States emulate Healthy People. States choose objectives for which they have data. States use State data sources predominantly with some Federal and private sector data.
States have difficulty in supplying morbidity data to localities.
Harry Rosenberg, PhD Chief, Mortality Statistics Branch, Division of Vital Statistics National Center for Health Statistics, CDC Challenges in data collection for Healthy People 2010. 113 causes of death. ICD-10CM contains more than 45,000 codes. Implementation of ICD-10 begins in 1999. The additions of new diseases and reclassification could result in discontinuity in tracking trends.