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<title>Health Data Standards and Terminologies: A Tutorial</title>
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role="button"
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data-bs-toggle="dropdown"
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aria-haspopup="true"
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aria-expanded="false">
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1: Functions and Types of Health Information Standards
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</a>
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<ul class="dropdown-menu" aria-labelledby="navbarDropdown-1">
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<li><a class="dropdown-item" href="01-100.html" aria-current="true">Intro</a></li>
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<li><a class="dropdown-item" href="01-200.html">The Electronic Health Record (EHR)</a></li>
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<li><a class="dropdown-item" href="01-300.html">Interoperability</a></li>
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<li><a class="dropdown-item" href="01-400.html">Health Data Standards</a></li>
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href="#" role="button" data-bs-toggle="dropdown" id="navbarDropdown-2" aria-haspopup="true" aria-expanded="false">
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2: Terminology Standards and Tools
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</a>
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<li><a class="dropdown-item active" href="02-100.html">Intro</a></li>
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<li><a class="dropdown-item" href="02-200.html">What are Terminology Standards?</a></li>
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<li><a class="dropdown-item" href="02-300.html">Characteristics of a Standardized Terminology</a></li>
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<li><a class="dropdown-item" href="02-400.html">ASTP/ONC and USCDI</a></li>
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<li><a class="dropdown-item dropdown-toggle" href="#" role="button" data-bs-toggle="dropdown" data-bs-auto-close="false" id="navbarDropdown-Term" aria-haspopup="true" aria-expanded="false">Overview of Terminologies</a>
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<ul class="dropdown-menu" aria-labelledby="navbarDropdown-Term">
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<li><a class="dropdown-item" href="02-500.html">Terminology Examples</a></li>
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<li><a class="dropdown-item" href="02-510.html">SNOMED CT</a></li>
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<li><a class="dropdown-item" href="02-520.html">RxNorm</a></li>
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<li><a class="dropdown-item" href="02-530.html">LOINC</a></li>
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<li><a class="dropdown-item" href="02-540.html">ICD</a></li>
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<li><a class="dropdown-item" href="02-550.html">CPT</a></li>
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<li><a class="dropdown-item" href="02-560.html">MeSH</a></li>
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<li><a class="dropdown-item" href="02-570.html">UCUM</a></li>
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</ul>
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</li>
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<li><a class="dropdown-item dropdown-toggle" href="#" role="button" data-bs-toggle="dropdown" data-bs-auto-close="false" id="navbarDropdown-Tool" aria-haspopup="true" aria-expanded="false">Terminology Tools and Resources</a>
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<li><a class="dropdown-item" href="02-630.html">DailyMed</a></li>
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<li><a class="dropdown-item" href="02-640.html">VSAC</a></li>
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<li><a class="dropdown-item" href="02-650.html">AccessGUDID</a></li>
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<li><a class="dropdown-item" href="02-660.html">MedlinePlus Connect</a></li>
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<li><a class="dropdown-item" href="02-670.html">NIH Common Data Element Repository (CDE-R)</a></li>
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</ul>
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</li>
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<li><a class="dropdown-item" href="02-700.html">Module 2 Knowledge Check</a></li>
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href="#" role="button" data-bs-toggle="dropdown" id="navbarDropdown-3" aria-haspopup="true" aria-expanded="true">
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3: Exchange Standards
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</a>
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<li><a class="dropdown-item" href="03-100.html">Intro</a></li>
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<li><a class="dropdown-item" href="03-600.html">Fast Healthcare Interoperability Resources (FHIR)</a></li>
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<li><a class="dropdown-item" href="03-700.html">Module 3 Knowledge Check</a></li>
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href="#" role="button" data-bs-toggle="dropdown" id="navbarDropdown-4" aria-haspopup="true" aria-expanded="false">
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4: Working Together - Revisiting Organizational Interoperability
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</a>
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<ul class="dropdown-menu" aria-labelledby="navbarDropdown-3">
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<li><a class="dropdown-item" href="04-100.html">Intro</a></li>
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<li><a class="dropdown-item" href="04-200.html">Implementation Guides</a></li>
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<strong>Health Data Standards and Terminologies</strong>
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<small class="text-muted">A Tutorial</small>
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<a href="https://learn.nlm.nih.gov/" id="anch_30" target="_blank">Learning Resources</a>
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<a class="nav-link" href="index.html">Course Home</a>
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<li class="nav-item">
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<a class="nav-link" data-bs-toggle="collapse" href="#collapse-item-1">1: Functions and Types of Health Information Standards</a>
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<div id="collapse-item-1" class="collapse">
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<ul class="nav flex-column ps-3">
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<li class="nav-item">
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<a class="nav-link" href="01-100.html">Intro</a>
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<li class="nav-item">
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<a class="nav-link" href="01-200.html">The Electronic Health Record (EHR)</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="01-300.html">Interoperability</a>
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</li>
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<a class="nav-link" href="01-400.html">Health Data Standards</a>
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<a class="nav-link" href="01-500.html">Module 1 Knowledge Check</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" data-bs-toggle="collapse" href="#collapse-item-2">2: Terminology Standards and Tools</a>
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<li class="nav-item">
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<a class="nav-link" href="02-100.html">Intro</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-200.html">What are Terminology Standards?</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-300.html">Characteristics of a Standardized Terminology</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-400.html">ASTP/ONC and USCD</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="#collapse-item-Term" data-bs-toggle="collapse">Overview of Terminologies</a>
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<ul class="nav flex-column ps-3">
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<li class="nav-item">
