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Data Standardization
Interoperability
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Healthcare Data Dictionary (HDD)

Disparate Systems
Interoperability
Information Exchange
Reporting
Public Health
Quality Metrics
Research
Data Warehousing
Clinical Decision Support
Data Standards

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Point-to-Point vs. Centralized Mapping

LOINC

Epic
Epic

Epic
Epic

LOINC
LOINC

SNOMED
SNOMED

Cerner
Cerner

n( n 1)
2

Siemens
Siemens

Cerner
Cerner

SNOMED
SNOMED

maps

HDD

VS.
HIE
HIE

HIE
HIE

Siemens
Siemens

Crimson
Crimson

EDW
EDW

Crimson
Crimson
RxNorm
RxNorm

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

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EDW
EDW
RxNorm
RxNorm

Mapping to a terminology server for 9 sources = n =

9 maps
Adding 1 source adds 1 map
Centralized maintenance and distribution of content

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If a Mapping Changes . . .

LOINC

Epic
Epic

Epic
Epic

LOINC
LOINC

SNOMED
SNOMED

Cerner
Cerner

Cerner
Cerner

SNOMED
SNOMED

HDD

VS.

Siemens
Siemens

HIE
HIE

HIE
HIE

Siemens
Siemens

Crimson
Crimson

EDW
EDW

Crimson
Crimson
RxNorm
RxNorm

Point-to-point mapping
is difficult to maintain:
102 sites 5151 fixes
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EDW
EDW
RxNorm
RxNorm

Centralized mapping is
simple to maintain:
1 fix

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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
enterprises 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

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LOINC
LOINC
Code
Code

5902-2
5902-2

Epic
Epic
Interface
Interface
Code
Code

Siemens
Siemens
Interface
Interface
Code
Code

HDD ID
Protime
Protime
Concept
Concept
26277
3M
3M HDD
HDD ID
ID
26277
26277

3650-73
3650-73

3M
3M
Short
Short
Name
Name

PT
PT

467-73
467-73

3M
3M
Long
Long
Name
Name

Protime
Protime

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Architecture Example: Longitudinal Data Repository

Presentation
Presentation Layer
Layer

Interface Engine

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Customer Use Case: Data Warehouse

La
bs

Epic

Me
ds

s
Lab

3M HDD

N
C
I
D
s

EDW

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ds
e
M

Eclipsys

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Meaningful Use

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.

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Code Set

MU Objective

ISO 639-2 Language

Codes

Demographics

OMB Race and

Ethnicity

Demographics

ICD-10-CM

SNOMED CT

Problem List
Clinical
Summaries
Problem List
Allergies

LOINC

Lab Test Results

Vital Signs
Smoking Status

RxNorm
Medications
CVX - Immunizations
HL7 Pedigree

Clinical
Summaries

Family Health
History

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HDD Access

Publicly available version of HDD

www.HDDAccess.com
Detailed Information
Software
Content
APIs
Information Models
Differences between HDD Access and Commercial HDD
Third party terminologies
Evaluation vs. Enterprise

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Thank You!

Please visit our

website
www.hddaccess.com

Kasey Poon
kpoon@mmm.com
+1-801-265-4843
10

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