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Health Informatics: Section 4
hsc 500: integration/interoperability
23
Software
Graduate
09/12/2011

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Term
AHIC (American Health Information Community)
Definition
lso known as "the Community") formed to help advance efforts to reach the president’s call for most Americans to have electronic health records by 2014
Term
ANSI (American National Standards Institute)
Definition
The U.S. standards organization that establishes procedures for the development and coordination of voluntary American National Standards.
Term
ANSI X12 (also known as EDI – Electronic Data Interchange)
Definition
This is a standard format used for transmitting business data, developed by the Data Interchange Standards Association. The parties who exchange EDI transmissions are referred to as trading partners. Data that is transmitted often includes what would usually be contained in a typical business document or form.
Term
ANSI X12 Version 5010
Definition
HIPAA requires the U.S. Department of Health and Human Services (HHS) to adopt required standards for covered entities to use when conducting certain health care transactions electronically, such as claims, remittance advices, and requests and responses for eligibility and claims status. Covered entities include health plans, health care clearinghouses, and health care providers. The current transaction standard is X12 version 4010A1 for health care claims, remittance advices, eligibility, claims status, referrals, and NCPDP version 5.1 for pharmacy claims. The Centers for Medicare & Medicaid Services (CMS) has mandated that the industry upgrade to X12 version 5010 and NCPDP version D.0. On January 1, 2012, standards for electronic health care transactions change from version 4010/4010A1 to version 5010. These electronic health care transactions include functions like claims, eligibility inquiries, and remittance advices. Unlike the current version 4010/4010A1, version 5010 accommodates the ICD10 codes, and must be in place first before the changeover to ICD10.
Term
ASTM International (American Society for Testing and Materials)
Definition
Was formed over a century ago, when a forward-thinking group of engineers and scientists got together to address frequent rail breaks in the burgeoning railroad industry. Total, standards developed at ASTM are the work of over 30,000 ASTM members. These technical experts represent producers, users, consumers, government and academia from over 100 countries. Participation in ASTM International is open to all with a material interest, anywhere in the world
Term
CCHIT (Certification Commission for Healthcare Information Technology)
Definition
A voluntary, private-sector organization launched in 2004 to certify health information technology (HIT) products such as electronic health records and the networks over which they interoperate. CCHIT is an ONC Authorized Testing and Certification Body (ONC-ATCB) based on the Final Rule issued by the Office of the National Coordinator (ONC), US Department of Health and Human Services (HHS) in July 2010 to qualify EHR technology for ARRA
Term
CCR (Continuity of Care Record)
Definition
A standard specification being developed jointly by ASTM International, the Massachusetts Medical Society (MMS), the Health Information Management and Systems Society (HIMSS), the American Academy of Family Physicians (AAFP), and the American Academy of Pediatrics. It is intended to foster and improve continuity of patient care, to reduce medical errors, and to assure at least a minimum standard of health information transportability when a patient is referred or transferred to, or is otherwise seen by, another provider. The origins of the CCR stem from a Massachusetts Department of Public Health, three-page, NCR paper-based Patient Care Referral Form that has been in widespread use for many years in Massachusetts, and from other minimal data sets both electronic and paper-based. The CCR is being developed and enhanced in response to the need to organize a set of basic patient information consisting of the most relevant and timely facts about a patient’s condition. Briefly, these include diagnoses, recent procedures, allergies, medications, recent care provided, as well as recommendations for future care (care plan) and the reason for referral or transfer. The CCR will be created by a healthcare provider/clinician at the end of an encounter, or at the end of an episode of care, such as a hospital or rehabilitation stay
Term
CDA (Clinical Document Architecture)
Definition
Provides an exchange model for clinical documents and brings the industry closer to the realization of an electronic medical record.
Term
DICOM (Digital Imaging and Communications in Medicine)
Definition
a heavily used standard for representing and communicating radiology images and reporting; documents are used to communicate documents such as physician notes and other material.
Term
EDI (Electronic Data Interchange)
Definition
A direct exchange of data between two computers via the Internet or other network, using shared data formats and standards.
Term
HL7 Health Level 7
Definition
Founded in 1987, Health Level Seven International (HL7) is a not- for-profi t, ANSI-accredited standards developing organization dedicated to providing a comprehensive framework and related 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.
