hl7 terminology survey vocabulary technical committee january 25, 1999
TRANSCRIPT
HL7 Terminology Survey
Vocabulary Technical CommitteeJanuary 25, 1999
Purpose
Collect information about terminologies that contain coded data elements that are potentially suitable for inclusion in HL7 segments– Domains covered– License and fee structures
Respondents ADA’s Code on Dental Procedures and Nomenclature (Dental Procedures) ADA’s SNODENT (SNODENT) Alternative Billing Concepts (ABC) CDC Common Data Element Implementation Guide (CDC) First Databank (FDB) Health Care Financing Administration Procedure Coding System (HCPCS) Home Health Care Classification (HHCC) International Classification of Diseases – 9-CM (ICD9-CM) International Classification of Diseases –10-PCS (ICD10-PCS) International Classification of Primary Care (ICPC) International Classification of Primary Care Drug Codes (ICPC Drugs) MEDCIN Multum Lexicon (Multum) North American Nursing Diagnosis Association (NANDA) Taxonomy 1 (NANDA) Nursing Interventions Classification (NIC) Nursing Outcomes Classification (NOC) Russian MeSH (R MeSH) SNOMED Universal Medical Device Nomenclature System (UMDNS)
Frequency of Updates
Daily/weekly (n=2)Monthly (n=1)Quarterly (n=1)Bi-annually (n=1)Annually (n=7)Every two years (n=3)Every four years (n=2)Other (n=1)
Currently in UMLSHHCC ICD9-CM ICD10-PCS ICPCNANDANICNOCR MeSHSNOMEDUMDNS
Submitted
MEDCINMultum
Plan to Submit
CDCDental ProceduresSNODENT
DomainsDomain Primary SecondaryAdverse drug reactions FDB
ICD9-CMMEDCINMultumSNOMED
ICPC
Allergies (e.g., drug, food) FDBICD9-CMMEDCINMultumSNOMED
ABC
Analytes SNOMEDAnatomy SNOMEDBilling codes ABC
FDBMultum
Dental ProceduresHHCCICPCSNOMED (future)
Chemicals FDBSNOMED
ICD9-CM
Chief complaint ICPCMEDCINSNODENTSNOMED
HHCCICD9-CM
Demographics ABCCDCSNOMED
Dietary SNOMED ABCFDBHHCCNANDA
DomainsDomain Primary SecondaryDiseases FDB
ICD9-CMICPCMEDCINMultumSNOMED
HHCC
Drug names FDBMEDCINMultumSNOMED
ABC(homeopathic,herbals,botanicals)HCPCSICPC
Home health care HHCCMEDCINSNOMED (future)
ABCNANDA
Imaging orders MEDCINSNOMED
ABC
Imaging findings MEDCINSNOMED
Laboratory orders MEDCINSNOMED
ABC
Laboratory results MEDCINSNOMED
FDB
Medical diagnoses FDBICD9-CMICPCMEDCINMultumSNOMED
HHCC
Domains
Domain Primary SecondarySigns ICD9-CM
ICPCMEDCINSNODENTSNOMED
FDB
Symptoms ICD9-CMICPCMEDCINSNODENTSNOMED
FDB
Topography MEDCINSNODENTSNOMED
Trauma ICD9-CMMEDCINSNOMED
Vaccines MEDCINMultumSNOMED
ABCICPC
Other Domains
Dental Procedures – dental proceduresICD9-CM – external causes of injuryMEDCIN – social history, past medical history, family historyNANDA –physical therapy, social workSNODENT – dental diagnosesSNOMED – morphology and abnormalities including neoplastic terms,activities and forces that cause injury, social and lifestyle conditions,occupations, syntactic and general linkage terms, modifier/ qualifierterms
License/FeesTerminology
License/Fee for HL7Domain Specification
License/Fee for Use inOrganization and inMessages Sent
License/Fee for Use Onlyin Messages Sent (Mappedfrom AnotherTerminology)
License/Fee for Use Onlyin Messages Received(Mapped to AnotherTerminology)
ADA’s Code on Dental Proceduresand Nomenclature
License and fee structurecurrently under review
License and fee structurecurrently under review
License and fee structurecurrently under review
License and fee structurecurrently under review
ADA’s SNODENT License and fee structurecurrently under review
License and fee structurecurrently under review
License and fee structurecurrently under review
License and fee structurecurrently under review
Alternative Billing Concepts License-YFee-N with level 3protection
License-Y annual leaseagreementFee-Y not yet determined
License-Y similar to CPTFee-Y not yet determined
License-Y similar to CPTFee-Y not yet determined
CDC Common Data ElementImplementation Guide
License-NFee-N
License-NFee-N
License-NFee-N
License-NFee-N
First DataBank (includes NDDF,MDDB, IDDF, PIF, DDID, MultilexDKB, FDBDX, Medical Conditions;variety of products containingterminologies for allergies)
License-YFee-depends on subset ofvocabulary; route and dosemight be offered withoutfee
License-Y fullFee-Y dependent on valuegained and size of theorganization
License-Y fullFee-Y dependent on valuegained and size of theorganization
License-Y fullFee-Y dependent on valuegained and size of theorganization
Health Care Financing AdministrationCommon Procedure Coding System(HCPCS) Level II Alpha-NumericCodes
