3M Health Information Systems
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3M Health Information Systems
Data StandardizationInteroperability
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
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3M Health Information Systems
HDD HIE
Crimson
EDW
Cerner
Siemens
LOINC
SNOMED
Point-to-Point Mapping for 9 sources = n(n-1)/2 = 36 mapsAdding 1 more source adds 9 mapsChallenge is not only in the creation, but the maintenanceall of these mappings
Mapping to a terminology server for 9 sources = n = 9 mapsAdding 1 source adds 1 mapCentralized maintenance and distribution of content
VS.
Epic
Siemens
HIE
CrimsonEDW
2
)1( nnmaps
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LOINC
SNOMED
RxNormRxNorm
Epic
Cerner
Point-to-Point vs. Centralized Mapping
3M Health Information Systems
Epic
Cerner
Point-to-point mappingis difficult to maintain:102 sites – 5151 “fixes”
Centralized mapping is simple to maintain:1 “fix”
VS.
Cerner
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RxNorm RxNorm
Crimson
HIE
HIE
LOINC
LOINC
SNOMED
SNOMED
HDD
EDW
Siemens
Epic
Siemens
EDWCrimson
If a Mapping Changes . . .
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 ID26277
Protime Concept
3M HDD ID26277
LOINC®Code
5902-2
Siemens
Interface Code467-73
3M
Long NameProtime
3M
Short NamePT
Epic
Interface Code3650-73
© 3M 2013. All Rights Reserved.
3M Health Information Systems
© 3M 2013. All rights reserved. 3M CONFIDENTIAL ─ DO NOT DISTRIBUTE
Clinical Data Repository
Dat
a S
tora
ge
Ser
vice
s
Ale
rt
Man
agem
ent
Sys
tem
Dat
a A
cces
s S
ervi
ces
Security – Access Filtering
Auditing – Read / Update
ELECTRONIC HEALTH RECORD
Demographics
Residence Gender EthnicityReligion Images, etc.
EncountersScheduling Next of Kin LocationsDiagnosis Procedures ProvidersImages Insurance Information, etc.
Clinical DataLaboratory Radiology PharmacyECG with Images Orders ImagesText, etc.
Healthcare Data Dictionary
Knowledge Base
Medical Information Model
Controlled Medical Vocabularies
Enterprise Master Person Index
Ad
van
ced
M
atc
hin
g L
og
ic
Security – Access Filtering
Auditing – Read / Update
En
cou
nte
rs
Up
dat
e
Ad
d
Loo
kup
Interface Engine
Pre
sen
tati
on
Lay
er
ClinicalInformation
System (HIS)
Radiology Information
System (RIS)
Feeder Systems
PatientAdministrationSystem (PAS)
LaboratoryInformation
System (LIS)
Architecture Example: Longitudinal Data Repository
3M Health Information Systems
Customer Use Case: Data Warehouse
3M HDD
EDW
Epic EclipsysLabs
Labs
Meds Meds
NCIDs
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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 – MedicationsCVX - 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.
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Meaningful Use
3M Health Information Systems
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HDD Access
Publicly available version of HDD www.HDDAccess.com
Detailed Information Software Content APIs Information Models
Differences between HDD Access and Commercial HDD Third party terminologies Evaluation vs. Enterprise
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10
Thank You!
Please visit our website
www.hddaccess.com
Kasey [email protected]+1-801-265-4843
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