Terminology Challenges

1
HL7-Individual Case Safety Reporting (ICSR)

• Terminology Challenges

2
Current model encompasses reporting of drug,
device and vaccines related case safety reporting
capabilities

• Model build upon ICHs E2B Specifications
• Currently incorporating FDA and CDCs adverse
  event reporting form contents MedWatch (drug
  and devices adverse event reporting) and VAERS
  (vaccine adverse event reporting).

3
Future domains involved -

• Blood Products Deviations Reporting
• Nosocomial Infection Reporting
• Requirements from National Patient Safety Agency,
  UK
• Food Supplements
• Veterinary Products, etc.

4
Where will the uses be?

• Messaging will be used in several different
  scenarios
• within hospital systems,
• hospital/provider to state/local government,
• hospital/provider to US Federal Agencies,
• hospital/provider to manufacturers,
• hospital/provider to stakeholder agencies (NPSA,
  UK), and
• other

5
Future work will also involve-

• Taxonomy for Medical Errors, including near miss
• Taxonomy of healthcare processes to answer the
  questions about where in the healthcare process
  did events and contributory factors occur.

6
Terminology needs

• External terminologies
• HL7 internal terminology

7
Terminology needs

• External Terminologies
• SNOMED-CT
• LOINC
• RxNORM
• GMDN
• ISBT
• MedDRA
• ICD
• CPT
• HCPCS
• Country code
• Occupation/Job codes, etc.
• Terminologies used in other countries

8
Terminology needs

• HL7 internal terminology