yep really interesting...
On Thu, 2009-04-09 at 09:33 +0100, Mark Alan wrote: > Interesting... > > > From: John Halamka <jhala...@caregroup.harvard.edu> > > I've recently been asked to provide a list of the data elements of an > EHR which might be used as part of the ARRA mandate to exchange data as > part of meaningful use. There are a nearly infinite number of actors, > actions and events for data exchange, but in the interest of getting > "data liquidity" in healthcare, here are the elements that are most > commonly used and represent a great starting point for healthcare > information exchange. I always strive for parsimony of standards - the > fewest that we need for the purpose. Below you'll see that I've included > the standards that support the systems we have in place today as well as > the XML/Web-based standards that support newer web-centric systems and > healthcare information exchanges. > > Demographics > Content: HL7 2.x for messaging, CCD for document summaries > Vocabulary: HITSP Harmonized codesets for gender, marital status > > Problem List > Content: HL7 2.x for messaging, CCD for document summaries > Vocabulary: SNOMED-CT > > Medications > Content: NCPDP script for messaging, CCD for document summaries > Vocabulary: RxNorm and Structured SIG > > Allergies > Content: HL7 2.x for messaging, CCD for document summaries > Vocabulary: UNII for foods and substances, NDC-RT for medication class, > RxNorm for Medications > > Progress Notes and Other Narrative Documents (History and Physical, > Operative Notes, Discharge Summary) > Content: HL7 2.x for messaging, CCD for document summaries > Vocabulary: CDA Templates > > Departmental Reports (Pathology/Cytology, GI, Pulmonary, Cardiology etc.) > Content: HL7 2.x for messaging, CCD for document summaries > Vocabulary: SNOMED-CT > > Laboratory Results > Content: HL7 2.x for messaging, CCD for document summaries > Vocabulary: LOINC for lab name, UCUM for units of measure, SNOMED-CT for > test ordering reason > > Microbiology > Content: HL7 2.x for messaging, CCD for document summaries > Vocabulary: LOINC for lab name/observation > > Images > Content: DICOM > > Administrative Transactions (Benefits/Eligibility, > Referral/Authorization, Claims/Remittance) > Content: X12 > Vocabulary: CAQH CORE > > Quality Measures > Content: Derived from all the data elements above > Vocabulary: Derived from all the data elements above > > Privacy and Security > Transport: HTTPS, SOAP/REST > Transport Orchestration: WS* > Authorization/Access Control: XACML > > Given that meaningful use needs to be achieved by 2011-2012, it's clear > that we cannot rip and replace existing hospital information systems and > EHRs. We need to leverage them, upgrade them over time, and install new > systems in an incremental fashion. This is really true of any change in > healthcare. If we had a greenfield, we would design healthcare delivery, > payment, and infrastructure entirely differently. Unfortunately, we do > not have a greenfield, we have limited resources, and limited time to > achieve healthcare reform, so we need to leverage what we have and > evolve it in phases. > > HITSP will be reformatting and streamlining its previous work over the > next 90 days to support ARRA, the HIT Standards and Policies Committees, > and ONC. I hope you agree that the list of EHR data elements above is > practical, achievable now, and reasonable. > > ------------------------------------------------------------------------------ > This SF.net email is sponsored by: > High Quality Requirements in a Collaborative Environment. > Download a free trial of Rational Requirements Composer Now! > http://p.sf.net/sfu/www-ibm-com > _______________________________________________ > Care2002-developers mailing list > Care2002-developers@lists.sourceforge.net > https://lists.sourceforge.net/lists/listinfo/care2002-developers ------------------------------------------------------------------------------ This SF.net email is sponsored by: High Quality Requirements in a Collaborative Environment. Download a free trial of Rational Requirements Composer Now! http://p.sf.net/sfu/www-ibm-com _______________________________________________ Care2002-developers mailing list Care2002-developers@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/care2002-developers
