DOCSLIB.ORG

Standard Protocols in Imaging Informatics

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Standard Protocols in Imaging Informatics Standard Protocols In Imaging Informatics Dr. Ahmed Alsharef Farah Dr. Ahmed Alsharef Farah 1 Imaging Informatics: • Imaging informatics, also known as radiology informatics or medical imaging informatics, is a subspecialty of biomedical informatics that aims to improve the efficiency, accuracy, usability and reliability of medical imaging services within the healthcare enterprise. Dr. Ahmed Alsharef Farah 2 • Imaging informatics touches every aspect of the imaging chain: Image creation and acquisition. Image distribution and management. Image storage and retrieval. Image processing, analysis. Image visualization. Image interpretation, reporting, and communications. Dr. Ahmed Alsharef Farah 3 Industry Standards: • Earlier, transmission of textual or image data across network used to be very difficult because the differences in the operating system and the application environment. • To facilitate free flow of information across modalities and networks in health care industry standards have been developed. Dr. Ahmed Alsharef Farah 4 • By this way, images and data can be handled in an organized manner. • Currently: Health Level 7 (HL7) is the industry standard for the transmission of textual information. Digital Imaging and Communications in Medicine (DICOM) is the industry standard for the image data and communication protocols. Dr. Ahmed Alsharef Farah 5 Health Level 7 Imaging Integration Dr. Ahmed Alsharef Farah 6 HL7 (Health Level Seven International): • HL7 refers to a set of international standards for transfer of clinical and administrative data between software applications. • HL7 and related standards provide a framework for the exchange, integration, sharing, and retrieval of electronic health information. Dr. Ahmed Alsharef Farah 7 • These standards define how information is packaged and communicated from one party to another, setting the language, structure and data types required for integration between systems. • HL7 standards support clinical practice and the management, delivery, and evaluation of health services, and are recognized as the most commonly used in the world. Dr. Ahmed Alsharef Farah 8 HL7 - plays an important role in the following areas: 1. Patient identity: Management, exchange of demographic data, and patient information. 2. Patient registration and location tracking: Admission, discharge, and transfer of the patient. Dr. Ahmed Alsharef Farah 9 3. Order entry: Imaging order place and file management, imaging order workflow management. 4. Results reporting: Results and document management messages, (DICOM Structured Reporting) DICOM SR, and Clinical Document Architecture (CDA). Dr. Ahmed Alsharef Farah 10 DICOM Dr. Ahmed Alsharef Farah 11 DICOM: • DICOM: Digital Imaging and Communications in Medicine. • Is the international standard for medical images and related information. • It defines the formats for medical images that can be exchanged with the data and quality necessary for clinical use. Dr. Ahmed Alsharef Farah 12 • Digital imaging and communications in medicine (DICOM): It is a standard for handling, storing, printing, and transmitting information in medical imaging. It is also necessary to standardize the format of images and communication protocols used in imaging so as to facilitate flow of information across the hospital. Dr. Ahmed Alsharef Farah 13 It was developed together by American College of Radiology (ACR) and National Electrical Manufacturers Association (NEMA) to promote exchange of information among various equipments. This was aimed to integrate various equipment used in radiology such as radiography machines, CT scanners, MRI, printers, digitizers, etc. with PACS. Dr. Ahmed Alsharef Farah 14 • The first version was released in 1985 and it was called as ACR-NEMA version 1. • Later in 1988, the second version namely ACR-NEMA 2.0 was also released with enhancements. • In 1992, a newer version was released with major improvements and it was named as DICOM 3.0. Dr. Ahmed Alsharef Farah 15 • DICOM is implemented in almost every Radiology (X-ray, CT, MRI, ultrasound, etc.), Cardiology imaging, and Radiotherapy device, and increasingly in devices in other medical domains such as Ophthalmology and Dentistry. Dr. Ahmed Alsharef Farah 16 Key Concepts Data format: DICOM groups information into data sets. That means that a file of a chest x-ray image, for example, actually contains the patient ID within the file, so that the image can never be separated from this information by mistake. This is similar to the way that image formats such as JPEG can also have embedded to identify and describe the image. Dr. Ahmed Alsharef Farah 17 Image display: To promote identical grayscale image display on different monitors and consistent hard-copy images from various printers, the DICOM committee developed a lookup table to display digitally assigned pixel values. Dr. Ahmed Alsharef Farah 18 To use the DICOM Grayscale Standard Display Function (GSDF), images