Environmental Health Tracking Branch, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS F-60, Atlanta, GA 30341, United States.
Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, 4770 Buford Highway, NE, MS F-60, Atlanta, GA 30341, United States.
J Biomed Inform. 2018 Mar;79:98-104. doi: 10.1016/j.jbi.2018.02.012. Epub 2018 Feb 21.
Data from traditional public health surveillance systems can have some limitations, e.g., timeliness, geographic level, and amount of data accessible. Electronic health records (EHRs) could present an opportunity to supplement current sources of routinely collected surveillance data. The National Environmental Public Health Tracking Program (Tracking Program) sought to explore the use of EHRs for advancing environmental public health surveillance practices. The Tracking Program funded four state/local health departments to obtain and pilot the use of EHR data to address several issues including the challenges and technical requirements for accessing EHR data, and the core data elements required to integrate EHR data within their departments' Tracking Programs. The results of these pilot projects highlighted the potential of EHR data for public health surveillance of rare diseases that may lack comprehensive registries, and surveillance of prevalent health conditions or risk factors for health outcomes at a finer geographic level. EHRs therefore, may have potential to supplement traditional sources of public health surveillance data.
传统公共卫生监测系统的数据可能存在一些局限性，例如时效性、地理水平和可获取数据的数量。电子健康记录 (EHR) 可能为补充当前常规收集的监测数据来源提供了机会。国家环境公共卫生跟踪计划 (Tracking Program) 试图探索使用 EHR 来推进环境公共卫生监测实践。该跟踪计划资助了四个州/地方卫生部门，以获取和试点使用 EHR 数据，以解决包括访问 EHR 数据的挑战和技术要求，以及将 EHR 数据整合到其部门的跟踪计划中所需的核心数据元素等问题。这些试点项目的结果强调了 EHR 数据在监测可能缺乏全面登记册的罕见疾病以及在更精细的地理水平上监测普遍健康状况或健康结果风险因素方面的公共卫生监测潜力。因此，EHR 可能有潜力补充传统的公共卫生监测数据源。
