title: Electronic health record - public health (EHR-PH) system prototype for interoperability in 21st century healthcare systems.
abstract: Information exchange, enabled by computable interoperability, is the key to many of the initiatives underway including the development of Regional Health Information Exchanges, Regional Health Information Organizations, and the National Health Information Network. These initiatives must include public health as a full partner in the emerging transformation of our nation's healthcare system through the adoption and use of information technology. An electronic health record - public health (EHR-PH)system prototype was developed to demonstrate the feasibility of electronic data transfer from a health care provider, i.e. hospital or ambulatory care settings, to multiple customized public health systems which include a Newborn Metabolic Screening Registry, a Newborn Hearing Screening Registry, an Immunization Registry and a Communicable Disease Registry, using HL7 messaging standards. Our EHR-PH system prototype can be considered a distributed EHR-based RHIE/RHIO model - a principal element for a potential technical architecture for a NHIN.
authors.affiliation: Johns Hopkins Bloomberg School of Public Health & Public Health Data Standards Consortium, Baltimore, MD, USA.
authors.forename: Anna O
authors.initials: AO
authors.lastname: Orlova
authors.forename: Mark
authors.initials: M
authors.lastname: Dunnagan
authors.forename: Terese
authors.initials: T
authors.lastname: Finitzo
authors.forename: Michael
authors.initials: M
authors.lastname: Higgins
authors.forename: Todd
authors.initials: T
authors.lastname: Watkins
authors.forename: Allen
authors.initials: A
authors.lastname: Tien
authors.forename: Steven
authors.initials: S
authors.lastname: Beales
mesh_terms: D003195:Computer Communication Networks / Q000592:standards; D003299:Cooperative Behavior; D018563:Disease Notification; D005240:Feasibility Studies; D006801:Humans; D007114:Immunization; D007231:Infant, Newborn; D007256:Information Systems / Q000458:organization & administration* / Q000592:standards; D016347:Medical Records Systems, Computerized; D015997:Neonatal Screening; D017149:Private Sector; D040442:Public Health Informatics; D017150:Public Sector; D012041:Regional Medical Programs; D012042:Registries; D018511:Systems Integration