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Inventory of Standards Inventories

Brief Progress Report

By HITSP Inventory of Standards Inventories Committee

February 19, 2006

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Overview

• Terms of ReferenceGather 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 ReportThe Committee initially met on February 6 and again on February 17. This is a preliminary report on progress to date.

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Standards Inventories Within Harmonization FlowThe Community

Defines a Breakthrough

ONC

Coordinates Breakthroughs with long term strategyRefines breakthroughs into use cases

HITSP

Harmonizes relevant HC standards to support widespread interoperability and interchangeBased on Community directed - use case driven process

Technical Committees

Develop business and technical requirementsSurvey landscape for candidates, gaps, duplicate standards

Propose standards for harmoniziationPublish implementation guide and testing

Inventory of Standards Inventory Committee

Gathers existing inventories and suggests how to maintain

to support harmonization

Standards Readiness Criteria Committee

Develop tool for TCs to use in making recommendations to HITSP and for HITSP to

use in harmonization

Use Case Charter

Recommended Standards

Criteria for Inventories

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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 . . .)

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Initial Listing of Inventories

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Next Steps

• Gain feedback from TC users on their needs and use

• Obtain guidance from HITSP as to level of effort– Initial and ongoing

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Supplemental Slides

• ANSI Clinical and Healthcare Standards

• NIST HCSL

• Alliance Directory

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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

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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.

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•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 http://www.hitsdir.org

Alliance Standards Directory