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.
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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
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.
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
Quality Measures require:
medication allergies, non-medication allergens, severity of reaction
Medications/active ingredients - RxNorm (specific named components)
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
For initial (limited) quality measure requirements: SNOMED CT
VTF to monitor developments and make later recommendation re: more detailed device terminology (GMDN, UMDNS)
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