Summary: Technology and Standards for Health Care|
|Messaging Standards ||Used for:|
|HL7 ||Clinical data|
|X12N||Financial data, HIPAA mandated transactions|
|NCPDP||Standards for pharmacy business functions, HIPAA mandated
|IEEE||Bedside instruments, medical information bus|
|Terminology Standards|| |
|Drugs||NLM/FDA/VA collaboration on RxNorm, NDF-RT|
|Clinical||UMLS, SNOMED and others|
|A component of the American National Standards Institute (ANSI) that has a subcommittee
(E31) for general healthcare informatics.
This E31 Subcommittee on Healthcare Informatics develops standards related to the architecture, content, storage, security, confidentiality, functionality, and
communication of information used within healthcare and healthcare decision making, including patient-specific information and knowledge.
|CPT Current Procedural Terminology was developed by the American
Medical Association in 1966. These codes are used for the billing of medical
procedures. Each year, an annual publication is prepared, that makes changes
corresponding with significant updates in medical technology and practice. The most recent version of CPT, CPT 2003, contains 8,107 codes and descriptors.
|The Digital Imaging and Communications in Medicine (DICOM) Standard was developed for
the transmission of images and is used internationally for Picture Archiving and Communication Systems (PACS).
This standard was developed by the joint committee of the ACR (the American College of Radiology) and NEMA (the National
Electrical Manufacturers Association) to meet the needs of manufacturers and users of medical imaging equipment for
interconnection of devices on standard networks.|
|HL7 is an accredited ANSIstandard organization that produces the HL7 messaging standard. It
is the accepted messaging standard for communicating clinical data. It is supported by every major medical informatics system vendor in the US. The HL7 mission is to provide a
comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of electronic health information that supports clinical practice and the management, delivery and evaluation of health services.
Specifically, to create flexible, cost effective standards, guidelines, and methodologies
to enable healthcare information system interoperability and sharing of electronic health records.
The HL7 Reference Information Model (RIM) is an object model with a large pictorial representation of the clinical data (domains) and identifies the life cycle of events that a message or
groups of related messages will carry.
|A subgroup of the American National Standards Institute (ANSI).
The American National Standards Institute's Healthcare Informatics Standards Board (ANSI HISB) provides an
open, public forum for the voluntary coordination of healthcare informatics standards among all United
States' standard developing organizations. Every major developer of healthcare informatics standards in
the United States participates in ANSI HISB. The ANSI HISB has 27 voting members and more than 100
participants, including ANSI-accredited and other standards developing organizations, professional
societies, trade associations, private companies, federal agencies, and others.
|This group within the Institute of Medicine has the charge of producing a detailed plan to facilitate the development of data standards
applicable to the collection, coding, and classification of patient safety information.
|URL: www.iom.edu/psds |
|The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) was
developed in the United States to provide a way to classify morbidity data
for indexing of medical records, medical case reviews, and ambulatory and
other medical care programs, as well as for basic health statistics. It is based on the World Health Organization (WHO) international ICD-9. A version based on ICD-10 (ICD-10-CM) is in preparation.
|URL: http://www.who.int/whosis/icd10/othercla.htm |
|Coding system for the electronic exchange of laboratory test results and other observations. LOINC
development involved a public-private partnership comprised of several federal agencies, academia,
and the vendor community. This model can be applied to other standards setting domains.|
|MedBiquitous is the ANSI-accredited developer of information technology standards for healthcare education and competence assessment. Our XML and Web Services Standards enable communications among diverse entities in professional medicine and provide opportunities to seamlessly support the clinician learner. MedBiquitous has developed standards for healthcare learning objects (HLOs), discrete units of online instruction that may be used at the time of need, as well as standards for communicating clinician profile information, education and certification activities, journal information, and educational metrics. These standards will facilitate collaboration across organizations and make it easier to track licensure, certification, and educational changes or activities.
|Founded in 1978, NCPDP focuses on prescription drug messages and works
to create and promote data interchange and processing standards for the
pharmacy services sector of the health care industry including standards
for billing pharmacy claims and services, rebates, pharmacy ID cards,
and a standard for business functions between prescribers and pharmacies
|The NDF-RT and the RxNorm projects are focused on improving interoperability of drug terminology. The area of clinical drugs is seen as important in the growing issues of patient safety;
The National Drug File, Reference Terminology is being developed for the Veterans Administration as a reference standard for medications to support a variety of clinical, administrative and analytical purposes. The RxNorm Project is a developing project of the NLM where new concepts are being added to the UMLS for clinical drug representations.
|SNOMED-CT (Clinical Terminology) has been created from the combination of
SNOMED-RT (Reference Terminology) and Read codes.
NLM and others are working to bring coding systems such as this SNOMED-CT (clinical terms)
into the public domain|
The UMLS is a long term research and development project of the National Library of Medicine (NLM) that began in 1986. This project develops and distributes multi-purpose, electronic "Knowledge Sources" and associated lexical programs. System developers can use the UMLS products to enhance their applications -- in systems focused on patient data, digital libraries, Web and bibliographic retrieval, natural language processing, and decision support. Researchers will find the UMLS products useful in investigating knowledge representation and retrieval questions.
|Dominant standard for electronic commerce. The American National Standards Institute Accredited
Standards Committee X12 (ASC X12) selected X12N as the standard for electronic data interchange (EDI) used in
administrative and financial health care transactions (excluding retail pharmacy transactions) in
compliance with the Health Insurance Portability and Accountability Act of 1996.
Used for external financial transactions, financial coverage verification and insurance transactions and