Mikles Sean P, Wiltz Jennifer L, Reed-Fourquet Lori, Painter Ian S, Lober William B
Department of Biomedical Informatics and Medical Education, University of Washington.
Centers for Disease Control and Prevention; United States Public Health Service.
EGEMS (Wash DC). 2017 Dec 6;5(1):21. doi: 10.5334/egems.242.
Obesity is a significant health issue in the United States that both clinical and public health systems struggle to address. Electronic health record data could help support multi-sectoral interventions to address obesity. Standards have been identified and created to support the electronic exchange of weight-related data across many stakeholder groups.
The Centers for Disease Control and Prevention initiated a public-private partnership including government, industry, and academic technology partners to develop workflow scenarios and supporting systems to exchange weight-related data through standard transactions. This partnership tested the transmission of data using this newly-defined Healthy Weight (HW) profile at multiple health data interoperability demonstration events.
Five transaction types were tested by 12 partners who demonstrated how the standards and related systems support end-to-end workflows around managing weight-related issues in the community. The standard transactions were successfully tested at two Integrating the Healthcare Enterprise (IHE) Connectathon events through 86 validated tests encompassing 38 multi-partner transactions.
We have successfully demonstrated the transactions defined in the HW profile with a public-private partnership. These tested IT products and HW standards could be used to support a continuum of care around health related issues encompassing both health care and public health functions.
The use of the HW profile, including a set of transactions and identified standards to implement those transactions, in IT products is a helpful first step in leveraging health information technology to address weight-related issues in the United States. Future work is needed to expand the use of these standards and to assess their use in real world settings.
肥胖是美国一个重大的健康问题，临床和公共卫生系统都在努力应对。电子健康记录数据有助于支持解决肥胖问题的多部门干预措施。已经确定并制定了标准，以支持跨多个利益相关者群体进行与体重相关数据的电子交换。
疾病控制与预防中心发起了一项公私合作伙伴关系，包括政府、行业和学术技术合作伙伴，以开发工作流程场景和支持系统，通过标准交易来交换与体重相关的数据。该合作伙伴关系在多个健康数据互操作性示范活动中使用这个新定义的健康体重（HW）档案测试了数据传输。
12个合作伙伴测试了5种交易类型，展示了这些标准和相关系统如何支持围绕社区体重相关问题管理的端到端工作流程。这些标准交易在两次医疗企业集成（IHE）互操作性测试活动中成功通过了86项经过验证的测试，涵盖38项多合作伙伴交易。
我们通过公私合作伙伴关系成功展示了HW档案中定义的交易。这些经过测试的信息技术产品和HW标准可用于支持围绕健康相关问题的连续护理，涵盖医疗保健和公共卫生功能。
在信息技术产品中使用HW档案，包括一组交易和用于实施这些交易的已确定标准，是利用健康信息技术解决美国体重相关问题的有益第一步。未来需要开展工作，以扩大这些标准的使用范围，并评估它们在现实环境中的应用情况。
