally.\u003C\/p\u003E\n\u003C\/div\u003E\n      \n      \n      \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003Cdiv class=\u0022toolkit-section\u0022\u003E  \u003Cdiv class=\u0022paragraph paragraph--type--text paragraph--view-mode--default\u0022\u003E\n          \n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E\u003Ch2\u003ECDC Unified Process\u003C\/h2\u003E\n\n\u003Cp\u003ECDC created a framework and methodology known as the Unified Process to urge project managers to use best practices in the design and execution of their projects.\u003Ca href=\u0022#_ftn1\u0022 name=\u0022_ftnref1\u0022 title\u003E[1]\u003C\/a\u003E The templates, tools, and other resources that make up the framework enable project managers to adopt practices and processes that comply with good project management methodology and with Federal regulations and policies, including the Enterprise Performance Life Cycle (EPLC) framework. (Health and Human Services utilizes the EPLC in all its projects.)\u003C\/p\u003E\n\n\u003Cp\u003ECDC designed the UP framework specifically with informatics projects in mind, and the mission of the CDC in many respects mirrors that of Public Health Agencies and Laboratories. Therefore, while project management templates are available from many sources, the Building Blocks Toolkit provides multiple examples from the CDC UP.\u003C\/p\u003E\n\n\u003Cp\u003ENone of the recommended tools or templates in this Section should be considered constrictive or authoritative. Often the laboratory will have a set of project management or other documents that should be used. The use of standard, consistent tools increases the efficiency and effectiveness of project management processes. The source of these artifacts is the decision of the project team, the laboratory and its partners.\u003C\/p\u003E\n\n\u003Cdiv\u003E\n\u003Chr\u003E\n\u003Cdiv id=\u0022ftn1\u0022\u003E\n\u003Cp\u003E\u003Ca href=\u0022#_ftnref1\u0022 name=\u0022_ftn1\u0022 title\u003E[1]\u003C\/a\u003E For more on the CDC Unified Process, visit \u003Ca href=\u0022https:\/\/www2.cdc.gov\/cdcup\/\u0022\u003Ehttps:\/\/www2.cdc.gov\/cdcup\/\u003C\/a\u003E.\u003C\/p\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\n\u003C\/div\u003E\n      \n      \n      \u003C\/div\u003E\n\u003C\/div\u003E\n  \u003Cdiv class=\u0022toolkit-section\u0022\u003E          \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EAPHL Informatics Self-Assessment Toolkit\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThe APHL Informatics Self-Assessment (SA) Toolkit is a web-based tool that the laboratory can use to assess its informatics maturity across 19 capability areas. Users can compare their laboratory\u2019s capabilities to that of other, similar laboratories and to the national average. The laboratory can use the SA Tool to identify gaps in current informatics capabilities, which may help to determine the laboratory\u2019s readiness to engage in a large-scale data exchange implementation project. The Tool also allows the laboratory to compare its capabilities over time to demonstrate the impact of development projects.\u003C\/p\u003E\u003Ch3\u003EMore Information:\u003C\/h3\u003E\u003Cp\u003EAPHL has published the Self-Assessment as both a pdf document and as a web-based tool. The web-based version lets registered users save their work and compare previous assessments; it also features robust visualization tools. Email \u003Ca href=\u0022mailto:informatics.support@aphl.org\u0022\u003Einformatics.support@aphl.org\u003C\/a\u003E to set up an account.\u003C\/p\u003E\u003Cul\u003E\u003Cli\u003EWeb-based Tool:\u0026nbsp;\u003Ca href=\u0022http:\/\/satool.aphl.org\/\u0022\u003Ehttp:\/\/satool.aphl.org\/\u003C\/a\u003E.\u003C\/li\u003E\u003Cli\u003EPDF SA Tool form: \u003Ca href=\u0022https:\/\/www.aphl.org\/mrc\/documents\/lei_2013jun_informatics-self-assessment-tool-for-phls.pdf\u0022\u003Ehttps:\/\/www.aphl.org\/mrc\/documents\/lei_2013jun_informatics-self-assessment-tool-for-phls.pdf\u003C\/a\u003E.\u003C\/li\u003E\u003C\/ul\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003ENewborn Screening IT Systems Architectural Diagram\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThe \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/newborn-screening-it-systems-architectural-diagram\u0022\u003Earchitectural diagram \u003C\/a\u003Eis a visual representation of the IT systems and infrastructure that will contribute to the technical solution. It depicts the process that the laboratory will use to receive, process, and deliver the message to the LIMS. The design should indicate the transport method and connection point, the integration engine and\/or LIMS, and any other systems involved.\u003C\/p\u003E\u003Ch3\u003EMore Information:\u003C\/h3\u003E\u003Cp\u003E\u003Ca href=\u0022https:\/\/www.newsteps.org\/toolkits\/building-blocks-newborn-screening-health-it-implementation-guide-and-toolkit\/getting-ready\u0022\u003ESee 1C: Identify a Health Data Exchange Technical Solution \u003C\/a\u003Efor a Sample technical architecture diagram.\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EBaby Steps Toward Defining the Message\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThis document is a companion to \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/baby-steps-toward-defining-hl7-message\u0022\u003ESection 1D\u003C\/a\u003E\u003Ca href=\u0022http:\/\/www.newsteps.org\/toolkits\/building-blocks-newborn-screening-health-it-implementation-guide-and-toolkit\/getting-ready\u0022\u003E\u0026nbsp;\u003C\/a\u003Eof the Building Blocks Guide. It describes the steps required for HL7 message definition and provides additional information on the tools and topics discussed in the Guide, including the Implementation Workbook and the Message Validation Template.