Published online December 16, 2008
PEDIATRICS Vol. 123 Supplement January 2009, pp. S67-S73 (doi:10.1542/peds.2008-1755D)
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SUPPLEMENT ARTICLE


Linking Children's Health Information Systems: Clinical Care, Public Health, Emergency Medical Systems, and Schools

Alan R. Hinman, MD, MPHa and Arthur J. Davidson, MD, MSPHb,c,d

a Task Force for Child Survival and Development, Public Health Informatics Institute, Decatur, Georgia
b Denver Public Health Department, Denver Health, Denver, Colorado
c Departments of Biostatistics and Informatics and Epidemiology, Colorado School of Public Health
d Department of Family Medicine, School of Medicine, University of Colorado at Denver, Denver, Colorado

This article describes health information systems used for children in a variety of settings (eg, clinical care, public health, emergency medicine systems, and schools) and their current ability to exchange information. The potential benefits from linking these systems are considered, as well as the barriers to linkage. In addition, an example of efforts linking information systems together is summarized, and conclusions are drawn from this example for future efforts.

Key Words: health information exchange • health information technology • children • school health

Abbreviations: IIS—immunization information system • CDC—Centers for Disease Control and Prevention • EMR—electronic medical record • EHR—electronic health record • PHR—personal health record • EMS—emergency medical services • HIE—health information exchange • RHIO—regional health information organization • NHTSA—National Highway Traffic Safety Administration • FERPA—Family Educational Rights and Privacy Act

Accepted Sep 11, 2008.


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