Transcript United States Health Information Knowledgebase (USHIK) A Data

United States Health Information
Knowledgebase (USHIK)
A
Data Registry Project
http://hmrha.hirs.osd.mil/registry/
18 January 2000
Purpose of Briefing
• Provide Status of Data Registry Project
– United States Health Information Knowledge
• Review
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Goal
Approach
Today’s Situation
Data Registry Overview
Some Examples
Point of Contact
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Data Registry Project Goal
• Build, populate, demonstrate, and make
available for general use a data registry to
assist in cataloging and harmonizing data
elements across multi-organizations.
• Utilize selected Health Insurance Portability
and Accountability Act (HIPAA) data
elements for demonstration.
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Data Registry Approach
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Collaborative effort
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Establish data registry based on International and National Standards
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Department of Defense (DoD) - Health Affairs (HA) and Department of Health and Human
Services - Health Care Financing Administration (HCFA) funded and controlled
Members of requirements team include representatives from Department of Veteran
Affairs, Health Level Seven, Department of Health and Human Services - Health Care
Financing Administration (HCFA) , and Department of Defense - Health Affairs (HA)
Builds on Environment Protection Agency and Australian Institute of Health and Welfare
implementations
Utilizes DoD - Health Affairs’ Health Information Resource Service (HIRS) to develop and
implement data registry
ISO/IEC 11179 Specification and Standardization of Data Elements
ANSI X3.285 Metamodel for the Management of Shareable Data standards
Load Health Industry Standards
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Department of Health and Human Services - Health Care Financing Administration
(HCFA) to load data selected Health Insurance Portability and Accountability Act (HIPAA)
related data into data registry
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Accredited Standards Committee, Health Care Task Group (X12)
Health Level Seven (HL7)
National Council of Prescription Drug Program (NCPDP)
National Committee on Vital and Health Statistics (NCVHS)
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Today’s Situation (i)
• HCFA and DoD have developed the USHIK to
demonstrate the use of a data registry that:
– Focuses on Health Insurance Portability and Accountability Act
(HIPAA) data.
– Contains data definitions from X12, HL7, and NCPDP.
– Functions based on ISO/IEC 11179 metadata standard
– Utilizes the Australian Institute of Health and Welfare (AIHW)
high level information model to facilitate grouping of data
definitions.
• USHIK is available for review at:
http://hmrha.hirs.osd.mil/registry/
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Today’s Situation (ii)
• Current HL7 and X12 information refreshed
– HL7 to Reference Information Model Version 3.0 release 0.92
– X12 to May 1999 “Final Document” information
• DoD and HCFA are populating Agency versions of USHIK
for internal use.
• Department of Veteran Affairs is using parts of USHIK for
its internal data registry.
• HCFA is collaborating on the development of a
terminological analysis software capability with Angelo
Rossi Mori and Fabrizio Consorti of ITBM-CNR and
University LA Sepienza, Roma, Italy.
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Today’s Situation (iii)
• HCFA has offered to support operation of the USHIK by Health
Informatics Standards Board (HISB) for one year in order for HISB and
Standards Development Organizations to utilize and evaluate data
registry benefits.
• Standards Development Organizations as of 27 October
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American Society For Testing and Materials (ASTM) – will participate.
National Council for Prescription Drug Programs (NCPDP) – will participate.
Health Level 7 (HL7) – will participate.
Accredited Standards Committee X 12 (X12) – is considering participating.
American Dental Association (ADA) – is considering participating.
• HCFA will (1) load SDOs current data element information into USHIK,
(2) perform the initial mapped of the data elements to the Australian
Institute of Health and Welfare Model, and (3) develop a list of policy
issues to be addressed by HISB and the SDOs.
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Methods of Finding
Data Elements
Data Elements
ABCDEFGH..
Data Registry Overview
•A data registry is a place to keep facts about characteristics of data that are necessary to
clearly describe, inventory, analyze, and classify data.
•A data registry supports data sharing with cross-system and cross-organization descriptions of
common units of data.
•A data registry assists users of shared data to have a common understanding of a unit of
data’s meaning, representation, and identification.
