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Subject: References related to recent discussions
In recent discussions related to COVID-19 there have been references to SNOMED, LOINC, and a variety of other standards, vocabularies or resources. This is a set of descriptions and link for those references I can recall. There are (always)
more. If you know of another, or want to know of another, reply to this message with your addition or request. SNOMED CT – Systematic Nomenclature of Medicine – Clinical Terminology Owned and managed by SNOMED International concept browser (use UMLS in the US)
https://uts.nlm.nih.gov/snomedctBrowser.html brief description (from
https://www.snomed.org/snomed-ct/five-step-briefing) SNOMED CT:
LOINC – Logical Observation Identifiers Names and Codes Owned and managed by Regenstrief Institute browser: https://search.loinc.org/searchLOINC/ brief description (from https://loinc.org/about/) LOINC is a common language (a set of identifiers, names, and codes) for identifying health measurements, observations, and documents. LOINC is a rich catalog of measurements, including laboratory tests, clinical measures like vital signs and anthropometric measures, standardized survey instruments, and more. LOINC also contains codes for collections
of these items, such as panels, forms, and documents. LOINC enables the exchange and aggregation of clinical results for care delivery, outcomes management, and research by providing a set of universal codes and structured names to unambiguously identify things you
can measure or observe. Put another way, LOINC provides the lingua franca for interoperable data exchange. (and, yes, LOINC rhymes with oink … and if you look closely at their web site, you will see their avatar
) Health & Medical Essential Elements of Information The best I could find is the following description (at
ASPR). The linked document has a section on Hospitals, although the information specific to Health & Medical is limited National Information Sharing Consortium. (2015).
Essential Elements of Information Publication Guidance for Emergency Management Officials. This guide, geared towards emergency management officials, highlights an agreed-upon definition of the information sharing components necessary for successful cross-jurisdictional information sharing. The three
sections include an executive summary, a description of the Essential Elements of Information (EEI) design process, and Standard Operating Procedure Annex Templates that can be tailored as needed. Health Level 7 Fast Health Information Resources – HL7 FHIR Owned and managed by HL7 International (http://www.hl7.org/) Description from
http://hl7.org/fhir/summary.html FHIR® – Fast Healthcare Interoperability Resources (hl7.org/fhir) – is a next generation standards framework created by HL7. FHIR combines the best features of HL7's v2 , HL7
v3 and CDA product
lines while leveraging the latest web standards and applying a tight focus on implementability.
FHIR solutions are built from a set of modular components called "Resources". These resources can easily be assembled into working systems that solve real world clinical and administrative problems at a fraction of the price of existing alternatives. FHIR is
suitable for use in a wide variety of contexts – mobile phone apps, cloud communications, EHR-based data sharing, server communication in large institutional healthcare providers, and much more. Situation Awareness for Novel Epidemic Response FHIR Implementation Guide – SANER IG A project within HL7 FHIR Description from the project page (link above) The goal of publishing this guide is to encourage the creation of a community interested in extremely rapid development of interfaces that can support communication Bed and other resources to Public Health in this
time of crisis. It is the technical part of a multi-pronged effort to develop a workable, quickly deployable, national approach for situational awareness. The initial short-term goals of this are three fold:
Scott M Robertson PharmD, RPh, FHL7, GISP, CISSP Principal Technology Consultant Kaiser Permanente
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