3 m presentation

8/10/2019 3 m Presentation

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3M Health Information Systems

1 3M 2013. All Rights Reserved.



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Data Governance

Disparate Systems Interoperability

Information Exchange

Reporting

Public Health Quality Metrics

Research

Data Warehousing

Data Standards

3M 2013. All Rights Reserved.


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What is the 3M Healthcare Data Dictionary?

Controlled Medical Vocabulary Collection of clinical concepts

Knowledge Base Relationships among concepts

Medical Information Model Establishes clinical context

Decision Support

Alerts Analyt ics

Knowledge Base

(Semantic Network)

Control led Medical Vocabulary

(Medical Concepts)

Medical

Information

Model

Lab, Rx, Radiology, Dental, Demographics, etc.2.6 million concepts

17.9 million representations

15.9 million relationships



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A collection of medical concepts, organized

to support synonyms and other lexical

characteristics

concept: a unique, definable idea or object that has a very specific, known

meaning

Sodium

Lab Resul tLab Test Chem 4

Potassium

ChlorideGlucoseGLUCGLC


Controlled Medical Vocabulary


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ConceptRepresentation

Concept

Domain

Concept

Definition

Concept ID

a sensory

perception

a pulmonary

diagnosis

an upper

respiratory

viral infection

Im feeling

cold

Chronic

Obstructive

Lung Disease

I have a

cold

68215 1005480 1005313

Concept-based

COLDCOLDCOLD



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Lab, Rx, Radiology, Dental, Demographics, etc.

2.6 million concepts

17.9 million representations

15.9 million relationships

A collection of medical concepts,

organized to support synonyms and

other lexical characteristics

Concept: a unique, definable idea

or object that has a very specific,

known meaning

Lab Test

Chem 4

Sodium

Lab Result

Potassium

Chloride

Glucose


Concept-based Semantic Network


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Lab Test

Chem 4

Sodium

is-a

Lab Result

Potassium

Chloride

Glucose

is-component-of

Knowledge Base / Relationships



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Standards Supported by HDD

UMLS LOINC

NDC

RxNorm

ICD-9-CM

ICD-10-CM

ICD-10-PCS

DRG APC

APDRG

CPT HCFA HCPCS

CDT

SNOMED CT

HL7

OMB Race/Ethnicity Standards

Commercial Interface Terminologies

Provider Taxonomy Revenue Codes



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Recent Additions

HL7 CVX GEMs

Kaiser Permanente CMT


f S


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Concept Mapping Defined

Process of building links among

concepts to integrate various

vocabularies

Context: the purpose of the map Are these drugs being mapped for inventory, allergens,

or as clinical drugs?

Matching

technologies/tools/process to

avoid duplicate concepts and

increase consistency and

efficiency String comparison mapping and semantic mapping

Requires subject matter expertise

Herpesvirus 3, Human

C0042338 (UMLS ID)

3MHDD

Herpes-zoster Virus

Display 2

Chickenpox Virus

Display 1

Varicella-zoster

Virus11557 (3M HDD ID)

VZV243 = Ft Hood Lab Interface Context

Healthcare Data

Dictionary

Concept Mapping

SMEs, Expert Tools


3MH lth I f ti S t


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HDD Mapping Result Rosetta Stone

Manages ongoing updatesfrom standard terminologies aswell as local additions andchanges from health carefacilities

Translates/transforms an

enterprises data to standardssuch as LOINC, so it can beinterpreted by all other systemsusing standards

Moves SyntacticInteroperability to the level of

Semantic Interoperability andenables Meaningful Use

HDD ID26277

ProtimeConcept

3M HDD ID26277

LOINCCode

5902-2

Siemens

Interface

Code467-73

3MLongName

Protime

3MShortName

PT

Epic

Interface

Code3650-73


3MH lth I f ti S t


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Encode with internal identifiers,

translate to standard codes for

external exchange

Encode with the

identifiers of standard

terminologies

*CDR

Patient:John Doe

Lab Result:2823-32823-3 2823-3

**HDD

Internal code:

8989

LOINC:2823-3

*CDR=Clinical Data

Repository

*CDR

Patient:John Doe

Lab Result:1234

**HDD=Healthcare Data Dictionary


Exchanging Standard Codes

Two Implementation Strategies

3MH lth I f ti S t


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HDD HIE

Crimson

EDW

Cerner

Siemens

LOINC

SNOMED

Point-to-Point Mapping for 9 sources = n(n-1)/2 = 36 maps

Adding 1 more source adds 9 maps

Challenge is not only in the creation, but the maintenance

all of these mappings

Mapping to a terminology server for 9 sources = n =

9 maps

Adding 1 source adds 1 map

Centralized maintenance and dist ribution o f content

VS.

Epic

Siemens

HIE

CrimsonEDW

2

)1( nnmaps


LOINC

SNOMED

RxNormRxNorm

Epic

Cerner

Point-to-Point vs. Centralized Mapping

3MHealth InformationSystems


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Epic

Cerner

Point-to-point mapping

is difficult to maintain:

102 sites 5151 fixes

Centralized mapping is

simple to maintain:

1 fix

VS.

Cerner


RxNorm RxNorm

Crimson

HIE

HIE

LOINC

LOINC

SNOMED

SNOMED

HDD

EDW

Siemens

Epic

Siemens

EDWCrimson

If a Mapping Changes . . .


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ICD-10

codes

from

source

systems

ICD-

10

ICD-

10

ICD-

10

ICD-10

ICD-

10

Data Source

Data Source

Data Source

1

Proven workflow: GEMs w/ references

Code analyzer

Definition of purpose built maps

HDD Translation Tool

2

4

Financial

App licat ion

Clinical Application

Anc il lary

App lication

Data Repository

Analytics/Report ing

Purpose

Built Maps

Semantic Interoperability

Meta data storage

Storage or access to all clinical

and coded data

3 Healthcare Data

Dictionary

3

Custom ICD-10 Application Map

1

ICD-9

ICD-9

ICD-9

ICD-9

ICD-9

5

ICD-10

codes

from

source

systems 3M 2013. All Rights Reserved.



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Customer Use Case

3M HDD

EDW

Epic Eclipsys

N

C

I

D

s




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Code Set MU Objective

ISO 639-2 Language

Codes

Demographics

OMB Race and Ethnicity Demographics

ICD-10-CM Problem List

Clinical Summaries

SNOMED CT Problem List

Allergies

LOINC Lab Test Results

Vital Signs

Smoking Status

RxNorm Medications

CVX - Immunizations

Clinical Summaries

HL7 Pedigree Family Health History

Currently in Stage 2Stage 2 requirements include

eight standards.

Quality measure reporting

requirements specify the use ofStandard terminologies.

3M HDD facilitates the initial

mapping and ongoing

maintenance.


Meaningful Use



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HL7 CTS

3M HDD

HL7 CTS

App Server

(3M)CDR

EDWInterface &

Messaging

Engines

EHR & other

Applications

HL7 CTS compliance enables various applications to easily and transparentlyaccess a Terminology Server without knowing its internal architecture.

3M HDD supports HL7 CTS v1.2, and can be deployed as a blackbox

implementation.




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HDD Access

Open Source version of HDD Differences between HDD Access and Commercial HDD

Timeline for release

www.HDDAccess.com

21 3M 2013. All Rights Reserved.
http://www.hddaccess.com/http://www.hddaccess.com/

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