Initiatives
Identifying and Definitional Attributes:
Data Element ID : 07-329-4837.00000692.v1
Health Insurance
Portability and
Accountability Act...
Data Collections
HCFA Long Term
Care
BRFSS
Data Agreements
X12
NCVHS Core Data
NCPDP
Organizations
CDC
AHCPR
NCVHS
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Birth Date
Hair Color
Eye Color
Sex
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What data
elements
are used?
Name : Gender Code
Context : X12 Data Dictionary
Definition : Code indicating the sex of the individual
Status : Received as of 01/19/1999
Example :
Synonyms/Keywords :
Comment :
Data Collection Methods :
Relational and Representational Attributes:
Data Type : ID
Representational Form :
Representational Layout :
Minimum Size : 1
Maximum Size : 1
Unit Of Measure :
Precision :
Minimum Range :
Maximum Range :
Data Domain:
Permissible value
Domain Meaning Name
Domain Meaning
Definition Text
A
Not Provided
B
Not Applicable
F
Female
M
Male
N
Non-sexed
U
Unknown
X
Unsexable
Related Data References:
Object
Relationship
Related Item
Type
Gender Code
is composite part of X12 Data Dictionary
Standards
Alternate Names and Contexts:
Name
Context
Gender Code
X12 Data Dictionary
1068
X12 Data Element Number
NCPDP (National
Council for Prescription
Drug Program)
Data Element
X12 (American
Standards Committee)
Transaction Set
-Data Element
-Composite Data Element
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Person_Sex
Gender
Sex_Category
Code
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HL7 (Health Level
Seven)
Reference Information Model
-Subject Area
-Class
Where are
data elements
defined?
-Attributes
AIHW (Australian
Institute of Health and
Welfare)
Model
-Model Subtype
-Information Model
Subtype
-Data Element
-Data Concept
Models
HL7-RIM
DoD HA FAM-D
AIHW
References to
Authoritative Sources
-Composite Data
Element
Data elements are described in common format.
Codes can be
downloaded for use
in applications.
-Derived Data
Element
Data elements are described in common format. (i)
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Data elements are described in common format. (ii)
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Data elements are described in common format. (iii)
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High Level Information Model Assists in Grouping Data Elements
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Data Elements are Linked to Model Views
Australian Institute of Health and Welfare
Model Views
National Health Information Model - Version 2
Person View
Belief
Attitude
Person Characteristic
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Legal Characteristic Demographic Characteristic
State of Health and Wellbeing
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Data Elements
Date of Birth
Sex Code
Gender Code
Citizenship Status Code
Race or Ethnicity Code
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Data Elements Linked by Different Organizations Appear Together
X12 Data Element
(0060-07-329-4837 Registration Authority)
NCPDP Data Element
(0060-02-166-0014 Registration Authority)
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Comparison Matrix Aids in Harmonizing Data Elements
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Data Element Usage Shows Linkages Between Data Elements
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Point of Contacts and Example Data Registry Sites
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Health Care Financing Administration
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Bob Mayes
Director, Information Systems Group
Office of Clinical Standards and Quality
Health Care Financing Administration
7500 Security Blvd., Bldg S3-02-01
Baltimore, MD 21244-1850
410.786.6872 / 410.786.8532 Fax
[email protected]
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Department of Defense - Health Affairs
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Marco Johnson
Chief, Operational Architecture
Information Management
Information Management, Technology & Reengineering
TRICARE Management Activity
Office of Assistant Secretary of Defense - Health Affairs
5111 Leesburg Pike, Suite 810
Falls Church, VA 22041-3206
703.681.5611 / 703.681.8845 Fax
[email protected]
http://www.hirs.osd.mil/hdp/index.html
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National Health Information Knowledgebase (NHIK) from Australian Institute of Health and Welfare
(AIHW)
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Environmental Data Registry (EDR) from the U.S. Environmental Protection Agency (EPA)
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http://www.epa.gov/edr
United States Health Information Knowledgebase (USHIK) on DoD Health Information Service
(HIRS)
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http://www.aihw.gov.au
http://hmrha.hirs.osd.mil/registry/
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USHIK - HL7 Information Model
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