License-NFee-NNote:all but D codes are inthe public domain; D codecopyright held byAmerican DentalAssociation
License-NFee-NNote:all but D codes are inthe public domain; D codecopyright held byAmerican DentalAssociation
License-NFee-NNote:all but D codes are inthe public domain; D codecopyright held byAmerican DentalAssociation
License-NFee-NNote:all but D codes are inthe public domain; D codecopyright held byAmerican DentalAssociation
Home Health Care Classification License-N notification ofusage via letter to Dr. SabaFee-N
License-N notification ofusage via letter to Dr. SabaFee-N
License-N notification ofusage via letter to Dr. SabaFee-N
License-N notification ofusage via letter to Dr. SabaFee-N
International Classification ofDiseases – 9-CM
License-NFee-N
License-NFee-N
License-NFee-N
License-NFee-N
International Classification ofDiseases –10-PCS
License-NFee-N
License-NFee-N
License-NFee-N
License-NFee-N
International Classification of PrimaryCare
License-NFee-N
License-NFee-N
License-NFee-N
License-NFee-N
International Classification of PrimaryCare Drug Codes
License-NFee-N
License-NFee-N
License-NFee-N
License-NFee-N
License/Fees
Terminology
License/Fee for HL7Domain Specification
License/Fee for Use inOrganization and inMessages Sent
License/Fee for Use Onlyin Messages Sent (Mappedfrom AnotherTerminology)
License/Fee for Use Onlyin Messages Received(Mapped to AnotherTerminology)
Medcin License-NFee-N
License-YFee-$25/site (#patientrecord databases or#separate federal employeridentification numbers(whichever is greater)
License-YFee-$25/site (#patientrecord databases or#separate federal employeridentification numbers(whichever is greater)
License-YFee-$25/site (#patientrecord databases or#separate federal employeridentification numbers(whichever is greater)
Multum Lexicon License-YFee-N
License-YFee-N
License-YFee-N
License-YFee-N
North American Nursing DiagnosisAssociation (NANDA) Taxonomy 1
Will be discussed atFebruary 1999 Board ofDirectors meeting;historically fees have beenmodest
Will be discussed atFebruary 1999 Board ofDirectors meeting;historically fees have beenmodest
Will be discussed atFebruary 1999 Board ofDirectors meeting;historically fees have beenmodest
Will be discussed atFebruary 1999 Board ofDirectors meeting;historically fees have beenmodest
Nursing Interventions Classification License-YFee-depends, perhaps nofee (similar to UMLSmodel)
License-YFee-Y Institutions:$300/ 0-56 users plus additional feeof $4.40-$5.30/users>56;Vendors:$2500 flat feeapplied to user fees of$2.00-$3.50/user
License-YFee-Y Institutions:$300/ 0-56 users plus additional feeof $4.40-$5.30/users>56;Vendors:$2500 flat feeapplied to user fees of$2.00-$3.50/user
License-NFee-N
Nursing Outcomes Classification License-YFee-to be negotiated withMosby, but not likely to behigh
License-YFee-Y Institutions:$300/ 0-56 users plus additional feeof $4.40-$5.30/users>56;Vendors:$2500 flat feeapplied to user fees of$2.00-$3.50/user
License-YFee-Y Institutions:$300/ 0-56 users plus additional feeof $4.40-$5.30/users>56;Vendors:$2500 flat feeapplied to user fees of$2.00-$3.50/user
License-YFee-Y Institutions:$300/ 0-56 users plus additional feeof $4.40-$5.30/users>56;Vendors:$2500 flat feeapplied to user fees of$2.00-$3.50/user
License/Fees
Terminology
License/Fee for HL7Domain Specification
License/Fee for Use inOrganization and inMessages Sent
License/Fee for Use Onlyin Messages Sent (Mappedfrom AnotherTerminology)
License/Fee for Use Onlyin Messages Received(Mapped to AnotherTerminology)
Russian MeSH Licensing and fee structurenot developed beyond thatof UMLS license
Licensing and fee structurenot developed beyond thatof UMLS license
Licensing and fee structurenot developed beyond thatof UMLS license
Licensing and fee structurenot developed beyond thatof UMLS license
SNOMED License-YFee-Y dependent uponapplication and use
License-YFee-Y dependent uponapplication and use
License-YFee-Y dependent uponapplication and use
License-YFee-Y dependent uponapplication and use
Universal Medical DeviceNomenclature System (UMDNS)
License-YFee-N
License-YFee-N
License-YFee-N
License-YFee-N
Conclusions
Low response rate, but major systems with the exception of CPT and Read responded
At least one terminology for each of the domains specified in the survey
Variation in license and fee structure
With the exception of the terminologies in the public domain, licenses are likely to be required for domain specification, message sending, and message receipt