A presentation on Dec. 17, 2010 for Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand.

1. Standards & Interoperability
นพ.นวนรรน ธีระอัมพรพันธุ์
หลกสูตร
หลักสตร Healthcare CIO โรงเรียนบริหารงานโรงพยาบาล
โรงเรยนบรหารงานโรงพยาบาล
คณะแพทยศาสตร์ รพ.รามาธิบดี 17 ธันวาคม 2553
Except where citing other works

2. Standards
• The Large N Problem

3. Health Information Exchange (HIE)
g ( )
Government
Hospital A Hospital B
Clinic C
Lab Patient at Home

4. Standards
• Unique Identifiers
i d ifi
• Standard Data Sets
• Vocabularies & Terminologies
• Exchange Standards
Exchange Standards
– Message Exchange
– Document Exchange
Document Exchange
• Functional Standards
• T h i l St d d D t C
Technical Standards: Data Communications,
i ti
Encryption

5. Interoperability
Functional
Interoperability
Semantic
Semantic
Interoperability
Syntactic Interoperability
y p y

6. Standards
• Unique Identifiers
• Standard Data Sets/Information Models
Standard Data Sets/Information Models
– HL7 v.3 Reference Information Model
– RxNorm
• Vocabularies & Terminologies
b l l
– ICD‐9, ICD‐10
– SNOMED CT
– LOINC
– National Drug Code
• Exchange Standards
g
– HL7 v.2, v.3
– HL7 Clinical Document Architecture
• Functional Standards
Functional Standards
– HL7 EHR Functional Specifications
• Technical Standards: Data Communications, Encryption
– TCP/IP, SHA, AES, etc.