Data Standardization Interoperability

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Data Standardization
Interoperability
3M Health Information Systems
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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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Point-to-Point vs. Centralized Mapping
LOINC
Epic
Epic
LOINC
SNOMED
Cerner
Cerner
HDD
SNOMED
HIE
Siemens
VS.
Siemens
HIE
Crimson
EDW
Crimson
EDW
RxNorm
RxNorm
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 maintenanceall 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
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If a Mapping Changes . . .
LOINC
Epic
Epic
LOINC
SNOMED
Cerner
Cerner
HDD
SNOMED
HIE
Siemens
VS.
Siemens
HIE
Crimson
EDW
Crimson
EDW
RxNorm
RxNorm
Point-to-point mapping is difficult to
maintain 102 sites 5151 fixes
Centralized mapping is simple to maintain 1
fix
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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 enterprises 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
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Architecture Example Longitudinal Data
Repository
Interface Engine
Presentation Layer
3M 2013. All rights reserved. 3M
CONFIDENTIAL - DO NOT DISTRIBUTE
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Customer Use Case Data Warehouse
Epic
Eclipsys
Labs
Labs
3M HDD
Meds
Meds
NC I Ds
EDW
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Meaningful Use
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.

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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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Thank You!
Please visit our website www.hddaccess.com
Kasey Poon kpoon_at_mmm.com 1-801-265-4843