\u003C\/p\u003E\u003Ch3\u003EMore Information:\u003C\/h3\u003E\u003Cp\u003EThe Building Blocks team developed the Baby Steps document as a companion to Section 1D\u0026nbsp;of the Guide:\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/baby-steps-toward-defining-hl7-message\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/baby-steps-toward-defining-hl7-message\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EBusiness Case\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EA business case summarizes the justification for starting a new project. It defines the problem that the project is attempting to address and explains the proposed solution. The business case may include a basic cost benefit analysis; it may also review the pros and cons of alternative solutions. The business case is often the first project artifact to articulate and document the objectives of a project, and project sponsors may use the business case to authorize the initiative, or at a minimum to green light additional project planning.\u003C\/p\u003E\u003Ch3\u003EMore Information:\u003C\/h3\u003E\u003Cp\u003EThe CDC UP framework provides a useful template for creating a business case:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/cdc-business-case-template\u0026nbsp;\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/cdc-business-case-template\u0026nbsp;\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EChange Management Tools\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EChange management is a discipline that prepares organizations to adopt change. By equipping individuals and teams with the tools needed to be successful, organizational change management increases the success of projects. To successfully implement a project on the scale of electronic messaging, change needs to take place at the level of the individual employee, the organization, and the entire enterprise. Furthermore, these changes need to be managed carefully to maintain employee morale and adoption of the required changes.\u003C\/p\u003E\u003Ch3\u003EMore Information:\u003C\/h3\u003E\u003Cp\u003EMultiple publicly available tools exist to help organizations with planning and executing successful change management. MITRE, a non-profit organization, has published an article on its website that offers a useful and informative introduction to change management:\u003C\/p\u003E\u003Cp\u003E\u003Ca href=\u0022https:\/\/www.mitre.org\/publications\/systems-engineering-guide\/enterprise-engineering\/transformation-planning-and-organizational-change\u0022\u003Ehttps:\/\/www.mitre.org\/publications\/systems-engineering-guide\/enterprise-engineering\/transformation-planning-and-organizational-change\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003ECommunication Plan\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EManaging many stakeholders can be complicated. A communication plan documents how and when the project team will reach out to different stakeholders, as well as whose responsibility it is to do the communicating. The Communication Plan may be included as part of the project management plan.\u003C\/p\u003E\u003Cp\u003EThe project team should consider developing a communication plan concomitantly with the Stakeholder Matrix during the early planning stages. The team will refer to the Communication Plan continuously throughout the project lifecycle. The project manager may need to update the Communication Plan as stakeholders change and depending on the particular organizational structure of hospitals that are engaged.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe CDC UP framework provides a useful template for creating a change management plan. \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/cdc-change-management-plan-template\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/cdc-change-management-plan-template\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EData Use Sharing and Reciprocal Support Agreement (DURSA)\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThe Data Use and Reciprocal Support Agreement, a document developed by the NHIN Cooperative DURSA Workgroup in 2009, is a specific agreement signed by every participating National Health Information Network (NHIN). The DURSA can serve as a potential model for any multiparty trust agreement. The agreement lays out the responsibilities and expectations of each participant. Among other stipulations, the DURSA points out that all participants are Covered Entities as defined by HIPAA or Business Associates of Covered Entities, and are therefore protected by and must comply with HIPAA privacy rules. It stipulates that the data can only be used for specified purposes, and that each participant is responsible for maintaining a secure environment, and for obtaining necessary equipment and software. A DURSA may alleviate some of the concern that the laboratory or the hospital may feel about sharing data with external entities. In general, a DURSA documents the details of a data-sharing \u0026nbsp;relationship more thoroughly and more rigidly than a MOU.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EIn 2009, the National Health Information Network (NHIN) IT released a draft DURSA that would govern the exchange of health data on the NHIN. To access the draft:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/nhin-data-use-and-reciprocal-support-agreement-dursa\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/nhin-data-use-and-reciprocal-support-agreement-dursa\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EExample Budget\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EIt may be necessary during the initial planning phases for the laboratory to estimate the costs of the proposed implementation project. In many cases, it is extremely difficult to accurate calculate the true budget of the project because all of the costs may not be known at the outset. Moreover, the expenses associated with staff time, IT services, software, licensing, HIE connectivity, consultants, developers, etc., will differ for every laboratory. For some laboratories, the effective cost for certain services will be $0. Despite the inherent challenges, the Virginia DCLS has shared an example budget for the Virginia NBS implementation project that offers estimates of the time required from both the Division\u2019s IT and laboratory teams.