Transcript HL7 Terminology Survey

HL7 Terminology Survey
Vocabulary Technical Committee
January 25, 1999
Purpose
Collect information about terminologies
that contain coded data elements that are
potentially suitable for inclusion in HL7
segments
– Domains covered
– License and fee structures
Respondents
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ADA’s Code on Dental Procedures and Nomenclature (Dental Procedures)
ADA’s SNODENT (SNODENT)
Alternative Billing Concepts (ABC)
CDC Common Data Element Implementation Guide (CDC)
First Databank (FDB)
Health Care Financing Administration Procedure Coding System (HCPCS)
Home Health Care Classification (HHCC)
International Classification of Diseases – 9-CM (ICD9-CM)
International Classification of Diseases –10-PCS (ICD10-PCS)
International Classification of Primary Care (ICPC)
International Classification of Primary Care Drug Codes (ICPC Drugs)
MEDCIN
Multum Lexicon (Multum)
North American Nursing Diagnosis Association (NANDA) Taxonomy 1 (NANDA)
Nursing Interventions Classification (NIC)
Nursing Outcomes Classification (NOC)
Russian MeSH (R MeSH)
SNOMED
Universal Medical Device Nomenclature System (UMDNS)
Frequency of Updates
Daily/weekly (n=2)
Monthly (n=1)
Quarterly (n=1)
Bi-annually (n=1)
Annually (n=7)
Every two years (n=3)
Every four years (n=2)
Other (n=1)
Currently in UMLS
HHCC
ICD9-CM
ICD10-PCS
ICPC
NANDA
NIC
NOC
R MeSH
SNOMED
UMDNS
Submitted
MEDCIN
Multum
Plan to Submit
CDC
Dental Procedures
SNODENT
Domains
Domain
Adverse drug reactions
Allergies (e.g., drug, food)
Analytes
Anatomy
Billing codes
Chemicals
Chief complaint
Demographics
Dietary
Primary
FDB
ICD9-CM
MEDCIN
Multum
SNOMED
FDB
ICD9-CM
MEDCIN
Multum
SNOMED
SNOMED
SNOMED
ABC
FDB
Multum
FDB
SNOMED
ICPC
MEDCIN
SNODENT
SNOMED
ABC
CDC
SNOMED
SNOMED
Secondary
ICPC
ABC
Dental Procedures
HHCC
ICPC
SNOMED (future)
ICD9-CM
HHCC
ICD9-CM
ABC
FDB
HHCC
NANDA
Domains
Domain
Diseases
Drug names
Home health care
Imaging orders
Imaging findings
Laboratory orders
Laboratory results
Medical diagnoses
Primary
FDB
ICD9-CM
ICPC
MEDCIN
Multum
SNOMED
FDB
MEDCIN
Multum
SNOMED
HHCC
MEDCIN
SNOMED (future)
MEDCIN
SNOMED
MEDCIN
SNOMED
MEDCIN
SNOMED
MEDCIN
SNOMED
FDB
ICD9-CM
ICPC
MEDCIN
Multum
SNOMED
Secondary
HHCC
ABC
(homeopathic,
herbals,
botanicals)
HCPCS
ICPC
ABC
NANDA
ABC
ABC
FDB
HHCC
Domains
Domain
Signs
Symptoms
Topography
Trauma
Vaccines
Primary
ICD9-CM
ICPC
MEDCIN
SNODENT
SNOMED
ICD9-CM
ICPC
MEDCIN
SNODENT
SNOMED
MEDCIN
SNODENT
SNOMED
ICD9-CM
MEDCIN
SNOMED
MEDCIN
Multum
SNOMED
Secondary
FDB
FDB
ABC
ICPC
Other Domains
Dental Procedures – dental procedures
ICD9-CM – external causes of injury
MEDCIN – social history, past medical history, family history
NANDA –physical therapy, social work
SNODENT – dental diagnoses
SNOMED – morphology and abnormalities including neoplastic terms,
activities and forces that cause injury, social and lifestyle conditions,
occupations, syntactic and general linkage terms, modifier/qualifier
terms
License/Fees
License/Fee for HL7
Domain Specification
Terminology
ADA’s Code on Dental Procedures
and Nomenclature
ADA’s SNODENT
Alternative Billing Concepts
CDC Common Data Element
Implementation Guide
First DataBank (includes NDDF,
MDDB, IDDF, PIF, DDID, Multilex
DKB, FDBDX, Medical Conditions;
variety of products containing
terminologies for allergies)
Health Care Financing Administration
Common Procedure Coding System
(HCPCS) Level II Alpha-Numeric
Codes
Home Health Care Classification
International Classification of
Diseases – 9-CM
International Classification of
Diseases –10-PCS
International Classification of Primary
Care
International Classification of Primary
Care Drug Codes
License and fee structure
currently under review
License and fee structure
currently under review
License-Y
Fee-N with level 3
protection
License-N
Fee-N
License-Y
Fee-depends on subset of
vocabulary; route and dose
might be offered without
fee
License-N
Fee-N
Note:all but D codes are in
the public domain; D code
copyright held by
American Dental
Association
License-N notification of
usage via letter to Dr. Saba
Fee-N
License-N
Fee-N
License-N
Fee-N
License-N
Fee-N
License-N
Fee-N
License/Fee for Use in
Organization and in
Messages Sent
License and fee structure
currently under review
License and fee structure
currently under review
License-Y annual lease
agreement
Fee-Y not yet determined
License-N
Fee-N
License-Y full
Fee-Y dependent on value
gained and size of the
organization
License-N
Fee-N
Note:all but D codes are in
the public domain; D code
copyright held by
American Dental
Association
License-N notification of
usage via letter to Dr. Saba
Fee-N
License-N