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<a class="nav-link" href="02-500.html">Terminology Examples</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-510.html">SNOMED CT</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-520.html">RxNorm</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-530.html">LOINC</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-540.html">ICD</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-550.html">CPT</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-560.html">MeSH</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-570.html">UCUM</a>
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</li>
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</ul>
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</div>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="#collapse-item-Tool" data-bs-toggle="collapse">Terminology Tools and Resources</a>
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<div id="collapse-item-Tool" class="collapse">
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<ul class="nav flex-column ps-3">
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<li class="nav-item">
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<a class="nav-link" href="02-600.html">NLM Examples</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-610.html">UMLS</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="02-620.html">RxNav</a>
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</li>
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<li class="nav-item">
|
||
<a class="nav-link" href="02-630.html">DailyMed</a>
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||
</li>
|
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<li class="nav-item">
|
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<a class="nav-link" href="02-640.html">VSAC</a>
|
||
</li>
|
||
<li class="nav-item">
|
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<a class="nav-link" href="02-650.html">AccessGUDID</a>
|
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</li>
|
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<li class="nav-item">
|
||
<a class="nav-link" href="02-660.html">MedlinePlus Connect</a>
|
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</li>
|
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<li class="nav-item">
|
||
<a class="nav-link" href="02-670.html">NIH Common Data Element Repository (CDE-R)</a>
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</li>
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</ul>
|
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</div>
|
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|
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</li>
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<li class="nav-item">
|
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<a class="nav-link" href="02-700.html">Module 2 Knowledge Check</a>
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</li>
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</ul>
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</div>
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</li>
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<li class="nav-item">
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<a class="nav-link" data-bs-toggle="collapse" href="#collapse-item-3">3: Exchange Standards</a>
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<div id="collapse-item-3" class="collapse show">
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<ul class="nav flex-column ps-3">
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<li class="nav-item">
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<a class="nav-link" href="03-100.html">Intro</a>
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</li>
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<li class="nav-item">
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<a class="nav-link active" href="03-200.html">HL7 International</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="03-300.html">Version 2 (V2)</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="03-400.html">Version 3 (V3)</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="03-500.html">Clinical Document Architecture (CDA)</a>
|
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</li>
|
||
<li class="nav-item">
|
||
<a class="nav-link" href="03-600.html">Fast Healthcare Interoperability Resources (FHIR)</a>
|
||
</li>
|
||
<li class="nav-item">
|
||
<a class="nav-link" href="03-700.html">Module 3 Knowledge Check</a>
|
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</li>
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</ul>
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</div>
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</li>
|
||
|
||
<li class="nav-item">
|
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<a class="nav-link" data-bs-toggle="collapse" href="#collapse-item-4">4: Working Together - Revisiting Organizational Interoperability</a>
|
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<div id="collapse-item-4" class="collapse">
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<ul class="nav flex-column ps-3">
|
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<li class="nav-item">
|
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<a class="nav-link" href="04-100.html">Intro</a>
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</li>
|
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<li class="nav-item">
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<a class="nav-link" href="04-200.html">Implementation Guides</a>
|
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</li>
|
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<li class="nav-item">
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<a class="nav-link" href="04-300.html">Health Information Exchange (HIE)</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="04-400.html">Government Programs</a>
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</li>
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</div>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="05-000.html">Closing</a>
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<li style="height: auto; line-height: 0;"><hr></li>
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<a class="nav-link" href="06-000.html">Additional Resources</a>
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<a class="nav-link" data-bs-toggle="modal" data-bs-target="#navModal">How to Navigate This Course</a>
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There are a variety of ways you can navigate this course. You can:</p>
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<h2>3: Exchange Standards
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</h2>
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<h3>HL7 International</h3>
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<br>
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<img class="img-fluid float-end" style="height: 250px" src="img/exchange_standards.png" alt="medical information technology icon.">
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<p>The exchange standards that we’ll be describing come from <strong><a href="https://www.hl7.org/" title="ealth Level Seven International (HL7)" target="_blank">Health Level Seven International (HL7)</a></strong>. HL7 is an international standards organization that exists to develop health data exchange standards.</p>
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<p>HL7 is supported by more than 1,600 members from more than 50 countries, including 500+ corporate members representing healthcare providers, government stakeholders, payers, pharmaceutical companies, vendors/suppliers, and consulting firms.</p>
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<p>HL7 produces a variety of standards including V2, CDA, and FHIR. We are focusing on HL7 standards but there are other major standards such as DICOM for medical images and NCPDP formulary and benefit standards that are also federally required. You can read more about these standards at <a href="https://www.healthit.gov/isp/section-ii-contentstructure-standards-and-implementation-specifications" title="HealthIT.gov" target="_blank">HealthIT.gov</a>.</p>
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<h4>Standards Evolution</h4>
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<p>The HL7 standards we will be describing (V2, V3 with CDA, and FHIR) have been developed over time, each having been built on the lessons and adopting the useful characteristics of the previous standards. To varying extents, they are all still in use today. We will explore the standards in sequential order, showing how V2, V3, and CDA informed the structure of FHIR, and how FHIR goes further to adopt modern web standards as its basis for exchange.</p>
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<figcaption class="figure-caption">Evolution of HL7 standards</figcaption>
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