Figure 2.

Conceptual model for an evolving digital public health ecosystem. A durable information infrastructure to overcome existing challenges requires careful coordination and leverage of existing resources. Most of the components for a future, integrated system are already in place, with the pathways moving forward requiring agreement or translation among standards, governance structures, and clear definitions of roles and responsibilities. “Chronic” public health issues refer to long-term challenges such as healthcare-acquired infections or prescription overdose.

Abbreviations: API, application programming interface; CDM, common data model; HIE, health information exchange.