Exchange of Computable Patient Data between the Department of Veterans Affairs (VA) and the Department of Defense (DoD): Terminology Mediation Strategy | Zendy

Omar Bouhaddou | Zendy; Pradnya Warnekar | Zendy; Frank A. Parrish | Zendy; Nhan Do | Zendy; Joshua C. Mandel | Zendy; John Kilbourne | Zendy; M J Lincoln | Zendy

Open Access

Exchange of Computable Patient Data between the Department of Veterans Affairs (VA) and the Department of Defense (DoD): Terminology Mediation Strategy

Author(s) -

Omar Bouhaddou,

Pradnya Warnekar,

Frank A. Parrish,

Nhan Do,

Joshua C. Mandel,

John Kilbourne,

M J Lincoln

Publication year - 2007

Publication title -

journal of the american medical informatics association

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 1.614

H-Index - 150

eISSN - 1527-974X

pISSN - 1067-5027

DOI - 10.1197/jamia.m2498

Subject(s) - terminology , interoperability , veterans affairs , health information exchange , snomed ct , health care , data exchange , semantic interoperability , computer science , workgroup , pharmacy , mediation , systematized nomenclature of medicine , information exchange , medicine , knowledge management , nursing , world wide web , political science , health information , telecommunications , computer network , philosophy , linguistics , law

Complete patient health information that is available where and when it is needed is essential to providers and patients and improves healthcare quality and patient safety. VA and DoD have built on their previous experience in patient data exchange to establish data standards and terminology services to enable real-time bi-directional computable (i.e., encoded) data exchange and achieve semantic interoperability in compliance with recommended national standards and the eGov initiative. The project uses RxNorm, UMLS, and SNOMED CT terminology standards to mediate codified pharmacy and allergy data with greater than 92 and 60 percent success rates respectively. Implementation of the project has been well received by users and is being expanded to multiple joint care sites. Stable and mature standards, mediation strategies, and a close relationship between healthcare institutions and Standards Development Organizations are recommended to achieve and maintain semantic interoperability in a clinical setting.

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