Data Feeds

NDHIN Data Feeds and the Number of Providers Contributing Each Feed
Medium
Feed Count
ADT 112
ADT/Allergy 2
Autism Registry 8
Bi-direct VXU 48
CCD C-CDA 46
CCD-query/response 19
EKG 4
ELR Only 62
ETOR IANBS 4
ETOR NDPHL 24
Images 17
Lab 66
MDM 17
PPR 1
Rad 42
SSO 10
SSO/MTM 10
Syndromic 64
TRN 12
Vitals 1
VXU 1.4 5
VXU 1.5 73
VXU Direct Connect 29
ADT Admissions, Discharges, and Transfers – ADT notifications are sent when a patient is admitted to a hospital, transferred to another facility, or discharged from the hospital.  Demographics included are the patient's name, the patient's location in the hospital, address, phone number, gender, etc.  
Bi-direct VXU Immunization data required by Public Health to be reported. Participants have the ability to push and pull immunization data.
CCD C-CDA Continuity of Care Document.  Also referred to as a ‘Clinical Summary of Care Record.’ The CCD is a summary of the pertinent clinical, demographic and administrative data and provides a ‘snapshot in time’ for a specific patient.  
CCD-A A CCDA document is an Extensible Markup Language (XML) document summarizing current and pertinent historical information about an individual patient’s health care record at a given facility. 
CCD-query/response  Participants have the ability to query NDHIN for CCDs contributed by other NDHIN participants.
EKG  
ELR Only Electronic Laboratory Reporting. This is a laboratory result that represents a reportable condition (as defined by the State Department of Health).  
ETOR IANBS Electronic Tests Orders and Results. Electronic Test Orders and Results (ETOR) enables laboratories and health care providers to directly exchange standardized test orders and results across different facilities and electronic information systems using agreed upon standards. 
ETOR NDPHL Electronic Tests Orders and Results. Specific to ND Public Health Labs.
Images Images.  Radiologic images shared by a Picture Archiving and Communication System (PACS) from a participating provider.  
Lab Laboratory results – This data originates from the laboratory information management system (LIMs) that provides results from a laboratory test/examination that has been ordered by the patient’s provider.  
MDM Medical Document Management. This data originates from the patient’s electronic medical record and typically is transcribed reports (Discharge Summary, Operative Report, Progress Notes, etc.). 
ORU Unsolicited Observation Results.  ORUs are often used to convey clinical reports such as lab results, radiology reports, EKGs, vital signs. 
PPR Message type used to send patient problems from one application to another.
Rad Radiology Reports. Radiology information is typically a transcribed report resulting from the Radiologist’s dictation of their interpretation of an imaging study (chest x-ray, CT scan, MRI, etc.).  
Registries  Public Health Registries. Registries are housed within the ND Department of Health and represent specific data sets such as Immunization, Autism and Advance Health Directive registries. 
SSO Single Sign On
SSO/MTM Single Sign On - Specific to MTM Express / Pharmacy
Syndromic Syndromic Surveillance.  This data originates from an ADT message that is de-identified and routed on to CDC/Essence for use by the North Dakota Department of Health epidemiologists to monitor and surveil for outbreaks.
TRN Provider notes - see MDM definition
Vitals Segment in HL7 that can be used to send vital information.
VXU 1.4 Immunization Data. VXU stands for ‘Unsolicited Vaccination Record Update.’ This data originates from the administration of an immunization.  1.4 refers to the version of the VXU messages being sent.
VXU 1.5 Immunization Data. VXU stands for ‘Unsolicited Vaccination Record Update.’ This data originates from the administration of an immunization.  1.5 refers to the version of VXU messages being sent.
VXU Direct Connect Participants who connect and report immunization data directly to NDIIS. NDHIN has no involvement in this type of connection.
NDHIN Data Feeds and the Number of Providers Contributing Each Feed