1 federal health it ontology project (hitop) group the vision toward testing ontology tools in high...

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Federal Health IT Ontology Federal Health IT Ontology Project (HITOP) GroupProject (HITOP) Group

The Vision Toward Testing The Vision Toward Testing Ontology Tools in High Priority Ontology Tools in High Priority

Health IT ApplicationsHealth IT ApplicationsOctober 5, 2005October 5, 2005

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Overview Overview Vision Toward Testing Ontology Software with Vision Toward Testing Ontology Software with

High Priority Health IT ApplicationsHigh Priority Health IT Applications

ONCHIT Focus:ONCHIT Focus: NHINNHIN Standards & InteroperabilityStandards & Interoperability RHIOsRHIOs Adoption of EHRsAdoption of EHRs

HITOP GroupHITOP Group PurposePurpose Supporting ActionsSupporting Actions Four Major GoalsFour Major Goals Strategy for Health IT Project CollaborationStrategy for Health IT Project Collaboration

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ONCHIT Major FocusONCHIT Major Focus

Nationwide Health Information Network Nationwide Health Information Network (NHIN):(NHIN):

Work towards a nationwide interoperability Work towards a nationwide interoperability that allows secure and seamless health that allows secure and seamless health information exchange. Work on information exchange. Work on harmonizing standards for interoperability harmonizing standards for interoperability and health information exchange.and health information exchange.

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ONCHIT Major Focus, contONCHIT Major Focus, cont.. Standards and InteroperabilityStandards and Interoperability

Achieving the vision of a national health information Achieving the vision of a national health information infrastructure first requires interoperability to link infrastructure first requires interoperability to link previously disparate health care information previously disparate health care information systems. People often confuse interoperability systems. People often confuse interoperability with standards, even though they are different. with standards, even though they are different. Standards are much narrower and specify Standards are much narrower and specify technical details. Interoperability, on the other technical details. Interoperability, on the other hand, is a much broader concept that involves hand, is a much broader concept that involves both a technical and business context. In the both a technical and business context. In the effort to establish this national health information effort to establish this national health information infrastructure, precise interoperability standards infrastructure, precise interoperability standards for practice must be specified. for practice must be specified.

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ONCHIT Major Focus, contONCHIT Major Focus, cont

Regional Health Information Organizations Regional Health Information Organizations (RHIOs)(RHIOs)

Regional Health Information Organizations or RHIOs Regional Health Information Organizations or RHIOs support state and other regional projects that support state and other regional projects that help harmonize the privacy and business rules for help harmonize the privacy and business rules for health information exchange. There are over 100 health information exchange. There are over 100 regional projects under way that are funded by regional projects under way that are funded by the Federal government. Several other projects the Federal government. Several other projects are being supported by private industry efforts or are being supported by private industry efforts or are substantiated by State Governors and/or state are substantiated by State Governors and/or state legislation. legislation.

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ONCHIT Major Focus, contONCHIT Major Focus, cont

Adoption of EHRsAdoption of EHRs

Drive Adoption of Electronic Health Records or EHRs Drive Adoption of Electronic Health Records or EHRs requires reducing the loss and risk physicians requires reducing the loss and risk physicians face when investing in EHRs. This risk be reduced face when investing in EHRs. This risk be reduced by ensuring EHR products comply with minimal by ensuring EHR products comply with minimal standards for functionality, security and standards for functionality, security and interoperability; and helping provide interoperability; and helping provide implementation support to doctors so they can re-implementation support to doctors so they can re-engineer their business processes with IT. engineer their business processes with IT.

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HITOP Group PurposeHITOP Group Purpose

HITOP will survey existing best HITOP will survey existing best practices and actions in the semantic practices and actions in the semantic interoperability and ontology interoperability and ontology communities of practice, identify communities of practice, identify leading–edge innovations in the use leading–edge innovations in the use of ontology software tools for health of ontology software tools for health IT applications, and advance IT applications, and advance interoperability and standards interoperability and standards supporting the NHIN.supporting the NHIN.

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Ontology Actions Supporting Health IT Ontology Actions Supporting Health IT Project DevelopmentProject Development

The Ontology and Taxonomy Coordinating The Ontology and Taxonomy Coordinating Work Group (ONTCWG) will provide a Work Group (ONTCWG) will provide a mechanism for voluntary coordination of mechanism for voluntary coordination of all activities within the Federal all activities within the Federal government and other interested parties, government and other interested parties, in developing Knowledge Classification in developing Knowledge Classification and Representation systems such as and Representation systems such as ontology, taxonomies, thesauri and ontology, taxonomies, thesauri and graphical knowledge representations.graphical knowledge representations.

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Ontology Actions Supporting Health IT Ontology Actions Supporting Health IT Project Development, cont.Project Development, cont.

The National Center for Ontological The National Center for Ontological Research will hold its inaugural event Research will hold its inaugural event at the University of Buffalo, Oct. 27, at the University of Buffalo, Oct. 27, 2005 – presenting a important 2005 – presenting a important opportunity to form a roadmap opportunity to form a roadmap toward testing ontology tools in high-toward testing ontology tools in high-priority health IT applications.priority health IT applications.

