Vocabulary mapping supports the interoperability of health information systems by using controlled vocabularies to increase communication between these systems. Think of a scenario in which two health information systems would need to transmit data to each other. In your response:
- Identify the two health information systems.
- Give specific examples of ten terms these systems would need to transmit to each other.
- Discuss master data and their relationship to other tables.
- Distinguish between a SDO and a standard.
Guided response: Your initial post should be a minimum of 200-250 words.
- Utilize a minimum of two scholarly sources, excluding the textbook.
- Sources should be cited in APA format, as outlined in the Writing Center.
- You must respond to at least two of your classmate’s posts by Day 7.
- Your three required posts must be on three different days of the week.
- After reading the other initial postings, include two recommendations for one to one mapping.
Expert Solution Preview
Introduction:
In the field of healthcare, exchanging health information between different health systems is essential for providing comprehensive patient care. Vocabulary mapping is a process of harmonizing terminologies used by different health information systems to facilitate interoperability between them. This process ensures that both systems can communicate and exchange information accurately. In this post, I will identify two health information systems, ten terms that these systems would need to transmit to each other, the master data, and its relationship with other tables, and distinguish between SDO and a standard.
Identify the two health information systems:
Two health information systems that need to transmit data to each other are Clinical Decision Support Systems (CDSS) and Electronic Health Records (EHR). CDSS utilizes data to provide health practitioners with clinical decision-making support, whereas EHRs contain patients’ health information that can be accessed by authorized health practitioners.
Give specific examples of ten terms these systems would need to transmit to each other:
1. Patient’s name
2. Date of birth
3. Diagnosis
4. Medication name/dosage
5. Procedure date
6. Lab results
7. Allergies/sensitivity reaction
8. Immunization records
9. Family medical history
10. referring health practitioners
Discuss master data and their relationship to other tables:
Master data refers to critical business data like the name, address, and identification data of a patient that are necessary for healthcare activities. It forms the foundation of health information systems and is linked to all other transactions. In contrast, other tables contain specific patient data such as their health status, lab results, and medications. Master data governs the access and control policies of EHRs and CDSS.
Distinguish between SDO and a standard:
SDO (Standards Development Organizations) is an institution that establishes and maintains medical terminologies and standards in communication systems. Whereas standards refer to consistent terminologies, codes, and protocols recognized and agreed upon within the healthcare industry to ensure communication between interoperable health systems. SDOs can develop new standards, maintain existing ones, and monitor adherence to them by the health information systems.
Recommendations for one to one mapping:
1. Both health information systems must use the same standardized vocabulary.
2. Health practitioners should ensure they are familiar with the terms used in both CDSS and EHR.
Conclusion:
Vocabulary mapping is crucial in ensuring that health information systems from different organizations can communicate and share accurate data. The adoption of standardized terminologies and codes helps in harmonizing information and eliminates misunderstandings. It is essential to have a common understanding of the terminologies used in CDSS and EHRs and to maintain and adhere to the developed standards.
