1 / 7

HIT Standards Committee

HIT Standards Committee. Clinical Operations Workgroup, Vocabulary Task Force (VTF) Update on Vocabulary For Stage 2 Jamie Ferguson, Kaiser Permanente Betsy Humphreys, National Library of Medicine 22 June 2011. Current VTF Priorities & Process.

garrett-sharpe
Download Presentation

HIT Standards Committee

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. HIT Standards Committee Clinical Operations Workgroup, Vocabulary Task Force (VTF) Update on Vocabulary For Stage 2 Jamie Ferguson, Kaiser Permanente Betsy Humphreys, National Library of Medicine 22 June 2011

  2. Current VTF Priorities & Process • ONC Requested Vocabulary Standards for Stage II/III • Medications for e-prescribing and medication allergies • Lab tests for results reporting and test orders • Problems for problem list documentation • Standards required to specify quality measures • Process: • Assess/Revise as necessary Previous HITSC Vocabulary Recommendations for key EHR segments • Series of teleconference meetings, next 6/24 • Work with Clinical Quality WG on Vocabulary Recommendations to support Quality Measures • 1st joint CQWG-VTF meeting 6/20; another 6/29?

  3. General Issues Can an EHR certification requirement precede a meaningful use requirement in order to facilitate adoption? (Discussed in HITSC meeting 5/18/11) How will an EHR’s use of vocabulary standards be tested and certified? VTF has scheduled presentation/discussion with NIST (6/24) Requirements for subsets used in certification testing could differ from those used to facilitate adoption/use. EHR products must be able to accommodate (i.e., not reject) any valid value from a required standard vocabulary.

  4. Recent relevant developments May 31 – LOINC Top 2000+ Lab Observations and Mapper's Guidereleased June 6 – RxNorm Prescribable Drugs subset (1st draft) released May 26 – IHTSDO and Global Medical Device Nomenclature (GMDN) in formal negotiation re: inclusion of GMDN content in SNOMED CT

  5. Allergens & Allergic Reactions Quality Measures require: medication allergies, non-medication allergens, severity of reaction Medications/active ingredients - RxNorm (specific named components) Vaccinations Still under discussion: CVX/MVX, RxNorm Inactive ingredients, non-medication allergens Still under discussion: UNII, SNOMED CT Recent (5/24) recommendations from NCPDP re: allergies suggest incorporation in RxNorm Severity of reaction - SNOMED CT Reaction itself – SNOMED CT

  6. Medical Devices For initial (limited) quality measure requirements: SNOMED CT VTF to monitor developments and make later recommendation re: more detailed device terminology (GMDN, UMDNS)

  7. For Action by VTF (after joint CQWG-VTF meeting 6/20) Patient characteristics Conditions/Diagnoses/Problems Non-laboratory Diagnostic Studies Face-to-face, telemedicine, other communications (e.g., mail, e-mail) ?? Requirements for terminology vs other EHR attributes For Joint CQWG-VTF discussion (6/29?) Experience, Family History, Functional Status, Health Record Component, Lab Test Orders, Interventions, Physical Exam, Preferences, Symptoms/Adverse Effects, System Resources

More Related