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AHRQ is funding $4 million with the FDA AHRQ is funding $4 million with the FDA and $ 1.15 million with the NLM to move and $ 1.15 million with the NLM to move critical drug safety information from the critical drug safety information from the drug manufacturers to FDA, using an HL7 drug manufacturers to FDA, using an HL7 standard format and content, for FDA standard format and content, for FDA approval. Once approved,, the information approval. Once approved,, the information will be posted publicly on the DailyMEd will be posted publicly on the DailyMEd web site. This project will continually web site. This project will continually improve the standardization of drug improve the standardization of drug vocabulary and lead to improved patient vocabulary and lead to improved patient safety and quality of care.safety and quality of care.

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AHRQ is funding NLM with $2.4 AHRQ is funding NLM with $2.4 million to undertake mapping of ICD-million to undertake mapping of ICD-9 diagnostic codes and CPT-4 9 diagnostic codes and CPT-4 procedure codes to SNOMED, to procedure codes to SNOMED, to undertake a compilation of HL7 undertake a compilation of HL7 standards’ terminologies and standards’ terminologies and incorporate them into NLM’s incorporate them into NLM’s Metathesaurus.Metathesaurus.

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AHRQ is funding CMS with $300,000 to AHRQ is funding CMS with $300,000 to build and maintain a meta-data registry of build and maintain a meta-data registry of terms in the CHI standards that have been terms in the CHI standards that have been adopted by HHS, VA and DoD.adopted by HHS, VA and DoD.

AHRQ is funding NIST with $300,000 to AHRQ is funding NIST with $300,000 to build and populate a web-based build and populate a web-based Landscape that shows who is doing what Landscape that shows who is doing what in health data standards in the U.S.in health data standards in the U.S.

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NIST points out, that for a long-term robust NIST points out, that for a long-term robust solutions, ontology tools will need to be able to solutions, ontology tools will need to be able to classify standards and describe how standards classify standards and describe how standards are related to each other. are related to each other.

Understanding semantics will be essential to a Understanding semantics will be essential to a long-term solution for interoperability.long-term solution for interoperability.

NIST has proposals for a major interoperability NIST has proposals for a major interoperability test bed for health care ontology, sharing test bed for health care ontology, sharing ontology tools, aligning different technologies, ontology tools, aligning different technologies, comparing ontology tools for overlap and comparing ontology tools for overlap and dovetails.dovetails.

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FHA interoperability Working Group FHA interoperability Working Group is identifying sets of data standards is identifying sets of data standards to promote interoperability.to promote interoperability.

Further work needs to be done to Further work needs to be done to address mapping and CHI regarding address mapping and CHI regarding implementation and relationships implementation and relationships between standards.between standards.

Therefore, mapping of government Therefore, mapping of government furnished information is important.furnished information is important.

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Four Major Goals Four Major Goals for the HITOP Groupfor the HITOP Group

1.1. Develop a Statement of Mission for HITOP Develop a Statement of Mission for HITOP 2.2. Communicate collective knowledge supporting Communicate collective knowledge supporting

usage of ontology tools in health IT applications.usage of ontology tools in health IT applications.3.3. Coordinate a meeting, to broadcast to the Coordinate a meeting, to broadcast to the

broader audience, plans to develop test projects broader audience, plans to develop test projects for the use of ontology tools in health IT for the use of ontology tools in health IT applications.applications.

4.4. Develop a roadmap on the state-of-the-art use Develop a roadmap on the state-of-the-art use of ontology tools to achieve semantic of ontology tools to achieve semantic interoperability for high priority health IT interoperability for high priority health IT applications involving clinical decision support applications involving clinical decision support systems (DSS) and electronic health records (EHRs).systems (DSS) and electronic health records (EHRs).

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Four Step StrategyFour Step Strategy for Identifying High Priority for Identifying High Priority Health IT Projects for Collaboration with Ontology Health IT Projects for Collaboration with Ontology

Software ToolsSoftware Tools

1.1. Present a description of the goals for using Present a description of the goals for using ontology tools in HIT applications to the National ontology tools in HIT applications to the National Center for Ontological Research (NCOR), Oct. Center for Ontological Research (NCOR), Oct. 2727thth - HITOP Roadmap - HITOP Roadmap

2.2. Pick-up from the major eGov CHI vocabulary Pick-up from the major eGov CHI vocabulary work.work.

3.3. Connect CHI SMEs with NCOR SMEsConnect CHI SMEs with NCOR SMEs4.4. Coordinate public-private partnerships for Coordinate public-private partnerships for

recommending, planning and developing recommending, planning and developing projects – testing the use of ontology software projects – testing the use of ontology software tools in high priority health IT applications.tools in high priority health IT applications.

1 federal health it ontology project (hitop) group the vision toward testing ontology tools in high...

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