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Section 1d: Version 2 (V2)
Section 3: Implementation Guides

HL7 Version 2.5.1 Implementation Guide: Height and Weight Report, Release 1 (US Realm) [HL7 Version 2.5.1: ORU^R01]

DESCRIPTION

This document describes profile constraints on the HL7 V2.5.1 ORU^R01 Unsolicited Observation Message to meet the requirements of the transmission of height and weight data for calculating a patient’s body mass index (BMI). The purpose of the message profile specified in the guide is to transmit standardized structured height and weight data and patient demographics from EHRs to public health surveillance systems, such as a Healthy Weight Surveillance System. The height and weight report profile is not limited to data defined in this guide and intends to set a minimum for local implementations and future development of the height and weight report profile.

ALTERNATIVE NAMES

HL7 Version 2.5.1 Implementation Guide: Height and Weight Report, Release 1 (US Realm) [HL7 Version 2.5.1: ORU^R01] may also go by the following names or acronyms:

"HL7 V2 IG: Body Mass Index Reporting, R1", HL7 Version 2 Implementation Guide: Body Mass Index Reports, Release 1 - US Realm

TARGETS

  • Clinical and Public Health Laboratories
  • Immunization Registries
  • IHE
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Local and State Departments of Health

BENEFITS

  • Defines core data elements required for calculating BMI. The required data elements include height, weight, sex, date of birth, and date of measurement. Clothing worn during measure and weight associated conditions are also required if they are known to the system.
  • Enables sending relevant socio-demographic information for individuals from EHRs to public health surveillance systems.
  • Enables sending acknowledgement of receipt of height and weight report message.
  • Enables receiving acknowledgement of height and weight reports from public health surveillance systems.
  • Supports reporting of errors in the messaging process.

IMPLEMENTATIONS/CASE STUDIES

  • American Academy of Pediatrics (AAP); the Centers for Disease Control and Prevention (CDC); the Division of Nutrition, Physical Activity, and Obesity (DNPAO); and Health Level Seven (HL7)
  • Women, Infants, and Children (WIC)
  • State Public Health Agencies
  • EHRs

DEVELOPMENT BACKGROUND

Health Information Technology for Economic and Clinical Health Act of 2009 (HITECH) funding created significant incentives for healthcare practitioners to purchase and meaningfully use EHRs in the collection of patient demographic and clinical information and transfer that clinical data to public health surveillance systems. HITECH provides the opportunity for state and federal public health agencies to benefit from the height and weight data from EHRs, which can provide nearly census-level measured healthy weight surveillance data at very low cost. Quality EHR data allows for improved patient care, surveillance and evaluation, and quality improvement. The first step in establishing these processes is to create a standard for reporting height and weight data via EHRs.

RELATED DOCUMENTS

HL7 Version 2.5.1 Implementation Guide: Height and Weight Report, Release 1 (US Realm) [HL7 Version 2.5.1: ORU^R01]

(Download) (785 KB)

TOPIC

  • Public Health

BALLOT TYPE

  • Informative

STATUS DATE

2013-08-27

RESPONSIBLE WORK GROUP

Public Health

PRODUCT TYPE

  • ANSI-registered Technical Report

STAKEHOLDERS

  • Clinical and Public Health Laboratories
  • EHR, PHR Vendors
  • Health Care IT Vendors
  • Immunization Registries
  • Local and State Departments of Health

FAMILY

  • V2

CURRENT STATE

  • Stable

REALM

  • US Realm