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J Am Med Inform Assoc 2010;17:34-41 doi:10.1197/jamia.M3299
  • The practice of informatics
  • Application of information technology

Development of an electronic public health case report using HL7 v2.5 to meet public health needs

  1. Deepthi Rajeev1,
  2. Catherine J Staes1,
  3. R Scott Evans1,2,
  4. Susan Mottice3,
  5. Robert Rolfs1,3,
  6. Matthew H Samore1,4,
  7. Jon Whitney2,
  8. Richard Kurzban3,
  9. Stanley M Huff1,2
  1. 1Department of Biomedical Informatics, University of Utah School of Medicine, Salt Lake City, Utah, USA
  2. 2Department of Medical Informatics, Intermountain Healthcare, Salt Lake City, Utah, USA
  3. 3Utah Department of Health, Salt Lake City, Utah, USA
  4. 4VA Medical Center, Salt Lake City, Utah, USA
  1. Correspondence to Deepthi Rajeev, Department of Biomedical Informatics, University of Utah, HSEB 5775, 26 South 2000 East, Salt Lake City, UT 84112, USA; deepthi.rajeev{at}hsc.utah.edu
  • Received 10 June 2009
  • Accepted 26 October 2009

Abstract

Clinicians are required to report selected conditions to public health authorities within a stipulated amount of time. The current reporting process is mostly paper-based and inefficient and may lead to delays in case investigation. As electronic medical records become more prevalent, electronic case reporting is becoming increasingly feasible. However, there is no existing standard for the electronic transmission of case reports from healthcare to public health entities. We identified the major requirements of electronic case reports and verified that the requirements support the work processes of the local health departments. We propose an extendable standards-based model to electronically transmit case information and associated laboratory information from healthcare to public health entities. The HL7 v2.5 message model is currently being implemented to transmit electronic case reports from Intermountain Healthcare to the Utah Department of Health.

Footnotes

  • Supplementary tables 1b and 2b are published online only at http://jamia.bmj.com/content/vol17/issue1

  • Funding This research was funded by the Centers for Disease Control and Prevention through the Center of Excellence in Public Health Informatics (Utah Grant # 1P01CD000284-01). Partial support for this work was also provided by the National Library of Medicine (Training grant # LM007124 for CJS).

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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