Birth, Death and the Electronic Health Record. Seth Foldy, MD MPH Sethfoldy.com LLC Preventive Health Systems. Big Questions. Will Electronic Health Records (EHR) be an important source of Electronic Birth and/or Death Record Systems data?
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Seth Foldy, MD MPH
Sethfoldy.com LLC Preventive Health Systems
Percentage of office-based physicians with EMR/EHR systems: United States, 2001–2010 and preliminary 2011–2012
CDC/NCHS, National Ambulatory Medical Care Survey, 2001–2012.
February 2013 – By the Numbers
Michelle Williamson. IHE Quality, Research & Public Health Agenda 8/27/12
“Need for a long-term, shared strategy for achieving the vision of interoperable vital records systems with electronic health record systems.” Denton Atkinson, NAPHSIS 2012 mtg
HL7 messages &
VR Domain Analysis Model
EHR-S VR Functional Profile
To achieve consensus on standards…
…and advocate they be adopted for Stage 3 Meaningful Use…
…and force EHR technology to be certified to the standards…
…and prepare to accept electronic transmission?
Initiative’s goal is to identify, evaluate and harmonize four new standards that will enable EHRs to capture and store structured data:
Focus on research, safety event, and public health reports.
May closely adhere to VR work in the Quality, Research and Public Health (QRPH) committee of IHE.
1Director of Standards & Interoperability, ONC
(PHIN-MS, DIRECT, WebServices)
Data Exchange Format
(HL7 message, C-CDA document)