INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Charles Jaffe, MD, PhD Chief Executive Officer Health Level 7 March 7, 2009 © Health Level 7, Inc.
INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE NHS Joint Initiative Council (JIC) Infoway CEN HL7 ISO CDISC IHTSDO IEEE NeHTA SCO NCPDP ASTM ASC X12 SNOMED HITSP ANSI LOINC CCHIT NQF FHA HIMSS/RSNA MedDRA ICH ONC NIST IHE CPT AMA HHS NIH FDA VHA ICD WHO NLM CDC DOD NCI CMS Home Sec DICOM caBIG US Realm
INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Acronyms & Abbreviations Standards Development Organizations ANSI - American National Standards Institute ASC X12 - Accredited Standards Committee X12 (Financial transactions) ASTM - American Society for Testing & Materials CDISC - Clinical Data Interchange Standards Consortium (Clinical research) CEN - European Committee for Standardization HL7 - Health Level 7 IEEE - Institute of Electrical and Electronics Engineers IHTSDO International Health Terminology Standards Development Organization (SNOMED) JIC - Joint Initiative Council (International collaborative organization) ISO - International Standards Organization (Healthcare IT - TC215) ICH - International Conference on Harmonization (Pharmaceutical IT standards organization) NCPDP - National Council for Prescription Drug Programs SCO - SDO Charter Organization (US collaborative organization) WHO - World Health Organization
INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Acronyms & Abbreviations (Continued) International Terminology Standards CPT - Current Procedural Terminology (AMA) ICD - International Classification of Diseases (WHO - US uses ICD-9; elsewhere ICD-10) LOINC Logical Observations Identifiers Names & Codes (Lab) MedDRA - Medical Dictionary for Regulatory Activities (Pharmaceutical - trial submissions & adverse events reporting. Developed by ICH; owned by PhRMA) SNOMED Systematized Nomenclature of Medicine (Developed by IHTSDO; created by College of American Pathologists; licensed by HHS) International Radiological & Imaging Standards (Organizations) DICOM - Digital Imaging & Communications International Government Agencies & Organizations Infoway - Canada Health Infoway (Canadian public-private partnership for HIT) NeHETA - National eHealth Transition Authority (Australia) NHS - National Health Service (Connecting for Health; UK HIT agency)
INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Acronyms & Abbreviations (Continued) US Department of Health& Humans Services (HHS) Agencies, Organizations, & Others CCHIT - Certification Commission for Healthcare Information Technology (private non-profit; recognized by HHS; certifies Electronic Health Records CDC - Centers for Disease Control & Prevention (Disease reporting & public health) caBIG - Cancer Biomedical Informatics Grid (NCI; linking researchers, physicians, & patients) CMS - Center for Medicare & Medicaid Services FDA - Food & Drug Administration FHA - Federal Health Architecture (Linking Federal agencies providing healthcare) HHS - US Department of Health & Human Services HITSP - Healthcare Information Technology Standards Panel (Public-private partnership for HIT standards harmonization) NCI - National Cancer Institute (NIH) NIH - National Institutes of Health NIST - National Institute of Standards & Technology NLM - National Library of Medicine (NIH) ONC - Office of the National Coordinator for Healthcare IT VHA - Veterans Health Administration (Department of Veterans Affairs)
INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Acronyms & Abbreviations (Continued) Other US Federal Agencies & Non-government Healthcare Organizations DOD - Department of Defense IHE - Integrating the Healthcare Enterprise (Managed by HIMSS. Develops implementation profiles using other SDO standards, largely HL7) HIMSS Health Information Management Systems Society (US-based Vendor organization for HIT companies) Home Sec - Department of Homeland Security NGO - Non-Government Organizations (Academic, Non-profit, and Private-sector) NQF - National Quality Forum RSNA - Radiological Society of North America