Vish Sankaran, FHA Program Manager (Program managed as component of FHA)
Department of Health and Human Services (HHS)
Adopts a portfolio of existing health information interoperability standards (health vocabulary and messaging) enabling all agencies in the federal health enterprise to “speak the same language” based on common enterprise-wide business and information technology architectures.
Progress to Date
Not available - included as component of FHA LoB exhibit 300
Standards Announced on March 21, 2003
On March 21, 2003, the Departments of Health and Human Services, Defense, and Veterans Affairs announced the first set of uniform standards for the electronic exchange of clinical health information to be adopted across the Federal government.
The standards included:
- Health Level 7 (HL7) messaging standards to ensure that each federal agency can share information that will improve coordinated care for patients such as entries of orders, scheduling appointments and tests and better coordination of the admittance, discharge and transfer of patients.
- National Council on Prescription Drug Programs (NCDCP) standards for ordering drugs from retail pharmacies to standardize information between health care providers and the pharmacies. These standards already have been adopted under the Health Insurance Portability and Accountability Act (HIPAA) of 1996, and ensures that parts of the three federal departments that aren’t covered by HIPAA will also use the same standards.
- The Institute of Electrical and Electronics Engineers 1073 (IEEE1073) series of standards that allow for health care providers to plug medical devices into information and computer systems that allow health care providers to monitor information from an ICU or through telehealth services on Indian reservations, and in other circumstances.
- Digital Imaging Communications in Medicine (DICOM) standards that enable images and associated diagnostic information to be retrieved and transferred from various manufacturers’ devices as well as medical staff workstations.
- Laboratory Logical Observation Identifier name Codes (LOINC) to standardize the electronic exchange of clinical laboratory results.
- Laboratory Result Names - adopted
- Messaging Standards: Includes scheduling, medical record/image management, patient administration, observation reporting, financial management, patient care - adopted
- Messaging Standards: Includes retail pharmacy transactions - adopted
- Messaging Standards: Connectivity - adopted
- Messaging Standards: Includes Image Information to Workstations - adopted
Standards Announced on May 6, 2004:
On May 6, 2004, the Departments of Health and Human Services, Defense, and Veterans Affairs announced the adoption of 15 additional standards agreed to by the CHI initiative to allow for electronic exchange of clinical information across the federal government. The 15 new standards build on the existing set of five standards adopted by HHS in March 2003 and complete the first phase of the CHI initiative. The new standards agreed to by federal agencies will be used as agencies develop and implement new information technology systems.
The specific standards were:
- Health Level 7 (HL7) vocabulary standards for demographic information, units of measure, immunizations, and clinical encounters, and HL7’s Clinical Document Architecture standard for text based reports. (Five standards)
- The College of American Pathologists Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT) for laboratory result contents, non-laboratory interventions and procedures, anatomy, diagnosis and problems, and nursing. HHS is making SNOMED-CT available for use in the U.S. at no charge to users. (Five standards)
- Laboratory Logical Observation Identifier Name Codes (LOINC) to standardize the electronic exchange of laboratory test orders and drug label section headers. (One standard.)
- The Health Insurance Portability and Accountability Act (HIPAA) transactions and code sets for electronic exchange of health related information to perform billing or administrative functions. These are the same standards now required under HIPAA for health plans, health care clearinghouses and those health care providers who engage in certain electronic transactions. (One standard.)
- A set of federal terminologies related to medications, including the Food and Drug Administration’s names and codes for ingredients, manufactured dosage forms, drug products and medication packages, the National Library of Medicine’s RxNORM for describing clinical drugs, and the Veterans Administration’s National Drug File Reference Terminology (NDF-RT) for specific drug classifications. (One standard.)
- The Human Gene Nomenclature (HUGN) for exchanging information regarding the role of genes in biomedical research in the federal health sector. (One standard.)
- The Environmental Protection Agency’s Substance Registry System for non-medicinal chemicals of importance to health care. (One standard.)
- Medications: Summary report including Special Populations and Drug Classifications - adopted
- Medications: Structured Product Labeling Sections - adopted
- Medications: Drug Product - adopted
- Medications: Package - adopted
- Medications: Active Ingredients - adopted
- Medications: Clinical Drug - adopted
- Medications: Manufactured Dosage Form - adopted
- Anatomy - adopted
- Billing / Financial - adopted
- Chemicals - adopted
- Clinical Encounters - adopted
- Demographics - adopted
- Diagnosis and Problem Lists - adopted
- Genes and Proteins - adopted
- Immunizations - adopted
- Interventions & Procedures Laboratory Test Order Names - adopted
- Interventions and Procedures, non-Laboratory - adopted
- Laboratory Result Contents - adopted
- Nursing - adopted
- Text Based Reports - adopted
- Units - adopted
No standard ready to be adopted. Report contains recommendations for follow-up work.
|Veterans Affairs||Veterans Health Administration|
|Health & Human Services||Office of the Secretary|
|Health & Human Services||Centers for Medicare & Medicaid Services|
|Health & Human Services||Centers for Disease Control & Prevention|
|Health & Human Services||Indian Health Service|
|Health & Human Services||National Institutes of Health|
|Health & Human Services||National Library of Medicine|
|Health & Human Services||Agency for Health Research & Quality|
|Health & Human Services||Administration for Children & Families|
|Health & Human Services||Health Resources & Services Administration|
|Health & Human Services||Substance Abuse & Mental Health Services Administration|
|Social Security Administration|
|General Services Administration|
|Office of Management & Budget|
|Environmental Protection Agency|
|Department of Energy||Los Alamos National Laboratories|
|National Institute of Standards & Technology|
|US Agency for International Development|