HEALTH CARE DATA STANDARDS

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standards are critical components in the development and implementation of an electronic health record. (EHR)

“DATA STANDARDS” -used to describe those standards having

to do with the structure and content of health information, it maybe useful to differentiate data, information and knowledge

Data standards represents both data and their transformation into information.

- address, primarily, the format of messages that are exchanged between computer systems, document architecture, clinical templates, user interface and patient data linkage

Health Data Interchange Standards

Message Format Standards

4 broad classes:(1) Medical device communication(2) Digital imaging communication(3) Administrative data exchange(4) Clinical data exchange

- advisory committee established to make recommendation on health information policy to the (HHS)- “study the issues related to the adoption of uniform data standards for patient medical record information and the electronic exchange of such information”

National Committee on Vital and Health Statistics

Institute of Electrical and Electronic Engineers 9IEE)

P1073 Medical Information Bus (MIB)- support continuous and comprehensive capture and communication of data from bedside medical devices

Accredited Standards CommitteeX12N/Insurance

-to facilitate electronic business transaction

National Council for Prescription Drug Programs (NCPDP)

- Develop for standards for information processing for the pharmacy services sector of the health care industry

- latest version of a mortality and morbidity classification that originated in 1893

International Statistical Classification of Diseases and Related Health Problems: Ninth revision and Clinical Modifications

- is a listing of descriptive terms and codes for reporting medical services and procedures

LOINC (logical observation identifiers names and codes)

-provides a set of universal names and numeric identifier code for laboratory and clinical observations and measurements in a database structure.

Current Procedural Terminology, Fourth Revision

RxNorm

- a clinical drug nomenclature produced by NLM-provides standard names for clinical drugs (active ingredients+ strength + dose form)