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe Virginia DCLS provided an example budget: \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/virginia-example-budget-data-exchange-implementation\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/virginia-example-budget-data-exchange-implementation\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EExample Message\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EWhile each jurisdiction will create a unique HL7 profile for NBS messaging, it may be helpful for laboratories to review an example order and result message. The Building Blocks team has therefore developed an example of each type of message and populated the Message Validation Feedback Template to serve as a guide.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003ELOI Example Message: \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/hl7-laboratory-order-result-interface-loi-lri-example-message-and-feedback-template\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/hl7-laboratory-order-result-interface-loi-lri-example-message-and-feedback-template\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003ELRI Example Message: \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/hl7-laboratory-order-result-interface-loi-lri-example-message-and-feedback-template\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/hl7-laboratory-order-result-interface-loi-lri-example-message-and-feedback-template\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003EPopulated LOI Message Validation Feedback Template: \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/hl7-laboratory-order-result-interface-loi-lri-example-message-and-feedback-template\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/hl7-laboratory-order-result-interface-loi-lri-example-message-and-feedback-template\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003EPopulated LRI Message Validation Feedback Template: \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/hl7-laboratory-order-result-interface-loi-lri-example-message-and-feedback-template\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/hl7-laboratory-order-result-interface-loi-lri-example-message-and-feedback-template\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EHL7 Validation Tool\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThe National Institute of Standards and Technology (NIST) hosts several tools and utilities to support HL7 messaging. The laboratory and its testing partners can use the NIST Validation Tool to validate test messages against the HL7 V2 Lab Results Interface (LRI) Guide, Release 1 or Release 2. As of April 2017, the Lab Orders Interface (LOI) Guide had not yet been added to the NIST Validation Tool. Note that the NIST Tool validates messages against the general LRI Guide and does not test the conformance of newborn screening messages specifically.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe NIST HL7 V2 Resource Portal is available at \u003Ca href=\u0022http:\/\/hl7v2tools.nist.gov\u0022\u003Ehttp:\/\/hl7v2tools.nist.gov\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EHospital Contacts Template\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EA project roles template identifies the individuals who will perform each required role on the project. The same individual may perform several roles. The project manager may request that each hospital complete this template so that the team has a clear understanding of who is responsible for specific elements of the project.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe Building Blocks team developed a Hospital Contacts Template:\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/data-exchange-hospital-contacts-template\u0022\u003E\u0026nbsp;https:\/\/www.newsteps.org\/resources\/data-exchange-hospital-contacts-template\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EIHE Quality Research and Public Health (QRPH) White Paper: Newborn Screening White Paper\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThe Integrating the Healthcare Enterprise (IHE) QRPH White Paper presents use cases that describe the processes, personnel, and events involved in NBS activities throughout a workflow. It advocates for increased integration and electronic communication across the systems and agencies involved in NBS (e.g., EHRs, LIMS, and surveillance systems). It describes NBS workflows in US Public Health, as well as in France, Germany, and Austria.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe IHE QRPH White Paper: \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/ihe-quality-research-and-public-health-qrph-white-paper-newborn-screening\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/ihe-quality-research-and-public-health-qrph-white-paper-newborn-screening\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EImplementation Guides (LOI \u0026amp; LRI)\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThe Laboratory Order Interface (LOI) and Laboratory Results Interface (LRI) are HL7 Implementation Guides for creating a HL7 Version 2.5.1 OML^O21 message for laboratory test orders and results, respectively. HL7 Workgroups have created cohesive LRI and LRI Guides specific to the NBS reporting requirements. As of August 2017, these draft profiles are being balloted, with final publication anticipated in late August or early September. These profiles will be of significant value to laboratories that are implementing NBS orders and results.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe ballot versions of both Guides are on the HL7 ballot web site. Note that you will need to create a free HL7 account to download these documents.