Economic Studies, Center for Health Policy, Brookings Institution, Washington, DC.
Division of Nutrition, Physical Activity, and Obesity, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, 4770 Buford Hwy NE, MS F-77, Atlanta, GA 30341. Email:
Prev Chronic Dis. 2017 Oct 26;14:E103. doi: 10.5888/pcd14.160299.
Electronic information technology standards facilitate high-quality, uniform collection of data for improved delivery and measurement of health care services. Electronic information standards also aid information exchange between secure systems that link health care and public health for better coordination of patient care and better-informed population health improvement activities. We developed international data standards for healthy weight that provide common definitions for electronic information technology. The standards capture healthy weight data on the "ABCDs" of a visit to a health care provider that addresses initial obesity prevention and care: assessment, behaviors, continuity, identify resources, and set goals. The process of creating healthy weight standards consisted of identifying needs and priorities, developing and harmonizing standards, testing the exchange of data messages, and demonstrating use-cases. Healthy weight products include 2 message standards, 5 use-cases, 31 LOINC (Logical Observation Identifiers Names and Codes) question codes, 7 healthy weight value sets, 15 public-private engagements with health information technology implementers, and 2 technical guides. A logic model and action steps outline activities toward better data capture, interoperable systems, and information use. Sharing experiences and leveraging this work in the context of broader priorities can inform the development of electronic information standards for similar core conditions and guide strategic activities in electronic systems.
电子信息技术标准有助于高质量、统一地收集数据，从而改善医疗服务的提供和衡量。电子信息标准还有助于在安全系统之间进行信息交换，这些系统将医疗保健和公共卫生联系起来，以更好地协调患者护理，并开展更明智的人口健康改善活动。我们制定了健康体重的国际数据标准，为电子信息技术提供了通用定义。这些标准记录了医疗保健提供者就诊时的“ABCD”（评估、行为、连续性、识别资源和设定目标）健康体重数据，用于解决初始肥胖预防和护理问题。制定健康体重标准的过程包括确定需求和优先级、开发和协调标准、测试数据消息交换以及展示用例。健康体重产品包括 2 个消息标准、5 个用例、31 个 LOINC（逻辑观察标识符命名和代码）问题代码、7 个健康体重值集、15 个与健康信息技术实施者的公私合作，以及 2 个技术指南。一个逻辑模型和行动步骤概述了朝着更好的数据捕获、互操作系统和信息利用方向发展的活动。在更广泛的优先事项的背景下分享经验并利用这项工作，可以为类似核心条件的电子信息标准的制定提供信息，并指导电子系统中的战略活动。