Fee-N
License-N
Fee-N
License-N
Fee-N
License-N
Fee-N
License/Fee for Use Only
in Messages Sent (Mapped
from Another
Terminology)
License and fee structure
currently under review
License and fee structure
currently under review
License-Y similar to CPT
Fee-Y not yet determined
License/Fee for Use Only
in Messages Received
(Mapped to Another
Terminology)
License and fee structure
currently under review
License and fee structure
currently under review
License-Y similar to CPT
Fee-Y not yet determined
License-N
Fee-N
License-Y full
Fee-Y dependent on value
gained and size of the
organization
License-N
Fee-N
License-Y full
Fee-Y dependent on value
gained and size of the
organization
License-N
Fee-N
Note:all but D codes are in
the public domain; D code
copyright held by
American Dental
Association
License-N notification of
usage via letter to Dr. Saba
Fee-N
License-N
Fee-N
License-N
Fee-N
License-N
Fee-N
License-N
Fee-N
License-N
Fee-N
Note:all but D codes are in
the public domain; D code
copyright held by
American Dental
Association
License-N notification of
usage via letter to Dr. Saba
Fee-N
License-N
Fee-N
License-N
Fee-N
License-N
Fee-N
License-N
Fee-N
License/Fees
License/Fee for HL7
Domain Specification
Terminology
Medcin
Multum Lexicon
North American Nursing Diagnosis
Association (NANDA) Taxonomy 1
Nursing Interventions Classification
Nursing Outcomes Classification
License-N
Fee-N
License-Y
Fee-N
Will be discussed at
February 1999 Board of
Directors meeting;
historically fees have been
modest
License-Y
Fee-depends, perhaps no
fee (similar to UMLS
model)
License-Y
Fee-to be negotiated with
Mosby, but not likely to be
high
License/Fee for Use in
Organization and in
Messages Sent
License-Y
Fee-$25/site (#patient
record databases or
#separate federal employer
identification numbers
(whichever is greater)
License-Y
Fee-N
Will be discussed at
February 1999 Board of
Directors meeting;
historically fees have been
modest
License-Y
Fee-Y Institutions:$300/ 056 users plus additional fee
of $4.40-$5.30/users>56;
Vendors:$2500 flat fee
applied to user fees of
$2.00-$3.50/user
License-Y
Fee-Y Institutions:$300/ 056 users plus additional fee
of $4.40-$5.30/users>56;
Vendors:$2500 flat fee
applied to user fees of
$2.00-$3.50/user
License/Fee for Use Only
in Messages Sent (Mapped
from Another
Terminology)
License-Y
Fee-$25/site (#patient
record databases or
#separate federal employer
identification numbers
(whichever is greater)
License-Y
Fee-N
Will be discussed at
February 1999 Board of
Directors meeting;
historically fees have been
modest
License-Y
Fee-Y Institutions:$300/ 056 users plus additional fee
of $4.40-$5.30/users>56;
Vendors:$2500 flat fee
applied to user fees of
$2.00-$3.50/user
License-Y
Fee-Y Institutions:$300/ 056 users plus additional fee
of $4.40-$5.30/users>56;
Vendors:$2500 flat fee
applied to user fees of
$2.00-$3.50/user
License/Fee for Use Only
in Messages Received
(Mapped to Another
Terminology)
License-Y
Fee-$25/site (#patient
record databases or
#separate federal employer
identification numbers
(whichever is greater)
License-Y
Fee-N
Will be discussed at
February 1999 Board of
Directors meeting;
historically fees have been
modest
License-N
Fee-N
License-Y
Fee-Y Institutions:$300/ 056 users plus additional fee
of $4.40-$5.30/users>56;
Vendors:$2500 flat fee
applied to user fees of
$2.00-$3.50/user
License/Fees
License/Fee for HL7
Domain Specification
Terminology
Russian MeSH
SNOMED
Universal Medical Device
Nomenclature System (UMDNS)
Licensing and fee structure
not developed beyond that
of UMLS license
License-Y
Fee-Y dependent upon
application and use
License-Y
Fee-N
License/Fee for Use in
Organization and in
Messages Sent
Licensing and fee structure
not developed beyond that
of UMLS license
License-Y
Fee-Y dependent upon
application and use
License-Y
Fee-N
License/Fee for Use Only
in Messages Sent (Mapped
from Another
Terminology)
Licensing and fee structure
not developed beyond that
of UMLS license
License-Y
Fee-Y dependent upon
application and use
License-Y
Fee-N
License/Fee for Use Only
in Messages Received
(Mapped to Another
Terminology)
Licensing and fee structure
not developed beyond that
of UMLS license
License-Y
Fee-Y dependent upon
application and use
License-Y
Fee-N
Conclusions
 Low response rate, but major systems with the exception
of CPT and Read responded
 At least one terminology for each of the domains specified
in the survey
 Variation in license and fee structure
 With the exception of the terminologies in the public
domain, licenses are likely to be required for domain
specification, message sending, and message receipt