We recognize the thoroughness of the framework proposed as well as the complexities that await in profiling this resource and defining the value sets that support it. CSTE members recognize the need to represent and support impacted individuals and communities in data collected for public health purposes at the jurisdictional level; provide meaningful data at the jurisdictional level and combined regional and national levels; and participate in promoting interoperability by minimizing, if not eliminating, jurisdictional and programmatic variation