Chapter 11 HCIS standards

Study online at https://quizlet.com/_9pe7pj

Ad Hoc

De facto
4 categories of methods used to establish healthcare IT standards
Government mandate

Consensus
Are the set of rules for what should be included for the needed
Standards
function and system level
A group of interested people organizations agrees on a certain
specification without any formal adoption process
Ad Hoc
Example DICOM
A vendor or other commercial enterprise controls such a large
segment of the market that its product becomes the recognized
norm
De facto
Example: SQL database language / Windows operating system
XML becoming one
The government mandates that the healthcare industry adopt
them
Government mandate
Example: transaction and code sets mandated by the HIPAA
regulations
Representatives from various interested groups come together or
reach a formal agreement or specification

Employed by the Standards developing organization SDO's

Consensus
Which is accredited by the American national standards institute
ANSI

Examples are HL7 / Accredited Standards committee ASC

Accredited by American national standards Institute ANSI

Standard developing organization SDO's Developed:

Health level seven HL 7 standards
And Accredited standards committee ASC standards
Use existing standards to create comprehensive implementation
guides

Profiling bodies Integrating the healthcare enterprise IHE

ONC (Office of the national coordinator for health Information

Technology)
International organization of standardization ISO

organizations that set standards American national standard institute ANSI

Standard developing organizations SDO's

Members are national standard bodies from different countries
International organization for standardization ISO
Oversees the flow of documentation international approval of
standards development under the auspices of ts member bodies

US members of the ISO

American national standards Institute ANSI Accredited standard development organizations SDO's

Does not develop standards but accredits the organizations that

1/5
 Chapter 11 HCIS standards
Study online at https://quizlet.com/_9pe7pj
develop standards

Publishes more than 10,000 standards developed by accredited

SDO's
Must be accredited by ANSI

Develop standards in accordance with ANSI criteria

Standard developing organizations SDO's
Can use the label Approved American National Standard

Approximately 200 SDO's are accredited 20 of these produce 90%

of the standards
Includes national standard bodies from 33 European countries

2 working groups
CEN-CENELEC MANAGEMENT CENTRR (CCMC)
Enterprise/information

Technology/application
Announced by HIPAA in 2000
Along with the final rule outlining the standards to be adopted by
healthcare organizations for electronica transactions

Mandates certain standards for electronica transactions

Designated standard maintenance organization DSMO
Mandates standard code sets for transactions
Identifies the organization that overseas adoption for HIPAA com-
pliance
Responsible for development maintenance and modification of
relevant data interchange standards
Electronic data interchange EDI
HIPAA Transaction standards apply to All covered entities
ICD-10-cm
No requirements that providers write prescriptions electronically
CMS e-prescribing
If they choose to do so they must comply with specific E prescrib-
ing Standards
HIPAA

CMS E prescribing

CMS EHR incentive program

Federal initiatives affecting healthcare IT Standards Office of the national coordinator information technology ONC

ASTM international

HL7 international

IHE
Was part of the high tech act to encourage eligible for riders in
CMS EHR Incentive program eligible hospitals to demonstrate meaningful use of certified EHR
technology
Provided leadership for the development and nationwide imple-
mentation of an interoperable health information technology in-
frastructure to improve the quality and efficiency of healthcare
Office of the national coordinator Information Technology ONC
In 2009 the HITECH act mandated them to provide this leadership
and oversight which strengthened their role

2/5
 Chapter 11 HCIS standards
Study online at https://quizlet.com/_9pe7pj
Published by the ONC in 2015

Outlines the ONC-identified "best available"standards and imple-

Interoperability Standards advisory
mentation specifications for clinical IT interoperability

Updated annually
Includes medical device Standards and Health Information Stan-
dards

The health Information Standards focus on the development of

ASTM international Formally known as the American society for
standards that help doctors and healthcare practitioners preserve
testing and materials
and transfer patient information using EHR technologies

Managed by the E31 committee which ehoms standards include

the continuity of care record CCR
An ANSI Accredited SDO

Dedicated to providing a comprehensive framework and related

HL7 international
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
Version 2 and 3 HL7 messaging standards

