Standards

Question 1

What is DICOM

Answer 1

The National Electronic Manufacturer’s Associations standard for both 1) Representing and 2) sharing
digital images
associated results
and other patient-related information

It’s an ISO standard

Question 2

What are the four primary components of SNOWMED CT?

Answer 2

1) Concept Codes: numerical codes that identify clinical terms, organized in hierarchies
2) Descriptions: textual descriptions of Concept Codes
3) Relationships: relationships btw Concept Codes that have related meaning
4) Reference Sets: used to group Concepts and Descriptions into sets, including reference sets and cross-maps to other classifications and standards

Question 3

What is HL7 CDA? What is the practical application?

Answer 3

The CDA specifies that the content of the document consists of a mandatory textual part (which ensures human interpretation of the document contents) and optional structured parts (for software processing).
The structured part structured part is based on the HL7 Reference Information Model (RIM) and provides a framework for referring to concepts from coding systems, such as the SNOMED or the LOINC.

Significant = the standard used in Continuity of Care Documents (CCDs)

Question 4

What is the CCD document?

Answer 4

A specification that includes- allergies, medications, problems, and laboratory results, in addition to patient header information.[6] Several of these sections also have mandated vocabularies, such as LOINC for laboratory results, according to the federal program.

Must use CDA standard.

To meet Meaningful Use Certification Standard an EHR must be able to generate either a CCD document or a Continuity of Care Record (same content not in CDA standard)

Question 4

What are the levels of CDA?

Answer 4

Level 1: general document specification
Level 2: adds document types with allowable structures
Level 3: adds markup expressible in RIM

Question 5

What is SCRIPT?

Answer 5

SCRIPT is the Notional Council for Prescription Drug Programs standard for electronic communications btw prescriber and pharmacy

HITECH meaning use requires NCPDP (pharmacy benefits) and SCRIPT standards for e prescribing