BUILDING A ROADMAP FOR HEALTH INFORMATION SYSTEMS
INTEROPERABILITY FOR PUBLIC HEALTH
(Public Health Uses of
Electronic Health Record Data)
WHITE PAPER
2007
2
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