must be viewed (or printed) on devices that have this lookup curve or on devices that have been calibrated to the GSDF curve. Dr. Ahmed Alsharef Farah 19 Services: DICOM consists of services, most of which involve transmission of data over a network. Dr. Ahmed Alsharef Farah 20 Store: The DICOM Store service is used to send images or other persistent objects (structured reports, etc.) to a picture archiving and communication system (PACS) or workstation. Dr. Ahmed Alsharef Farah 21 Query/Retrieve: This enables a workstation to find lists of images or other such objects and then retrieve them from a picture archiving and communication system. Dr. Ahmed Alsharef Farah 22 Modality Worklist: The DICOM Modality Worklist service provides a list of imaging procedures that have been scheduled for performance by an image acquisition device (sometimes referred to as a modality system). Dr. Ahmed Alsharef Farah 23 The items in the worklist include relevant details about the subject of the procedure (patient ID, name, sex, and age), the type of procedure (equipment type, procedure description, procedure code) and the procedure order (referring physician, accession number, reason for exam). Dr. Ahmed Alsharef Farah 24 An image acquisition device, such as a CT scanner, queries a service provider, such as a RIS, to get this information which is then presented to the system operator and is used by the imaging device to populate details in the image data. Dr. Ahmed Alsharef Farah 25 Prior to the use of the DICOM Modality Worklist service, the scanner operator was required to manually enter all the relevant details. Manual entry is slower and introduces the risk of misspelled patient names, and other data entry errors. Dr. Ahmed Alsharef Farah 26 Modality Performed Procedure Step: A complementary service to Modality Worklist, this enables the modality to send a report about a performed examination including data about the images acquired, beginning time, end time, and duration of a study, dose delivered, etc. Dr. Ahmed Alsharef Farah 27 It helps give the radiology department a more precise handle on resource (acquisition station) use. Also known as MPPS, this service allows a modality to better coordinate with image storage servers. Dr. Ahmed Alsharef Farah 28 Print: The DICOM Print service is used to send images to a DICOM Printer, normally to print an “X-Ray” film. There is a standard calibration to help ensure consistency between various display devices, including hard copy printout. Dr. Ahmed Alsharef Farah 29 Integrating the Healthcare Enterprise Dr. Ahmed Alsharef Farah 30 What is IHE ? • It is an initiative by the healthcare industry to improve the way computer systems share information. • IHE promotes the coordinated use of established standards such as DICOM and HL7 to address specific clinical needs in support of optimal patient care. Dr. Ahmed Alsharef Farah 31 Integration Goal: • Improve the efficiency and effectiveness of clinical practice by: Improved Information Flow. Advanced Multi-System Functions. Dr. Ahmed Alsharef Farah 32 • Currently we have: DICOM to exchange imaging data. HL7 to exchange order and lab results data. • IHE aims to facilitate the integration of data between systems. • IHE defines the use of subsets of DICOM and HL7 standards – it is not a standard itself. Dr. Ahmed Alsharef Farah 33 How does this help ? • Improves integration and interoperability: Integration – disparate systems share info. reducing multiple data entry. Interoperability – two systems can carry out a task effectively e.g. both systems have two fields for first and second name. Simplifies workflow. Dr. Ahmed Alsharef Farah 34 Scheduled Workflow Profile report report Registration Report Report Repository HIS patient Diagnostic Film information Workstation Light box images PACS retrieved Orders Placed procedure scheduled Image Manager Film Prefetch any relevant & Archive Folder examination orders prior studies Acquisition modality Modality images Orders Filled worklist stored RIS Acquisition completed Acquisitionacquisition Film completedin-progress Images Modality printed Dr. Ahmed Alsharef Farah 35 Dr. Ahmed Alsharef Farah 36.
Load more

Recommended publications
  • Technology and Standards for Health Care
    Technology and Standards for Health Care Messaging Standards Used for: HL7 Clinical data X12N Financial data, HIPAA mandated transactions DICOM Images NCPDP Prescription from providers to pharmacies IEEE Bedside instruments, medical information bus Terminology Standards LOINC Drugs NLM/FDA/VA collaboration on RxNorm, NDF-RT Billing CPT, ICD-9CM Clinical UMLS, SNOMED and others Table adopted from Stan Huff MD, HIMSS, 2003 Standards and Standards Organizations American Society for Testing and Materials (ASTM) 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. URL: www.astm.org Current Procedural Terminology (CPT) 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. URL: http://www.ama-assn.org/ama/pub/category/3113.html Digital Imaging and Communications in Medicine (DICOM) 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.
