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Transcript of 09- Networking and Health Information Exchange- Unit 5- Health Data Interchange Standards- Lecture C
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Networking and Health
Information Exchange
Health Data Interchange Standards
Lecture c
This material Comp9_Unit5c was developed by Duke University funded by the Department of Health and Human Services,
Office of the National Coordinator for Health Information Technology under Award Number IU24OC000024.
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Health Data Interchange StandardsLearning Objectives
1. Understand linking and aggregating data at all levels
(Lecture a)
2. Understand how data may be interchanged among
heterogeneous settings without loss of information(Lecture a)
3. Understand HL7 v2.x messaging communication
standard (Lecture a)
4. Understand HL7 v3.0 messaging standards (Lecture b)5. Understand other data interchange standards - DICOM,
NCPDP, IEEE, X12N, ASTM, IHE (Lecture c)
2Health IT Workforce Curriculum
Version 3.0/Spring 2012
Networking and Health Information Exchange
Health Data Interchange Standards
Lecture c
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Health Data Interchange StandardsLearning Objectives
6. Explain how model-based standards are created
(Lecture b)
7. Define the methodology development framework
(Lecture b)
8. Describe HL7 v3.0 messaging standards (Lecture b)
9. Imaging standards (Lecture c)
10.Standards for pharmacy services (Lecture c)
11. Interface standards for medical devices (Lecture c)12.Claims and reimbursement standards (Lecture c)
13.Concept of profiling (Lecture c)
14.Use and value of implementation guides (Lecture c)
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Networking and Health Information Exchange
Health Data Interchange Standards
Lecture c
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DICOM
4Health IT Workforce Curriculum
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Networking and Health Information Exchange
Health Data Interchange Standards
Lecture c
Digital Imaging and Communication in Medicine (DICOM)
Industry standard for transfer of radiologic
images And other medical information between computers
Developed by
American College of Radiology
National Electrical Manufacturers Assn.
Current structure developed in 1993
Current version 3.0
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DICOM
A single DICOM file contains
Header
Stores information about the patient's name, the
type of scan, image dimensions, etc.
All of the image data
Contains information in three dimensions
DICOM is the most common standard forreceiving scans from a hospital
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Lecture c
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National Council for PrescriptionDrug Programs (NCPDP)
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Networking and Health Information ExchangeHealth Data Interchange Standards
Lecture c
Data interchange standards for pharmacy services
Standards included in meaningful use criteria
Key standards include Telecommunication Standard
Batch Standard
Script for electronic prescribing
Manufacturers Rebate Standard Billing Unit Standard
XML Standard for NCPDP
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NCPDP Implementation Guides
Financial Information Standard IG
Formulary and Benefit Standard IG
Functional Profiles for EHR Systems Pharmacy ID Card IG
Script IG
Specialized standard IG
Telecommunication Standard IG
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Lecture c
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Cross standard resources
Data Dictionary
External Code List
NCPDP has a collaborative and
harmonization relationship with HL7 for
electronic prescribing coordination
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Lecture c
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Institute of Electrical andElectronic Engineering (IEEE)
Standards Developing Organization
focused primarily on device standards
Works with ISO, HL7, CEN and DICOM tocreate device standards
Standards referred to as point of care
standards
Also creates waveform standards
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Lecture c
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IEEE Standards
Family of medical device standards
labeled 11073 nnnnn
ISO rules title is Health Informatics class purpose
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Lecture c
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IEEE - 2000
30200 Transport profile cable connected
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IEEE 2004
10101 Nomenclature
10201 Domain information model
20101 Application profile basestandard
30200 Transport profile cable
connected 30300 Transport profile infrared
wireless
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IEEE 2007
92001 Medical waveform format
encoding rules
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IEEE - 2008
00101 [TR] Guidelines for the use ofwireless technology
10404 Pulse oximeter
10407 Blood pressure monitor
10408 Thermometer
10415 Weighing scale
10421 Body composition analyzer
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IEEE 2008 (cont)
10441 Cardiovascular fitness and
activity monitor
10442 - Strength fitness equipment 10471 Independent living activity hub
20601 Application profile Optimized
Exchange protocol 90101 analytical instruments, point-of-
care test.