Clinical document architecture CDA

Primary standards or most used standards of HL7
Continuity of care documents CCD

Clinical context object workgroup CCOW

Developed a series of profiles to guide healthcare documentation
Integrating the Healthcare Enterprise (IHE)
sharing
Create a common language that enables different information
systems or vendor products to communicate unambiguously with
one another
Vocabulary and terminology standard
NO single vocabulary has emerged to meet all information ex-
change needs
National drug code NDC The universal product identifier for all human drugs
Systemized nomenclature of medicine clinical terms SNOMED CT

Course sets of patient medical record information terminology Logical observation identifiers names and codes LOINC Labora-
Standards tory subset

Several federal drug terminologies including RXNorm

A comprehensive clinical terminology developed specifically to
Systemize nomenclature of medicine clinical terms
facilitate the electronic storage and retrieval of detailed clinical
SNOMED CT
information
Facilitates the electronic transmission of laboratory results to hos-
Logical observation identifiers names and codes LOINC
pitals physicians third-party payers and other uses
Developed by the CDC as standard codes and terminology for use
Clinical vaccines administered CVX
with HL7 messaging standards
Normalized naming system for generic and namebrand drugs
RxNorm
Supports semantic interoperation between drug terminologies
and pharmacy knowledge base systems

3/5
 Chapter 11 HCIS standards
Study online at https://quizlet.com/_9pe7pj
Purpose is to facilitate the development of computer systems that
behave as if they understand the meaning of the language of
biomedicine and health

Provides data for system developers as well as search and report

functions for less technical users
Unified medical language system UMLS
Has 3 components called knowledge sources

Metathesaurus

Semantic network

Specialist lexicon and lexical tools

UMLS Metathesaurus
3 components ( KNOWLEDGE SOURCES) of UMLS Unified
UMLS Semantic network
medical language system
Specialist lexicon and lexical tools
One of the knowledge sources or components of unified medical
language system UMLS

UMLS Metathesaurus Contains concepts from more than 100 source vocabularies and
strives
Goal: to incorporate and map existing vocabularies into a single
system
One of the knowledge sources or components of UMLS

Defines 133 broad categories and dozens of relationships be-

UMLS Semantic network tween categories for labeling the biomedical domain

Outlines the relationship among the categories for example virus

causes disease or syndrome
One of the knowledge sources or components of unified medical
language system UMLS
Specialist lexicon and lexical tools yeah
A dictionary of English words common and biomedical which exist
to support natural language processing
HL7 standards

National Council for prescription drugs program standards

NCPDP

Digital imaging and communication in medicine Standards DICOM

DATA Exchange and messaging Standards Types
ANSI ASC X12N standards

Continuity of care document CCD

Fast health interoperability resources FHIR

The ability to exchange snd ntegrate data among healthcare ap-
plications
DATA Exchange and messaging Standards
Major purpose is to standardize the actual messaging between
healthcare information systems
Two versions version 2 and version 3

HL7 Health level 7 standards Version 2 has become the workhorse of electronic data exchange

Version 3 incorporates the root elements of XML

4/5
 Chapter 11 HCIS standards
Study online at https://quizlet.com/_9pe7pj
Used by all major diagnostic medical imaging vendors
Digital imaging and communications in medicine Standards DI-
Goal to achieve compatibility and to improve workflow efficien-
COM
cy between imaging systems and other information systems in
healthcare environments worldwide
Is an ANSI Accredited SDO

National Council for prescription drug program Standards NCPDP Standards for the electronic submission of third-party drug claims

XML format
X12 and XML format
ANSI ASC X12N standards Develops standards for the electronic exchange of business infor-
mation
Standard for the electronic exchange of patient summary informa-
Continuity of care document CCD
tion
Still being tested

Includes modern web services to exchange clinical information

Fast health interoperability resources FHIR
Offers easy to use tools
Which build faster and more efficient data exchange mechanisms
And to use personal healthcare information to create innovative
new apps
Outlines what should be included in the EHR or other clinical
record
Health record content and functional Standards
An Example of one of these standards that does NOT include
technical specifications is HL7 EHR-S
HL7 health Records System functional model
Overarching OV
Care provision CP
Care provision support CPS
EHR-S functional model 7 sections Population health support POP
Administrative support AS
Record infrastructure RI
Trust infrastructure TI

5/5