\u003C\/p\u003E\u003Cul\u003E\u003Cli\u003ELOI - \u003Ca href=\u0022https:\/\/na01.safelinks.protection.outlook.com\/?url=http%3A%2F%2Fwww.hl7.org%2Fdocumentcenter%2Fpublic%2Fstandards%2Fdstu%2FV251_IG_LABORDERS_R1_STU_R3_2018JUN.pdf\u0026amp;data=02%7C01%7CHans.Buitendijk%40cerner.com%7C3ae429cffa7c43cf03e908d5d84c2f1d%7Cfbc493a80d244454a815f4ca58e8c09d%7C0%7C0%7C636652744098590487\u0026amp;sdata=OYsrjLS5tXF8%2Bk93ONfurPdnxlJQc486oXhiukp1wWs%3D\u0026amp;reserved=0\u0022 target=\u0022_blank\u0022\u003Ehttp:\/\/www.hl7.org\/documentcenter\/public\/standards\/dstu\/V251_IG_LABORDERS_R1_STU_R3_2018JUN.pdf\u003C\/a\u003E\u003C\/li\u003E\u003Cli\u003ELRI - \u003Ca href=\u0022https:\/\/na01.safelinks.protection.outlook.com\/?url=http%3A%2F%2Fwww.hl7.org%2Fdocumentcenter%2Fpublic%2Fstandards%2Fdstu%2FV251_IG_LRI_R1_STU3_2018JUN.pdf\u0026amp;data=02%7C01%7CHans.Buitendijk%40cerner.com%7C3ae429cffa7c43cf03e908d5d84c2f1d%7Cfbc493a80d244454a815f4ca58e8c09d%7C0%7C0%7C636652744098590487\u0026amp;sdata=LG0R1hdjwLCTs2T0CpbnFwo2SstyuPI2iTGLqUxTsEQ%3D\u0026amp;reserved=0\u0022 target=\u0022_blank\u0022\u003Ehttp:\/\/www.hl7.org\/documentcenter\/public\/standards\/dstu\/V251_IG_LRI_R1_STU3_2018JUN.pdf\u003C\/a\u003E\u003C\/li\u003E\u003Cli\u003EeDOS - \u003Ca href=\u0022https:\/\/na01.safelinks.protection.outlook.com\/?url=http%3A%2F%2Fwww.hl7.org%2Fdocumentcenter%2Fpublic%2Fstandards%2Fdstu%2FV2_IG_LTCF_R2_STU_R3_2018JUN.pdf\u0026amp;data=02%7C01%7CHans.Buitendijk%40cerner.com%7C3ae429cffa7c43cf03e908d5d84c2f1d%7Cfbc493a80d244454a815f4ca58e8c09d%7C0%7C0%7C636652744098600492\u0026amp;sdata=V3h0ivAJdzhkHPhO3ZrW1RJir%2FB4AovumNkLq%2F4tfPk%3D\u0026amp;reserved=0\u0022 target=\u0022_blank\u0022\u003Ehttp:\/\/www.hl7.org\/documentcenter\/public\/standards\/dstu\/V2_IG_LTCF_R2_STU_R3_2018JUN.pdf\u003C\/a\u003E\u003C\/li\u003E\u003Cli\u003EValue Set IG: \u003Ca href=\u0022https:\/\/na01.safelinks.protection.outlook.com\/?url=http%3A%2F%2Fwww.hl7.org%2Fdocumentcenter%2Fpublic%2Fstandards%2Fdstu%2FV2_IG_VALUESETS_R1_STU3_2018JUN.zip\u0026amp;data=02%7C01%7CHans.Buitendijk%40cerner.com%7C3ae429cffa7c43cf03e908d5d84c2f1d%7Cfbc493a80d244454a815f4ca58e8c09d%7C0%7C0%7C636652744098600492\u0026amp;sdata=9%2FjIE67%2Fem1FOWc1Jdr2sk9Picn1wKyYIpwh%2BzW3b%2Fc%3D\u0026amp;reserved=0\u0022 target=\u0022_blank\u0022\u003Ehttp:\/\/www.hl7.org\/documentcenter\/public\/standards\/dstu\/V2_IG_VALUESETS_R1_STU3_2018JUN.zip\u003C\/a\u003E\u003C\/li\u003E\u003C\/ul\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EImplementation Profile\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EAn Implementation Profile is a specification that further constrains the HL7 Implementation Guide based on the requirements of your system interface. The laboratory\u2019s IT staff and its messaging partners will need this profile to properly implement the data exchange and to generate a HL7 message that is structurally and syntactically valid. The Implementation Profile should present clear, precise requirements for data format and semantics. The Profile will serve as the gold standard against which the content and structure of test cases are validated.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe Wisconsin Public Health Laboratory has provided an example implementation profile:\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EImplementation Workbooks (LOI and LRI)\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThis template merges information from the various sources that define the message format and associated standard codes. It serves as the worksheet to perform gap analysis (existing data vs. requested data) and map to the local data elements. It also serves as the underlying structure for the integration engine, provides mapping from local to standardized data elements, and links to the bound value set for vocabulary validation.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EBuilding Blocks developed an Implementation Workbook for the LOI order message and the LRI result message:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/hl7-loi-and-lri-implementation-workbooks\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/hl7-loi-and-lri-implementation-workbooks\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EHospital Informational Package\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThe laboratory will need a package of information to distribute to hospitals to help them understand the project and implement NBS electronic data exchange. This package should contain 1) material that introduces them to the project at a high, non-technical level; 2) partnership documents, such as a data use agreement or a memorandum of understanding (MOU), to formalize the relationship between the hospital and the laboratory, and 3) technical information about how to create and validate the messages, cut over to production, and discontinue the legacy feed(s).\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe Virginia DCLS developed a comprehensive guide for its hospital partners and has posted it to the agency website for easy access: \u003Ca href=\u0022https:\/\/dgs.virginia.gov\/division-of-consolidated-laboratory-services\/resources\/nbs-data-exchange\/\u0022\u003Ehttps:\/\/dgs.virginia.gov\/division-of-consolidated-laboratory-services\/resources\/nbs-data-exchange\/\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EMapping Workbooks\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EIn most instances, both the sender and the receiver will need to map standard codes that are used in the HL7 message to local codes used by the native system (i.e., the EHR or LIMS). A mapping workbook that lists out all the required and optional data elements in the message will facilitate the review and collection of this information. The technical team will then be able to use the mapping workbook to populate lookup tables and update system code as necessary to generate the message.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EBuilding Blocks developed a Mapping Workbook for the LOI order message and the LRI result message: \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/hl7-loi-and-lri-standard-codes-mapping-workbooks\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/hl7-loi-and-lri-standard-codes-mapping-workbooks\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EMemorandum of Understanding (MOU)\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EA MOU establishes a partnership between two or more entities. While it is not legally binding, a MOU, it is stronger than an unwritten, so-called \u201cgentleman\u2019s agreement.\u201d Its intention is to confirm that all parties have a common understanding of the terms of the partnership. The laboratory may choose to execute a MOU with its data exchange partners or other stakeholders.