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IEEE - 2009
10417 Glucose monitor
91064 Computer-assisted
electrocardiography
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IEEE - 2010
10420 Body composition analyzer
10421 Peak expiratory flow monitor
10472 Medication monitor
30400 Interface profile cabled Ethernet
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IEEE Under Development
00103 [TR] Overview
10101 [rev] Nomenclature
10102 Nomenclature Annotated ECG
10103 Nomenclature Implantable
device, cardiac
10201 [rev] Domain information model
10202 Domain information model XML
schema format
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IEEE Under Development
10404 [rev] Pulse oximeter
10406 Basic electrocardiogram (1 to 3
lead ECG)
10413 Respiration rate monitor
10417 [rev] Glucose monitor
10418 International normalized ratio
(INR) monitor
10419 Insulin pump
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IEEE Under Development
10441 [rev] Cardiovascular fitness andactivity monitor
20200 Association control function
20201Polling mode
20202 Baseline asynchronous mode
20301 Optional package, remote control
20401 Common networking
infrastructure
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IEEE Under Development
20601a [amendment] Optimized
exchange protocol
30200a [amendment] Transport profile cable connected
30503 Transport profile RF wireless
local area network (wLAN)
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Lecture c
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X12n
Creates EDI standards related to claims
and reimbursement
Use required by HIPAA
Standards available from Washington
Publishing Company or purchase CD
version
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Lecture c
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The HIPAA Standard Transactions
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Networking and Health Information ExchangeHealth Data Interchange Standards
Lecture c
Source: W Ed Hammond, Derived from ASC X12N documentation
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ASTM
E31 Healthcare Informatics develops
standards related to healthcare and
healthcare decision making.
Two standards relate to data interchange
Properties of a Universal Healthcare Identifier
(UHID)
Continuity of Care Record
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Continuity of Care Record
Core data set of administrative,
demographic and clinical data about a
patient
May be single or multiple encounter-based
Snapshot or summary of patient data
Used to exchange data between
physicians, systems
Uses XML schema
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Integrating the HealthcareEnterprise (IHE)
Is not a standards developing organization
Use standards developed by other SDOs
Provides a common framework for passinghealth information seamlessly: Within the healthcare enterprise
Across multiple healthcare enterprises
For local, regional & nationalhealth information networks
Drives standards adoption to address
specific clinical needs.
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IHE
Drives standards adoption to addressspecific clinical needs
Coordinates implementation of standards
to meet clinical and administrative needs Creates integration profiles to provide end-
to-end interoperability
Sponsor annual Connectathon at HIMSS Provides opportunity for vendors to test and
demonstrate interoperability of their products
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Domains of Activity
IT Infrastructure
Radiology
Laboratory
Cardiology
Patient care coordination
Patient care devices Radiation Oncology
Eye
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Document Exchange Profiles
XDS Document sharing
XDR Document reliable interchange
XDM
Document media interchange PIX Patient identifier cross reference
manager
PDQ
Patient demographic supplier XCA Cross-community access
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XDS
XDS is a document specification that helpsusers manage documents in a consistent
way. The components/actors of XDS are:
Document Source Document repository
Document Registry
Document Consumer Patient Identity Source
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Health Data Interchange StandardsSummary
This unit has introduced you to a series of standards
are used for networking between sites at all levels
Much of the focus was on clinical messaging standards
namely HL7 v2.n and v3 standards
You were also introduced in imaging standards,
pharmacy services standards, medical device
standards, and claims and reimbursement standards
Finally, we looked at an organization that provided
profiles and implementation guides that put these
standards together to support end-to-end
interoperability
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Lecture c
Health Data Interchange
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Health Data InterchangeStandards
References
Lecture cReferences
Acknowledgement: Material used in this lecture comes from the web pages of the various Standards Developing
Organizations.
Images
Slide 23: W Ed Hammond, Derived from ASC X12N documentation. www.x12.org
32Health IT Workforce Curriculum Networking and Health Information ExchangeH lth D t I t h St d d