    [Show full text]
  • Introduction to Health Level Seven (HL7) International Organization & Process Orientation
    Introduction to Health Level Seven (HL7) International Organization & Process Orientation January 2018 HL7 Working Group Meeting New Orleans, LA January 2018 Calvin Beebe © 2015 Health Level Seven ® International. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Agenda HL7 International ➢ What is it ➢ How is it Organized ➢ Vision and Mission ➢ Organizational Chart ➢ Affiliates ➢ Role in enabling interoperability ➢ What’s in a name? © 2015 Health Level Seven ® International. All Rights Reserved. 2 HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. Agenda How do we work? ➢ Consensus Driven ➢ Work Groups ➢ Technical Steering Committee ➢ Steering Divisions HL7 International Processes ➢ Meetings ➢ Projects ➢ Ballots HL7 Products Appendices © 2015 Health Level Seven ® International. All Rights Reserved. 3 HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. HL7 INTERNATIONAL WHAT IS IT & HOW IT IS ORGANIZED? © 2015 Health Level Seven ® International. All Rights Reserved. 4 HL7 and Health Level Seven are registered trademarks of Health Level Seven International. Reg. U.S. TM Office. What is HL7 International? HL7 International is one of several American National Standards Institute (ANSI) accredited Standards Developing Organizations (SDOs) operating in the healthcare arena. ➢ Most of these SDOs produce standards (sometimes called specifications or protocols) for a particular healthcare domain such as pharmacy, medical devices, imaging or insurance (claims processing) transactions. © 2015 Health Level Seven ® International. All Rights Reserved. 5 HL7 and Health Level Seven are registered trademarks of Health Level Seven International.
    [Show full text]
  • Health Level 7 (HL7) Adapter
    Health Level 7 (HL7) Adapter Edifecs SpecBuilder and XEngine Accelerate the Design, Development, Validation and Integration of HL7 Messages Background on HL7 Messages Edifecs HL7 Highlights Healthcare providers are facing a daunting challenge: to provide the best clinical patient care while reducing Supports HL7 versions: 2.1, 2.2, 2.3, costs. Adoption of HL7 message protocols provides 2.3.1, 2.4, 2.x and 3.x (XML based) a valuable resource in overcoming these challenges. HL7 is an ANSI-accredited standards organization that Produces CCD and CDA, including publishes specifications for the electronic exchange of schematron validation administrative, clinical, and financial information among independent healthcareoriented systems. This approach Validates against HL7 message enables provider healthcare organizations to select and specifications and custom rules integrate best-of-breed systems for patient care, clinical lab, etc. However, implementation of HL7 is not plug-n- Creates automatic acknowledgements play because each organization and department has its own specific business needs. These needs translate into Supports full envelope and batching custom requirements that must be properly documented, communicated and applied to the various systems in order Converts to and from HL7 2.x XML to function properly. Edifecs products include HL7 support format to provide an easy way to capture, document and maintain these requirements and ensure that messages comply Exports HL7 message specifications with these requirements. to W3C XML Schema format SB Solution Brief | Health Level 7 (HL7) Adapter 1 Comprehensive HL7 standards support with seamless, Comprehensive Standards Support fast integration The Edifecs HL7 solution offers comprehensive standards support, a powerful editor with compliance checking and easy, seamless integration through a COM, Java API, or standalone server (includes connectors to IBM Websphere MQ, Java messaging server (JMS) or folder).
