Data Standardization Interoperability - 3M Health Information Systems


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Data Standardization Interoperability - 3M Health Information Systems

  1. 1. 3M Health Information Systems 1 © 3M 2013. All Rights Reserved. 3M Health Information Systems Data Standardization Interoperability
  2. 2. 3M Health Information Systems 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.
  3. 3. 3M Health Information Systems HDD HIE Crimson EDW Cerner Siemens LOINC SNOMED Point-to-Point Mapping for 9 sources = n(n-1)/2 = 36 maps Adding 1 more source adds 9 maps Challenge is not only in the creation, but the maintenance all of these mappings Mapping to a terminology server for 9 sources = n = 9 maps Adding 1 source adds 1 map Centralized maintenance and distribution of content VS. Epic Siemens HIE Crimson EDW 2 )1(nn maps © 3M 2013. All Rights Reserved. LOINC SNOMED RxNormRxNorm Epic Cerner Point-to-Point vs. Centralized Mapping
  4. 4. 3M Health Information Systems Epic Cerner Point-to-point mapping is difficult to maintain: 102 sites – 5151 “fixes” Centralized mapping is simple to maintain: 1 “fix” VS. Cerner © 3M 2013. All Rights Reserved. RxNorm RxNorm Crimson HIE HIE LOINC LOINC SNOMED SNOMED HDD EDW Siemens Epic Siemens EDW Crimson If a Mapping Changes . . .
  5. 5. 3M Health Information Systems 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 ID 26277 Protime Concept 3M HDD ID 26277 LOINC® Code 5902-2 Siemens Interface Code 467-73 3M Long Name Protime 3M Short Name PT Epic Interface Code 3650-73 © 3M 2013. All Rights Reserved.
  6. 6. 3M Health Information Systems © 3M 2013. All rights reserved. 3M CONFIDENTIAL ─ DO NOT DISTRIBUTE Clinical Data Repository DataStorage Services Alert Management System DataAccess Services Security – Access Filtering Auditing – Read / Update ELECTRONIC HEALTH RECORD Demographics Residence Gender Ethnicity Religion Images, etc. Encounters Scheduling Next of Kin Locations Diagnosis Procedures Providers Images Insurance Information, etc. Clinical Data Laboratory Radiology Pharmacy ECG with Images Orders Images Text, etc. Healthcare Data Dictionary Knowledge Base Medical Information Model Controlled Medical Vocabularies Enterprise Master Person Index Advanced MatchingLogic Security – Access Filtering Auditing – Read / Update Encounters Update Add Lookup Interface Engine PresentationLayer Clinical Information System (HIS) Radiology Information System (RIS) Feeder Systems Patient Administration System (PAS) Laboratory Information System (LIS) Architecture Example: Longitudinal Data Repository
  7. 7. 3M Health Information Systems Customer Use Case: Data Warehouse 3M HDD EDW Epic Eclipsys N C I D s © 3M 2013. All Rights Reserved.
  8. 8. 3M Health Information Systems 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 – Medications CVX - 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. © 3M 2013. All Rights Reserved. Meaningful Use
  9. 9. 3M Health Information Systems HDD Access  Publicly available version of HDD   Detailed Information  Software  Content  APIs  Information Models  Differences between HDD Access and Commercial HDD  Third party terminologies  Evaluation vs. Enterprise 9 © 3M 2013. All Rights Reserved.
  10. 10. 3M Health Information Systems Thank You! 10 Please visit our website Kasey Poon +1-801-265-4843 © 3M 2013. All Rights Reserved.