Public Health Information Systems

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BUILDING A ROADMAP FOR HEALTH INFORMATION SYSTEMS
INTEROPERABILITY FOR PUBLIC HEALTH

(Public Health Uses of
Electronic Health Record Data)
WHITE PAPER

2007

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CONTENTS
List of Authors: PHDSC - IHE Task Force Participants ……………………………………3 Executive Summary……………………………………………………………………………5 What is Public Health?....................................................................................................6 Mission……………………………………………………………………………………..……..6 Stakeholders……………………………………………………………………………..……...6 Public Health Organization…………………………………………………………………..7 Public Health Functions……………………………………………………………………...10 Public Health Data Sources………………………………………………………………...10 Health Information Technology in Public Health……………………………………….12 Current Practices on Data Reporting from Clinical Settings to Health Department Programs…………………………………………………………………...12 EHR-based Health Information Exchanges between Clinical Care and Public Health………………………………………………………………………………………..13

Technical Tasks for Information Exchanges: Example of Public Health Domains Immunization Domain

1. What is Immunization Domain?.......................................................................................17 2. Who are Immunization Domain Stakeholders?.............................................................18 3. Expressing the Criteria………………………………………………………………………….19 4. Selecting a Site…………………………………………………………………………………..19 5. Identifying a Patient ……………………………………………………………………….......19 6. Retrieving Additional Data Elements (Queries)…………………………………………...21 8. Reporting Data Elements (Notifications)…………………………………………………...22 9. Data Review/Feedback (Filters)…………………………………………………………......22 10. Analysis/Evaluation……………………………………………………………………………23 11. Mapping ………………………………………………………………………………………..23 12. Aggregation/Reporting………………………………………………………………………24 13. Communication………………………………………………………………………………..24

Cancer Surveillance Domain

1. What is Cancer Surveillance Domain?...........................................................................26 2. Who are Cancer Surveillance Domain Stakeholders?.................................................27 3. Expressing the Criteria………………………………………………………………………….28 4. Selecting a Site……………………………………………………………………………........ 29 5. Identifying a Patient…………………………………………………………………………….29 6. Retrieving Additional Data Elements (Queries)……………………………………………30 7. Reporting Data Elements (Notifications)……………………………………………………31 8. Data Review/Feedback (Filters)……………………………………………………………...32 9. Analysis/Evaluation……………………………………………………………………………...32 10. Mapping…………………………………………………………………………………………33 11. Aggregation/Reporting………………………………………………………………………33 12. Communication………………………………………………………………………………..34

Conclusion……………………………………………………………………………………..35 Appendix: Description of the Selected Public Health Domains/Programs

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PHDSC - IHE Task Force Participants

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Name
Ali, Mohamad Arif
Arzt, Noam
Baker, Dixie
Baldwin-Stried,
Kimberly
Boone, Keith
Carney, Timothy Jay
Chan, Helen
Correll, Pamela
Dobbs, David
Elkin, Peter
Finitzo, Terese
Fourquet, Lori
Franck, Richard
Goldwater, Jason
Green, Jim
Greenberg, Marjorie
Haas, Janet
Handler, Eric
Hanrahan, Lawrence
Hayes, William
Helmus, Lesliann
Hickey, Michael
Hill, Michael
Honey, Alan
Jenders, Robert
Keating, Patrick
Kern, Linda
Kirnak, Alean
Klein, Gunnar
Klein, Sally
Knoop, Sarah
Kumar, Manoj
Landry, Laura
Lawton, David
Le, Linh
Leitner, Johann
Lipkind, Karen
Lober, Bill
Lou, Jennie
Lozzio, Carmen
Maizlish, Neil
Martin, Karen
McCord, Dave

Affiliation
Allegheny General Hospital
HLN Consulting, LLC
SAIC
Health Care Compliance Professional
GE Healthcare
Indiana University School of Informatics
Public Health Laboratories
State of Maine Public Health
SAIC
Mayo Clinic
OZ...
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