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe CDC UP framework provides a useful template for creating a memorandum of understanding between two or more parties:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/cdc-memorandum-understanding-mou-template\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/cdc-memorandum-understanding-mou-template\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EMessage Flow Diagram\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EA message flow diagram is a visual representation of the how the message will travel from the sender\u2019s systems to the receiver\u2019s systems. In this case, it may depict the flow of the message as it is received by and processed by the laboratory\u2019s messaging engine and is then delivered to the LIMS.\u003C\/p\u003E\u003Cp\u003EIt is important to create a message flow diagram early in the planning process so that all stakeholders understand the process that is being considered, and IT leaders can explain the level of effort involved in setting up the data exchange process. Technical architects will rely on and modify the message flow diagram as they implement the technical solution. The project manager may also use the diagram while in planning and discussion with external partners, including HIE and hospital leadership.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe Michigan and Wisconsin Public Health Laboratories have provided examples of Message Flow Diagrams.\u003C\/p\u003E\u003Cp\u003EMI example:\u0026nbsp;\u003C\/p\u003E\u003Cp\u003EWI example:\u0026nbsp;\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EMessage Validation Feedback Template\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThis template documents suggested system updates that would address issues encountered during validation. This template will assist in tracking the issue and resolution or business decision that has been taken because of the issue.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe Building Blocks team developed a Message Validation Feedback Template:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/hl7-message-validation-feedback-template\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/hl7-message-validation-feedback-template\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EMessage Validation Template\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003ETesters can use these templates during validation to compare the expected value for each data element against the actual content of the message. The LOI and LRI templates are populated with data for the Virginia DCLS order and result message in order to demonstrate how laboratories can utilize this tool. It is expected that the laboratory will replace this data to reflect its own message values.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe Building Blocks team developed a Message Validation Template for the LOI order message and the LRI result message. As further guidance, the Building Blocks team has populated a copy of each template with an example message:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/hl7-message-validation-template\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/hl7-message-validation-template\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003ENewborn Screening Coding and Terminology Guide\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThe National Library of Medicine (NLM) has defined codes specifically for Newborn screening test panels. Users can peruse or download tables of the codes and value standards that are relevant for recording and transmitting the newborn tests and the conditions for which they screen. This Guide is a valuable resource for the Vocab SMEs at both the laboratory and hospital as they map local to standard codes for the NBS order and result messages.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe LOINC Panel for NBS is available through the NLM website: \u003Ca href=\u0022https:\/\/newbornscreeningcodes.nlm.nih.gov\u0022\u003Ehttps:\/\/newbornscreeningcodes.nlm.nih.gov\u003C\/a\u003E.\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EPartner Assessment\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EEarly in the engagement, the laboratory will need to assess whether the hospital hospital\u2019s systems and setup possesses the minimum technical capabilities to implement this data exchange. The assessment should inquire about any upcoming large-scale upgrades or releases that may affect the proposed timeline. If applicable, the assessment should ask if the hospital is prepared to work with a third-party vendor. The assessment is also an opportunity for the laboratory to gauge the hospital\u2019s overall commitment and interest, collect information about the hospital\u2019s EHR, understand, IT structure and process, and identify important points of contact. The laboratory may require the hospital complete and return the assessment, or the laboratory may choose to use the assessment as a script to guide the initial call with the hospital.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe Building Blocks team developed a partner assessment tool that laboratories can modify:\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EPHII Communications Toolkit\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Cp\u003EThe Public Health Informatics Institute (PHII) recently released the PHII Communications Toolkit, which provides recommendations for how to present and discuss informatics concepts to non-technical audiences. The project team may consider incorporating some of these communication strategies in the discussions with stakeholders.\u003C\/p\u003E\u003Cp\u003EThe full text of the PHII report and toolkit are available at \u003Ca href=\u0022http:\/\/phii.org\/informatics-communication-toolkit\/introduction\u0022\u003Ehttp:\/\/phii.org\/informatics-communication-toolkit\/introduction\u003C\/a\u003E.