TABLE 1 •. Primary System for Clinical Data Storage at LHDs in 2015 (n = 297).

Clinical Data Storage System	Proportion of LHDs, %
Vendor-built EHR system	30.5
Paper records	28.9
Electronic record system other than those listed	12.7
Custom-built EHR system	6.4
Federally provided system	6.1
Basic software	5.3
Open-source EHR system	1.5
Not applicable (no clinical services)	8.5

Abbreviations: EHR, electronic health record; LHD, local health department.