    [Show full text]
  • Session 100: Beyond Claims: Unlocking the Power of EMR And
    Session 100, Beyond Claims: Unlocking the Power of EMR and Real-Time Clinical ADT Data SOA Antitrust Disclaimer SOA Presentation Disclaimer 2019 Health Meeting ANDREW LOEWER, KELVIN WURSTEN, & KATHERINE ZHAO Session 100: Beyond Claims: Unlocking the Power of EMR and Real-Time Clinical ADT Data June 25, 2019 SOCIETY OF ACTUARIES Antitrust Compliance Guidelines Active participation in the Society of Actuaries is an important aspect of membership. While the positive contributions of professional societies and associations are well-recognized and encouraged, association activities are vulnerable to close antitrust scrutiny. By their very nature, associations bring together industry competitors and other market participants. The United States antitrust laws aim to protect consumers by preserving the free economy and prohibiting anti-competitive business practices; they promote competition. There are both state and federal antitrust laws, although state antitrust laws closely follow federal law. The Sherman Act, is the primary U.S. antitrust law pertaining to association activities. The Sherman Act prohibits every contract, combination or conspiracy that places an unreasonable restraint on trade. There are, however, some activities that are illegal under all circumstances, such as price fixing, market allocation and collusive bidding. There is no safe harbor under the antitrust law for professional association activities. Therefore, association meeting participants should refrain from discussing any activity that could potentially be construed as having an anti-competitive effect. Discussions relating to product or service pricing, market allocations, membership restrictions, product standardization or other conditions on trade could arguably be perceived as a restraint on trade and may expose the SOA and its members to antitrust enforcement procedures.
    [Show full text]
  • Using LOINC with SNOMED CT 3 April 2017
    Using LOINC with SNOMED CT 3 April 2017 Latest web browsable version: http://snomed.org/loinc SNOMED CT Document Library: http://snomed.org/doc 1. Using LOINC with SNOMED CT . 3 1 Introduction . 4 2 Short Introduction to SNOMED CT . 6 2.1 Features of SNOMED CT . 6 2.2 Benefits of SNOMED CT . 7 3 Short Introduction to LOINC . 9 3.1 Features of LOINC . 9 3.2 Benefits of LOINC . 13 4 Cooperative Work . 15 4.1 Cooperative Work Overview . 15 4.2 Release File Specifications . 16 4.2.1 LOINC Part map reference set . 16 4.2.2 LOINC Term to Expression Reference Set . 18 4.3 Benefits of Products of the Cooperative Work . 21 5 Guidance on Use of SNOMED CT and LOINC Together . 22 5.1 Use of SNOMED CT and/or LOINC in . 22 5.2 Practical Guidance on Uses of SNOMED CT and LOINC . 23 5.2.1 Guideline A - Vital Signs (Observation Names and Values) . 23 5.2.2 Guideline B - Laboratory Orders . 24 5.2.3 Guideline C - Laboratory Test Results (Observation Names and Values) . 26 5.2.4 Guideline D - Specimens . 30 5.2.5 Guideline E - Animal Species and Breeds . 32 5.2.6 Guideline F - Procedures (Laboratory Methods) . 33 5.2.7 Practical Uses of Part Maps and Expression Associations . 34 5.2 Terminology Scenarios - Summary . 40 6 References . 40 Using LOINC with SNOMED CT (3 April 2017) Using LOINC with SNOMED CT The Guide to Use of SNOMED CT and LOINC together provides advice on combined use of SNOMED CT and LOINC.
    [Show full text]
  • Comparative Study of Healthcare Messaging Standards for Interoperability in Ehealth Systems
    Comparative Study of Healthcare Messaging Standards for Interoperability in eHealth systems BOAZ ABRAHAM | STUDENT ID: 18481798 | SUPERVISOR: DR ANUPAMA GINIGE |SUBMISSION YEAR: 2017 DEDICATION To my loving wife Ruth and daughter Sharon Rose Page | I ACKNOWLEDGEMENTS I would like to express my sincere thanks to, Dr Anupama Ginige, my supervisor, for providing guidance from the beginning and reviewing the thesis regularly. Her encouragement, feedback, tips and knowledge sharing helped me to complete this dissertation. I would like to thank all the Western Sydney University, SCEM and GRS department staffs who supported throughout my Master of Research course. I would like to thank my eHealth and Ministry of Health colleagues, friends and management who helped at different stages to gather information for the research. Lastly, I would like to thank my family for sharing their family time and support to complete this course in time. Page | II STATEMENT OF AUTHENTICATION The content presented in this thesis is, to the best of my knowledge and belief, original except as acknowledged in the references. I hereby declare that I have not submitted this material, either in full or in part, for a degree at this or any other institution. Boaz Abraham Page | III Table of Contents List of Tables .......................................................................................................................... VI List of figures ........................................................................................................................
