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Concept to Codes Approach
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  1. Concept to Codes Approach

  2. Visual Representation Vocabulary Standards & Codes: Each standard has multiple ways to represent the same concept. Question: Is the query on the vocabulary concepts (A) and codes OR the clinical concepts (B)? Depending on this answer the CIM will have to be developed taking this into consideration? • PSMA • Code 1 • Code 2 • LOINC • Code 624-7 • Code 6460-0 B A Clinical Concepts (unique per hospital, larger hospital system might share one) Map Vocabulary Codes to Clinical Concept Dictionary • SNOMED CT • Code DE-14213 • Code DE-10100 • ICD 9 • Code 486.00 • Code 481.00 UMLS (Value Set Repository) Sounds like Rich wants to standardize this portion, the process of mapping from the vocabulary codes to the clinical concepts. • ICD 10 • Code J 18.9 • Code J 18.1

  3. Visual Representation Query AClinical Concept to Codes Provider/Provider Organization (Role: Data Source) Information Requestor (Role: Query Source) • PSMA • Code 1 • Code 2 • LOINC • Code A • Code B UMLS (Value Set Repository) Clinical Concepts (unique per hospital, larger hospital system might share one) Map Clinical Concept Dictionary to Vocabulary Codes • SNOMED CT • Code XYZ • Code ABC • ICD 9 • Code 45 • Code 87 Query Request based on Clinical Concepts Data is Identified Clinical Concepts are Mapped from the Clinical Concept to Data in System Clinical Concepts Query is Received • ICD 10 • Code 124 • Code 89 Query Expression Query Results are Sent to Requestor Data is Formatted to Answer Query Data is mapped to Clinical Concepts Clinical Concepts Query Request is formatted

  4. Query A Workflow Diagram Data Source Query Source Need for Clinical Query is Defined Data Source Receives Query Query is Created Against Concept Dictionary Data Source Maps Query Concepts to Local Concepts Data Source Maps Query Concepts to Standard Vocabularies Codes Query is Expressed in these Concepts Data Source Maps Standard Vocabulary Codes to Local Concepts Query is Transmitted to Data Sources Query is Run Against Source’s Data Results of Query are Obtained Relevant Results are Returned Using Defined Format

  5. Visual Representation Query BCodes to Clinical Concepts Provider/Provider Organization (Role: Data Source) Information Requestor (Role: Query Source) • PSMA • Code 1 • Code 2 • LOINC • Code A • Code B Clinical Concepts (unique per hospital, larger hospital system might share one) • SNOMED CT • Code XYZ • Code ABC Map Vocabulary Codes to Clinical Concept Dictionary UMLS (Value Set Repository) • ICD 9 • Code 45 • Code 87 • ICD 10 • Code 124 • Code 89 Query Request based on Coded Data Concept is Identified Coded Data are Mapped from the Clinical Concepts Coded Data Query is Received Query Expression Query Results are Sent to Requestor Concept is Formatted to Answer Query Clinical Concepts are Mapped to Coded Data Coded Data Query Request is formatted

  6. Query B Workflow Diagram Query Source Data Source Need for Clinical Query is Defined Data Source Receives Query Query is Created Against Concept Dictionary Data Source Maps Query Standard Vocabulary Codes to Local Concepts Query is Expressed in these Vocabulary Codes Query is Run Against Source’s Data Query Concepts are Mapped to Standard Vocabulary Codes Query is Transmitted to Data Sources Results of Query are Obtained Relevant Results are Returned Using Defined Format