The 2-minute Guide: Electronic Medical Record (EMR) Interoperability

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Everything you need to know about issues regarding EHR / EMR interoperability and integration.

Santé & Médecine Business

The 2-minute Guide: Electronic
Medical Record (EMR) Interoperability
Summer
2013
Thursday, May 30, 13

EMR interoperability is becoming increasingly
critical as EMR integration is more incentivized by
ARRA, although EMR vendors have typically
viewed proprietary formats as a means of locking
in customers to their systems.
Thursday, May 30, 13

Standardized Patient Diagnosis Capture and Encoding
International Classiﬁcation of Diseases (ICD)
Medical Information Exchange
Health Level 7 (HL7) Messaging Standards
Drug Prescription Electronic Delivery
National Council for Prescription Drug Programs (NCPDP)
1
2
3
Thursday, May 30, 13

ICD 9 ICD 10
‣ 17,000 codes
‣ Endorsed in 1975
‣ 141,000 codes
‣ Endorsed in 1990
‣ Inclusive and exhaustive coding
‣ HIPAA deadline of October 1, 2013 for
transition from ICD 9 to ICD 10
Standardized Patient Diagnosis Capture and Encoding
International Classiﬁcation of Diseases (ICD)
Thursday, May 30, 13

‣HL7 produces standards for health care clinical and
administrative data
• Standard for Continuity of Care Documents (CCD) and Clinical Document
Architecture (CDA) ﬁles
‣HL7 describes how:
• lab results are reported
• immunization registry data is exchanged
• public health events are reported
• legacy EHRs exchange clinical summary data with each other
Medical Information Exchange
Health Level 7 (HL7) Messaging Standards
Thursday, May 30, 13

‣NCPDP produces standards for transmitting
prescription information
• Uses a simple ﬁle structure
• Limited to providing data interchange for pharmacy services
• Gives means of communicating securely
• Connects more than 50,000 pharmacies in the U.S.
Drug Prescription Electronic Delivery
National Council for Prescription Drug Programs (NCPDP)
Thursday, May 30, 13

MedicalRecords.com works to connect physicians to the best EMR companies, matching the right
EMR system with speciﬁc medical practices. MedicalRecords.com is the world’s largest directory of
EMR software vendors. It is a privately held company based in Cambridge, MA whose mission is to
better organize the EMR software market. The company was founded by seasoned technology and
healthcare professionals in 2010 after the passing of The Health Information Technology for
Economic and Clinical Health Act (HITECH Act).
For more information about EMR Interoperability, please visit us at: http://
www.medicalrecords.com/physicians/emr-interoperability
How MedicalRecords.com can help!
About Us
Location:
55Cambridge Parkway
Suite 103
Cambridge, MA 02142
Thursday, May 30, 13

Thank you for reading The 2-minute Guide: EMR Interoperability!
Please visit us at MedicalRecords.com so we can help connect you to the best EMR
companies!
How MedicalRecords.com can help!
Choosing the Right EMR
Thursday, May 30, 13

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6/29/2016 library.ahima.org/PB/DataStandards#appxA http://library.ahima.org/PB/DataStandards#appxA 1/20 Data Standards, Data Quality, and Interoperability (2013 update) Remove from myBoK Editor's note: This update replaces the 2007 practice brief "Data Standards, Data Quality, and Interoperability." Data quality and consistency are critical to ensuring patient safety, communicating delivery of health services, coordinating care, and healthcare reporting. Assessing the quality and consistency of data requires data standards. This practice brief provides health information management (HIM) professionals with a clear understanding of data standards as a tool to enable interoperability and promote data quality. The online version of this practice brief [...] is accompanied by an appendix that provides HIM professionals with a list of standards to reference in data dictionary development, electronic health records, the exchange of health information, and general data management processes to ensure information integrity and reliability. Evaluation of data validity, reliability, completeness, and timeliness are accomplished through a combination of human and machine processes in healthcare, and the list of data standard sources is a helpful reference guide when more detailed information is required. Data Standards and Regulatory Framework Data standards are "documented agreements on representations, formats, and definitions of common data. Data standards provide a method to codify invalid, meaningful, comprehensive, and actionable ways, information captured in the course of doing business." Rules to describe how the data is recorded to ensure consistency across multiple sources is another way to think of data standards. Without data standards and data quality, the future of interoperability is bleak. Data fields and the content of those fields need to be standardized. Standards development organizations (SDOs) address a variety of aspects of health information and informatics. For example, the American Society for Testing and Materials (ASTM) and Health Level Seven (HL7) target clinical data standards. Insurance and remittance standards are a focus of the Accredited Standards Committee (ASC) X12. Standards to transmit diagnostic images are developed through Digital Imaging and Communications in Medicine (DICOM). The National Council for Prescription Drug Programs (NCPDP) represents pharmacy messages. The Institute of Electrical and Electronics Engineers (IEEE), HL7, ASTM, and others develop data models and frameworks. See the table on page 65 for a breakdown of regulatory agencies responsible for working with the American National Standards Institute (ANSI) to drive data standards to achieve interoperability. The AHIMA Leadership Model states that HIM professionals should serve as the leaders in healthcare organizations and in their professional community for ensuring that data content standards are identified, understood, implemented, a.

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