Standardization of Native Medical Terminologies
For the Native Standardization project, J P Systems works on the standardization of several VHA domains of clinical data to allow medical records to be exchanged directly with different enterprises, without matching or translation, with the goal of eliminating long-term maintenance of matching between terminologies. The project focuses on several domains including: Radiology, Lab, Medical Devices, Allergies, Text Integration Utilities (TIU), Medications and Providers. The VA has worked to establish a standard terminology for data exchange to provide the foundation for industry-wide interoperability and this project will support the effort of the VA to remain the leader of healthcare data exchange.
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.