http://www.nlm.nih.gov/healthit/meaningful_use.html

NLM tools for EHR Certification and Meaningful Use

Steven EmrickHead, Terminology QA & User Services

National Library of MedicineNational Institutes of Health

http://www.nlm.nih.gov/healthit/meaningful_use.html

NLM tools for EHR Certification and Meaningful Use

Meaningful Use Tools

http://www.nlm.nih.gov/healthit/meaningful_use.html

Provides a complete list of terminologies, mappings,applications, and APIs for all NLM effortsin the Meaningful Use arena.

NLM tools for EHR Certification and Meaningful UseValue Set Authority Center

• Launched in October 2012 to serve immediate need of Stage 2 MU• Considered ‘source of truth’ for all Stage 2 e-CQM value sets

• Pre-packaged downloads and API functionality available• Will be expanded to serve value sets beyond the scope of MU• Tooling in the works for value set authors • https://vsac.nlm.nih.gov

http://www.nlm.nih.gov/healthit/meaningful_use.html

http://www.nlm.nih.gov/healthit/meaningful_use.html

NLM tools for EHR Certification and Meaningful UseValue Set Authority Center

http://www.nlm.nih.gov/healthit/meaningful_use.html

NLM tools for EHR Certification and Meaningful UseMEDLINE Plus Connect

• Returns patient-specific education from MEDLINEPLUS Health Topics• Accepts ICD-9-CM/SNOMED CT (problems), LOINC (lab tests), and RxNorm (drugs)• Available as web application (GUI) or web service (API)• http://www.nlm.nih.gov/medlineplus/connect/overview.html

NLM tools for EHR Certification and Meaningful UseSNOMED CT

http://www.nlm.nih.gov/healthit/meaningful_use.html

NLM distributes SNOMED CT within the US, as the US Member of the IHTSDO.SNOMED CT is the designated standard for problems for Stage 2 Meaningful Use.

Available Products & Applications:

• International Release (both English and Spanish RF1 + RF2)• US Edition of SNOMED CT (US Extension combined with International Release)• US SNOMED CT content request system (concepts added to US use cases)• SNOMED CT API – provides API interface to RF2 SNOMED CT (concept status)• CORE Problem List Subset• KP’s Convergent Medical Terminology Subsets

Mapping help:

• I-MAGIC - provides mapping assistance from SNOMED CT -> ICD-10-CM• ICD-9-CM -> SNOMED CT maps• SNOMED CT -> ICD-10-CM maps

http://www.nlm.nih.gov/healthit/meaningful_use.html

NLM tools for EHR Certification and Meaningful UseRxNorm

RxNorm is produced by the NLM – full monthly releases alongweekly updates.RxNorm is the designated standard for drugs for Stage 2 Meaningful Use.

RxNorm overview available at:http://www.nlm.nih.gov/research/umls/rxnorm/overview.html

http://www.nlm.nih.gov/healthit/meaningful_use.html

NLM tools for EHR Certification and Meaningful UseRxNorm

Available Products and Applications• Full Monthly Release (first Monday of each month)

• Weekly updates also available (FDA SPLs)• Current Prescribable Subset – represents all currently available prescribable

drugs in the US• RxNorm/NDFRT/RxTerms API

• RxMix provides ‘daisy-chain’ workflow capability for the APIs above

File downloads:http://www.nlm.nih.gov/research/umls/rxnorm/docs/rxnormfiles.html

APIshttp://rxnav.nlm.nih.gov/RxNormAPI.html (RxNav)http://rxnav.nlm.nih.gov/RxTermsAPI.html (RxTerms)http://rxnav.nlm.nih.gov/NdfrtAPI.html (NDFRT)http://mor.nlm.nih.gov/RxMix/ (RxMix)

NLM tools for EHR Certification and Meaningful UseLOINC

http://www.nlm.nih.gov/healthit/meaningful_use.html

NLM funds LOINC development through contracts.LOINC is the designated standard for lab test results for Stage 2 Meaningful Use.

LOINC is published and distributed by Regenstrief – http://loinc.org

Available Products• Top 300 Lab Orders• Top 2000+ Lab Observation/Mapper’s Guide• Panels and Forms file• LOINC API (for remapped concepts)

http://www.nlm.nih.gov/healthit/meaningful_use.html

Questions?

Steven Emrickemricks@mail.nih.gov

301-496-8707