VA Standards and Interoperability: Terminology Standards
In addition to helping to shape the terminology-related policies and standards to which VA must eventually comply, this project provides guidance to VA project teams on the use of and ramifications of such standards. During the course of this contract, we successfully launched the Federal Health Terminology Model initiative, which has active participation from nearly a dozen federal agencies. We engaged with the Office of Nursing Services to define standard terminology for Nursing Flowsheets, and have contributed content to HL7 including a successfully balloted domain analysis model for pressure ulcer risk assessment. J P Systems provides technical medical terminology services for the International Health Terminology Standards Development Organisation (IHTSDO), the Logical Observation Identifiers Names and Codes (LOINC) communities, RxNorm and the VHA National Drug File Reference Terminology (NDF-RT).
The primary purpose of these efforts is establish standardized terms and codes for clinical and administrative data in order to: a) enable interoperability among healthcare software systems within and external to VA; and b) enable automation based on such data. Specifically, Clinical Decision Support (CDS) functions and alerting such as drug-allergy or drug-drug interactions can only be achieved by the use of standardized terminology.