\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EProject Charter\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThe project charter provides a high-level overview of the entire project. It states the objectives of the project, the justification or business need, timeline and resources required, and the critical success factors. In many ways, the project charter builds on the business case. The charter is often one of the first artifacts that the project team drafts and may be used to confirm that stakeholders understand and commit to the project.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe CDC UP framework provides a useful template for creating a project charter: \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/cdc-project-charter-template\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/cdc-project-charter-template\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EProject Management Plan\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThe Project Management (PM) Plan is a document (or set of documents) that helps the team guide the project through its lifecycle, from planning through execution and close-out. It details the project objectives, scope and schedule, and documents the intended approach to managing various elements of the project. By clearly outlining the process for tracking milestones, mitigating risks, or approving changes, the PM Plan instills a formal management approach to project activities.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe CDC UP framework provides a useful template for creating both a project management plan and a project management plan \u201clite\u201d for short time, straight forward initiatives: \u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/cdc-project-management-templates\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/cdc-project-management-templates\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EProject Schedule\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThe project schedule documents the planned timeline of milestones and activities. The schedule may be based on target milestone dates, individualized tasks, or the anticipated completion date of specific project deliverables. Typically, the project schedule includes start and end dates and identifies dependencies. For example, the team cannot start Task 2 until Task 1 has been completed. The project manager can choose to display a schedule in a variety of visual formats, such as a table, a timeline, a calendar, or a Gantt chart.\u003C\/p\u003E\u003Cp\u003EA project schedule is an essential tool to think through the activities that need to be completed (and in what order) to accomplish the goals of the project. In addition, the schedule can incorporate external factors, such as vacations, holidays or system upgrades that may affect the overall project timeline. Moreover, the project team will be able to assess the impact of delays on the project by revising dates in the schedule. It is highly recommended that the project team put together a project schedule early in the planning process and update it continually over the course of the project.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe CDC UP framework provides useful templates for creating a project schedule:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/cdc-project-schedule-templates\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/cdc-project-schedule-templates\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003ERisk Management Plan\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EEvery project is subject to uncertainty. The risk management plan itemizes known factors that may have a positive or negative impact on the project. It estimates the likelihood of the risk occurring, as well as the impact it may have on the project. While some risks are beyond the control of the project team, the risk management plan lays out a strategy for managing these risks and mitigating their impact. The risk management plan often presents this information in a tabular format; it generally forms a part of the project management plan.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EMany simple risk management templates exist. Most can be adapted for a project regardless of the project\u2019s focus area. For example, a 2014 conference presentation on electric furnace rebuilding presents a useful and free example of a risk management plan: \u003Ca href=\u0022https:\/\/soroakoaace2014.wordpress.com\/\u0022\u003Ehttps:\/\/soroakoaace2014.wordpress.com\/\u003C\/a\u003E.\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003ERequirements Documents\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003ECareful and clear documentation of the requirements needed to implement electronic messaging is vital. The requirements define what is needed to the work of the electronic messaging. These requirements can help prioritize the work to be done and can be referenced in the scope of work of a contractor or vendor.\u003C\/p\u003E\u003Cp\u003EThe requirements should define the \u201cwhat\u201d not the \u201chow\u201d of the system updates, and should be actionable by the system developer.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EA 2006 article in Scientific Computing, an online computer technology magazine, provides a useful overview of how to define system requirements:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/effectively-defining-lims-system-requirements\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/effectively-defining-lims-system-requirements\u003C\/a\u003E\u003C\/p\u003E\u003Cp\u003EThe Public Health Informatics Institute (PHII) has also published an article on documenting requirements:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/phii-defining-and-validating-system-requirements-guide\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/phii-defining-and-validating-system-requirements-guide\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003ESmart HL7 Viewer\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003ESmartHL7 is a \u0022brand\u0022 for a set of HL7 tools developed by a software design programmer in Australia. The tools are designed for those working with HL7 standard and protocol. The Message Viewer is a tool for casual inspection of HL7 messages. (NOTE: Developer does not claim the tool to be standard-compliant.)