DRAFT FOR COMMITTEE DISCUSSION ONLY 1 Inventory of Standards Inventories Brief Progress Report By HITSP Inventory of Standards Inventories Committee February 19, 2006

DRAFT FOR COMMITTEE DISCUSSION ONLY 2 Overview Terms of Reference Gather together existing standards inventories from HIMSS, CHI, NIST, NAHIT, CSI etc. and suggest the best way to maintain an ongoing educational standards inventory resource to inform our harmonization efforts. This could be a web page with pointers to all other work, a consolidation of the work to date into the NIST Standards Landscape tool or other approach. In the future the work of the Standards Readiness committee on the maturity of standards could then use this resource as the basis for their work. Discussion Draft Report The Committee initially met on February 6 and again on February 17. This is a preliminary report on progress to date.

DRAFT FOR COMMITTEE DISCUSSION ONLY 3 Standards Inventories Within Harmonization Flow

DRAFT FOR COMMITTEE DISCUSSION ONLY 4 Issues Scope of Effort –Inventory of Standards Inventories (multiple standards developers included ) –Inventory of Standards (single standards developer list) Inventories Categorization –Basic (description, type, numbers, source, availability) –Simple taxonomy (Content, structure, messaging and function) –Domains (e.g., clinical, administrative, financial, research, public health...) Sub-domains (e.g., in clinical: EHR, Lab, Pharmacy, Imaging, Nursing...)

DRAFT FOR COMMITTEE DISCUSSION ONLY 5 Initial Listing of Inventories

DRAFT FOR COMMITTEE DISCUSSION ONLY 6 Next Steps Gain feedback from TC users on their needs and use Obtain guidance from HITSP as to level of effort –Initial and ongoing

DRAFT FOR COMMITTEE DISCUSSION ONLY 7 Supplemental Slides ANSI Clinical and Healthcare Standards NIST HCSL Alliance Directory

DRAFT FOR COMMITTEE DISCUSSION ONLY 8 Two ANSI Inventories American National Standards Institute, Healthcare Informatics Standards Board. Inventory of Clinical Information Standards (June 1998). New York: ANSI –An inventory of clinical data standards emphasizing terminology and code set standards, useful for the federal Consolidated Health Informatics program American National Standards Institute, Healthcare Informatics Standards Board. Inventory of Health Care Data Standards (February 1997). New York: ANSI. –An inventory of administrative simplification standards useful for selecting HIPAA standards for adoption by HHS

DRAFT FOR COMMITTEE DISCUSSION ONLY 9 NIST Health Care Standards Landscape (HCSL) Provides web-tool for publishing & discovering healthcare standards’ information. Operational at NIST, jointly funded by NIST and AHRQ. Contains sample-set of information on healthcare standards, stakeholder organizations, and profiles (approx. 80 stds, 55 orgs, 4 profiles) Describes, but DOES NOT contain, standards; provides links to standards, publishers (SDOs) & other resources. Search content by Boolean Query, Name, Keywords, Classifiers, & Relationships (Associations). –Classifiers include: Healthcare domains (~ 122); Org types ( 18); Doc types (~ 116); Doc status (16). (All Classifiers Extensible) –Approx. 37 Relationship-types (Extensible) User Password and Content Management Controls. XML-based for import/export of DB content to other tools.

DRAFT FOR COMMITTEE DISCUSSION ONLY 10 A comprehensive directory of over 1,900 HIT standards from 434 organizations Open to the public since June 2004 Standards are organized and can be viewed: By Standards Publication, with key summary information and reference links. By Organization, with contact information, key summary text and a listing of relevant sub-organizations and Standards Publications. By Category- groupings of related standards activities. Using the Search function. Online at Alliance Standards Directory