3M Health Information Systems 1© 3M All Rights Reserved. 3M Health Information Systems Data Standardization Interoperability

3M Health Information Systems Healthcare Data Dictionary (HDD)  Disparate Systems  Interoperability  Information Exchange  Reporting  Public Health  Quality Metrics  Research  Data Warehousing  Clinical Decision Support  Data Standards © 3M All Rights Reserved.

3M Health Information Systems 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 distribution of content VS. Epic Siemens HIE Crimson EDW maps © 3M All Rights Reserved. LOINC SNOMED RxNorm Epic Cerner Point-to-Point vs. Centralized Mapping

3M Health Information Systems Epic Cerner Point-to-point mapping is difficult to maintain: 102 sites – 5151 “fixes” Centralized mapping is simple to maintain: 1 “fix” VS. Cerner © 3M All Rights Reserved. RxNorm Crimson HIE LOINC SNOMED HDD EDW Siemens Epic Siemens EDW Crimson If a Mapping Changes...

3M Health Information Systems HDD Mapping Result – Rosetta Stone  Manages ongoing updates from standard terminologies as well as local additions and changes from health care facilities  Translates/transforms an enterprise’s data to standards such as LOINC®, so it can be interpreted by all other systems using standards  Moves Syntactic Interoperability to the level of Semantic Interoperability and enables Meaningful Use HDD ID Protime Concept 3M HDD ID LOINC® Code Siemens Interface Code M Long Name Protime 3M Short Name PT Epic Interface Code © 3M All Rights Reserved.

3M Health Information Systems © 3M All rights reserved. 3M CONFIDENTIAL ─ DO NOT DISTRIBUTE Interface Engine Presentation Layer Architecture Example: Longitudinal Data Repository

3M Health Information Systems Customer Use Case: Data Warehouse 3M HDD EDW Epic Eclipsys Labs Meds NCIDsNCIDs © 3M All Rights Reserved.

3M Health Information Systems Code SetMU Objective ISO 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 2 Stage 2 requirements include eight standards. Quality measure reporting requirements specify the use of Standard terminologies. 3M HDD facilitates the initial mapping and ongoing maintenance. © 3M All Rights Reserved. Meaningful Use

3M Health Information Systems HDD Access  Publicly available version of HDD   Detailed Information  Software  Content  APIs  Information Models  Differences between HDD Access and Commercial HDD  Third party terminologies  Evaluation vs. Enterprise 9 © 3M All Rights Reserved.

3M Health Information Systems Thank You! 10 Please visit our website Kasey Poon © 3M All Rights Reserved.