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642 lines
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33 KiB
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<title>Health Data Standards and Terminologies: A Tutorial</title>
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data-bs-toggle="dropdown" data-bs-auto-close="false"
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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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<li><a class="dropdown-item" href="01-500.html">Module 1 Knowledge Check</a></li>
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href="#" role="button" data-bs-toggle="dropdown" data-bs-auto-close="false" id="navbarDropdown-2" aria-haspopup="true" aria-expanded="true">
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2: Terminology Standards and Tools
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</a>
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<ul class="dropdown-menu show" aria-labelledby="navbarDropdown-2">
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<li><a class="dropdown-item" 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="true">Terminology Tools and Resources</a>
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<ul class="dropdown-menu show" aria-labelledby="navbarDropdown-Tool">
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<li><a class="dropdown-item" href="02-600.html">NLM Examples</a></li>
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<li><a class="dropdown-item" href="02-610.html">UMLS</a></li>
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<li><a class="dropdown-item" href="02-620.html">RxNav</a></li>
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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 active" 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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</ul>
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<li class="nav-item dropdown">
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href="#" role="button" data-bs-toggle="dropdown" data-bs-auto-close="false" id="navbarDropdown-3" aria-haspopup="true" aria-expanded="false">
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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="03-300.html">Version 2 (V2)</a></li>
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<li><a class="dropdown-item" href="03-400.html">Version 3 (V3)</a></li>
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<li><a class="dropdown-item" href="03-500.html">Clinical Document Architecture (CDA)</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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</ul>
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</li>
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<a class="nav-link dropdown-toggle"
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href="#" role="button" data-bs-toggle="dropdown" data-bs-auto-close="false" 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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<li><a class="dropdown-item" href="04-300.html">Health Information Exchange (HIE)</a></li>
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<li><a class="dropdown-item" href="04-400.html">Government Programs</a></li>
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<a class="nav-link" href="nav.html">How to Navigate This Course</a>
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<div class="row">
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<header class="bg-secondary p-3 truncate shadow" style="border-bottom: 1px solid #eee;">
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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>
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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>
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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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<li class="nav-item">
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<a class="nav-link" href="01-400.html">Health Data Standards</a>
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</li>
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<li class="nav-item">
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<a class="nav-link" href="01-500.html">Module 1 Knowledge Check</a>
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</ul>
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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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<div id="collapse-item-2" 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="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 USCDI</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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<div id="collapse-item-Term" 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="02-500.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 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="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>
|
||
<li class="nav-item">
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||
<a class="nav-link" href="02-620.html">RxNav</a>
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||
</li>
|
||
<li class="nav-item">
|
||
<a class="nav-link" href="02-630.html">DailyMed</a>
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||
</li>
|
||
<li class="nav-item">
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||
<a class="nav-link active" href="02-640.html">VSAC</a>
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||
</li>
|
||
<li class="nav-item">
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||
<a class="nav-link" href="02-650.html">AccessGUDID</a>
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||
</li>
|
||
<li class="nav-item">
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||
<a class="nav-link" href="02-660.html">MedlinePlus Connect</a>
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||
</li>
|
||
<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>
|
||
<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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||
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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">
|
||
<ul class="nav flex-column ps-3">
|
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<li class="nav-item">
|
||
<a class="nav-link" href="03-100.html">Intro</a>
|
||
</li>
|
||
<li class="nav-item">
|
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<a class="nav-link" 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>
|
||
<li class="nav-item">
|
||
<a class="nav-link" href="03-500.html">Clinical Document Architecture (CDA)</a>
|
||
</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>
|
||
</li>
|
||
</ul>
|
||
</div>
|
||
</li>
|
||
|
||
<li class="nav-item">
|
||
<a class="nav-link" data-bs-toggle="collapse" href="#collapse-item-4">4: Working Together - Revisiting Organizational Interoperability</a>
|
||
<div id="collapse-item-4" class="collapse">
|
||
<ul class="nav flex-column ps-3">
|
||
<li class="nav-item">
|
||
<a class="nav-link" href="04-100.html">Intro</a>
|
||
</li>
|
||
<li class="nav-item">
|
||
<a class="nav-link" href="04-200.html">Implementation Guides</a>
|
||
</li>
|
||
<li class="nav-item">
|
||
<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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</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="05-000.html">Closing</a>
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<li style="height: auto; line-height: 0;"><hr></li>
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<li class="nav-item">
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<a class="nav-link" href="06-000.html">Additional Resources</a>
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<li class="nav-item">
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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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<li>Click the Prev and Next buttons at the bottom of each page to move through the material.</li>
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<li>Use the main navigation with dropdown subsections featured on all pages.</li>
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<li>Use a combination of the above methods to explore the course contents.</li>
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<!-- Header -->
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<h2>2: Terminology Standards and Tools
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<h3>VSAC</h3>
