INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Charles Jaffe MD Ph

INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Charles Jaffe, MD, Ph. D Chief Executive Officer Health Level 7 March 7, 2009 © Health Level 7, Inc.

INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Joint Initiative Council (JIC) NHS CEN Infoway HL 7 Ne. HTA ISO CDISC IHTSDO IEEE SCO NCPDP HITSP ASTM ASC X 12 ANSI CCHIT LOINC NQF FHA HIMSS/RSNA NIST ONC Med. DRA ICH CPT AMA ICD WHO IHE HHS NIH FDA VHA NLM CDC DOD NCI CMS Home Sec ca. BIG SNOMED US Realm DICOM

INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Acronyms & Abbreviations Standards Development Organizations • ANSI - American National Standards Institute • ASC X 12 - Accredited Standards Committee X 12 (Financial transactions) • ASTM - American Society for Testing & Materials • CDISC - Clinical Data Interchange Standards Consortium (Clinical research) • CEN - European Committee for Standardization • HL 7 - Health Level 7 • IEEE - Institute of Electrical and Electronics Engineers • IHTSDO International Health Terminology Standards Development Organization (SNOMED) • JIC - Joint Initiative Council (International collaborative organization) • ISO - International Standards Organization (Healthcare IT - TC 215) • ICH - International Conference on Harmonization (Pharmaceutical IT standards organization) • NCPDP - National Council for Prescription Drug Programs • SCO - SDO Charter Organization (US collaborative organization) • WHO - World Health Organization

INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Acronyms & Abbreviations (Continued) International Terminology Standards • CPT - Current Procedural Terminology (AMA) • ICD - International Classification of Diseases (WHO - US uses ICD-9; elsewhere ICD-10) • LOINC Logical Observations Identifiers Names & Codes (Lab) • Med. DRA - Medical Dictionary for Regulatory Activities (Pharmaceutical - trial submissions & adverse events reporting. Developed by ICH; owned by Ph. RMA) • SNOMED Systematized Nomenclature of Medicine (Developed by IHTSDO; created by College of American Pathologists; licensed by HHS) International Radiological & Imaging Standards (Organizations) • DICOM - Digital Imaging & Communications International Government Agencies & Organizations • Infoway - Canada Health Infoway (Canadian public-private partnership for HIT) • Ne. HETA - National e. Health Transition Authority (Australia) • NHS - National Health Service (Connecting for Health; UK HIT agency)

INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Acronyms & Abbreviations (Continued) US Department of Health& Humans Services (HHS) Agencies, Organizations, & Others • CCHIT - Certification Commission for Healthcare Information Technology (private non-profit; recognized by HHS; certifies Electronic Health Records • CDC - Centers for Disease Control & Prevention (Disease reporting & public health) • ca. BIG - Cancer Biomedical Informatics Grid (NCI; linking researchers, physicians, & patients) • CMS - Center for Medicare & Medicaid Services • FDA - Food & Drug Administration • FHA - Federal Health Architecture (Linking Federal agencies providing healthcare) • HHS - US Department of Health & Human Services • HITSP - Healthcare Information Technology Standards Panel (Public-private partnership for HIT standards harmonization) • NCI - National Cancer Institute (NIH) • NIH - National Institutes of Health • NIST - National Institute of Standards & Technology • NLM - National Library of Medicine (NIH) • ONC - Office of the National Coordinator for Healthcare IT • VHA - Veterans Health Administration (Department of Veterans Affairs)

INTERNATIONAL HEALTHCARE STANDARDS LANDSCAPE Acronyms & Abbreviations (Continued) Other US Federal Agencies & Non-government Healthcare Organizations • DOD - Department of Defense • IHE - Integrating the Healthcare Enterprise (Managed by HIMSS. Develops implementation profiles using other SDO standards, largely HL 7) • HIMSS Health Information Management Systems Society (US-based Vendor organization for HIT companies) • Home Sec - Department of Homeland Security • NGO - Non-Government Organizations (Academic, Non-profit, and Private-sector) • NQF - National Quality Forum • RSNA - Radiological Society of North America