Term
HLV v.3 Current CCD Standard
Definition
The HL7 Continuity of Care Document (CCD) is a type of CDA document that attempts to capture a patient’s health summary. CCD adds content to the CDA structure by describing various document sections, such as patient demographics, insurance information, diagnosis and problem list, medications, allergies and care plan that collectively can represent a snapshot of a patient’s health data. The CCD is the result of a collaborative effort between the HL7 and ASTM organizations to harmonize the data format between ASTMs Continuity of Care Record (CCR) and HL7s Clinical Document Architecture (CDA) specifications.
Term
IHE (Integrating the Healthcare Enterprise)
Definition
IHE is an initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. In 1997, a consortium of radiologists and information technology experts formed IHE, or “Integrating the Healthcare Enterprise.” IHE aims to create a process through which interoperability can be implemented. The group gathers case requirements, identifi es available standards, and develops technical guidelines that manufacturers can implement. IHE also stages “connectathons” and “interoperability showcases” in which many vendors assemble to demonstrate the interoperability of their products.
Term
HITPC (Health IT Policy Committee)
Definition
The HIT policy committee was established by ARRA and advising the ONC on HIT standards, implementation specifications, and certification criteria.
Term
HITSC (Health IT Standards Committee)
Definition
The HIT standards committee was established by ARRA and advising the ONC on developing, recognizing, and harmonizing standards, as well as implementation specifications.
Term
HIPAA (Health Insurance Portability and Accountability Act of 1996)
Definition
A federal law intended to improve the portability of health insurance and simplify health care administration. HIPAA sets standards for electronic transmission of claims-related information and for ensuring the security and privacy of all individually identifiable health information. Designed to improve the efficiency and effectiveness of the health care system, the Health Insurance Portability and Accountability Act of 1996 (HIPAA), Public Law 104-191, included Administrative Simplification provisions that required HHS to adopt national standards for electronic health care transactions and code sets, unique health identifiers, and security. At the same time, Congress recognized that advances in electronic technology could erode the privacy of health information. Consequently, Congress incorporated provisions into HIPAA that mandated the adoption of Federal privacy protections for individually identifiable health information.
Term
HL7 (Health Level Seven)
Definition
One of several accredited standards (specifications or protocols) established by ANSI (American National Standards Institute) for clinical and administrative data. Systems which are HL7 ‘compliant’ improve the ability for interoperability and exchange of electronic data.
Term
HTTP (Hypertext Transfer Protocol)
Definition
A language protocol used in communication among Web sites. When http appears as part of a Web site URL, it indicates to Web browsers, “HTML spoken here.”
Term
Interoperability – Compatibility
Definition
The ability of software and hardware on multiple pieces of equipment made by different companies or manufacturers to communicate and work together.
Term
SDO (Standards Development Organization)
Definition
An organization that develops standards to provide stability and consistency for a product or service in hopes of lowering costs and maintaining or improving quality.
Term
SOAP (Simple Object Access Protocol)
Definition
SOAP is a protocol specifi cation for exchanging structured information in the implementation of Web Services in computer networks. It relies on eXtensible Markup Language (XML) as its message format, and usually relies on other Application Layer protocols (most notably Remote Procedure Call (RPC) and HTTP) for message negotiation and transmission. As a layman’s example of how SOAP procedures can be used, a SOAP message could be sent to a webservice-enabled web site (for example, a request for a drug price) with the parameters needed for a search. The site would then return an XML-formatted document with the resulting data (unit of measure, price, forms, etc). Because the data is returned in a standardized machine parseable format, it could then be integrated directly into the original requesting application (an EMR) at the requesting party site.
Term
S&I Framework (Standards and Interoperability Framework)
Definition
The Standards and Interoperability (S&I) Framework is a set of integrated functions, processes, and tools being guided by the healthcare and technology industry to achieve harmonized interoperability for healthcare information exchange
Term
URAC (American Accreditation HealthCare Commission)
Definition
A not-for-profit organization that performs quality accreditation for the managed care industry. URAC also launched a Web site accreditation program in 2001 to establish quality standards for health sites on the Internet, and an Information Technology Advisory Committee to address other quality issues related to health care information technology.
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