Data Standardization Interoperability - 3M Health Information Systems

3M Health Information Systems

1 © 3M 2013. All Rights Reserved.


Data StandardizationInteroperability


Healthcare Data Dictionary (HDD)

Disparate Systems Interoperability Information Exchange

Reporting Public Health Quality Metrics

Research Data Warehousing Clinical Decision Support Data Standards

© 3M 2013. All Rights Reserved.


HDD HIE

Crimson

EDW

Cerner

Siemens

LOINC

SNOMED

Point-to-Point Mapping for 9 sources = n(n-1)/2 = 36 mapsAdding 1 more source adds 9 mapsChallenge is not only in the creation, but the maintenanceall of these mappings

Mapping to a terminology server for 9 sources = n = 9 mapsAdding 1 source adds 1 mapCentralized maintenance and distribution of content

VS.

Epic

Siemens

HIE

CrimsonEDW

2

)1( nnmaps


LOINC

SNOMED

RxNormRxNorm

Epic

Cerner

Point-to-Point vs. Centralized Mapping


Epic

Cerner

Point-to-point mappingis difficult to maintain:102 sites – 5151 “fixes”

Centralized mapping is simple to maintain:1 “fix”

VS.

Cerner


RxNorm RxNorm

Crimson

HIE

HIE

LOINC

LOINC

SNOMED

SNOMED

HDD

EDW

Siemens

Epic

Siemens

EDWCrimson

If a Mapping Changes . . .


HDD Mapping Result – Rosetta Stone

Manages ongoing updates from standard terminologies as well as local additions and changes from health care facilities

Translates/transforms an enterprise’s data to standards such as LOINC®, so it can be interpreted by all other systems using standards

Moves Syntactic Interoperability to the level of Semantic Interoperability and enables Meaningful Use

HDD ID26277

Protime Concept

3M HDD ID26277

LOINC®Code

5902-2

Siemens

Interface Code467-73

3M

Long NameProtime

3M

Short NamePT

Epic

Interface Code3650-73



© 3M 2013. All rights reserved. 3M CONFIDENTIAL ─ DO NOT DISTRIBUTE

Clinical Data Repository

Dat

a S

tora

ge

Ser

vice

s

Ale

rt

Man

agem

ent

Sys

tem

Dat

a A

cces

s S

ervi

ces

Security – Access Filtering

Auditing – Read / Update

ELECTRONIC HEALTH RECORD

Demographics

Residence Gender EthnicityReligion Images, etc.

EncountersScheduling Next of Kin LocationsDiagnosis Procedures ProvidersImages Insurance Information, etc.

Clinical DataLaboratory Radiology PharmacyECG with Images Orders ImagesText, etc.

Healthcare Data Dictionary

Knowledge Base

Medical Information Model

Controlled Medical Vocabularies

Enterprise Master Person Index

Ad

van

ced

M

atc

hin

g L

og

ic

Security – Access Filtering

Auditing – Read / Update

En

cou

nte

rs

Up

dat

e

Ad

d

Loo

kup

Interface Engine

Pre

sen

tati

on

Lay

er

ClinicalInformation

System (HIS)

Radiology Information

System (RIS)

Feeder Systems

PatientAdministrationSystem (PAS)

LaboratoryInformation

System (LIS)

Architecture Example: Longitudinal Data Repository


Customer Use Case: Data Warehouse

3M HDD

EDW

Epic EclipsysLabs

Labs

Meds Meds

NCIDs



Code Set MU Objective

ISO 639-2 Language Codes

Demographics

OMB – Race and Ethnicity Demographics

ICD-10-CM Problem List Clinical Summaries

SNOMED CT Problem List Allergies

LOINC Lab Test Results Vital Signs Smoking Status

RxNorm – MedicationsCVX - Immunizations

Clinical Summaries

HL7 Pedigree Family Health History

• Currently in Stage 2• Stage 2 requirements include eight standards. •Quality measure reporting requirements specify the use of Standard terminologies. • 3M HDD facilitates the initial mapping and ongoing maintenance.


Meaningful Use


9 © 3M 2013. All Rights Reserved.

HDD Access

Publicly available version of HDD www.HDDAccess.com

Detailed Information Software Content APIs Information Models

Differences between HDD Access and Commercial HDD Third party terminologies Evaluation vs. Enterprise


10

Thank You!

Please visit our website

www.hddaccess.com

Kasey [email protected]+1-801-265-4843


Date post:	28-Nov-2014
Category:	Health & Medicine
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Data Standardization Interoperability - 3M Health Information Systems

Health & Medicine