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<img class="img-fluid float-end" style="height: 250px" src="img/clinical-measures.png" alt="Icon showing hand holding a heart">
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<p>The <a href="https://vsac.nlm.nih.gov/" title="VSAC (Value Set Authority Center)" target="_blank">VSAC (Value Set Authority Center)</a> is a repository and authoring tool for public value sets created by external programs. VSAC value sets are lists of codes and corresponding terms, from <a href="https://www.nlm.nih.gov/vsac/support/authorguidelines/code-systems.html" title="NLM-hosted standard clinical vocabularies" target="_blank">NLM-hosted standard clinical vocabularies</a> (such as SNOMED CT, RxNorm, LOINC and others), that define clinical concepts to support effective and interoperable health information exchange. The VSAC does not create value set content but allows users to search, author, and/or maintain value sets. The tool provides downloadable access to all official versions of value sets specified by the <a href="https://www.cms.gov/medicare/regulations-guidance/promoting-interoperability-programs/electronic-clinical-quality-measures-basics" title="CMS electronic Clinical Quality Measures (eCQMs)" target="_blank">CMS electronic Clinical Quality Measures (eCQMs)</a>. The VSAC is provided by NLM in collaboration with ASTP/ONC and CMS.</p>
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<p>Healthcare organizations generate and exchange massive amounts of data that impact clinical, operational, and financial plans. That data is also key to identifying patients who require special care. Given the abundance of data gathered from various sources, consistently grouping this information into clearly defined cohorts can be challenging. Patient condition and treatment data must be accurately gathered to reflect the clinical concepts that define a group, and a high level of specificity is necessary for efforts like clinical trials, quality reporting, and interoperability. Here’s where value sets come into play. The VSAC repository makes searching value sets easy, and it is <em>the</em> source of truth for value sets for CMS's eCQMs.</p>
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<div class="alert alert-info" role="alert">
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<p>VSAC value sets are assigned an <strong>object identifier (OID)</strong>. This allows the value set to be searched for by either the name or the OID. Clicking on the OID in the search results will allow one to see the value set members (codes) and details of the value set, including:</p>
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<ul>
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<li><strong>Metadata</strong> - such as name, steward, code system, definition type and version, and expansion details.</li>
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<li><strong>Description</strong> - such as purpose, inclusion and exclusion criteria, and data element scope.</li>
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</ul>
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</div>
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<p>In the following example, we searched for HL7 C-CDA and "allergy" to find the associated value set.</p>
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<a href="img/VSAC_1_with_callout.png" target="_blank"><img class="img-fluid shadow" src="img/VSAC_1_with_callout.png" alt=" Screenshot of VSAC Query of HL7 C-CDA Program and Query: allergy"></a>
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<figure class="figure">
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<figcaption class="figure-caption"> Screenshot of VSAC Query of HL7 C-CDA Program and Query: allergy</figcaption>
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</figure>
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</div>
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</div>
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</div>
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<br>
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<div class="row">
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<div class="col-lg-12">
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<p>Click on the OID...</p>
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</div>
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</div>
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<div class="col-sm-10 mx-auto text-center">
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<div class="graphic">
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<a href="img/VSAC_1b_with_callout.png" target="_blank"><img class="img-fluid shadow" src="img/VSAC_1b_with_callout.png" alt="Screenshot of VSAC search results for HL7 C-CDA : C-CDA R3.0 2024-08-09 : allergy, pointing to OID number"></a>
|
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|
||
<figure class="figure">
|
||
<figcaption class="figure-caption">Screenshot of VSAC search results for HL7 C-CDA : C-CDA R3.0 2024-08-09 : "allergy"</figcaption>
|
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</figure>
|
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</div>
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</div>
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</div>
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<br>
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<div class="row">
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<div class="col-lg-12">
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<p>...to see the Metadata and the Description of the value set.</p>
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</div>
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</div>
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<br>
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<div class="graphic">
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<a href="img/VSAC_2.png" target="_blank"><img class="img-fluid shadow" src="img/VSAC_2.png" alt=" Screenshot of Allergy Clinical Status value set metadata in VSAC"></a>
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<figure class="figure">
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<figcaption class="figure-caption">Screenshot of Allergy Clinical Status value set metadata in VSAC</figcaption>
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</figure>
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</div>
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</div>
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<br>
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<div class="col-sm-10 mx-auto text-center">
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<div class="graphic">
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<a href="img/VSAC_3.png" target="_blank"><img class="img-fluid shadow" src="img/VSAC_3.png" alt=" Screenshot of Allergy Clinical Status value set description in VSAC"></a>
|
||
|
||
<figure class="figure">
|
||
<figcaption class="figure-caption"> Screenshot of Allergy Clinical Status value set description in VSAC</figcaption>
|
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</figure>
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</div>
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</div>
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</div>
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<div class="row">
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<div class="col-lg-12">
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<div>
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<hr>
|
||
<p class="small"><em>References</em></p>
|
||
|
||
<p class="small">Gordon, Grant. "Navigating the Data Maze: The Significance of Value Sets in Healthcare." <em>IMO Health</em>, 5 June 2023, <a href="https://www.imohealth.com/ideas/article/navigating-the-data-maze-the-significance-of-value-sets-in-healthcare/" title="https://www.imohealth.com/ideas/article/navigating-the-data-maze-the-significance-of-value-sets-in-healthcare/" target="_blank">https://www.imohealth.com/ideas/article/navigating-the-data-maze-the-significance-of-value-sets-in-healthcare/</a>.</p>
|
||
|
||
<p class="small">"VSAC Support Center." <em>U.S. National Library of Medicine</em>, National Institutes of Health, <a href="https://www.nlm.nih.gov/vsac/support/index.html" title="https://www.nlm.nih.gov/vsac/support/index.html" target="_blank">https://www.nlm.nih.gov/vsac/support/index.html</a>. </p>
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