\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe SmartHL7 viewer is a non-commercial tool that can be downloaded according to the terms and conditions outlined on the website. To learn more visit: \u003Ca href=\u0022http:\/\/smarthl7.com\/tools.html\u0022\u003Ehttp:\/\/smarthl7.com\/tools.html\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EStakeholder Matrix\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EA stakeholder matrix is a tool that allows the project manager to classify the people involved in a project. Typically, this information is presented in a tabular format that maps stakeholders to the amount of influence and impact each has over the project and lays out the strategy for engaging them. The stakeholder matrix facilitates and documents the stakeholder analysis that occurs early in the project planning phase, and should be updated regularly throughout the project lifecycle.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe CDC UP framework provides a useful template for performing a stakeholder analysis:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/cdc-stakeholder-analysis-template\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/cdc-stakeholder-analysis-template\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003ETest Plan\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003ECreating a test plan is essential to ensuring that system changes are properly tested. By planning out the testing phase, the team can provide the resources and time needed to test and document system functionality before the system is put into production.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe Office of the National Coordinator (ONC) has posted a testing plan template to the healthit.gov website that can be used for any health IT system testing activities:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/ehr-system-testing-plan\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/ehr-system-testing-plan\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EValue Set Companion Guide\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EThis document, distributed by HL7, defines detailed value sets for each field of the LOI and LRI Implementation Guides where a coded value is required. These values are expected to apply to the message profile unless the laboratory has specifically decided and documented otherwise. The values in this Companion Guide, paired with the codes in the LOINC Panel for NBS, will provide the laboratory with standard codes for the majority of concepts relevant for NBS orders and results.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe Value Set Companion Guide is available for download on the HL7 website:\u0026nbsp;\u003Ca href=\u0022https:\/\/www.newsteps.org\/resources\/hl7-laboratory-order-result-interface-loi-lri-implementation-guides-may-2018\u0022\u003Ehttps:\/\/www.newsteps.org\/resources\/hl7-laboratory-order-result-interface-loi-lri-implementation-guides-may-2018\u003C\/a\u003E\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022paragraph paragraph--type--list-item paragraph--view-mode--default\u0022\u003E\n          \u003Cdiv class=\u0022accordion-custom--tab no-border\u0022\u003E\n        \u003Ch3 class=\u0022js-accordion-title accordion-custom--tab__title\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-display-title field--type-string\u0022\u003EWorkflow Assessment Tools\u003C\/div\u003E\n      \u003C\/h3\u003E\n        \u003Cdiv class=\u0022js-accordion_details accordion-custom--tab__details\u0022\u003E\n            \u003Cdiv class=\u0022field field--name-field-body field--type-text-long\u0022\u003E \u003Ch2\u003EDescription\u003C\/h2\u003E\u003Cp\u003EWorkflow assessments provide the basis for determining what changes will need to take place to accommodate the change in process. Documenting an \u201cas-is\u201d and \u201cto-be\u201d workflow shows the existing and future processes and can be used to demonstrate the tasks needed to achieve the new workflow.\u003C\/p\u003E\u003Ch3\u003EMore Information\u003C\/h3\u003E\u003Cp\u003EThe Public Health Informatics Institute (PHII) has developed a diverse toolkit to assist with setting up an EHR-based surveillance program; the toolkit includes tools to understand and accomplish workflow. To access the toolkit, visit:\u0026nbsp;\u003Ca href=\u0022http:\/\/www.phii.org\/ehrtoolkit\u0022\u003Ehttp:\/\/www.phii.org\/ehrtoolkit\u003C\/a\u003E.\u003C\/p\u003E \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n      \u003C\/div\u003E\n\n\n  \u003C\/div\u003E\n\u003C\/div\u003E\n\n\n\u003C\/article\u003E\n\u003C\/div\u003E\n              \u003C\/div\u003E\n        \u003C\/div\u003E\n\n    \n  \n    \n  \n\u003C\/div\u003E\n\u003C\/div\u003E","settings":null},{"command":"scrollBottomCommand","nodeSelector":".js-node-contain-tab","scrollToSelector":".custom-tab-nav","message":"Provides an AJAX command for scrolling to the bottom of an element"},{"command":"insert","method":"replaceWith","selector":"#toolkit-additional-block-wrapper","data":"\u003Cdiv id=\u0022toolkit-additional-block-wrapper\u0022\u003E\u003Cdiv class=\u0022js-view-dom-id-1863cdcba07b73b5aea331dd8856b903fa11e4ef7708b371738cee18d9776ba3\u0022\u003E\n  \n  \n  \n\n  \n  \n  \n\n  \u003Cdiv class=\u0022views-view-grid horizontal cols-4000 clearfix\u0022\u003E\n              \u003Cdiv\u003E\n                  \u003Cdiv\u003E\n\u003Carticle data-history-node-id=\u00222027\u0022 class=\u0022node node--type-section node--view-mode-teaser toolkit-sidebar\u0022\u003E\n  \n  \n\n  \n      \u003Cdiv class=\u0022shadow-card--sidebar\u0022\u003E\n      \u003Cdiv id=\u0022block-block-section-related-resources\u0022\u003E\n  \n  \n        \u003Cdiv id=\u0022toolkit-related-resources-wrapper\u0022\u003E\u003C\/div\u003E\n  \u003C\/div\u003E\n\n    \u003C\/div\u003E\n  \u003C\/article\u003E\n\u003C\/div\u003E\n              \u003C\/div\u003E\n        \u003C\/div\u003E\n\n    \n  \n    \n  \n\u003C\/div\u003E\n\u003C\/div\u003E","settings":null},{"command":"insert","method":"replaceWith","selector":"#toolkit-related-resources-wrapper","data":"\u003Cdiv id=\u0022toolkit-related-resources-wrapper\u0022\u003E\u003Cdiv