    [Show full text]
  • Health Level 7 an Overview
    Health Level 7 An Overview W. Ed Hammond, Ph.D., FACMI Chair, HL7 © 2009 Health Level Seven ®, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven, Inc. Reg. U.S. Pat & TM Office. What does the name HL7 mean? “Health”“Health” represents represents thethe domaindomain ofof focus.focus. HL7’sHL7’s domaindomain includesincludes clinicalclinical andand administrativeadministrative data.data. "Level"Level Seven"Seven" refersrefers toto thethe highesthighest levellevel ofof thethe InternationalInternational OrganizationOrganization for for StandardizationStandardization (ISO)(ISO) communicationscommunications modelmodel forfor OpenOpen SystemsSystems InterconnectionInterconnection (OSI)(OSI) –– i.e., i.e., thethe applicationapplication levellevel.. Health Level Seven is an American National Standards Institute (ANSI - accredited Standards Developing Organizations (SDOs). © 2009 Health Level Seven ®, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven, Inc. Reg. U.S. Pat & TM Office. The Organization HL7 is headquartered in Ann Arbor, MI, and, like most of the other SDOs, is a not- for-profit volunteer organization. Its members—providers, vendors, payers, consultants, government groups and others who have an interest in the development and advancement of clinical and administrative standards for healthcare—develop the standards and other products. © 2009 Health Level Seven ®, Inc. All Rights Reserved. HL7 and Health Level Seven are registered trademarks of Health Level Seven, Inc. Reg. U.S. Pat & TM Office. What does HL7 do? Health Level Seven adheres to a strict and well-defined set of operating procedures that ensures consensus, openness and balance of interest on all matters, including balloting of standards. Health Level Seven develops specifications, the most widely used being a messaging standard that enables disparate healthcare applications to exchange key sets of clinical and administrative data.
    [Show full text]
  • Imaging Reports Using HL7​ Clinical Document Architecture​ Page 2​
    PS3.20​ DICOM PS3.20 2021d - Imaging Reports using HL7​ Clinical Document Architecture​ Page 2​ PS3.20: DICOM PS3.20 2021d - Imaging Reports using HL7 Clinical Document​ Architecture​ Copyright © 2021 NEMA​ A DICOM® publication​ - Standard -​ DICOM PS3.20 2021d - Imaging Reports using HL7 Clinical Document Architecture​ Page 3​ Table of Contents​ Notice and Disclaimer ........................................................................................................................................... 13​ Foreword ............................................................................................................................................................ 15​ 1. Scope and Field of Application ............................................................................................................................. 17​ 2. Normative and Informative References .................................................................................................................. 19​ 3. Definitions ....................................................................................................................................................... 21​ 4. Symbols and Abbreviations ................................................................................................................................. 23​ 5. Conventions ..................................................................................................................................................... 25​ 5.1. Template Metadata ....................................................................................................................................
    [Show full text]
  • Health IT Standards for Health Information Management Practices (HIT Standards for HIM Practices)
    Integrating the Healthcare Enterprise 5 IHE IT Infrastructure (ITI) White Paper 10 Health IT Standards for Health Information Management Practices (HIT Standards for HIM Practices) 15 Revision 1.1 20 Date: September 18, 2015 Author: ITI Planning Committee Email: [email protected] Please verify you have the most recent version of this document. See here for Published 25 versions and here for Public Comment versions. Copyright © 2015: IHE International, Inc. IHE IT Infrastructure White Paper – Health IT Standards for Health Information Management Practices (HIT Standards for HIM Practices) ______________________________________________________________________________ Foreword Integrating the Healthcare Enterprise (IHE) is an international initiative to promote the use of standards to achieve interoperability among health information technology (HIT) systems and effective use of electronic health records (EHRs). IHE provides a forum for care providers, HIT 30 experts and other stakeholders in several clinical and operational domains to reach consensus on standards-based solutions to critical interoperability issues. The primary output of IHE is system implementation guides, called IHE Profiles. IHE publishes each profile through a well-defined process of public review and trial implementation and gathers profiles that have reached final text status into an IHE Technical Frameworks. 35 This white paper is published on September 18, 2015. Comments are invited and can be submitted at http://www.ihe.net/ITI_Public_Comments. For on-going development work, see http://wiki.ihe.net/index.php?title=HIT_Standards_for_HIM_Practices 40 General information about IHE can be found at: http://ihe.net. Information about the IHE IT Infrastructure domain can be found at: http://ihe.net/IHE_Domains. Information about the organization of IHE Technical Frameworks and Supplements and the process used to create them can be found at: http://ihe.net/IHE_Process and 45 http://ihe.net/Profiles.
