In my last article in the vocabulary category, I described the need for semantically enabled data and how different categories of health data have different standard vocabulary / ontology associated with them. In the following table I attempt to summarize the recommended vocabularies for different HealthVault types.
Disclaimer: Please note this is not a definitive or complete list, and I will update the table as I discover inconsistencies. The definitive source are the XSDs associated with HealthVault data types.
| HealthVault Type | Type Schema | HV Recommended vocabulary related to this type | Comments |
| Advance Directive | 822a5e5a-14f1-4d06-b92f-8f3f1b05218f | None |
Examples include living wills and power of attorney for healthcare. |
| Allergy | 52bf9104-2c5e-4f1f-a66d-552ebcc53df7 | icd9cm, icd9cm-reactions | Details on ICD-9 Codes |
| Basic Demographic Information | bf516a61-5252-4c28-a979-27f45f62f78d | ISO-3166 | Country of residence |
| Blood Glucose Measurement | glucose-measurement-type | ||
| Blood Oxygen Saturation | blood-oxygen-saturation-measurement-method | ||
| Body Composition | body-composition-measurement-methods | ||
| Body Dimension | dd710b31-2b6f-45bd-9552-253562b9a7c1 | body-dimension-measurement-names, body-dimension-measurement-names-pediatric | |
| Calorie Guideline | calorie-guideline-names | ||
| Concern | aea2e8f2-11dd-4a7d-ab43-1d58764ebc19 | concern-description | Concerns are more general than conditions |
| Condition | 7ea7a1f9-880b-4bd4-b593-f5660f20eda8 | ||
| Continuity of Care Document (CCD) | |||
| Continuity of Care Record (CCR) | http://www.ccrstandard.com/ | ||
| Daily Medication Usage | a9a76456-0357-493e-b840-598bbb9483fd | dose-purpose, usage-schedule, x12-de-1330, prescription-type, x12-d3-355, | |
| Diabetes Insulin Injection Use | insulin-types, | ||
| Discharge Summary | icd9cm | ||
| HbA1C Measurement | HbA1C-assay-method | ||
| Health Assessment | health-assessment-name, health-assessment-value-sets, health-assessment-groups, health-assessment-category | ||
| Heart Rate | b81eb4a6-6eac-4292-ae93-3872d6870994 | heart-rate-measurement-conditions | |
| HL7 Clinical Document Architecture, Release 2 | |||
| Immunization | vaccines-cvx, vaccine-manufacturers-mvx, medication-routes, | ||
| Insulin Injection | insulin-types | ||
| Insurance Plan | coverage-types | ||
| Lab Test Results | LOINC, lab-status, lab-results-flag, | More on LOINC here. | |
| Medication | 30cafccc-047d-4288-94ef-643571f7919d | Rxnorm, NDC, medication-prescribed | |
| Medication Fill | Rxnorm, NDC | ||
| Personal Demographic Information | blood-types, ethnicity, marital-status, religion, education-level, | ||
| Pregnancy | 46d485cf-2b84-429d-9159-83152ba801f4 | delivery-complications, anesthesia-methods, delivery-methods, pregnancy-outcomes, gender-types, conception-methods, | |
| Question Answer | 55d33791-58de-4cae-8c78-819e12ba5059 | question-sets, answer-choice-sets | |
| Sleep Related Activity |
November 2005, "Your Guide to Healthy Sleep", ISBN 1-933236-05-1 |
||
| Sleep Session |
November 2005, "Your Guide to Healthy Sleep", ISBN 1-933236-05-1 |
||
| Vital Signs | lab-results-units, lab-results-flag, |
As you can notice above we recommend ICD-9, RxNorm, LOINC, NDC. x12-de-1130, x12-de-335. We do prefer SNOMED-CT as well, however the application using it need to have license for it.
Having written the above I would like to match that with what Dr. Halamka recommends in his post. Note that I mention content column for completeness, however its not useful for comparison.
| Data | Content | Vocabulary |
| Demographics | HL7 2.x for messaging, CCD for document summaries | HITSP Harmonized code sets for gender, marital status |
| Problem List | HL7 2.x for messaging, CCD for document summaries | SNOMED-CT |
| Medications | NCPDP script for messaging, CCD for document summaries | RxNorm and Structured SIG |
| Allergies | HL7 2.x for messaging, CCD for document summaries | UNII for foods and substances, NDF-RT for medication class, RxNorm for Medications |
| Progress Notes and Other Narrative Documents (History and Physical, Operative Notes, Discharge Summary) | HL7 2.x for messaging, CCD for document summaries | CDA Templates (interesting note) |
| Departmental Reports (Pathology/Cytology, GI, Pulmonary, Cardiology etc.) | HL7 2.x for messaging, CCD for document summaries | SNOMED-CT |
| Laboratory Results | HL7 2.x for messaging, CCD for document summaries | LOINC for lab name, UCUM for units of measure, SNOMED-CT for test ordering reason |
| Microbiology | HL7 2.x for messaging, CCD for document summaries | LOINC for lab name/observation |
| Images | DICOM | |
| Administrative Transactions (Benefits/Eligibility, Referral/Authorization, Claims/Remittance) | X12 | X12, CAQH CORE |
Next Time: I’ll try to update the above tables with more details and try to come with recommendations of which clinical type (in the Data column above) would potentially match with which HealthVault type.
As usual leave your suggestions in the comments.
4 comments ↓
[...] have previously posted about Understanding Health Ontologies and Standards. In this post I’ll focus on SNOMED-CT [...]
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[...] series so far talks about Vocabularies, HealthVault Data Types in context of various Health IT Standards, SNOMED-CT, [...]
For more mappings, my organization has done a mapping of the related HL7 PHM format (used by Continua) to Healthvault – http://www.macadamian.com/insight/healthcare_detail/mapping_hl7_phm_to_healthvault/
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