class=\u0022toolkit-related-resources js-view-dom-id-a68c01876a19b77662e0c53d689d0077d60af0cf33d83642d14aaefe79a01805\u0022\u003E\n  \n  \n  \n\n      \u003Ch2 class=\u0022block-title\u0022\u003ERelevant Resource\u003C\/h2\u003E\n  \n  \n  \n\n  \u003Cdiv class=\u0022views-view-grid horizontal cols-4000 clearfix\u0022\u003E\n              \u003Cdiv\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/aphl-informatics-self-assessment-tool-public-health-laboratories\u0022 class=\u0022h3 icon-educational-tools node-related\u0022\u003EAPHL Informatics Self-Assessment Tool for Public Health Laboratories\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/newborn-screening-it-systems-architectural-diagram\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003ENewborn Screening IT Systems Architectural Diagram\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n              \u003C\/div\u003E\n        \u003C\/div\u003E\n\n    \u003Cdiv class=\u0022views-element-container\u0022\u003E\u003Cdiv class=\u0022js-view-dom-id-41cf00df1c81bdd6cba2995f28ef52d8e19d3f513a86fb17ef0359cbf1c96024\u0022\u003E\n  \n  \n  \n\n  \n  \n  \n\n  \u003Cdiv class=\u0022views-view-grid horizontal cols-4000 clearfix\u0022\u003E\n              \u003Cdiv\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/baby-steps-toward-defining-hl7-message\u0022 class=\u0022h3 icon-educational-tools node-related\u0022\u003EBaby Steps Toward Defining the HL7 Message\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/mitre-change-management-article\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EMITRE Change Management Article\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/nhin-data-use-and-reciprocal-support-agreement-dursa\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003ENHIN Data Use and Reciprocal Support Agreement (DURSA)\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/virginia-example-budget-data-exchange-implementation\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EVirginia Example Budget for Data Exchange Implementation\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/hl7-laboratory-order-result-interface-loi-lri-example-message-and-feedback\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EHL7 Laboratory Order \u0026amp; Result Interface (LOI \u0026amp; LRI) Example Message and Feedback Template\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/nist-hl7-validation-tool\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003ENIST HL7 Validation Tool\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/data-exchange-hospital-contacts-template\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EData Exchange Hospital Contacts Template\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/ihe-quality-research-and-public-health-qrph-white-paper-newborn-screening\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EIHE Quality Research and Public Health (QRPH) White Paper: Newborn Screening\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/hl7-laboratory-order-result-interface-loi-lri-implementation-guides-may-2018\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EHL7 Laboratory Order \u0026amp; Result Interface (LOI \u0026amp; LRI) Implementation Guides - May 2018\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/hl7-loi-and-lri-implementation-workbooks\u0022 class=\u0022h3 icon-educational-tools node-related\u0022\u003EHL7 LOI and LRI Implementation Workbooks\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/virginia-dcls-hospital-informational-package-electronic-data-exchange\u0022 class=\u0022h3 icon-educational-tools node-related\u0022\u003EVirginia DCLS Hospital Informational Package for Electronic Data Exchange\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/hl7-loi-and-lri-standard-codes-mapping-workbooks\u0022 class=\u0022h3 icon-educational-tools node-related\u0022\u003EHL7 LOI and LRI Standard Codes Mapping Workbooks\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/hl7-message-validation-feedback-template\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EHL7 Message Validation Feedback Template\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/hl7-message-validation-template\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EHL7 Message Validation Template\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/newborn-screening-coding-and-terminology-guide\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003ENewborn Screening Coding and Terminology Guide\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/phii-informatics-communications-toolkit\u0022 class=\u0022h3 icon-educational-tools node-related\u0022\u003EPHII Informatics Communications Toolkit\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/effectively-defining-lims-system-requirements\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EEffectively Defining LIMS System Requirements\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/phii-defining-and-validating-system-requirements-guide\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EPHII Defining and Validating System Requirements Guide\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/smart-hl7-viewer\u0022 class=\u0022h3 icon-educational-tools node-related\u0022\u003ESmart HL7 Viewer\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/ehr-system-testing-plan\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EEHR System Testing Plan\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n                  \u003Cdiv\u003E\u003Carticle class=\u0022node node--view-mode-related node-related\u0022\u003E\n  \u003Ca href=\u0022\/resource-library\/phii-workflow-assessment-toolkit\u0022 class=\u0022h3 icon-model-practices node-related\u0022\u003EPHII Workflow Assessment Toolkit\u003C\/a\u003E\n\u003C\/article\u003E\u003C\/div\u003E\n              \u003C\/div\u003E\n        \u003C\/div\u003E\n\n    \n  \n    \n  \n\u003C\/div\u003E\n\u003C\/div\u003E\n\n  \n      \u003Cfooter\u003E\n      \u003Cspan class=\u0022link link-button js-link-series\u0022\u003EShow more\u003C\/span\u003E\n    \u003C\/footer\u003E\n    \n  \n\u003C\/div\u003E\n\u003C\/div\u003E","settings":null}]