    [Show full text]
  • The Nexus of Iot Devices and Healthcare Level 7 (HL7)
    International Journal of Technology and Engineering Studies volume 5 issue 6 pp. 183-189 doi: https://dx.doi.org/10.20469/ijtes.5.10002-6 The Nexus of IoT Devices and Healthcare Level 7 (HL7) Hasan K. Naji∗ University of Technology, Bucharest, Romania Abstract: The main goal of this study is to discuss the need for interoperability of Electronic Health Records (EHR) and Internet of Things (IoT) and highlight how the Health Level 7 (HL7) interoperability standard could be the solution to bringing the benefits of these disparate systems together for the benefit of all patients. This study conducted a thorough literature search and analyzed the EHR and HL7 critically. The results highlight that the health care industry is experiencing unprecedented changes, with a considerable increase in the use of electronic/automated systems that can make considerable improvements in the quality of life of patients around the world. However, to achieve such benefits, these systems need to be able to communicate freely with each other. Thus, more emphasis is made on improvising the health care systems such that they provide maximum benefits for the patients. Keywords: HL7, IoT, healthcare, EHR. Received: 21 May 2019; Accepted: 18 October 2019; Published: 27 December 2019 I. INTRODUCTION adoption of EHRs to improve patient safety and health Ever since the internet became a major force in care quality. There may also be more significant obstacles communication around the world and computers became to adoption of EHRs at the practice level. more commonplace, the medical industry has embraced Among the obstacles to EHR adoption noted by them to some extent.
    [Show full text]
  • Snomed Ct® and 3M™ Hdd: the Successful Implementation Strategy
    SNOMED CT® AND 3M™ HDD: THE SUCCESSFUL IMPLEMENTATION STRATEGY Federal Health Care Agencies Take the Lead The United States government has taken a leading role in the use of health information technologies to enhance the quality of patient care. Considered by leaders in health care technology to be a necessary step towards the enhancement of patient care, a 5-year, nationwide license for SNOMED Clinical Terms® (SNOMED CT®) was purchased by agencies of the Department of Health and Human Services for perpetual use by any governmental or eligible public, for- profit and non-profit organization located, incorporated and operating in the U.S. A comprehensive, widely accessible controlled medical vocabulary (CMV) such as this is deemed a required part of any integrated clinical information system that provides the communication of accurate, detailed patient information. In January 2004 the National Library of Medicine (NLM) of the National Institutes of Health will make SNOMED CT® available via the Unified Medical Language System® (UMLS). This comprehensive set of encoded medical concepts will work within a framework of interoperability standards for the electronic exchange of clinical health information. SNOMED – CT® will be incorporated into this common set of health care information technologies to support numerous efforts within the health care industry. Projects - such as the National Health Information Infrastructure (NHII) and the paperless electronic health record - have been outlined through collaborations between industry leaders, health care associations, and the U.S. government. The widespread use of an integrated set of health information standards is considered to be essential for the success of such projects, which have the potential for improving the quality of health-related services through the seamless exchange of accurate information.
    [Show full text]
  • Omg Healthcare
    Healthcare Services Specification Project (HSSP) After reading up on the condition, you Standards Leaders Collaborate decide to begin a self-imposed regimen of low-dose aspirin. You navigate to a to Create Interoperable screen within your PHR where you enter information about over-the-counter medicines you are taking and record your Healthcare Infrastructure. intention to start low-dose aspirin. A few years down the road, the way we manage our health After entering your information, you receive a drug interaction alert from the information could change. Imagine that you have a family system telling you to avoid aspirin and to consult with your doctor. You had forgotten history of heart disease and personally have many risk factors that you had experienced a bad reaction to aspirin as a child. Thankfully, the system is tied into a network that includes your for developing the condition. You want to learn more about provider’s EHR system, where your medical history is stored, preventing a potentially ways of preventing the condition, so you visit your networked adverse reaction. personal health portal, a website that maintains your electronic Your provider’s EHR systems have access to your electronically available medical medical information in a personal health record (PHR) and history and can instantly give alerts on drug interactions because in the year 2006, the US took action spurring the provides information about a variety of health concerns healthcare industry to rally around a set of commercial open standards. These and conditions. Interoperability this broad and seamless can only come from a comprehensive and capable infra- Electronic structure of industry standards.
    [Show full text]